Extensor Pollicis Longus (EPL)
- Instruct the patient to lay their hand flat on a table and to “Lift only your thumb off the table”
- Insertion: distal phalanx of thumb (first passes around Lister’s tubercle of the radius)
- Action: extends thumb IP joint
- Innervation: posterior interosseous branch of the radial nerve
The 13 muscle groups you need to test in the hand exam:
- FPL
- FDP
- FDS
- Thenar muscles
- Interosseous
- Hypothenar muscles
- EPB and APL
- EPL
- EDC
- EIP and EDM
- ECRL and ECRB
- ECU
- Adductor Pollicis
Pingback: Hand Exam: Motor 5/13 – Interosseous Muscles | Sketchy Medicine
Pingback: Hand Exam: Motor 4/13 – Thenar Muscles | Sketchy Medicine
Pingback: Hand Exam: Motor 3/13 – Flexor Digitorum Superficialis (FDS) | Sketchy Medicine
Pingback: Hand Exam: Motor 2/13 – Flexor Digitorum Profundus (FDP) | Sketchy Medicine
Pingback: Hand Exam: Motor 10/13 – Extensor Indicis Proprius (EIP) and Extensor Digiti Minimi (EDM) | Sketchy Medicine
Pingback: Hand Exam: Motor 12/13 – Extensor Carpi Ulnaris (ECU) | Sketchy Medicine
Pingback: Hand Exam: Motor 6/13 – Hypothenar Muscles | Sketchy Medicine
Pingback: Hand Exam: Motor 7/13 – Extensor Pollicis Brevis (EPB) and Abductor Pollicis Longus (APL) | Sketchy Medicine