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Antebrachium Extensors. Extensor retinaculum thick fibrous fascia band at wrist -holds forearm tendons in place from lateral radius to medial ulna (styloid.

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Presentation on theme: "Antebrachium Extensors. Extensor retinaculum thick fibrous fascia band at wrist -holds forearm tendons in place from lateral radius to medial ulna (styloid."— Presentation transcript:

1 Antebrachium Extensors

2 Extensor retinaculum thick fibrous fascia band at wrist -holds forearm tendons in place from lateral radius to medial ulna (styloid process), triquetrum & pisiform bones

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4 Extensor Canals six osteofibrous canals: post side of bones extensor tendons pass through to dorsal hand

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6 Extensor Canals a. abductor pollicis longus, \ extensor pollicis brevis / in #1: most lateral b. extensor carpi radialis longus \ extensor carpi radialis brevis / in #2 c. extensor pollicis longus - in #3 d. extensor digitorum \ extensor indicis / in #4 e. extensor digiti minimi - in #5 f. extensor carpi ulnaris - in #6

7 Anatomical snuff box depression on dorsolateral wrist bounded by tendons of: abductor pollicis longus, extensor pollicis brevis & extensor pollicis longus (where the scaphoid bone lies in the floor here, most likely be fractured, local tenderness, death & absorption of the bone later)

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10 Muscles Muscles 3 Functional groups + brachioradialis & supinator –i) extend hand at wrist = the 3 extensor carpi's - radialis longus & brevis; & ulnaris –ii) extend medial 4 digits (fingers) = extensors digitorum; indicis; digiti minimi –iii) extend thumb (1st digit) = abductor pollicis longus; extensor pollicis longus & brevis

11 Muscles Extensor are arranged in three anatomical layers Superficial layer –brachioradialis –extensor carpi radialis longus –extensor carpi radialis brevis –extensor digitorum –extensor digiti minimi –extensor carpi ulnaris

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13 BRACHIORADIALIS ORIGIN proximal two thirds of lateral supracondylar ridge of humerus, and lateral intermuscular septum INSERTION lateral side of base of styloid process of radius ACTION flex the elbow joint, and assists in pronating and supinating the forearm when these movements are resisted NERVE radial nerve C5, C6

14 EXTENSOR CARPI RADIALIS LONGUS ORIGIN Distal one third of lateral supracondylar ridge of humerus, and lateral intermuscular septum INSERTION dorsal surface of base of second metacarpal bone, radial side ACTION extends and abducts the wrist, and assists in flexion of the elbow NERVE radial nerve C5, C6, 7, 8

15 EXTENSOR CARPI RADIALIS BREVIS ORIGIN common extensor tendon from lateral epicondyle of humerus, radial collateral ligament of elbow joint, and deep antebrachial fascia INSERTION dorsal surface of base of third metacarpal bone ACTION extends and assists in abduction of the wrist NERVE radial C6, 7, 8

16 EXTENSOR DIGITORUM ORIGIN Common extensor tendon fromlateral epicondyle of humerus, and deep antebrachial fascia INSERTION By four tendons, each penetrating a membranous expansion on the dorsum of the second to fifth digits and dividing over the proximal phalanx into medial and two lateral bands. The medial band inserts into the base of the middle phalanx while the lateral bands reunite over the middle phalanx and insert into the base of the distal phalanx. ACTION Extends the metacarpophalangeal and, in conjunction with the lumbricals and interossei, extends the interphalangeal joints of the second through fifth digits. Assists in abduction of the index, ring, and little fingers; and assists in extension and abducting of the wrist. NERVE Radial nerve, C6, 7, 8

17 EXTENSOR DIGITI MINIMI ORIGIN Common extensor tendon from lateral epicondyle of humerus, and deep antebrachial fascia INSERTION Into extensor expansion of little finger with extensor digitorum tendon ACTION Extends the metacarpophalangeal joint and, in conjunction with lumbricals interosseus, extends the interphalangeal joints of the little finger. Assists in abduction of the little finger NERVE radial nerve C6, 7, C8

18 EXTENSOR CARPI ULNARIS ORIGIN Common extensor tendon fromlateral epicondyle of humerus, by aponeurosis from posterior border of ulna, and deep antebrachial fascia INSERTION base of fifth metacarpal bone, ulnar side ACTION extends and adducts the wrist NERVE radial nerve C6, 7, C8

19 Deep layer Supinator abductor pollicis longus extensor pollicis brevis extensor pollicis longus extensor indicis

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21 SUPINATOR ORIGIN Lateral epicondyle of humerus, radial collateral ligament of elbow joint, annular ligament of radius, and superior crest of ulna INSERTION Lateral surface of upper one third of body of radius covering part of anterior and posterior surfaces ACTION supinates the forearm NERVE radial nerve C5, C6, C(7)

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23 ABDUCTOR POLLICIS LONGUS ORIGIN posterior surface of body of ulna distal to origin of supinator, interosseus membrane, and posterior surface of middle one third of body of radius INSERTION base of first metacarpal bone, radial side ACTION Abducts and extends the carpometacarpal joints of the thumb; abducts (radial deviation) and assists in flexion the wrist NERVE Radial nerve C6, 7, C8

24 EXTENSOR POLLICIS BREVIS ORIGIN Posterior surface of body of radius distal to origin of abductor pollicis longus, and interosseus membrane INSERTION Base of proximal phalanx of thumb, dorsal surface ACTION Extends the metacarpophalangeal joint of the thumb, extends and abducts the carpometacarpal joint, and assists in abduction (radial deviation) of the wrist NERVE Radial nerve C6, 7, C8

25 EXTENSOR POLLICIS LONGUS ORIGIN Middle one third of posterior surface of ulna distal to origin of abductor pollicis longus, and interosseus membrane INSERTION Base of distal phalanx of thumb, dorsal surface ACTION Extends the interphalangeal joint and assists in extension of the metacarpophalangeal and carpometacarpal joints of the thumb. Assists in abduction and extension of the wrist. NERVE Radial nerve, C6, C7, C8

26 EXTENSOR INDICIS ORIGIN posterior surface of body of ulna distal to origin of extensor pollcis longus, and interosseus membrane. INSERTION Into extensor expansion of index finger with extensor digitorium longus tendon ACTION Extends the metacarpophalangeal joint and, in conjunction with the lumbricals and interossei, extends the interphalangeal joints of the index finger. May assist in adduction of the finger NERVE Radial nerve C6, 7, C8


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