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presents
Wheeless' Textbook of Orthopaedics

Extensor Pollicis Brevis



- Anatomy:
    - origin:
        - posterior side at the distal end of the body of both the ulna and radius near their middle;
    - insertion:
        - posterior surface of the base of the proximal phalanx of thumb;
    - action:
        - extends proximal phalanx of the thumb; continued action extends and assists abduction of the 1st metacarpal;
    - synergists:   APL, EPL;
    - nerve:: PIN branch of deep radial nerve, C6, C7;

- Discussion:
    - annular ligament that restrains abductor pollicis longus & EPB over
          radius is directly over radial tubercle;
    - this area may be involved in DeQuervain's tenosynovitis;




  A simplified technique to correct hyperextension deformity of the metacarpophalangeal joint of the thumb.





Original Text by Clifford R. Wheeless, III, MD.