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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
Preventive therapy is recommended to preserve the function of the fingers. This may include physical exercise, stretching, proper bodily function and myofascial release (massage, foam roller). Exercises are focused on the forearm muscles, such as the extensor carpi ulnaris; extensor digitorum to antagonize the flexion of the fingers.
The extensor digitorum muscle (also known as extensor digitorum communis) [2] is a muscle of the posterior forearm present in humans and other animals. It extends the medial four digits of the hand. Extensor digitorum is innervated by the posterior interosseous nerve, which is a branch of the radial nerve. [3]
The superficial muscles have their origin on the common flexor tendon. [2] The ulnar nerve and artery are also contained within this compartment. [2] The flexor digitorum superficialis lies in between the other four muscles of the superficial group and the three muscles of the deep group. This is why it is also classified as the intermediate ...
Flexor digitorum profundus is a flexor of the wrist , metacarpophalangeal and interphalangeal joints. [2] The lumbricals, intrinsic muscles of the hand, attach to the tendon of flexor digitorum profundus. Thus, the flexor muscle is used to aid the lumbrical muscles in their role as extensors of the interphalangeal joints.
The extensor indicis proprius usually runs and inserts onto the ulnar side of the extensor digitorum communis of the index finger. [4] The fifth compartment is occupied by the extensor digiti minimi, the extensor of the little finger. The extensor carpi ulnaris passes through the sixth compartment to insert to the base of the fifth metacarpal bone.
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]