Abductor pollicis longus muscle

Abductor pollicis longus muscle
Abductor pollicis longus muscle
	Deep muscles of posterior surface of the forearm
Details
Origin	Ulna, radius, Interosseous membrane
Insertion	Base of 1st metacarpal
Artery	Posterior interosseous artery
Nerve	Radial nerve; C8, T1
Actions	Abduction, extension of thumb
Antagonist	Adductor pollicis muscle
Identifiers
Latin	musculus abductor pollicis longus
TA98	A04.6.02.049
TA2	2517
FMA	38515
	Anatomical terms of muscle [edit on Wikidata]

In human anatomy, the abductor pollicis longus (APL) is one of the extrinsic muscles of the hand. Its major function is to abduct the thumb at the wrist. Its tendon forms the anterior border of the anatomical snuffbox.

Structure

The abductor pollicis longus lies immediately below the supinator and is sometimes united with it. It arises from the lateral part of the dorsal surface of the body of the ulna,^[1] below the insertion of the anconeus, from the interosseous membrane, and from the middle third of the dorsal surface of the body of the radius.^[2]

Passing obliquely downward and lateralward, it ends in a tendon, which runs through a groove on the lateral side of the lower end of the radius, accompanied by the tendon of the extensor pollicis brevis.^[2]

The insertion is divided into a distal, superficial part and a proximal, deep part. The superficial part is inserted with one or more tendons into the radial side of the base of the first metacarpal bone, and the deep part is variably inserted into the trapezium, the joint capsule and its ligaments, and into the belly of abductor pollicis brevis (APB) or opponens pollicis.^[3]

Innervation

The abductor pollicis longus muscle is innervated by the posterior interosseous nerve, which is a continuation of the deep branch of the radial nerve after it passes through the supinator muscle. Abductor pollicis longus lies close to the radial nerve.^[4] The posterior interosseous nerve is derived from spinal segments C7 & C8.^[5]

Blood supply

Abductor pollicis longus is supplied by the posterior interosseous artery.^[6]

Variation

An accessory abductor pollicis longus (AAPL) tendon is present in more than 80% of people, and a separate muscle belly is present in 20% of people. In one study, the accessory tendon was inserted into the trapezium (41%); proximally on the abductor pollicis brevis (22%) and opponens pollicis brevis (5%); had a double insertion on the trapezium and thenar muscles (15%); or the base of the first metacarpal (1%).^[7] Up to seven tendons have been reported in rare cases.^[8]

Multiple APL tendons can be regarded as a functional advantage since injured tendons can be compensated by the healthy ones.^[9]

Function

The chief action of abductor pollicis longus is to abduct the thumb at the carpometacarpal joint, thereby moving the thumb anteriorly. It also assists in extending and rotating the thumb.^[6]

By its continued action, it helps to abduct the wrist (radial deviation) and flex the hand.^[6]

The APL insertion on the trapezium and the APB origin on the same bone is the only connection between the thumb's intrinsic and extrinsic muscles.^[a] As the thumb is brought into action, these two muscles must coordinate to keep the trapezium stable in the carpus,^[3] which is important for the proper functioning of the thumb (i.e. precision and power grip.)^[10]

In other animals

The only primates to have an APL completely separated from the extensor pollicis brevis are modern humans and gibbons.^[11] In gibbons, however, the APL originates proximally on the radius and ulna, whereas it originates in the middle part of these bones in crab-eating monkeys, bonobos, and humans. In all these primates, the muscle is inserted onto the base of the first metacarpal and sometimes onto the trapezium (siamangs and bonobos) and thumb sesamoids (crab-eating monkeys).^[12]

In chimpanzees, the APL flexes the thumb rather than extending it like in modern humans. Compared to the wrists of chimpanzees, the human wrist is derived (compared to the Pan-Homo LCA) in having considerably longer muscle moment arms for a range of hand muscles. It is possible that these differences are due to the supinated position of the trapezium in humans which, in its turn, is a result of the expansion of the trapezoid on the side of the palm.^[13]

A small, lens-shaped radial sesamoid embedded into the APL tendon is a primitive state found in all known Carnivora genera except in the red and giant pandas and the extinct Simocyon where it is hypertrophied (enlarged) into a sixth digit or a so-called "false thumb", a derived trait that first appeared in ursids.^[14] The APL sesamoid is present in all non-human primates, but only in about half of gorillas, and normally absent in humans.^[15]