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Updated: May 27, 2025


A new sheath may be provided for the tendon by resecting a portion of the great saphenous vein. Injuries of the tendons of the fingers are comparatively common. One of the best known is the partial or complete rupture of the aponeurosis of the extensor tendon close to its insertion into the terminal phalanx drop- or mallet-finger.

The difficulty in supporting the trunk erect, as well as the propensity to the adopting of a hurried pace, is also referable to such a diminution of the nervous power in the extensor muscles of the head and trunk, as prevents them from performing the offices of maintaining the head and body in an erect position.

Every monkey and lemur exhibits the characteristic arrangement of tarsal bones, possesses a short flexor and short extensor muscle, and a peronaeus longus.

It also occurs as a result of excessive piano-playing, fencing, or rowing. At the ankle it affects the peronei, the extensor digitorum longus, or the tibialis anterior. It is most often met with in relation to the tendo-calcaneus Achillo-dynia and results from the pressure of ill-fitting boots or from the excessive use and strain of the tendon in cycling, walking, or dancing.

As to the muscles, there is a short flexor, a short extensor, and a 'peronaeus longus', while the tendons of the long flexors of the great toe and of the other toes are united together and with an accessory fleshy bundle. The hind limb of the Gorilla, therefore, ends in a true foot, with a very moveable great toe.

a, Extensor carpi radialis; g, brachialis; g', anterior superficial pectoral; c, common digital extensor; e, ulnaris lateralis. The fascia and the ulnar head of the flexor carpi ulnaris have been removed. 1, Distal end of humerus; 2, median vessels and nerve. Motion is that of flexion and extension; slight rotation is possible when the position is that of flexion.

Wasting of muscles is a constant accompaniment of tuberculous joint disease. It is to be attributed partly to want of use, but chiefly to reflex interference with the trophic innervation of the muscles. It is specially well seen in the extensor and adductor muscles of the thigh in disease of the knee, and in the deltoid in disease of the shoulder.

The wound was dressed and healing progressed favorably; in three months the wound had filled up to such an extent that the man was allowed to go on crutches. The patient was discharged in five months, able to walk very well, but owing to the loss of the function of the extensor tendons the toes dragged.

As examples may be cited the rupture of the quadriceps extensor in attempting to regain the balance when falling backwards; of the gastrocnemius, plantaris, or tendo-calcaneus in jumping or dancing; of the adductors of the thigh in gripping a horse when it swerves "rider's sprain"; of the abdominal muscles in vomiting, and of the biceps in sudden movements of the arm.

It is primarily activity of the extensor muscles and is vitally connected with all true expansion. The flexor muscles on account of the position in sitting and because of a lack of expansive activity, often become too short. They can be extended only by activity of the extensor muscles.

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