Lesions of the Extensor Tendons at the Hand

Disorders of the extensor mechanism of the wrist and hand are frequently encountered in clinical practice and observed more commonly than pathologies affecting the flexor system. When unrecognized or inadequately treated, these conditions may lead to substantial functional impairment and suboptimal clinical outcomes. Extensor tendon pathologies encompass a wide range of etiologies, such as repetitive overuse, acute trauma, inflammatory arthropathies, and degenerative tendinopathies. Accurate diagnosis depends on a thorough clinical evaluation, supported by high-resolution imaging. Ultrasound and magnetic resonance imaging are particularly useful for assessing tendon structure, surrounding soft tissues, and dynamic abnormalities. This review offers an updated overview of extensor tendon disorders of the wrist and fingers, focusing on their underlying causes and key imaging findings on magnetic resonance imaging and ultrasound to support an accurate and efficient diagnosis by radiologists.