Hand Flashcards
Thenar muscles
Opponens pollicis, abductor pollicis brevis, flexor pollicis brevis, adductor pollicis
Hypothenar muscles
Abductor digiti minimi, flexor digiti minimi brevis, opponens digiti minimi
Short muscles
Lumbricals- 1,2,3,4 Dorsal interossei (4) Palmar interossei (3)
Opponens pollicis
Origin: flexor retinaculum and tubercles of scaphoid and trapezium
Insertion: lateral side of 1st metacarpal
Action: to oppose thumb, it draws 1st metacarpal medially to center of palm and rotates it medially
Innervation: recurrent branch of median nerve (C8, T1)
Blood supply:
Abductor pollicis brevis
Origin: flexor retinaculum and tubercles of scaphoid and trapezium
Insertion: lateral side of base of proximal phalanx of thumb
Action: abducts thumb; helps oppose it
Innervation: recurrent branch of median nerve (C8, T1)
Blood supply:
Flexor pollicis brevis
Origin: flexor retinaculum and tubercles of scaphoid and trapezium
Insertion: lateral side of base of proximal phalanx of thumb
Action: flexes thumb
Innervation: recurrent branch of median nerve (C8, T1)
Blood supply:
Adductor pollicis
Origin: oblique head- bases of 2nd and 3rd metacarpals, capitate, adjacent carpals; transverse head- anterior surface of shaft of 3rd metacarpal
Insertion: medial side of base of proximal phalanx of thumb
Action: adducts thumb toward lateral border of palm
Innervation: deep branch of ulnar nerve (C8, T1)
Blood supply:
Abductor digiti minimi
Origin: pisiform
Insertion: medial side of base of proximal phalanx of 5th finger
Action: abducts 5th finger, assists in flexion of its proximal phalanx
Innervation: deep branch of ulnar nerve (C8, T1)
Blood supply:
Flexor digiti minimi brevis
Origin: hook of hamate and flexor retinaculum
Insertion: medial border of 5th metacarpal
Action: flexes proximal phalanx of 5th finger
Innervation: deep branch of ulnar nerve (C8, T1)
Blood supply:
Opponens digiti minimi
Origin: hook of hamate and flexor retinaculum
Insertion: medial border of 5th metacarpal
Action: draws 5th metacarpal anterior and rotates it, bringing 5th finger into opposition with thumb
Innervation: deep branch of ulnar nerve (C8, T1)
Blood supply:
Lumbricals: 1 &2
Origin: lateral 2 tendons of flexor digitorum profundus
Insertion: lateral sides of extensor expansions of 2nd-5th fingers
Action: flex metacarpophalangeal joints; extend interphalangeal joints of 2nd-5th fingers
Innervation: median nerve (C8, T1)
Blood supply:
Lumbricals: 3&4
Origin: medial 3 tendons of flexor digitorum profundus
Insertion: lateral sides of extensor expansions of 2nd-5th fingers
Action: flex metacarpophalangeal joints; extend interphalangeal joints of 2nd-5th fingers
Innervation: deep branch of ulnar nerve (C8, T1)
Blood supply:
Dorsal interossei, 1-4
Origin: adjacent sides of 2 metacarpals
Insertion: bases of proximal phalanges; extensor expansions of 2nd-4th fingers
Action: abduct 2nd-4th fingers from axial line; act with lumbricals in flexing metacarpophalangeal joints and extending interphalangeal joints
Innervation: deep branch of ulnar nerve (C8, T1)
Palmar interossei, 1-3
Origin: palmar surfaces of 2nd, 4th and 5th metacarpals
Insertion: bases of proximal phalanges; extensor expansions of 2nd, 4th and 5th fingers
Action: adduct 2nd, 4th and 5th fingers toward axial lie; assist lumbricals in flexing metacarpophalangeal joints and extending interphalangeal joints