{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T23:49:12Z","timestamp":1791503352076,"version":"4.3.4"},"reference-count":59,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Ziel des Artikels ist die Darstellung der speziellen chirurgischen Anatomie der\n                    Extensor carpi ulnaris-Sehne (ECU) und des 6. Strecksehnenfachs mit den\n                    h\u00e4ufigsten pathologischen Erkrankungen. Das 6. Strecksehnenfach ist durch das\n                    Retinaculum extensorum nur locker abgedeckt und nicht verbunden. Daf\u00fcr hat die\n                    ECU am Ulnakopf ein eigenes Retinaculum, f\u00fcr das der Name \u201eRetinaculum privatum\n                    ulnae\u201c (engl.: subsheath) vorgeschlagen wird. Die Luxation der ECU-Sehne, die\n                    erstmals von Schlesinger 1907 beschrieben wurde, kann durch verschiedene\n                    Techniken der Rekonstruktion des Retinaculum privatum (aus Retinaculum\n                    extensorum, transoss\u00e4re mit freiem Sehsnentransplantat oder durch Fasern der\n                    Linea jugata) behandelt warden.1\u200b Die\n                    Tendovaginose des Strecksehnenfachs wurde 1927 von Stein erstmals operiert, die\n                    erste ausf\u00fchrliche Beschreibung erfolgte durch Pfeiffer 1969 in Band 1 dieser\n                        Zeitschrift.2\u200b, 3\u200b Das 6. Strecksehnenfach ist bei\n                    rheumatischen Erkrankungen h\u00e4ufig betroffen. An der ECU-Sehne und an der\n                    Sehnenscheide finden sich in diesen F\u00e4llen deutliche strukturelle Sch\u00e4den durch\n                    aggressive entz\u00fcndlichen Synovialitiden sowie Instabilit\u00e4ten des Ulnakopfes\n                    (Caput ulnae- Syndrom).<\/jats:p>","DOI":"10.1055\/a-2930-3810","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:58:22Z","timestamp":1791500302000},"source":"Crossref","is-referenced-by-count":0,"title":["Spezielle chirurgische Anatomie und Pathologie des 6.\n                    Strecksehnenfachs sowie Rekonstruktionsm\u00f6glichkeiten der traumatischen Extensor\n                    carpi ulnaris Luxation"],"prefix":"10.1055","author":[{"given":"Martin Franz","family":"Langer","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum M\u00fcnster, Germany","place":["M\u00fcnster"],"department":["Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna-Sophie","family":"Wichmann-Reisener","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum M\u00fcnster, Nordrhein-Westfalen, Germany","place":["M\u00fcnster"],"department":["Klinik und Poliklinik f\u00fcr Unfall-, Hand- und\n                    Wiederherstellungschirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolin-Sophie","family":"Langer","sequence":"additional","affiliation":[{"name":"BG Klinikum Unfallkrankenhaus Berlin, Berlin, Germany","place":["Berlin"],"department":["Klinik f\u00fcr Hand- Replantations- und Mikrochirurgie, Klinik f\u00fcr\n                    Schwerbrandverletzte und Plastische Chirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Lautenbach","sequence":"additional","affiliation":[{"name":"Krankenhaus Waldfriede Berlin, Berlin, Germany","place":["Berlin"],"department":["Abt. Handchirurgie, obere Extremit\u00e4t und Fu\u00dfchirurgie, Zentrum\n                    Orthop\u00e4die und Unfallchirurgie, Rheumatologie, Rheumaorthop\u00e4die"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"ref1","first-page":"279","article-title":"Zwei F\u00e4lle von bisher nicht beschriebenen Sehnenluxationen","volume":"38","author":"A Schlesinger","year":"1907","journal-title":"Verh Berliner Med Ges"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0002-9610(27)91500-1","article-title":"Stenosing tendovaginitis","volume":"3","author":"H C Stein","year":"1927","journal-title":"Ann Surg"},{"key":"ref3","first-page":"97","article-title":"Tendovaginitis stenosans des Extensor carpi ulnaris","volume":"1","author":"K M Pfeiffer","year":"1969","journal-title":"Handchirurgie"},{"key":"ref4","volume-title":"Handbuch der Muskellehre","author":"J Henle","year":"1871"},{"key":"ref6","volume-title":"Anatomie des Menschen","author":"H Braus","year":"1954"},{"key":"ref7","volume-title":"Die Muskeln des menschlichen Armes","author":"F Frohse","year":"1908"},{"key":"ref8","first-page":"309","article-title":"Untersuchungen an den Sehnenf\u00e4chern der Streckmuskeln am menschlichen Handr\u00fccken\n                    und ihrer Sehnenscheiden Teil II","volume":"134","author":"H-M Schmidt","year":"1988","journal-title":"Gegenbaurs Morph Jb"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/S0363-5023(86)80155-1","article-title":"Duplication of the extensor carpi ulnaris tendon","volume":"11","author":"T Barfred","year":"1986","journal-title":"J Hand Surg Am"},{"key":"ref10","first-page":"109","article-title":"An accessory extensor digiti minimi arising from extensor carpi ulnaris","volume":"182","author":"T Nakashima","year":"1993","journal-title":"J Anat"},{"key":"ref11","first-page":"864","article-title":"Untersuchungen zur Morphologie des Sulcus, der Sehne des M. extensor carpi\n                    