HOME

TheInfoList



OR:

The extensor digitorum muscle (also known as extensor digitorum communis) is a
muscle Muscle is a soft tissue, one of the four basic types of animal tissue. There are three types of muscle tissue in vertebrates: skeletal muscle, cardiac muscle, and smooth muscle. Muscle tissue gives skeletal muscles the ability to muscle contra ...
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.


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 The phalanges (: phalanx ) are digit (anatomy), digital bones in the hands and foot, feet of most vertebrates. In primates, the Thumb, thumbs and Hallux, big toes have two phalanges while the other Digit (anatomy), digits have three phalanges. ...
of the fingers in the following manner.''
Gray's anatomy ''Gray's Anatomy'' is a reference book of human anatomy written by Henry Gray, illustrated by Henry Vandyke Carter and first published in London in 1858. It has had multiple revised editions, and the current edition, the 42nd (October 2020 ...
'' (1918), see infobox
Opposite the
metacarpophalangeal The metacarpophalangeal joints (MCP) are situated between the metacarpal bones and the proximal phalanges of the fingers. These joints are of the condyloid kind, formed by the reception of the rounded heads of the metacarpal bones into shallow ...
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. 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 In human anatomy, the extensor indicis (proprius) is a narrow, elongated skeletal muscle in the deep layer of the dorsal forearm, placed medial to, and parallel with, the extensor pollicis longus. Its tendon goes to the index finger, which it ext ...
, which lies on its
ulna The ulna or ulnar bone (: ulnae or ulnas) is a long bone in the forearm stretching from the elbow to the wrist. It is on the same side of the forearm as the little finger, running parallel to the Radius (bone), radius, the forearm's other long ...
r 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. 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, thus increasing the available
lever A lever is a simple machine consisting of a beam (structure), beam or rigid rod pivoted at a fixed hinge, or '':wikt:fulcrum, fulcrum''. A lever is a rigid body capable of rotating on a point on itself. On the basis of the locations of fulcrum, l ...
age. 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.


Function

The extensor digitorum muscle extends the phalanges, 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 The metacarpophalangeal joints (MCP) are situated between the metacarpal bones and the proximal phalanges of the fingers. These joints are of the condyloid kind, formed by the reception of the rounded heads of the metacarpal bones into shallow ...
. Extension of the proximal and distal interphalangeal joints, however, is mediated predominantly by the
dorsal Dorsal (from Latin ''dorsum'' ‘back’) may refer to: * Dorsal (anatomy), an anatomical term of location referring to the back or upper side of an organism or parts of an organism * Dorsal, positioned on top of an aircraft's fuselage The fus ...
and
palmar interossei In human anatomy, the palmar or volar interossei (interossei volares in older literature) are four muscles, one on the thumb that is occasionally missing, and three small, unipennate, central muscles in the hand that lie between the metacarpal bo ...
and
lumbricals of the hand The lumbricals are intrinsic muscles of the hand that flexion, flex the metacarpophalangeal joints, and extension (kinesiology), extend the Interphalangeal articulations of hand, interphalangeal joints. p. 97 The lumbrical muscle of the foot, lu ...
.


Additional images


See also

* Extensor digitorum brevis muscle (leg) * Extensor digitorum longus muscle (leg) *
Flexor digitorum profundus muscle The flexor digitorum profundus or flexor digitorum communis profundus is a muscle in the forearm of humans that flexes the fingers (also known as digits). It is considered an extrinsic hand muscle because it acts on the hand while its muscle b ...
(hand) * Flexor digitorum superficialis muscle (hand) *
Extensor digitorum reflex The extensor digitorum reflex is tested as part of the neurological examination to assess the sensory and motor pathways within the C6 and C7 spinal nerves. It is also known as Braunecker-Effenberg reflex, or BER. Testing The test is performed by ...
(Braunecker-Effenberg reflex)


References

{{Authority control Muscles of the upper limb