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Flexor digitorum profundus lies deep to the superficialis, but it attaches more distally. Therefore, profundus's tendons go through the tendons of superficialis, and end up attaching to the distal phalanx. For this reason profundus is also called the perforating muscle. [2] The lumbricals of the hand arise from the radial side of its tendons. [2]
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]
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]
It is an extensor, and an abductor of the hand at the wrist joint. That is, it serves to manipulate the wrist so that the fingers moves away from the palm. The muscle, like all extensors of the forearm, can be strengthened by exercise that resist its extension; Reverse wrist curls with dumbbells can be performed.
Wrist extension is achieved by muscles in the forearm contracting, pulling on tendons that attach distal to (beyond) the wrist. If the tendons, muscles, or nerves supplying these muscles are damaged or otherwise not working as they should be, wrist drop may occur.
The third and fourth lumbricals (most ulnar two) are innervated by the deep branch of ulnar nerve. [5] This is the usual innervation of the lumbricals (occurring in 60% of individuals). However 1:3 (median:ulnar - 20% of individuals) and 3:1 (median:ulnar - 20% of individuals) also exist.
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It also flexes the neck. [4] When both sides of the muscle act together, it flexes the neck and extends the head. When one side acts alone, it causes the head to rotate to the opposite side and flexes laterally to the same side (ipsilaterally). It also acts as an accessory muscle of respiration, along with the scalene muscles of the neck.