Basic Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Apr 18, 2024; 15(4): 379-385
Published online Apr 18, 2024. doi: 10.5312/wjo.v15.i4.379
Anatomic location of the first dorsal extensor compartment for surgical De-Quervain’s tenosynovitis release: A cadaveric study
Aditya Thandoni, William Nicholas Yetter, Steven Michael Regal
Aditya Thandoni, William Nicholas Yetter, Steven Michael Regal, Department of Orthopaedic Surgery, Allegheny Health Network, Pittsburgh, PA 15212, United States
Author contributions: All authors contributed equally to this project; Thandoni A wrote the proposal, obtained funding for the cadavers and wrote the manuscript; Thandoni A and Yetter WN performed all data collection and analysis; Yetter WN and Regal SM made edits to the manuscript; Regal SM performed all cadaveric dissections, coordinated and designed the study; all authors approved the final version of the article.
Institutional review board statement: This study was a cadaveric investigation and did not involve human subjects; institutional review board approval was therefore not necessary for the research presented in this article. However, we will provide our institutional tissue approval protocol.
Institutional animal care and use committee statement: This study does not involve animal subjects.
Conflict-of-interest statement: The authors have no conflict of interests to disclose.
Data sharing statement: No additional data are available beyond what is presented in this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Aditya Thandoni, MD, Doctor, Researcher, Surgeon, Department of Orthopaedic Surgery, Allegheny Health Network, 320 E North Avenue, Pittsburgh, PA 15212, United States. adityathandoni@gmail.com
Received: November 28, 2023
Revised: February 7, 2027
Accepted: April 2, 2024
Published online: April 18, 2024
Processing time: 140 Days and 7 Hours
Core Tip

Core Tip: Surgical release of the first extensor compartment at the level of the wrist has been well documented with multiple different techniques. Injury to the superficial radial nerve, decompressing the incorrect compartment, tendon injury, and incomplete release of the compartment leads to patient morbidity. We describe the precise anatomic location of the first dorsal compartment in relation to bony surface landmarks to create replicable surgical incisions. We demonstrate the location of the superficial radial nerve and document the variances in the first compartment sub-sheaths. In doing so, we have created a surgical protocol that will ensure a complete first compartment release.