Topographic Localization of the Extensor Retinaculum A Cadaveric Study.

Overview

PURPOSE: The extensor retinaculum of the wrist, a thickening of the deep forearm fascia, is often used as do- nor graft material for annular pulley reconstructions and bone-retinaculum-bone grafts for ligament reconstructions. The purpose of our study was to identify the relationships between the radial and ulnar styloids, readily recogniz- able topographic landmarks of the wrist, and the anatomic boundaries of the retinaculum. METHODS: The extensor retinacula of 12 preserved, right cadaver wrists (3 male and 9 female) were studied by gross dissection using 3.5-power loupe magnification. The proxi- mal and distal extents of the retinaculum were identified and marked with needles, and their distances from the radial and ulnar styloids measured to determine the lengths of the retinaculum on both sides. RESULTS: The extensor retinaculum on the radial side extended 23.9 ± 2.9 mm proximal to the radial styloid and 5.8 ± 2.6 mm distal to the styloid for a total length of 29.7 ± 3.8 mm. On the ulnar side, the retinaculum extended 2.4 ± 1.4 mm proximal to the ulnar styloid and 17.9 ± 2.6 mm distal to the styloid for a total length of 20.3 ± 2.9 mm. CONCLUSIONS: The extensor retinaculum has a consis- tent relationship with the readily recognized topographic landmarks of the radial and ulnar styloids. The use of the extensor retinaculum as donor material for pulley and liga- ment reconstruction make these findings useful for surgical planning.