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Extensor Carpi Radialis Longus Anatomy

Origin: Humerus (lateral supracondylar ridge, distal 1/3)

Common forearm extensor tendon

Lateral intermuscular septum

Insertion: 2nd metacarpal bone (base on radial side of dorsal aspe

Innervation: Cervical root(s): C6 and C7

Nerve: radial nerve (lateral muscular branch)

Diagrams & Photos
  • Extensor Carpi Radialis Longus
    Extensor Carpi Radialis Longus
Key Points
  • The ECRL is contained in the second extensor compartment of the wrist.
  • The ECRL is considerably stronger than the extensor carpi ulnaris (ECU).
  • A patient with complete quadriplegia at C5–C6 will have only radial wrist extensors functioning; therefore, radial deviation during extension will be observed on attempted active wrist extension.
  • Intersection Syndrome is caused by inflammation in the area between the radial wrist extensors (ECRB&ECRL) and the thumb abductor and extensor (APL & EPB).