Extensor pollicis et indicis communis | |
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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 accessory 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]
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 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]
A finger is a prominent digit on the forelimbs of most tetrapod vertebrate animals, especially those with prehensile extremities such as humans and other primates. Most tetrapods have five digits (pentadactyly), and short digits are typically referred to as toes, while those that are notably elongated are called fingers. In humans, the fingers are flexibly articulated and opposable, serving as an important organ of tactile sensation and fine movements, which are crucial to the dexterity of the hands and the ability to grasp and manipulate objects.
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.
The upper limbs or upper extremities are the forelimbs of an upright-postured tetrapod vertebrate, extending from the scapulae and clavicles down to and including the digits, including all the musculatures and ligaments involved with the shoulder, elbow, wrist and knuckle joints. In humans, each upper limb is divided into the arm, forearm and hand, and is primarily used for climbing, lifting and manipulating objects.
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.
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. This muscle is unique to humans, being either rudimentary or absent in other primates. A meta-analysis indicated accessory flexor pollicis longus is present in around 48% of the population.
In human anatomy, the abductor pollicis longus (APL) is one of the extrinsic muscles of the hand. Its major function is to abduct the thumb at the wrist. Its tendon forms the anterior border of the anatomical snuffbox.
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 extensor retinaculum is a thickened portion of the antebrachial fascia that holds the tendons of the extensor muscles in place. It is located on the back of the forearm, just proximal to the hand. It is continuous with the palmar carpal ligament.
The posterior compartment of the forearm contains twelve muscles which primarily extend the wrist and digits. It is separated from the anterior compartment by the interosseous membrane between the radius and ulna.
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 cyst, synovial nodule or cyst.
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:
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).
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.
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.
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 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 humans, 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.