Extensor pollicis et indicis communis muscle

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Extensor pollicis et indicis communis
Extensor pollicis et indicis communis.svg
Extensor pollicis et indicis communis muscle
Details
Origin Posterior distal third of ulna and interosseous membrane
Insertion thumb (extensor hood) and index finger (extensor hood)
Artery posterior interosseous artery
Nerve posterior interosseous nerve
Actions extends thumb and index finger
Identifiers
Latin Musculus extensor pollicis et indicis communis
Anatomical terms of muscle

In human anatomy, the extensor pollicis et indicis communis is an aberrant muscle in the posterior compartment of forearm. It was first described in 1863. [1] The muscle has a prevalence from 0.5% to 4%. [2]

Contents

Structure

The structure of the extensor pollicis et indicis communis resembles both the characteristics of the extensor pollicis longus and the extensor indicis proprius. It originates from the distal end of ulna. Its tendon passes through the extensor retinaculum in the fourth extensor compartment, splits into two and inserts to both thumb and index finger. The presence of the extensor pollicis et indicis communis, on the other hand, may impair thumb adduction. [3]

It was reported as an unusual juncturae tendinum, a tendinous connection between tendon of the extensor pollicis longus and tendon of the extensor digitorum communis to the index finger. [4] It was also identified as a slip of the extensor indicis proprius to the extensor pollicis longus in an Indian cadaver. [5]

In other animals

In many species of New World monkeys, a muscle similar to the extensor pollicis et indicis communis was found to be a normal anatomy rather than an anatomical variation. [6] It is described as the extensor pollicis et indicis longus. [6] In chimpanzees and humans, however, the muscle is well separated becoming the extensor pollicis longus and the extensor indicis proprius. [7]

See also

Related Research Articles

Finger Organ of manipulation and sensation found in the hands of humans and other primates

A finger is a limb of the human body and a type of digit, an organ of manipulation and sensation found in the hands of humans and other primates. Normally humans have five digits, the bones of which are termed phalanges, on each hand, although some people have more or fewer than five due to congenital disorders such as polydactyly or oligodactyly, or accidental or medical amputations. The first digit is the thumb, followed by index finger, middle finger, ring finger, and little finger or pinkie. According to different definitions, the thumb can be called a finger, or not.

Extensor carpi radialis longus muscle

The extensor carpi radialis longus is one of the five main muscles that control movements at the wrist. This muscle is quite long, starting on the lateral side of the humerus, and attaching to the base of the second metacarpal bone.

Wrist drop

Wrist drop, is a medical condition in which the wrist and the fingers cannot extend at the metacarpophalangeal joints. The wrist remains partially flexed due to an opposing action of flexor muscles of the forearm. As a result, the extensor muscles in the posterior compartment remain paralyzed.

Extensor digiti minimi muscle

The extensor digiti minimi is a slender muscle of the forearm, placed on the ulnar side of the extensor digitorum communis, with which it is generally connected.

Extensor digitorum muscle

The extensor digitorum muscle 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.

The flexor pollicis longus is a muscle in the forearm and hand that flexes the thumb. It lies in the same plane as the flexor digitorum profundus.

In human anatomy, the abductor pollicis longus (APL) is one of the extrinsic muscles of the hand. As the name implies, its major function is to abduct the thumb at the wrist. Its tendon forms the anterior border of the anatomical snuffbox.

Extensor indicis muscle

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 extends.

The posterior compartment of the forearm contains twelve muscles which are chiefly responsible for extension of the wrist and digits, and supination of the forearm. It is separated from the anterior compartment by the interosseous membrane between the radius and ulna.

Muscles of the hand

The muscles of the hand are the skeletal muscles responsible for the movement of the hand and fingers. The muscles of the hand can be subdivided into two groups: the extrinsic and intrinsic muscle groups. The extrinsic muscle groups are the long flexors and extensors. They are called extrinsic because the muscle belly is located on the forearm. The intrinsic group are the smaller muscles located within the hand itself. The muscles of the hand are innervated by the radial, median, and ulnar nerves from the brachial plexus.

Extensor digitorum brevis manus is an extra or accessory muscle on the backside (dorsum) of the hand. It was first described by Albinus in 1758. The muscles lies in the fourth extensor compartment of the wrist, and is relatively rare. It has a prevalence of 4% in the general population according to a meta-analysis. This muscle is commonly misdiagnosed as a ganglion cysta, synovial nodule or cyst.

