11 Muscle (Hand) Flashcards
What are the 5 compartments of the hand?
Thenar Adductor Palmar Interosseous Hypothenar
What are the 3 muscles of the thenar compartment?
Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis
Which muscle is located in the adductor compartment?
Adductor pollicis
What are the 3 muscles of the hypothenar compartment?
Abductor digiti minimi
Flexor digiti minimi
Opponens digiti minimi
What are the 4 types of muscles in the hand?
Intrinsic (7)
Palmar interossei (3)
Dorsal interossei (4)
Lumbricals (4)
Describe the structure and contents of the carpal tunnel
Roof: flexor retinaculum
Floor: carpal bones
Lateral attachment: scaphoid and trapezoid bones
DIstal attachment: pisiform and hook of hamate
Contents:
4 tendons of the Flexor DIgitorum Superficialis
4 tendons of the Flexor Digitorum Profundus
tendon of the Flexor Pollicis Longus
Median nerve
What 6 structures run superficially to the carpal tunnel?
Ulnar nerve
Ulnar artery
Palmar cutaneous branch of the ulnar nerve
Palmar cutaneous branch of the median nerve
Flexor carpi ulnaris tendon
palmaris longus tendon
Describe the structure of the extensor retinaculum?
Lateral: distal radius
Medial: pisiform and hook of the hamate
What are the 10 structures deep to the extensor retinaculum?
Extensor synovial sheaths Extensor Carpi Ulnaris tendon Extensor Digiti Minimi tendon Extensor Digitorum tendon Extensor Indicis tendon Extensor Pollicis Longus tendon Extensor Carpi Radialis Longus tendon Extensor Carpi Radialis Brevis tendon Abductor Pollicis Longus tendon Extensor Pollicis Longus tendon
Which 4 structures run superficially to the extensor retinaculum?
Basilic vein
Cephalic vein
Posterior cutaneous branch of the ulnar nerve
Superficial branch of the radial nerve
Describe the dorsal interossei muscles
4 muscles across the dorsal side of the hand
PA: adjacent two metacarpals
DA: base of the proximal phalanges and extensor expansions of digits 2-4
NS: deep branch ulnar nerve
A: abduct digits from axial line
Describe the palmar interossei muscles
3 muscles across the palmar side of the hand
PA: palmar surface of 2nd, 4th and 5th metacarpals
DA: extensor expansions of digits 2, 4 and 5
NS: deep branch of the ulnar nerve (C8-T1)
Action: adduct the digits back towards the axial line