extensor carpi ulnaris action
Load of contents... Editors loading... Categories loading... When referring to evidence in academic writing, you should always try to refer to the primary (original) source. That is generally the article of the journal where the information was first declared. In most cases, the articles of Physiopedia are a secondary source and should not be used as references. Physiopedia articles are best used to find the original sources of information (see the list of references at the bottom of the article). If you believe that this Physiopedia article is the main source of the information you refer to, you can use the button below to access a related citation statement. Carpi Ulnaris Extensor Original Top ContributorsContents Description The carpi ulnaris extender muscle is one of the forearm extenders located in the surface layer of the back forearm compartment. Share this compartment with the , the , the , the digitorum extender, and the minimi digiti extender. All these muscles share a common origin in the lateral epicondile through the common straining tendon. Like all these muscles near their distal insertion sites, they are insured by the extender retinaculum. Origin The ulnaris carpi extender muscle originates from the lateral epicondile of the distal humerus and the posterior aspect of the ulna. Insertion It is inserted into the dorsal base of the fifth metacarpal after passing through the sixth compartment of the extended retinaculum. NerveThe muscle receives the nerve-feeding of the posterior interosseo nerve, which is a motor branch of the radial nerve. The radial nerve is then submerged through the spinning muscle heads in the antecubital pit to form the posterior interosseo nerve. It incorporates the carpi ulnaris extender muscle in addition to the other muscles in the back compartment of the forearm. The radial nerve emerges from the brachial plexus through the backbone that has contributions from the nerve roots of the C5 to T1 column. Arteria The carpi ulnaris extender obtains its vascular supply mainly from the ulnar artery that branches from the brachial artery near the antecubital fosa and provides the medial aspect of the forearm. Due to the location of the muscle in the posterior compartment of the forearm, it also receives a bit of blood supply from the posterior interosseous artery, a posterior branch of the radial artery, which runs between the superficial and deep muscle groups and supplies them to both. Function The carpi ulnaris extender serves to extend and attach the hand on the wrist and also provides medial stability to the wrist. It is a thin muscle that has original fibers both of the distal humerus, as part of the common straining tendon, as well as the proximal ulna. Clinical Relevance The carpi ulnaris extender is an important muscle in the activity of the wrist and the forearm that contributes not only to the extension and adduction of the wrist, but also to its medial stability. It is more commonly injured in athletes subject to blunt wrist movements. The bending and extension of the wrist can lead to tenosynovitis due to the irritation of the tendon and the pod that keeps it in place. Excessive use may also lead to muscle tendon tendon tendon tendon tendon tendon tendon tendon tendon tendon tendon tendon tendon tendon tendon disease in which there may be painful stiffness and tendon stiffness with minimal structural damage. Continuous excessive stress on the tendon can cause structural damage that can lead to a partial tear. Evaluation A precise clinical history and an evaluation is essential for the diagnosis of ECU tendon disorders. The moment of symptoms is present discriminates between acute and chronic causes. Mechanical symptoms at the time of appearance are also common descriptors in this condition. Patients will use words such as 'snap', 'pop' or 'tear' in an acute interruption of the pod. In some cases, tendon sub-luxing episodes are extremely painful. In others subluxation can be totally asymptomatic and can be easily reproduced by the patient. The palpation along the length of the ECU tendon (from its distally insertion at the base of the fifth metacarpal to ensure the palpation of the correct structure) will reveal the tenderness precisely located to that structure. The pain in the active extension resisted with the ulnar deviation is pathogenic of an ECU condition. Weakness is often associated with pain. Indoor weakness is likely to represent a complete ECU tendon rupture. In unequivocal or difficult cases, ultrasound (US) or MRI are the modalities of choice of image to complement the clinical diagnosis of ECU tendinopathy and instability. Conventional X-rays are not routinely required. TreatmentThe proper tendinosis of the ECU usually responds to non-operational measures of rest, activity modification, spinta (in a position of 30° of wrist extension and ulnar deviation) or, occasionally, immobilization in a short form of armor in the same position for a period of 3 weeks. Rehabilitation strategies are based on the severity of tendinopathy.5 Treatment of the early reactive phase consists of load management and isometric exercises until the pain is settled (usually more than 5-10 days). The load can be increased in stages. Ibuprofen is believed to be a useful assistant during this phase. In chronic tendinopathy, without a sudden increase in pain, a combination of load management, eccentric work, isometry and strength exercises is likely to help. If the symptoms are not relieved by non-operational measures, the injection of steroid in the fibrous vain should be considered. 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