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Hyperextension of the wrist can lead to fracture of Lister's tubercle, as pressure is increased from the extensor pollicis longus tendon. [7] An "island-shaped" fracture can also expose the tendon to a rough edge and lead to tendon rupture (usually long after the initial fracture).
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.
Extensor carpi radialis brevis tendon. Extension of wrist Intersection syndrome: 3 Extensor pollicis longus tendon: Separated from the third compartment by Lister's tubercle. 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 ...
Injuries (such as by an external flexion force during active extension) may allow the tendon to dislocate into the intermetacarpal space; the extensor tendon then acts as a flexor and the finger may no longer be actively extended. This may be corrected surgically by using a slip of the extensor tendon to replace the damaged ligamentous band [4]
The extensor pollicis brevis originates on the ulna distal to the abductor pollicis longus, from the interosseus membrane, and from the dorsal side of the radius. 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.
The intrinsic muscle groups are the thenar and hypothenar (little finger) muscles; the interossei muscles (four dorsally and three volarly) originating between the metacarpal bones; and the lumbrical muscles arising from the deep flexor (and which are special because they have no bony origin) to insert on the dorsal extensor hood mechanism.
The capsule, extensor tendon, and skin are very thin and lax dorsally, allowing for both phalanx bones to flex more than 100° until the base of the middle phalanx makes contact with the condylar notch of the proximal phalanx. [1] At the level of the PIP joint the extensor mechanism splits into three bands.
There are six separate synovial sheaths run beneath the extensor retinaculum: (1st) abductor pollicis longus and extensor pollicis brevis tendons, (2nd) extensor carpi radialis longus and brevis tendons, (3rd) extensor pollicis longus tendon, (4th) extensor digitorium communis and extensor indicis proprius tendons, (5th) extensor digiti minimi tendon and (6th) extensor carpi ulnaris tendon.