ulnaris","volume":"113","author":"J Radke","year":"1975","journal-title":"Z Orthop"},{"key":"ref12","first-page":"124","article-title":"Extensor carpi ulnaris. Its relationship to the stability of the distal radio-\n                    ulnar joint","volume":"68","author":"M Spinner","year":"1970","journal-title":"Clin Orthop Relat Res"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1302\/0301-620X.70B5.3192595","article-title":"Stenosing tenovaginitis of extensor carpi ulnaris: brief report","volume":"70","author":"U G Nachinolcar","year":"1988","journal-title":"J Bone Joint Surg Br"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1016\/S0363-5023(87)80105-3","article-title":"Chronic ulnar wrist pain secondary to partial rupture oft he extensor carpi\n                    ulnaris tendon","volume":"12A","author":"S Chun","year":"1987","journal-title":"J Hand Surg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"930.e1","DOI":"10.1016\/j.jhsa.2021.02.008","article-title":"Anatomical Study of Stabilizing Structures of the Extensor Carpi Ulnaris Tendon\n                    Around the Wrist","volume":"46","author":"S Omokawa","year":"2021","journal-title":"J Hand Surg Am"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1177\/15589447221105539","article-title":"Ana analysis of extensor carpi ulnaris groove morphology and tendon\n                    instability","volume":"19","author":"S C Shoap","year":"2024","journal-title":"Hand"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/S0363-5023(84)80100-8","article-title":"The extensor retinaculum of the wrist","volume":"9A","author":"J Taleisnik","year":"1984","journal-title":"J Hand Surg"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1055\/s-0035-1559720","article-title":"Tendinopathies of the extensor carpi ulnaris","volume":"47","author":"M Garcia-Elias","year":"2015","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref20","first-page":"230","article-title":"Anatomische Mitteilungen. Ein neues Ligament am Handr\u00fccken","volume":"5","author":"M V Lenhoss\u00e9k","year":"1890","journal-title":"Anat Anz"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/S0363-5023(81)80170-0","article-title":"The triangular fibrocartilage complex of the wrist\u2013anatomy and function","volume":"6","author":"A K Palmer","year":"1981","journal-title":"J Hand Surg"},{"key":"ref22","first-page":"746","article-title":"Zur Pathogenese der Tendovaginitis stenosans","volume":"139","author":"E Eichhoff","year":"1927","journal-title":"Bruns\u2019 Beitr Klin Chir"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1177\/1753193412460816","article-title":"Ice cream scoop test: a novel clinical test to diagnose extensor carpi ulnaris\n                    instability","volume":"38","author":"C Y Ng","year":"2013","journal-title":"J Hand Surg Eur Vol"},{"key":"ref24","first-page":"993","article-title":"Pressure and tendon strain in the sixth extensor compartment of the wrist during\n                    simulated provocative maneuvers for diagnosing extensor carpi ulnaris\n                    tendinitis","volume":"20","author":"T Kataoka","year":"2015","journal-title":"J Orthop Sci"},{"key":"ref26","first-page":"134","article-title":"Stenosierende Tendovaginosis des Extensor carpi ullnaris","volume":"34","author":"H J Pollack","year":"1987","journal-title":"Beitr. 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Erkrankungen der\n                    Strecksehnen","author":"P Vogt","year":"1881"},{"key":"ref39","volume-title":"Die Verletzungen der oberen Extremit\u00e4ten","author":"B Bardenheuer","year":"1888"},{"key":"ref40","first-page":"475","article-title":"Stenosing tenovaginitis at the wrist and fingers: Report of 423 cases in 369\n                    patients with 354 operations","volume":"64","author":"P W Lapidus","year":"1952","journal-title":"Arch Surg"},{"key":"ref41","first-page":"703","article-title":"\u00dcber zwei noch nicht beschriebene Formen von Tendovaginitis stenosans","volume":"50","author":"T A Jagerink","year":"1935","journal-title":"Z Orthop Chir"},{"key":"ref42","first-page":"3228","article-title":"Over styloidalgia radii en enkele andere gevallen van tendovaginitis\n                    stenosans","volume":"72","author":"T A Jagerink","year":"1928","journal-title":"Nederl tjidschr Geneesk"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1007\/978-3-642-91219-1_3","article-title":"\u00dcber Sehnenscheidenstenosen","volume":"23","author":"O Winterstein","year":"1930","journal-title":"Ergebn Chir Orthop"},{"key":"ref44","first-page":"746","article-title":"\u00dcber Sehnenscheidenstenose am Handgelenk","volume":"58","author":"O Winterstein","year":"1928","journal-title":"Schweiz Med Wschr"},{"key":"ref45","first-page":"127","article-title":"Stenosing tendovaginitis of the third compartment of the hand: Case report","volume":"14","author":"B A Mogensen","year":"1980","journal-title":"Scand J Plast Reconstr Surg"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1097\/00006534-197302000-00004","article-title":"The extensor indicis proprius syndrome: A clinical test","volume":"51","author":"M Spinner","year":"1973","journal-title":"Plast