At the wrist the fascia becomes attached to the longitudinal ridges on
the dorsal surface of the head of the radius, bridging thus the
intervening grooves and holding the tendons in place between the ridges.
The fascia then continues to form the dorsal fascia of the hand. On the
ventral side of the wrist the fascia becomes thickened to form a strong
=transverse ligament= (Fig. 77, 1), which is attached at its radial and
ulnar ends to the carpus, and which holds in place the tendons of the
flexor muscles. Distad of the transverse ligament the fascia spreads out
in the palm of the hand, and becomes united with the fibrous pad which
is situated here. On the fingers the fascia becomes attached to the
phalanges, forming tendinous sheaths, the so-called =vaginal ligaments=,
for the flexor muscles. Near the base and the head of the first phalanx
strong, narrow, ring-like bands, the =annular ligaments= (Fig. 88, 2),
are formed in these sheaths; these surround and bind down the tendons of
the flexor muscles.
A. MUSCLES ON THE ULNAR AND DORSAL SIDE OF THE FOREARM (extensors and
supinators) (Fig. 75, p. 158).
=M. brachioradialis= or supinator longus (Fig. 75, _k_; Fig. 77,
_n_).--This is a ribbon-like muscle lying on the lateral side of the
brachium and the ventrolateral border of the antibrachium just beneath
the superficial fascia. It connects the humerus and the radius.
_Origin._--By a thin tendon from about the middle fifth of the dorsal
border of the humerus, or sometimes proximad of the middle. The muscle
curves over the outer surface of the brachialis (Fig. 75, _i_), to which
it is closely applied, and runs along the lateral border of the
antibrachium to its insertion.
_Insertion_ by a short tendon into the ridge which forms the ventral
limit of the groove on the outer surface of the styloid process of the
radius and upon the adjacent ligaments.
_Relations._--Outer surface with the integument, and at the proximal end
with the caput laterale of the triceps (Fig. 75, _h_). Inner surface
with the brachialis (_i_), the extensor carpi radialis longus (_l_) and
brevis, and the extensor communis digitorum (_m_).
_Action._--Supinator of the hand.
=M. extensor carpi radialis longus= (Fig. 75, _l_; Fig. 77, _o_).--This
lies along the radial side of the forearm, and connects the humerus and
the second metacarpal.
_Origin_ (Fig. 81, _k_) from the middle portion of the lateral
supracondyloid ridge between the origin of the brachialis (_j_) and the
anconeus. About the middle of the forearm the muscle ends in a slender
tendon (Fig. 84, _e_) which passes through the groove on the radial side
of the dorsal surface of the distal end of the radius.
_Insertion_ (Fig. 84, _c_).--The tendon passes across the carpus and is
inserted onto the dorsal surface of the base of the second metacarpal on
the radial side just distad of the groove for the radial artery.
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