Hand, Wrist & Forearm Anatomy Flashcards
Intrinsic Muscles Innervated by Median Nerve
Abductor pollicus longus, opponens pollicis, flexor pollicus brevis (superficial head) & Lumbricals (of the radial side)
Abductor Pollicus Brevis
Origin: Scaphoid, trapezium, flexor retinaculum & tendon of abd pollicus longus
Insertion: base of prox phalanx, radial side of thumb
Fx: Palmar abd
Opponens Pollicus
Origin: Trapezium & flexor retinaculum
Insertion: First metacarpal
Fx: opposition
Flexor Pollicus Brevis
Origin: Trapezium, trapezoid, capitate & flexor retinaculum
Insertion: base of prox phalanx, radial side of thumb
Fx: thumn MCP flex - deep head innervated by ulnar nerve
Radial Side Lumbricals
Origin: tendons of flexor digitorium profund, index/mid fingers (radial/palmar sides)
Insertion: radial side of digits II & III into extensor expansion
Fx: MCP flex and IP extend
Intrinsic Muscles Innervated by Ulnar Nerve
Abductor digiti minimi, opponens digiti minimi, flexor digiti minimi, adductor, ulnar side lumbricals, palmar interossi & dorsal interossi
Abductor Digiti Minimi
Origin: Pisiform& tendon of flexor carpi ulnaris
Insertion: prox phalanx of 5th digit
Fx: Abduction of 5th digit
Opponens Digiti Minimi
Origin: hook of hamate and flex retinaculum
Insertion: 5th metacarpal
Fx: opposition of 5th digit
Adductor
Origin: oblique head: bases of 2/3rd metacarpal, trapezoid & capitate. transverse head: palmar border/shaft of 3rd metacarpal
Insertion: sesamoid, base of prox phalanx, tendon of ex pollicus longus
Fx: Adducts CMC joint of thumb
Ulnar Side Lumbricals
Origin: Tendons of flex digitorum profundus for 4/5th digit
Insertion: Radial side of 4/5th digits into extensor expansion
Fx: MCP flex/extension of 4/5th IP joints
Palmar Interossi
Origin: 1st - ulnar surface of 2nd metacarpal; 2nd - radial surface of 4th metacarpal: 3rd - radial surface of 5th metacarpal
Insertion: 1st - ulnar surface of 2nd prox phalanx; 2nd - radial surface of 4th prox phalanx: 3rd - radial surface of 5th prox phalanx
Fx: Adduction & assistance w MCP flex/exten of 2nd-5th IP joints
Dorsal Interossi
Origin: All 4 muscles arise from the adjacent sides of the metacarpals
Insertion: prox phalanx on radial aspect of index, radial/ulnar sides of mid, and ulnar side of ring - all into extensor digitorum
Fx: aBduction & assistance with MCP flex/exten of 2nd-5th IP joints
Extrinsic Flexor Muscles of the Hand Innervated by the Median Nerve
Flexor digitorum superficialis, flexor digitorum profundus & flexor pollicus longus
Flexor digitorum superficialis (FDS)
Origin: medial epicondyle
Insertion: mid phalanx (2 slips)
Fx: PIP joint flexion
Flexor digitorum profundus (FDP)
Origin: Prox 2/3 of ulna/interossious mem
Insertion: Distal Phalanx
Fx: 2-3 DIP joint flex