The Upper Extremity 429indicate their action, location, or both. To aid with
picturing the action of the muscles of the wrist and
hand, remember to think about the line of pull of
the respective muscles in reference to anatomical
position with the forearm supinated and the palm
facing forward. In this position, there is a logicalarrangement of the muscles such that the flexors are
located on the front while the extensors are located
on the back of the forearm, wrist, and hand.
Another helpful organizational clue for the wrist is
that the primary flexors of the wrist arise proximally
from around the medial epicondyle of the humerus,Muscle Proximal attachment(s) Distal attachment(s) Primary action(s)
Extrinsic muscles of fingers
Flexor digitorum profundus
(FLEK-sor di-ji-TOR-um pro-FUN-dus)
Proximal three-quarters
of anterior and medial
ulnaBase of distal phalanges
of fingers 2 through 5Flexion of fingers and hand
(MP and distal IP joints of
fingers 2-5)
Assists with wrist flexionFlexor digitorum superficialis
(FLEK-sor di-ji-TOR-um soo-per-fish-ee-A-lis)
Medial epicondyle of
humerus and proximal
anterior radiusMiddle phalanges of
fingers 2 through 5Flexion of fingers and hand
(MP and proximal IP joints
of fingers 2-5)
Assists with wrist flexionExtensor digitorum
(ek-STEN-sor di-ji-TOR-um)
Lateral epicondyle of
humerusBase of distal and middle
phalanges of fingers 2
through 5Extension of fingers (MP,
proximal IP, and distal IP
joints of fingers 2-5)
Assists with wrist extensionExtensor indicis
(ek-STEN-sor IN-di-kis)
Distal posterior ulna Extensor expansion of
2nd fingerExtension of 2nd finger (MP,
proximal IP, and distal IP
joints of 2nd finger)
Assists with wrist extensionExtensor digiti minimi
(ek-STEN-sor DI-ji-tie MI-ni-my)
Lateral epicondyle of
humerusExtensor expansion of
5th fingerExtension of 5th finger (MP,
proximal IP, and distal IP
joints of 5th finger)
Assists with wrist extensionExtrinsic muscles of thumb (pollex)
Flexor pollicis longus
(FLEK-sor PAH-li-kis LON-gus)
Middle anterior radius Base of distal phalanx of
thumbFlexion of thumb (CMC, MP,
and IP joints of thumb)
Assists with opposition of
thumb and wrist flexionExtensor pollicis longus
(ek-STEN-sor PAH-li-kis LON-gus)
Middle posterior ulna Base of distal phalanx of
thumbExtension of thumb (CMC,
MP, and IP joints of thumb)
Assists with wrist extension
and radial deviationExtensor pollicis brevis
(ek-STEN-sor PAH-li-kis BRE-vis)
Middle posterior radius Base of proximal phalanx
of thumbExtension of thumb (CMC
and IP joints of thumb)
Assists with abduction of
thumb (CMC joint of thumb)
Assists with wrist radial
deviationAbductor pollicis longus
(ab-DUK-tor PAH-li-kis LON-gus)
Middle posterior ulna
and radiusRadial side of base of
1st metacarpalAbduction of thumb (CMC
joint of thumb)
Assists with extension
of thumb (CMC joint of
thumb), wrist flexion, and
wrist radial deviation