ePlasty: Vol. 8
Anatomic Landmarks for the First Dorsal Compartment
Ron Hazani, MD, Nitin J. Engineer, MD, Damon Cooney, MD, and Bradon J. Wilhelmi, MD

Division of Plastic and Reconstructive Surgery, University of Louisville School of Medicine, Louisville, KY

None of the authors have any commercial association or financial disclosure that pose or create a conflict of interest with information presented in the manuscript.


Correspondence: Ronmdsurg@hotmail.com

Objective: Knowledge of anatomic landmarks for the first dorsal compartment can assist clinicians with management of de Quervain's disease. The radial styloid, the scaphoid tubercle, and Lister's tubercle can be used as superficial landmarks for the first dorsal compartment. Methods: Thirty-two cadaveric wrists were dissected, and measurements were taken from the predetermined landmarks to the extensor retinaculum. The compartments were also inspected for variability of the abductor pollicis longus tendon and intracompartmental septations. Results: The average length of the extensor retinaculum from its proximal to distal extent measured approximately 2.2 cm. The distal aspect of the radial styloid was 0.3 cm distal to the distal aspect of the extensor retinaculum, and the distance between the distal aspect of the extensor retinaculum and the APL-Lister's-Scaphoid juncture was approximately 0.5 cm. A separate compartment for the extensor pollici .......