Muscles of the Hand Flashcards
The intrinsic muscles of the hand can be separated into 3 groups, name them
Thenar
Hypothenar
Midpaler
What is the innervation of these groups of muscles
Median and Ulnar Nerves
Group of muslces that form the thenar eminence of the lateral side of the palm, or the rounded muscular area
Thenar muscle (pollex)
Name the 3 muscles of the thenar eminence
Abductor Pollicis Brevis
Flexor Pollicis Brevis
Opponens Pollicis
The action of the thenar eminence
Opposition of the thumb (moving it to touch tip of little finger)
Muscle that moves the thumb but is not part of the thenar eminence
Adductor pollicis
Short abductor of the thumb that forms lateral edge of the thenar eminence
Abductor pollicis brevis
Action of the abductor pollicis brevis
Abduction of the thumb
Origin of the abductor pollicis brevis
Scaphoid, Trapezium, flexor retinaculum
Insertion of abductor pollicis brevis
Base of the proximal phalynx of the thumb
Innervation
Median nerve
Muscle located medial to the abductor pollicis brevis that can be difficult to separate, that is a short flexor of the thumb
Flexor pollicis brevis
Origin of the flexor pollicis brevis
Trapezium
Flexor Retinaculum
Actions of the flexor pollicis brevis
Flexing the thumb
Opposition
Insertion of flexor pollicis brevis that often fuses with abductor pollicis brevis
Base of proximal phalynx
Innervation
Median Nerve
Muscle located deep to the abductor pollicis brevis and flexor pollicis brevis
Opponens pollicis
Insertion of opponens pollicis
Lateral (radial)border of the 1st metacarpal
Action of the opponens pollicis
Opposes the thumb
Innervation
Median Nerve
Origin of opponens pollicis
Trapezium
Flexor Retinaculum
Muscle that is deeply placed in hand that fills in the web of space on the palmar side of the hand
Adductor Pollicis
Action of the adductor pollicis
Adducts the thumb
Innervation of the adductor pollicis
Ulnar Nerve
Origin
Capitate,
Bases of metacarpals 2 and 3
3rd metacarpal
Insertion of adductor pollicis
Ulnar side of proximal phalynx of thumb
Group of three muscles that form the hypothenar eminence on the medial side of the palm that are responsible for movement of the pinky
Abductor digiti minimi
Flexor digiti minimi
Opponens digiti minimi
Muscle that is not part of the hypothenar compartment because it doesn’t move the little finger
Palmaris Brevis
A group of muscles that is small tranverse bands located over the hypothenar muscles. It is relatively unimportant because it doesn’t move the little finger
Palmaris Brevis
What does the palmaris brevis do?
Deepen the palm
Provides gripping action
Origin of palmaris brevis
Palmar Aponeurosis
Insertion of the palmaris brevis
Skin of medial side of hand
Innervation of the palmaris brevis
Ulnar nerve
The most medial muscle in the hypothenar eminence, forms the rounded contour on the medial side of the hand
Abductor Digiti Minimi
Actions of the abductor digiti minimi
Abducts the little finger
Aids in flexion
Origin of abductor digiti minimi
Pisiform bone
Insertion of abductor digiti minimi
Ulnar side of base of proximal phalynx of 5th digit
Abductor digiti minimi nnervated by
The ulnar nerve
Muscle located lateral to the abductor digiti minimi, often indistinguishible from the abductor
Flexor Digiti Minimi Brevis
Action of the flexor digiti minimi brevis
Flexes the little finger
Origin of the flexor digiti minimi brevis
Hook of Hamate
Flexor Retinaculum
Insertion of the flexor digiti minimi brevis
Ulnar side of the base of the proximal phalynx
Innervation of the flexor digiti minimi brevis
Ulnar nerve
Muscle that lies deep to the abductor and flexor digiti minimis
Opponens Digiti minimi
Insertion of the opponens digiti minimi
The medial border of the fifth metacarpal
Action of the opponens digiti minimi
Opposes the little finger
Innervation of the opponens digiti minimi
Ulnar Nerve
Origin of opponens digiti minimi
Hook of hamate
Flexor Retinaculum
Name the two components of the midpalmar muscles
Lumbricles and interossei
Actions of the lumbricles
Flex the metacarophalangeal joint at knuckles
Extend the interphalangeal joint
(bye bye muscles)
Actions of the interossei
Abduct and adduct the fingers
Group of 4 muscles, numbered 1-4 lateral to medial that attach the tendons of the flexor digitorum longus muscle
Lumbricles
Insertion of lumbricles
Expansion hood on dorsum of the digits
Lumbricles 1 & 2 innervated by
Lumbricles 3 &4 innervated by
Median Nerve
Ulnar Nerve
Origin of the lumbricles
Tendon of the flexor digitorum profundus
Action of lumbricles
Flex the metacarophalangeal joint at knuckles
Extend the interphalangeal joint
(bye bye muscles)
Palmar muscles located between metacarpals, between bones that are divided into dorsal and palmar
Interossei
The action of the interossei is in reference to what?
The third digit (axis)
Moving away from the axis is
Abduction
Moving toward the axis is
Adduction
Interosseis innervated by
Ulnar Nerve
Can the middle finger be adducted?
No, only abducted
Palmar muscles that bring the fingers closer together, adductors, toward the midline/axis
Palmar interossei
How any palmar ossei are there?
4
Origin of palmar interossei (unipennate)
Metacarpals
Insertion of palmar interossei
Proximal phalanx of the digit of origin
Extensor expansion hood
Actions of palmar interossei
Adduction
Flex metacarpalphalengeal joint
Muscles that move fingers away from the midline/axis
Dorsal Interossei
Action of the dorsal interossei
Abduction of the digits
Flex MCPJ
Extend IPJ
How many dorsal interossei are there?
4
Insertion of the dorsal interossei
Proximal phalanx and extensor expansion hood
-none insert into thumb and digiti minimi
Origins of the dorsal interossei (bipennate)
1st and 2nd metacarpal
2nd and 3rd
3rd and 4th
4th and 5th
Innervation of the dorsal interossei
Ulnar Nerve
Which nerve of hand passes deep to carpal tunnel?
Median nerve
Movements at the metacarpophalangeal joint (condyloid) in the 4 digits
Extension Flexion Abduction Adduction Circumduction
Movements at the interphalengeal joint (hinge joint)
Flexion
Extension
How are symptoms are carpal tunnel syndrome relieved?
Partial of complete division of flexor retinaculum
Where does sensory (anaesthesia, hypoaesthesia, paraestheisia) loss occur in carpal tunnel syndrome?
Lateral 3.5 digits
Thumb, index finger, middle finger, half of ring finger
Motor loss of carpal tunnel syndrome occurs
Thenar muscles except adductor
Why can’t adductor be affected?
Not innervated by median nerve (ulnar nerve)
People with carpal tunnel syndrome are frequently unable to oppose the thumb
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