Extensor digitorum muscle

Extensor digitorum muscle
Posterior surface of the forearm. Superficial muscles. Extensor digitorum muscle is labeled in purple.
Transverse section across the wrist and digits. (Ext. dig. communis labeled at bottom center.)
Details
Originlateral epicondyle (common extensor tendon)
Insertionextensor expansion of middle and distal phalanges of the 2nd, 3rd, 4th, and 5th fingers[1]
Arteryposterior interosseous artery
Nerveposterior interosseous nerve
Actionsextension of hand, wrist and fingers
AntagonistFlexor digitorum superficialis muscle, Flexor digitorum profundus muscle
Identifiers
Latinmusculus extensor digitorum
TA98A04.6.02.042
TA22500
FMA38500
Anatomical terms of muscle

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]

Structure

The extensor digitorum muscle arises from the lateral epicondyle of the humerus, by the common tendon; from the intermuscular septa between it and the adjacent muscles, and from the antebrachial fascia. It divides below into four tendons, which pass, together with that of the extensor indicis proprius, through a separate compartment of the dorsal carpal ligament, within a mucous sheath. The tendons then diverge on the back of the hand, and are inserted into the middle and distal phalanges of the fingers in the following manner.[4]

Opposite the metacarpophalangeal articulation each tendon is bound by fasciculi to the collateral ligaments and serves as the dorsal ligament of this joint; after having crossed the joint, it spreads out into a broad aponeurosis, which covers the dorsal surface of the first phalanx and is reinforced, in this situation, by the tendons of the interossei and lumbricalis.[4]

Opposite the first interphalangeal joint this aponeurosis divides into three slips; an intermediate and two collateral: the former is inserted into the base of the second phalanx; and the two collateral, which are continued onward along the sides of the second phalanx, unite by their contiguous margins, and are inserted into the dorsal surface of the last phalanx. As the tendons cross the interphalangeal joints, they furnish them with dorsal ligaments. The tendon to the index finger is accompanied by the tendon of extensor indicis, which lies on its ulnar side. On the back of the hand, the tendons to the middle, ring, and little fingers are connected by two obliquely placed bands, one from the third tendon passing inferior and laterally to the second tendon, and the other passing from the same tendon inferior and medially to the fourth.[4]

The extensor tendons are connected to the second by a thin transverse band, known as the juncturae tendinum; they serve to maintain the central alignment of the extensor tendons over the metacarpal head,[5] thus increasing the available leverage. 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.[6]

Function

The extensor digitorum muscle extends the phalanges,[2] then the wrist, and finally the elbow. It tends to separate the fingers as it extends them.

In the fingers, the extensor digitorum acts principally on the proximal phalanges, acting to extend the metacarpophalangeal joint. Extension of the proximal and distal interphalangeal joints, however, is mediated predominantly by the dorsal and palmar interossei and lumbricals of the hand.

Additional images

See also

References

Public domain This article incorporates text in the public domain from page 451 of the 20th edition of Gray's Anatomy (1918)

  1. ↑ Moore, Keith; Anne Agur (2007). Essential Clinical Anatomy, Third Edition. Lippincott Williams & Wilkins. pp. INSERT PAGE NUMBER. ISBN 978-0-7817-6274-8.
  2. 1 2 Green, Jennifer B.; Deveikas, Charles; Ranger, Helen E.; Draghetti, Joanne G.; Groat, Lindsay C.; Schumer, Evan D.; Leslie, Bruce M. (2016-01-01), Magee, David J.; Zachazewski, James E.; Quillen, William S.; Manske, Robert C. (eds.), "Chapter 10 - Hand, Wrist, and Digit Injuries", Pathology and Intervention in Musculoskeletal Rehabilitation (Second Edition), W.B. Saunders, pp. 344–435, ISBN 978-0-323-31072-7, retrieved 2021-01-08
  3. ↑ exonicus.com. "Extensor digitorum longus". www.anatomynext.com. Retrieved 2018-03-01.
  4. 1 2 3 Gray's anatomy (1918), see infobox
  5. ↑ Lopez-Ben, Robert; Lee, Donald H.; Nicolodi, Daniel J. (September 2003). "Boxer Knuckle (Injury of the Extensor Hood with Extensor Tendon Subluxation): Diagnosis with Dynamic US—Report of Three Cases". Radiology. 228 (3): 642–646. doi:10.1148/radiol.2283020833. PMID 12869687. Archived from the original on 2012-08-09. Retrieved 2012-04-02.
  6. ↑ "Clinical Example: Sagittal band rupture reconstruction". Eaton Hand. Retrieved 25 June 2011.
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