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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 chief complaint of this disease is usually pain in the dorsal aspect of the upper forearm, and any weakness described is secondary to the pain. Tenderness to palpation occurs over the area of the radial neck. Also, the disease can be diagnosed by a positive "middle finger test", where resisted middle finger extension produces pain.
The pain worsens when a person moves their wrist with force. This pain intensifies because the extensor carpi ulnaris has an injury near the elbow area and as a person moves their arm, the muscle contracts, thus causing it to move over the medial epicondyle of the humerus. As a result, this causes irritation to the already existing injury.
Intersection syndrome can be caused by direct trauma to the second extensor compartment. It is however commonly brought on by activities that require repetitive wrist flexion and extension. Weightlifters, rowers, and other athletes are particularly prone to this condition. The patient presents with pain over dorsal aspect of the forearm and wrist.
The extrinsic extensor muscles of the hand are located in the back of the forearm and have long tendons connecting them to bones in the hand, where they exert their action. Extrinsic denotes their location outside the hand. Extensor denotes their action which is to extend, or open flat, joints in the hand.
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 common extensor tendon serves as the upper attachment (in part) for the superficial muscles that are located on the posterior aspect of the forearm: Extensor carpi radialis brevis; Extensor digitorum; Extensor digiti minimi; Extensor carpi ulnaris [1] [2]
The extensor indicis proprius does not show much variation. It exists as a single tendon most of the time. [4] Double tendons of the extensor indicis proprius was also reported. [2] [5] [6] It is known that the extensor indicis proprius inserts to the index finger on the ulnar side of the extensor digitorum. [7]
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