The primary role of the extensor expansion is to assist in the extension of the digits—the fingers and toes. When the muscle activation from the extensor digitorum (for fingers) or extensor hallucis longus (for the big toe) occurs, these tendons attach to the extensor expansion, allowing not only for a straightening motion at the metacarpophalangeal joints but also at the interphalangeal joints. This unique system efficiently distributes the force exerted by the muscles, facilitating complex movements, such as gripping and precise finger placements. Additionally, the extensor expansion plays a noteworthy role in mechanical stability, aiding in the balance and coordination required for activities ranging from simple grasping to intricate tasks like playing musical instruments.
Extensor expansions are located on the dorsal side, or back, of the hands and feet. Specifically, in the hand, they can be found over the proximal and middle phalanges of the fingers. Each expansion connects the extensor tendon at the level of the metacarpophalangeal joints to the distal phalanx, allowing for the coordination of movement while ensuring that the tendons remain aligned as they traverse the joints. Similarly, in the foot, these structures exist over the toes, interfacing with the extensor tendons to provide stability and coordinated movement in a similar manner, ensuring that the toes can extend and flex as required during walking and running activities.