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Wheeless' Textbook of Orthopaedics
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Abductor Pollicis Longus



- Anatomy:
    - origin:
          - small facet of ulnar side of the radius near its middle;
          - on lateral side of dorsal surface on body of the ulna just below the insertion of anconeus & interosseous membrane;
    - tunnel: travels thru the first extensor compartment;
    - insertion:
          - most often this tendon inserts onto the APB muscle or it inserts into the radial side of the base of the 1st metacarpal;
    - action:
          - functions as a wrist flexor and radial deviator;
          - abducts and assists in flexion of the thumb carpmetacarpal;
    - synergists: APB, EPL;
    - nerve: PIN branch of deep radial nerve, C6, C7;


- Other Considerations:
    - annular ligament that restrains abductor pollicis longus & epb over radius is directly over the radial tubercle;
    - this area may be involved in DeQuervain's tenosynovitis;
    - note that almost every APL will have accessory tendons;











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