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Passing through the first tendon compartment together with the abductor pollicis longus, it is attached to the base of the proximal phalanx of the thumb. It extends the thumb and, because of its close relationship to the long abductor, also abducts the thumb. It is innervated by the deep branch of the radial nerve (C8-T1). [4]
The primary function of the extensors is to straighten out the digits. The thumb has two extensors in the forearm; the tendons of these form the anatomical snuff box. Also, the index finger and the little finger have an extra extensor, used, for instance, for pointing. The extensors are situated within 6 separate compartments.
The thenar eminence is the mound formed at the base of the thumb on the palm of the hand by the intrinsic group of muscles of the thumb. [1] The skin overlying this region is the area stimulated when trying to elicit a palmomental reflex. The word thenar comes from Ancient Greek θέναρ (thenar) 'palm of the hand'. [2]
Abduction of the thumb is defined as the movement of the thumb anteriorly, a direction perpendicular to the palm. The abductor pollicis brevis does this by acting across both the carpometacarpal joint and the metacarpophalangeal joint. It also assists in opposition and extension of the thumb.
An accessory abductor pollicis longus (AAPL) tendon is present in more than 80% of people, and a separate muscle belly is present in 20% of people. In one study, the accessory tendon was inserted into the trapezium (41%); proximally on the abductor pollicis brevis (22%) and opponens pollicis brevis (5%); had a double insertion on the trapezium and thenar muscles (15%); or the base of the first ...
The medial border (ulnar side) of the snuffbox is the tendon of the extensor pollicis longus; The lateral border (radial side) is a pair of parallel and intimate tendons, of the extensor pollicis brevis and the abductor pollicis longus. [2] (Accordingly, the anatomical snuffbox is most visible, having a more pronounced concavity, during thumb ...
In some individuals, this tendon tend to act more like a ligament, which restricts extension of the interphalangeal joint of the thumb. In orangutans there is a tendon similar in insertion and function to the FPL in humans, but which has an intrinsic origin on the oblique head of the adductor pollicis. [10]
Forms ulnar (little finger side) border of the anatomical snuff box Extension of interphalangeal joint of thumb Drummer's wrist: 4 Extensor digitorum tendons. Extensor indicis tendon. Extension of the medial four digits Fourth compartment syndrome: 5 Extensor digiti minimi tendon: Positioned directly over the distal radioulnar joint