Mucous sheaths on back of wrist

The mucous sheaths of the tendons on the back of the wrist are protective coverings for tendons in the wrist. Between the dorsal carpal ligament and the bones six compartments are formed for the passage of tendons, each compartment having a separate mucous sheath. One is found in each of the following positions:

  1. on the lateral side of the radial styloid process, for the tendons of the Abductor pollicis longus and Extensor pollicis brevis;
  2. behind the styloid process, for the tendons of the Extensores carpi radialis longus and brevis;
  3. about the middle of the dorsal surface of the radius, for the tendon of the Extensor pollicis longus;
  4. to the medial side of the latter, for the tendons of the Extensor digitorum communis and Extensor indicis proprius;
  5. opposite the interval between the radius and ulna, for the Extensor digiti quinti proprius;
  6. between the head and styloid process of the ulna, for the tendon of the Extensor carpi ulnaris.
Extrinsic extensor muscles of the hand

The extrinsic extensor muscles of the hand are located in the back of the forearm and have long tendons connecting them to bones in the hand, where they exert their action. Extrinsic denotes their location outside the hand. Extensor denotes their action which is to extend, or open flat, joints in the hand. They include the extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), extensor digitorum (ED), extensor digiti minimi (EDM), extensor carpi ulnaris (ECU), abductor pollicis longus (APL), extensor pollicis brevis (EPB), extensor pollicis longus (EPL), and extensor indicis (EI).

Extensor medii proprius muscle

The extensor medii proprius is a rare anatomical variant in the extensor compartment of the forearm. The aberrant muscle is analogous to the extensor indicis with the insertion being the middle finger instead of the index finger.

Extensor indicis et medii communis muscle

The extensor indicis et medii communis is a rare anatomical variant in the extensor compartment of forearm. This additional muscle lies in the deep extensor layer next to the extensor indicis proprius and the extensor pollicis longus. The characteristics of this anomalous muscle resemble those of the extensor indicis proprius, with split tendons to the index and the middle finger. This muscle can also be considered as a variation of the aberrant extensor medii proprius.

Juncturae tendinum

In human anatomy, juncturae tendinum or connexus intertendinei refers to the connective tissues that link the tendons of the extensor digitorum communis, and sometimes, to the tendon of the extensor digiti minimi. Juncturae tendinum are located on the dorsal aspect of the hand in the first, second and third inter-metacarpal spaces proximal to the metacarpophalangeal joint.

Palmaris profundus muscle

Palmaris profundus is a rare anatomical variant in the anterior compartment of forearm. It was first described in 1908. It is usually found incidentally in cadaveric dissection or surgery.

Linburg–Comstock variation is an occasional tendinous connection between the flexor pollicis longus and the flexor digitorum profundus of the index, the middle finger or both. It is found in around 21% of the population. It is an anatomical variation in human, which may be viewed as a pathology if causes symptoms. It was recognised as early as the 1800s, but was first described by Linburg and Comstock in 1979.

References

  1. Wood, J. (1863-01-01). On Some Varieties in Human Myology. Royal Society of London.
  2. Martínez, Daniel Casanova; Gandur, Iván Valdivia; Golanó, Pau (2012-12-20). "Extensor pollicis et indicis communis or extensor indicis radialis muscle". Anatomical Science International. 88 (3): 153–155. doi:10.1007/s12565-012-0164-8. ISSN   1447-6959. PMID   23255266.
  3. Komiyama, M.; Nwe, T. M.; Toyota, N.; Shimada, Y. (1999-10-01). "Variations of the extensor indicis muscle and tendon". Journal of Hand Surgery (Edinburgh, Scotland). 24 (5): 575–578. doi:10.1054/jhsb.1999.0239. ISSN   0266-7681. PMID   10597935.
  4. Steichen, J. B.; Petersen, D. P. (1984-09-01). "Junctura tendinum between extensor digitorum communis and extensor pollicis longus". The Journal of Hand Surgery. 9 (5): 674–676. doi:10.1016/s0363-5023(84)80011-8. ISSN   0363-5023. PMID   6491210.
  5. Bolwar, Preeti R. (2011). "A study of anatomical variations of the extensor tendons of the index finger and their significance". Eur J Anat. 15: 129–135.
  6. 1 2 Schön, Miguel A. (1968-01-01). The muscular system of the red howling monkey. Smithsonian Institution Press; [for sale by the Supt. of Docs., U.S. Govt. Print. Off.]
  7. Aversi-Ferreira, T. A.; Diogo, R.; Potau, J. M.; Bello, G.; Pastor, J. F.; Aziz, M. Ashraf (2010-12-01). "Comparative anatomical study of the forearm extensor muscles of Cebus libidinosus (Rylands et al., 2000; Primates, Cebidae), modern humans, and other primates, with comments on primate evolution, phylogeny, and manipulatory behavior". Anatomical Record. 293 (12): 2056–2070. doi: 10.1002/ar.21275 . ISSN   1932-8494. PMID   21082733.