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Extensor Carpi Ulnaris Anatomy

Origin: Humerus (lateral epicondyle via common extensor tendon), Ulna (posterior border by an aponeurosis)

Insertion: 5th metacarpal bone (tubercle on medial side of base)

Innervation: Cervical root(s): C7 and C8

Nerve: Radial nerve (posterior interosseous branch)

Diagrams & Photos
  • The extensor carpi ulnaris muscle and tendon.
    The extensor carpi ulnaris muscle and tendon.
  • The extensor carpi ulnaris muscle and tendon (ECU).
    The extensor carpi ulnaris muscle and tendon (ECU).
Key Points
  • The ECU is the weakest of the wrist extensors.
  • The ECU ulnar deviates the wrist during extension.
  • The ECU muscle is in a sub fascial extensor compartment.
  • The ECU passes through a groove in the distal ulna and through the sixth extensor compartment at the wrist.
  • Inside the sixth extensor compartment the ECU is surrounded by a sub-sheath.