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The extensor carpi radialis longus (ECRL) has the most proximal origin of the extrinsic hand extensors. It originates just distal to the brachioradialis at the lateral supracondylar ridge of the humerus, the lateral intermuscular septum, and by a few fibers at the lateral epicondyle of the humerus. [1]
Extensor compartments of wrist (back of hand) The fingers have two long flexors, located on the underside of the forearm. They insert by tendons to the phalanges of the fingers. The deep flexor attaches to the distal phalanx, and the superficial flexor attaches to the middle phalanx. The flexors allow for the actual bending of the fingers.
Extensor carpi radialis longus; Extensor carpi radialis brevis; Extensor carpi ulnaris; Extensor digitorum; of phalanges, at all joints Posterior compartment of the forearm. Extensor digitorum; Extensor digiti minimi (little finger only) Extensor indicis (index finger only) of phalanges, at interphalangeal joints [4] Lumbricals of the hand
Except for abducting the hand, it flexes the hand towards the palm and abducts it radially. It is innervated by the deep branch of the radial nerve (C7-C8). [4] The extensor pollicis longus originates on the dorsal side of the ulna and the interosseous membrane. Passing through the third tendon compartment, it is inserted onto the base of the ...
De Quervain syndrome involves noninflammatory thickening of the tendons and the synovial sheaths that the tendons run through. The two tendons concerned are those of the extensor pollicis brevis and abductor pollicis longus muscles. These two muscles run side by side and function to bring the thumb away from the hand (radial abduction).
Extensor pollicis longus extends the terminal phalanx of the thumb. While abductor pollicis brevis and adductor pollicis, both attached to the extensor pollicis longus tendon, can extend the thumb's interphalangeal joint to the neutral position, only extensor pollicis longus can achieve full hyperextension at the interphalangeal joint.
The extensor tendons are held in place by the extensor retinaculum. As the tendons travel over the posterior (back) aspect of the wrist they are enclosed within synovial tendon sheaths . These sheaths reduce the friction to the extensor tendons as they traverse the compartments that are formed by the attachments of the extensor retinaculum to ...
The extensor carpi radialis longus is a wrist extensor that is innervated by the radial nerve, [2] [3] from spinal roots C6 and C7. [4] All other major extensor muscles in the superficial layer of the posterior compartment (the extensor digitorum , extensor carpi radialis brevis , extensor carpi ulnaris , and extensor digiti minimi ) are ...