
Extensor muscles are essential for the complex movements of the arm, wrist, and fingers. They are responsible for extension, which is the movement that increases the angle between two bones or body surfaces at a joint, resulting in straightening. For example, extending a flexed elbow or straightening the arm. The forearm muscles are divided into two compartments: the anterior flexor and the posterior extensor. The extensor muscles in the posterior compartment of the forearm produce extension at the wrist and fingers. These muscles are innervated by the radial nerve, and their function can be tested by pronating the forearm and extending the fingers against resistance. Without reciprocal inhibition, where opposing muscles contract simultaneously, a muscle tear can occur.
| Characteristics | Values |
|---|---|
| What is the function of extensor muscles? | Produce extension at the wrist and fingers |
| Which nerves innervate the extensor muscles? | Radial nerve |
| What is the general structure of extensor muscles? | Two layers deep and superficial |
| What separates the two layers of extensor muscles? | A layer of fascia |
| What is the function of the extensor digitorum muscle? | Extension of the fingers |
| What happens when opposing muscles contract at the same time? | A muscle tear can occur |
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What You'll Learn
- Reciprocal inhibition prevents opposing muscles from contracting at the same time
- The brachioradialis muscle is a flexor at the elbow, despite being an extensor muscle
- The radial nerve innervates extensor muscles
- Extensor muscles are situated in the posterior compartment of the forearm
- Extensor muscles are supplied with blood by the posterior interosseous artery

Reciprocal inhibition prevents opposing muscles from contracting at the same time
Reciprocal inhibition is a neuromuscular reflex that prevents opposing muscles from contracting at the same time. This process is important for optimal joint function and movement through a full range of motion. When a muscle is stretched, mechanoreceptors called muscle spindles, which are sensitive to changes in muscle length, are also stretched. This stretch increases alpha motor neuron activity, causing the stretched muscle to contract to maintain a regular length and avoid injury.
A second set of nerves are then sent out to cause the opposing muscle to relax. Once the opposing muscle is inhibited, the main muscle can contract effectively. In other words, reciprocal inhibition is the process in which a muscle must relax on one side of a joint to allow a muscle on the other side of the joint, typically the antagonist, to contract effectively. For example, when you stretch your hamstrings, your quadriceps contract for a few seconds, and then your hamstrings relax, allowing you to sink deeper into the stretch.
This phenomenon can also be observed in a hip bridge exercise. If you feel your hamstrings or lower back working instead of your glutes, it may be due to a dysfunction in reciprocal inhibition. In this case, the iliacus is too tight, preventing the glutes from contracting fully. As a result, the hamstrings or erectors attempt to complete the hip extension as they are synergists or assisters for the movement.
Reciprocal inhibition occurs without conscious thought, but understanding this process can help manage pain and prevent injury. For example, strengthening opposing muscles can ease the pull created by muscles that are too tight, allowing for a long-lasting improvement in the range of motion.
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The brachioradialis muscle is a flexor at the elbow, despite being an extensor muscle
The brachioradialis is a muscle of the forearm that flexes the forearm at the elbow. It is also capable of both pronation and supination, depending on the position of the forearm. The muscle is used to stabilize the elbow during rapid flexion and extension while in a midposition, such as in hammering. It is a stronger elbow flexor when the forearm is in a midposition between supination and pronation at the radioulnar joint.
Despite being an extensor muscle, the brachioradialis is a flexor at the elbow. This is because, unlike other posterior forearm muscles, the brachioradialis's fibre orientation enables it to flex the forearm, especially when the forearm is semi-pronated. The function of this action is seen in various ordinary activities such as hammering or rowing.
The brachioradialis is innervated by the radial nerve, which usually supplies extensors. It is one of only four muscles that receive direct input from the radial nerve. The other three are the triceps, anconeus, and extensor carpi radialis longus. The brachioradialis is also synergistic with the brachialis and biceps brachii, which are also flexor muscles.
The brachioradialis muscle originates from the upper two-thirds of the lateral supracondylar ridge of the humerus and the anterior surface of the lateral intermuscular septum of the arm. It inserts near the wrist, just proximal to the styloid process of the radius. The muscle fibres course inferiorly down the radial part of the anterior forearm, forming a thick tendon in the middle of the forearm.
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The radial nerve innervates extensor muscles
The radial nerve is a peripheral nerve that supplies specific parts of the arm, forearm, wrist, and hand. It is one of the terminal branches of the posterior cord, originating from the brachial plexus and carrying fibres from the posterior roots of spinal nerves C5, C6, C7, C8, and T1. The nerve has both motor and sensory functions, with its motor branches stimulating the posterior arm muscles, posterior forearm muscles, and extrinsic wrist and hand extensors.
The radial nerve innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial compartment of the forearm and the associated joints and overlying skin. It provides motor innervation to the dorsal arm muscles (triceps brachii and anconeus) and the extrinsic extensors of the wrists and hands. The deep branch of the radial nerve, also known as the posterior interosseous nerve, pierces the supinator muscle, winds around the radius, and again pierces the supinator before passing through the posterior extensor muscles.
