Intrinsic Muscles of the Hand Flashcards
abductor pollicis brevis (apb) prox attach
flexor retinaculum and tubercles of scaphoid and trapezium
abductor pollicis brevis (apb) distal attach
lateral aspect of base of proximal phalanx of thumb
abductor pollicis brevis (apb) axn
abducts thumb, assists in opposition
abductor pollicis brevis (apb) innervation
recurrent branch of median n. (C8*, T1)
flexor pollicis brevis (fpb) prox attach
superficial: from flexor retinaculum & tubercle of trapezium
deep: trapezoid and capitate bone to unite with superficial head at sesamoid bone*
flexor pollicis brevis (fpb) distal attach
superficial: lateral side of base proximal phalanx
flexor pollicis brevis (fpb) axn
flexes thumb
flexor pollicis brevis (fpb) innervation
superficial: recurrent branch of median n (C8, T1)
deep: deep branch of ulnar (C8, T1)
opponens pollicis prox attach
tubercle of trapezium and flexor retinaculum
opponens pollicis distal attach
whole lateral border and part of palmar surface of 1st metacarpal
opponens pollicis axn
draws 1st MC bone medially to oppose thumb toward center, medial (IR) rotation
opponens pollicis innervation
recurrent branch of median n (C8*, T1)
adductor pollicis prox attach
oblique head: bases of metacarpal 2 and 3, capitate, and adjacent muscles
transverse head: from the anterior surface of the body of metacarpal 3
adductor pollicis distal attach
medial side of base of proximal phalanx of thumb
adductor pollicis axn
adducts thumb
adductor pollicis innervation
deep branch of ulnar n (C8, T1*)
palmar interossei prox attach
palmar surfaces of metacarpal 2,4,5
palmar interossei distal attach
extensor expansions of digits and bases of proximal phalanges of digits 2,4,5
palmar interossei axn
adducts digits towards midline of hand
MCP flexion (when MCP starts flexed)
PIP and DIP extension via hood mechanism
palmar interossei innervation
deep branch ulnar n. (C8, T1*)
dorsal interossei prox attach
adjacent sides of 2 metacarpals
dorsal interossei distal attach
extensor expansion of digits 2,3,4 and bases of prox phalanges digits 2,3,4
dorsal interossei axn
abducts digits away from midline
MCP flexion possible
PIP and DIP extension via hood mechanism
dorsal interossei innervation
deep branch ulnar (C8, T1*)
lumbricals prox attach
radial sides of FDP tendons in palm
lumbricals distal attach
radial sides of extensor hood mechanism digits 2-5
lumbricals axn
strong ext at PIP and flexion and MCP regardless of MCP position
lumbricals innervation
lumbricals 1 and 2: muscular branch of median (C8)
lumbricals 3 and 4: deep branch ulnar (C8, T1*)
abductor digiti minimi prox attach
pisiform
abductor digiti minimi distal attach
medial side of base of proximal phalanx of digit 5
abductor digiti minimi axn
abducts digit 5, may assist in MCP flexion
abductor digiti minimi innervation
deep branch ulnar n (C8, T1*)
flexor digiti minimi brevis prox attach
hook of hamate and flexor retinaculum
flexor digiti minimi brevis distal attach
medial side of base of proximal phalanx of digit 5
flexor digiti minimi brevis axn
flexes MCP of digit 5
flexor digiti minimi brevis innervation
deep branch ulnar (C8, T1*)
opponens digiti minimi prox attach
hook of hamate and flexor retinaculum
opponens digiti minimi distal attach
medial border of metacarpal 5
opponens digiti minimi axn
draws 5th metacarpal anteriorly and rotates it for opposition with the thumb
opponens digiti minimi innervation
deep branch ulnar (C8, T1*)