Muscles Of The Hand Flashcards
Hand consist of:
- Carpus (wrist)
- Metacarpus (hand proper)
- Digits (fingers)
Fingers names lateral to medial
Pollex (thumb), indicis (index), middle, ring, digiti minimis (pinky)
Anterior side of hand
Volar region (palm)
Posterior side of hand
Dorsum (back of hand)
Axis of hand
3rd metacarpal through middle finger
Abduction and adduction of fingers are relative to:
Axis of the hand
Middle finger has…abductor and …adductor
2 abductors and no adductor no
Polex has…to rest of fingers
90 degree rotation
Movements of pollex are defined at…to movements of other fingers
Right angles
Finger movements are at…joints
Metacarpophalangeal joints (MCP)
Polex movements are at…joints
Carpometacapus joints (CMC)
Carpal arch is formed by:
Carpal bones and flexor retinaculum
What passes through the carpal tunnel?
- 4 flexor digitorum superficialis tendons
- 4 flexor digitorum profundus tendons
- 1 flexor pollicis longus tendon
- Median nerve
Groups of intrinsic muscles of the hand
- Thenar (inferior to thumb)
- Hypothenar (inferior to pinky)
- Central
Thenar muscle group includes:
- Abduction pollicis brevis (APB)
- Flexor pollicis brevis (FPB)
- Opponens pollicis (deepest)
Abduction pollicis brevis (origin, insertion, action, nerve)
- Origin: Scaphoid, trapezium, flexor retinaculum
- Insertion: proximal phalanx of thumb
- Action: abduction of thumb @ MCP & CMC joints
- Nerve: Median
Flexor pollicis brevis (origin, insertion, action, nerve)
- Origin: Trapezium, flexor retinaculum
- Insertion: proximal phalanx of thumb
- Action: flexion of thumb @ CMC & MCP joints
- Nerve: Median (& ulnar FYI)
Abductor digiti minimi (origin, insertion, action, nerve)
- Origin: Pisiform and tendons of flexor carpi ulnaris (FCU)
- Insertion: proximal phalanx of pinky
- Action: abduction of pinky @ CMC & MCP joints
- Nerve: Ulnar
Flexor digiti minimi brevis of manus (origin, insertion, action, nerve)
- Origin: Hook of hamate and flexor retinaculum
- Insertion: proximal phalanx of pinky
- Action: flexion of pinky @ CMC & MCP joints
- Nerve: Ulnar
True or false: there is a flexor digiti minimi brevis and longus.
False, only brevis
Adductor pollicis (origin, insertion, action, nerve)
- Origin: capitate, 2nd & 3rd metacarpals
- Insertion: base of proximal phalanx of thumb
- Action: adduction of thumb @ CMC & MCP joints
- Nerve: Ulnar
Lumbrical group (origin, insertion, action, nerve)
Origin: tendon of flexor digitorum profundus of fingers 2-5
Insertion: dorsal digital expansion of fingers 2-5
Action: Flexion of fingers 2-5 @ MCP joints, extension of fingers 2-5 @ PIP & DIP joints
Nerve: Median for finger 2&3 and ulnar for fingers 4&5
Lumbrical insertions #1-4
- L#1-F#2
- L#2-F#3
- L#3-F#4
- L#4-F#5
Hypothenar muscle group includes:
- Abduction digiti minimis brevis (ADMB)
- Flexor digiti minimis brevis (FDMB)
- Oppens digit minimi (deepest)
- Palmaris brevis