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Tendon Sheath of Extensor Pollicis Longus
Connective Tissue

Tendon Sheath of Extensor Pollicis Longus

Vagina tendinis extensoris pollicis longi

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Anatomical Relations

The tendon sheath of the extensor pollicis longus muscle passes deep to the extensor retinaculum, within its own compartment on the medial aspect of the dorsal tubercle of the distal radius and continues to the base of the first metacarpal.

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Structure

The tendon sheath of the extensor pollicis longus brevis has an outer fibrous component and an inner double layered sheath of synovial membrane that is akin to a longitudinal bursa. The synovial layer is composed of an inner visceral layer and an outer parietal layer. The synovium produces a thin layer of lubricating fluid between the visceral and parietal layers which surround the tendons.

Function

The tendon sheath of the extensor pollicis longus muscle provides a well-lubricated, smooth surface that reduces friction during movements of the tendons.

List of Clinical Correlates

—Tendovaginitis

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Tendon Sheath

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Tenosynovectomy refers to the excision of thickened tendon sheath and other tissue surrounding a tendon, commonly seen in infection, chemical irritation, and rheumatoid arthritis (synovectomy).

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