Extensor indicis muscle
{{Short description|Forearm muscle which extends the index finger}}
{{Infobox muscle
| Name = Extensor indicis proprius
| Latin = musculus extensor indicis
| Image = Gray421.png
| Caption = Transverse section across distal ends of radius and ulna. (Label "Ext. indic. prop." visible at bottom center.)
| Image2 = Extensor indicis muscle.png
| Caption2 = Posterior surface of the left forearm. Deep muscles. Extensor indicis muscle is labeled in purple.
| Origin = Posterior distal third of ulna and interosseous membrane
| Insertion = Index finger (extensor hood)
| Blood = Posterior interosseous artery
| Nerve = Posterior interosseous nerve
| Action = Extends index finger, wrist
| Antagonist =
}}
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.
Structure
It arises from the distal third of the dorsal part of the body of ulna and from the interosseous membrane. It runs through the fourth tendon compartment together with the extensor digitorum, from where it projects into the dorsal aponeurosis of the index finger.
{{harvnb|Platzer|2004| p=168}}
Opposite the head of the second metacarpal bone, it joins the ulnar side of the tendon of the extensor digitorum which belongs to the index finger.
Like the extensor digiti minimi (i.e. the extensor of the little finger), the tendon of the extensor indicis runs and inserts on the ulnar side of the tendon of the common extensor digitorum.{{Cite journal|url = http://ac.els-cdn.com/S0266768199902395/1-s2.0-S0266768199902395-main.pdf?_tid=c571af40-0e52-11e5-be3b-00000aab0f27&acdnat=1433818616_5933109180a86ad0bafc84c383724c12|journal = Journal of Hand Surgery, British Volume|volume = 24|issue = 5|pages = 575–578|access-date = 2015-06-09|doi = 10.1054/jhsb.1999.0239|pmid = 10597935|year = 1999|last1 = Komiyama|first1 = M.|last2 = Nwe|first2 = T. M.|last3 = Toyota|first3 = N.|last4 = Shimada|first4 = Y.|title = Variations of the Extensor Indicis Muscle and Tendon|s2cid = 23240783}} The extensor indicis lacks the juncturae tendinum interlinking the tendons of the extensor digitorum on the dorsal side of the hand.
= Variation =
The extensor indicis proprius does not show much variation. It exists as a single tendon most of the time.{{Cite journal|title = A comprehensive study of the extensor tendons to the medial four digits of the hand|journal = Chang Gung Medical Journal|date = Nov–Dec 2011|issn = 2309-835X|pmid = 22196064|pages = 612–619|volume = 34|issue = 6|first1 = Prameela|last1 = Dass|first2 = Latha V.|last2 = Prabhu|first3 = Mangala M.|last3 = Pai|first4 = Varsha|last4 = Nayak|first5 = Ganesh|last5 = Kumar|first6 = Jiji P.|last6 = Janardhanan}} Double tendons of the extensor indicis proprius was also reported.{{Cite web|title = Double tendon of the Human Extensor Indicis Muscle provides "insight' into individual development -- Kumka 22 (1): 983.2 -- The FASEB Journal|url = http://www.fasebj.org/cgi/content/meeting_abstract/22/1_MeetingAbstracts/983.2|website = www.fasebj.org|access-date = 2015-06-09}}{{Cite journal|title = The human extensor digitorum profundus muscle with comments on the evolution of the primate hand|journal = Primates|date = 1986-07-01|issn = 0032-8332|pages = 293–319|volume = 27|issue = 3|doi = 10.1007/BF02382073|first1 = M. Ashraf|last1 = Aziz|first2 = Samuel Strong|last2 = Dunlap|s2cid = 39525970}}
It is known that the extensor indicis proprius inserts to the index finger on the ulnar side of the extensor digitorum.{{Cite web|title = Anatomy of the human body|url = https://archive.org/stream/anatomyofhumanbo1918gray#page/456/mode/2up/search/456|website = archive.org|access-date = 2015-06-09}} However, the insertion on the radial side of the common extensor digitorum infrequently seen, namely the extensor indicis radialis. Split tendons of the muscle inserting on both ulnar and the radial side of the common extensor digitorum was also reported.
Anomalous hand extensors including the extensor medii proprius and the extensor indicis et medii communis are often seen as variations of the extensor indicis due to the shared characteristics and embryonic origin.{{Cite journal|title = Phylogeny of human forearm extensors|last = Straus|first = W.I.|date = 1941|journal = Ann Hum Biol|issue = 13|pages = 203–238}}
Function
The extensor indicis extends the index finger, and by its continued action assists in extending (dorsiflexion) the wrist and the midcarpal joints.
Because the index finger and little finger have separate extensors, these fingers can be moved more independently than the other fingers.
Additional images
{{gallery
| height = 150|width=150|Image:Gray424.png|The mucous sheaths of the tendons on the back of the wrist. (Extensor indicis proprius visible going into second digit.)
|Image:Gray214.png|Bones of left forearm. Posterior aspect.
|Image:Musculusextensorindicisproprius.png|Posterior surface of the forearm. Deep muscles.
|Image:Carpal-Tunnel.svg|Transverse section across the wrist and digits.
|File:Extensor indicis muscle.jpg|Extensor indicis muscle
|File:Slide4RRRRR.JPG| Extensor indicis muscle
|File:Slide4SSSS.JPG|Extensor indicis muscle
|File:Slide10SSSS.JPG|Extensor indicis muscle
|File:Slide14TTTT.JPG|Extensor indicis muscle
|File:Slide1MAM.JPG|Muscles of hand. Posterior view.
|File:Slide2TAT.JPG|Muscles of hand. Posterior view.
}}
See also
Notes
{{Reflist|colwidth=30em}}
References
{{Gray's}}
- {{cite book | last = Platzer | first = Werner
| title = Color Atlas of Human Anatomy, Vol. 1: Locomotor System
| publisher = Thieme | isbn = 3-13-533305-1
| year = 2004 | edition = 5th
}}
- {{cite book | editor-last1 = Ross | editor-first1 = Lawrence M.
| editor-last2 = Lamperti | editor-first2 = Edward D.
| title = Thieme Atlas of Anatomy: General Anatomy and Musculoskeletal System
| publisher = Thieme | year = 2006 | isbn = 978-1-58890-419-5
}}
External links
- {{SUNYAnatomyLabs|09|05|01|06}} - "Extensor Region of Forearm and Dorsum of Hand: Deep Muscles of Extensor Region"
- {{NormanAnatomy|lesson5musofpostforearm}}
- {{DukeOrtho|Extensor_indicis}}
- {{cite journal
|last1 = Ritter
|first1 = Merrill A.
|last2 = Inglis
|first2 = Allen E.
|title = The Extensor Indicis Proprius Syndrome
|journal = J Bone Joint Surg Am
|volume = 51
|year = 1969
|issue = 8
|pages = 1645–1648
|url = http://www.ejbjs.org/cgi/reprint/51/8/1645.pdf
|doi = 10.2106/00004623-196951080-00016
|pmid = 5357184
}}{{Dead link|date=March 2024 |bot=InternetArchiveBot |fix-attempted=yes }}
{{Muscles of upper limb}}
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