Lecture 9 - Muscles Acting on the Hand Flashcards
functions of the hand
- > grasp power
- > pinch precision
- > feel
- > comunicate
the hand must have…
- > strong mobile framework
- > non slip, pliable gripping surface
- > strong muscles without bulk
- > sensitivity to internal and external environments
characteristics of the skin
- > ridges
- > sweatglands in the ridges
- > fibrous septa (connects dermis to underlying fascia)
- > fat between septa (no room for expansion if infected)
bones and joints of the hands
thumb only has two phalanx but digets 2-5 have 3
finger movements
Add/Abduction
Flex/Extend
intrinsic vs extrinsic muscles of the hand
Extrinsic muscles have their origin on the forearm and have long tendons than insert into the hand
Intrinsic muscles originate inside the hand and insert on the hand
main groups of intrinsic muscles
- > interossei
- > lumbricals
- > thenar muscles
- > hypothenar muscles
muscles that flex the fingers from the forearm
AKA extrinsic finger flexors
- > flexor digitorum superficialis
- > flexor digitorum profundus
OIIA of flexor digitorum superficialis
Origin
Humeroulnar head: med epicondyle of humerus, ulnar collateral ligament, coronoid process of the ulna
Radial head: superior half of the ant border of the radius
Insertion
- > shafts of the middle phalanges of digits 2-5
Innervation
- > median nerve
Action
- > flexes the middle phalanges at the proximal IP joints, can also flex MCP joints and wrist with stronger contractions
OIIA of flexor digitorum profundus
Origin
- > prox ¾ of medial and ant surface of ulna and interosseous membrane
Insertion
- > base of distal phalanx of digits 2-5
Insertion
- > Medial part: ulnar nerve Lateral part: interosseus branch of median nerve
Action
- > flexes distal phalanges at distal IP joints of medial 4 digits, assists with wrist flexion
muscles that extend the fingers from the forearm
AKA extrinsic finger extensors
- > extensor digitorum
- > extensor indicis
- > extensor digiti minimi
OIIA of extensor digitorum
Origin
- > lateral epicondyle of humerus
Insertion
- > extensor expansions of medial four digits
Innervation
- > deep branch of the radial nerve
Action
- > extends d2-5 at metacarpophalangeal joints, extends hand at wrist joint
OIIA of extensor digiti minimi
Origin
- > lateral epicondyle of humerus
Insertion
- > extensor expansion of the 5th digit
Innervation
- > deep branch of radial nerve
Action
- > extends D5 at the metacarpophalangeal joints
OIIA of extensor indicis
Origin
- > posterior surface of ulna and interosseous membrane
Insertion
- > extensor expansion of 2nd digit
Innervation
- > post interosseous nerve and the continuation of the deep branch of the radial nerve
Action
- > extends 2nd digit and helps extend hand at the wrist joint
thumb movements