Reconstr Surg"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1001\/archsurg.1960.01290210022004","article-title":"Traumatic tendovaginitis of the fifth dorsal compartment of the wrist","volume":"80","author":"B J Drury","year":"1960","journal-title":"Arch Surg"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"1323","DOI":"10.1007\/s00402-019-03227-2","article-title":"Mid-term outcome (11\u201390 months) of the extensor retinaculum flap procedure for\n                    extensor carpi ulnaris tendon instability","volume":"139","author":"P Kaiser","year":"2019","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref49","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/S0363-5023(86)80188-5","article-title":"Stenosing tenosynovitis of the Extensor carpi ulnaris","volume":"11A","author":"A A Hajj","year":"1986","journal-title":"J Hand Surg"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1111\/j.1365-2559.2006.02464.x","article-title":"Synovitis score: discrimination between chronic low-grade and high-grade\n                    synovitis","volume":"49","author":"V Krenn","year":"2006","journal-title":"Histopathology"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1038\/nature01661","article-title":"Evolving concepts of rheumatoid arthritis","volume":"423","author":"G S Firestein","year":"2003","journal-title":"Nature"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"1826","DOI":"10.1093\/rheumatology\/kew258","article-title":"Ultrasound-detected tenosynovitis independently associates with patient-reported\n                    flare in patients with rheumatoid arthritis in clinical remission: results from\n                    the observational study STARTER of the Italian Society for Rheumatology","volume":"55","author":"E Bellis","year":"2016","journal-title":"Rheumatology"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"2205","DOI":"10.1056\/NEJMra1004965","article-title":"The pathogenesis of rheumatoid arthritis","volume":"365","author":"I B McInnes","year":"2011","journal-title":"N Engl J Med"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1016\/S0363-5023(73)80012-4","article-title":"Rheumatoid arthritis of the wrist and hand: pathophysiology and surgical\n                    considerations","volume":"1","author":"E A Nalebuff","year":"1973","journal-title":"J Hand Surg Am"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1016\/S0363-5023(79)80117-8","article-title":"The Caput Ulnae Syndrome: Pathomechanics and surgical considerations","volume":"4","author":"E A Nalebuff","year":"1979","journal-title":"J Hand Surg Am"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1016\/S0363-5023(03)00032-1","article-title":"Extensor tendon rupture in rheumatoid arthritis: pathologic and surgical\n                    correlations","volume":"28","author":"C A Goldfarb","year":"2003","journal-title":"J Hand Surg Am"},{"key":"ref57","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1002\/1529-0131(199906)42:6<1232::AID-ANR21>3.0.CO;2-3","article-title":"Arthritis of the finger joints: A comprehensive approach comparing conventional\n                    radiography, scintigraphy, ultrasound, and MRI","volume":"42","author":"M Backhaus","year":"1999","journal-title":"Arthritis Rheum"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1016\/j.rcl.2005.01.011","article-title":"Imaging of tendon involvement in rheumatoid arthritis","volume":"43","author":"N Boutry","year":"2005","journal-title":"Radiol Clin North Am"},{"key":"ref59","first-page":"1","article-title":"The caput ulnae syndrome in rheumatoid arthritis. A study of the morphology,\n                    abnormal anatomv and clinical picture","volume":"5","author":"M B\u00e4ckdahl","year":"1963","journal-title":"Acta Rheumatol Scand Suppl"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1016\/S0266-7681(05)80115-1","article-title":"Rheumatoid arthritis of the distal radioulnar joint and its effect on extensor\n                    tendons","volume":"20","author":"B R Simmen","year":"1995","journal-title":"J Hand Surg Br"},{"key":"ref61","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2106\/00004623-196951010-00001","article-title":"The wrist in rheumatoid arthritis. Surgical treatment and results","volume":"51","author":"L R Straub","year":"1969","journal-title":"J Bone Joint Surg Am"},{"key":"ref62","first-page":"589","article-title":"Nouvelle technique de traitement chirurgical des luxations r\u00e9cidivantes isol\u00e9es\n                    de l'\u00e9xtr\u00e9mit\u00e9 inf\u00e9rieure du cubitus","volume":"47","author":"L Sauv\u00e9","year":"1936","journal-title":"J Chir"}],"container-title":["Handchirurgie \u00b7 Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2930-3810.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T22:58:28Z","timestamp":1791500308000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2930-3810"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":59,"URL":"https:\/\/doi.org\/10.1055\/a-2930-3810","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"value":"0722-1819","type":"print"},{"value":"1439-3980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]}}}