The radial nerve gives out muscular branches to supply the long head, medial head, and lateral head of triceps brachii muscles. After emerging from the radial sulcus, it supplies the brachialis, brachioradialis, and extensor carpi radialis longus. The nerve also gives articular branches to supply the elbow joint. In the forearm, it divides into a superficial branch (primarily sensory) and a deep branch (primarily motor). The deep branch of the radial nerve innervates the posterior forearm muscles and, in some individuals, passes through the arcade of Frohse, which can increase the likelihood of impingement.
Injuries to the radial nerve can cause varying deficits in motor and sensory functions. Radial nerve tears can result from sternal retraction during internal mammary artery dissection and cardiac surgery. Elbow hyperextension can also damage the radial nerve, as can a lateral supracondylar fracture, although the presentation may differ from a midhumeral injury. Wartenberg's syndrome is another condition caused by nerve entrapment beneath the tendinous insertion of the brachioradialis, tight jewellery, or watch bands, resulting in numbness and tingling in the radial half of the dorsum of the hand.
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Extensor muscles are situated in the posterior compartment of the forearm
The forearm is the section of the upper limb from the elbow to the wrist, with its bony structure formed by the radius and ulna. The forearm muscles are divided into two compartments: the anterior flexor compartment and the posterior extensor compartment. The forearm contains twenty muscles that act on the elbow and wrist joints, as well as carpometacarpal, metacarpophalangeal, and interphalangeal joints of the hand. These muscles enable complex movements of the arm, wrist, and fingers.
The extensor muscles are situated in the posterior compartment of the forearm and are responsible for producing extension at the wrist and fingers. These muscles are innervated by the radial nerve. The muscles in this compartment are organised into two layers: deep and superficial. The superficial layer contains seven muscles, four of which extensor carpi radialis brevis, extensor digitorum, extensor carpi ulnaris, and extensor digiti minimi share a common tendinous origin at the lateral epicondyle. The extensor digitorum is the main extensor of the fingers, allowing for extension of the digits at the interphalangeal and metacarpophalangeal joints. The extensor digiti minimi is believed to originate from the extensor digitorum muscle, and it contributes to extension at the wrist.
The deep layer of the extensor compartment contains muscles such as the anconeus, which is situated proximally in the forearm and blended with the fibres of the triceps brachii. The anconeus muscle extends and stabilises the elbow joint, and abducts the ulna during pronation of the forearm. The radial artery and nerve are located between the deep flexor muscles and the brachioradialis muscle, which is a paradoxical muscle. While the brachioradialis originates and is innervated like an extensor muscle, it acts as a flexor at the elbow.
The blood supply to the extensor compartment of the forearm is provided by the posterior interosseous artery, which is a branch of the ulnar artery. The radial nerve innervates the extensor compartment, while the median and ulnar nerves innervate the muscles of the flexor compartment. Reciprocal inhibition is a mechanism where one branch of the muscle spindle innervates the alpha motor neuron, causing the homonymous muscle to contract. Another branch innervates an inhibitory interneuron, which prevents the opposing alpha motor neuron from firing simultaneously, reducing the risk of muscle tears.
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Extensor muscles are supplied with blood by the posterior interosseous artery
Extension is a movement of a joint that increases the angle between two bones or body surfaces at a joint, resulting in the straightening of the bones or body surfaces involved. Extensor muscles are supplied with blood by the posterior interosseous artery, which stems from the common interosseous artery just distal to the elbow. The initial part of the artery travels posteriorly and deeply, passing between the oblique cord and the proximal border of the interosseous membrane of the forearm.
The posterior interosseous artery gives off the recurrent interosseous artery, as well as several muscular and perforating fasciocutaneous branches. These blood vessels contribute to the arterial anastomosis of the elbow and supply several superficial and deep extensor muscles of the forearm. The posterior interosseous artery descends within the posterior compartment of the forearm, passing over the abductor pollicis longus, extensor pollicis longus, and extensor indicis muscles. It supplies the superficial and deep muscles of the posterior compartment of the forearm, including the extensor carpi ulnaris, extensor digiti minimi, extensor digitorum, and extensor pollicis brevis muscles.
The artery finishes at the level of the carpal bones of the hand, where it joins the anterior interosseous artery and the dorsal carpal anastomosis. In certain individuals, the posterior interosseous artery may terminate midway along the forearm, anastomosing with the recurrent interosseous artery. The recurrent interosseous artery supplies the skin over the posterolateral aspect of the elbow and is involved in the arterial anastomosis of the elbow by joining with several other arteries.
The anterior interosseous artery, which is supplied by the posterior interosseous artery, also plays a role in supplying blood to the deep muscles of the forearm, such as the flexor digitorum profundus, flexor pollicis longus, and pronator quadratus muscles. It contributes to the palmar and dorsal arches of the wrist and hand, providing cutaneous supply to the lateral aspect of the distal forearm.
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Frequently asked questions
Extensor muscles are muscles that produce extension at the wrist and fingers. They are located in the posterior compartment of the forearm.
Some examples of extensor muscles include the extensor carpi radialis brevis, extensor digitorum, extensor carpi ulnaris, and extensor digiti minimi.
Reciprocal inhibition prevents opposing muscles from contracting at the same time. Without this mechanism, muscle tears could occur.
Extensor muscles can tear when there is a "misfiring" of motor neurons, causing simultaneous contraction with their opposing muscles.











































