Tracking Pixel
Duke Orthopaedics
presents
Wheeless' Textbook of Orthopaedics

Abductor Pollicis Brevis   



 - origin:
      - tuberosity of the scaphoid and the ridge of trapezium;
      - another slip originates from the transverse carpal ligament;
 - insertion: lateral surface of the base of the proximal phalanx of thumb;
 - action: abdcution and medial rotation of the metacarpal of the thumb;
 - synergists: abductor pollicis longus, EPL;
 - nerve supply: median nerve, C8, T1;

- Discussion:
    - although opposition is result of coordinate function of all long and short muscles that act on the thumb, APB is most important single
         muscle that takes part in this complex movement;
    - it rotates internally and abducts the thumb away from index metacarpal, internally rotates andabducts the proximal phalanx of thumb on its
         metacarpal, and assists EPL in extending IP joint of the thumb;
    - in the cases of carpal tunnel syndrome, it is APB which atrophies, and if this atrophy is severe the thumb cannot be pronated



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, April 10, 2012 3:50 pm