Origin

Lateral epicondyle (common extensor tendon)

Insertion

Middle and distal phalanges

Action(s)

The Extensor digitorum communis extends the phalanges, then the wrist, and finally the elbow.

It acts principally on the proximal phalanges, the middle and terminal phalanges being extended mainly by the Interossei and Lumbricales.

It tends to separate the fingers as it extends them.

Nerve Supply

Posterior interosseous nerve

Arterial Supply

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Physical Exam

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Clinical Importance

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Disease States

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Discussion

Antagonist: Flexor digitorum superficialis muscle, Flexor digitorum profundus muscle

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.

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.

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 Extensor indicis proprius, 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 downward and lateralward to the second tendon, and the other passing from the same tendon downward and medialward to the fourth.

Occasionally the first tendon is connected to the second by a thin transverse band.

Figures

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Credits:

From Wikipedia:
Extensor digitorum

Attachments:


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