muscles of the hand Flashcards
Opponens Pollicis
the largest of the thenar muscles, and lies underneath the other two.
Origin Flexor retinaculum and tubercles of scaphoid and trapezium
Insertion Lateral side of 1st metacarpal
Action Draws 1st metacarpal laterally to oppose thumb toward center of palm
Innervation Recurrent branch of median nerve (C8 and T1)
The abductor pollicis brevis
forms the anterolateral aspect of the thenar eminence,
Originates from the tubercles of the scaphoid and trapezium, and from the associated flexor retinaculum. Attaches to lateral side of proximal phalanx of the thumb.
Actions: Abducts the thumb.
Innervation: Median nerve (recurrent branch).
The flexor pollicis brevis
Originates from the tubercle of the trapezium and from the associated flexor retinaculum.
Attaches to the base of the proximal phalanx of the thumb.
Actions: Flexes the metacarpophalangeal joint of the thumb.
Innervation: Median nerve (recurrent branch). The deep head is innervated by the deep branch of the ulnar nerve.
Opponens Digiti Minimi
Originates from the hook of hamate and associated flexor retinaculum,
It inserts into the medial margin of metacarpal V.
Actions: It rotates the metacarpal of the little finger towards the palm, producing opposition.
Innervation: Ulnar nerve.
Abductor Digiti Minimi
Origin Pisiform
Insertion Medial side of base of proximal phalanx of little finger
Action Abducts little (5th) finger
Innervation ulnar nerve (C8 and T1)
Flexor Digiti Minimi Brevis
Origin Hook of hamate and flexor retinaculum
Insertion Medial side of base of proximal phalanx of little finger
Action Flexes proximal phalanx of little (5th) finger
Innervation ulnar nerve
Lumbricals
Each lumbrical originates from a tendon of the flexor digitorum profundus. They pass dorsally and laterally around each finger
inserts into the extensor hood.There are four lumbricals in the hand, each associated with a finger.
Actions: Flexion at the MCP joint and extension at the interphalangeal (IP) joints of each digit.
Innervation: The lateral two lumbricals (of the index and middle fingers) are innervated by the median nerve. The medial two lumbricals (of the little and ring fingers) are innervated by the ulnar nerve.
(Denervation of these muscles is the basis for the ulnar claw and hand of benediction.)
dorsal interossei muscles.
There are four dorsal interossei muscles.
Each interossei originates from the lateral and medial surfaces of the metacarpals.
They attach into the extensor hood and proximal phalanx of each finger.
Actions: Abduction of the digits. Assists in flexion at the metacarpophalangeal joints and extension at the interphalangeal joints.
Innervation: Ulnar nerve.
Palmar Interossei
These are located anteriorly on the hand.
Each interossei originates from a medial or lateral surface of a metacarpal,
It attaches into the extensor hood and proximal phalanx of same finger.
Actions: Adduction of the digits. Assists in flexion at the metacarpophalangeal joints and extension at the interphalangeal joints.
Innervation: Ulnar nerve.
The palmaris brevis
is a small, thin muscle, found superficially in the subcutaneous tissue of the hypothenar eminence.
Attachments: Originates from the palmar aponeurosis and flexor retinaculum, attaches to the dermis of the skin on the medial margin of the hand.
Actions: Wrinkles the skin of the hypothenar eminence and deepens the curvature of the hand, improving grip.
Innervation: Ulnar nerve.
Adductor Pollicis
The adductor pollicis large triangular muscle with two heads. The radial artery passes anteriorly through the space between the two heads, forming the deep palmar arch.
Origin: 2nd and 3rd metacarpals, capitate,
Insertion: Medial side of base of proximal phalanx of thumb
Action Adducts thumb
Innervation ulnar nerve
thenar eminence
is the body of muscle on the palm of the human hand just beneath the thumb.
Abductor pollicis brevis, Flexor pollicis brevis, Opponens pollicis, Adductor pollicis
“OA2F”
hypothenar eminence
is the body of muscle on the palm of the human hand just beneath the 5th phalange
Abductor digiti minimi & Flexor digiti minimi Opponens digiti minimi
“OAF”
how does the median nerve innervates
The median nerve innervates the palmer side of your 1st, 2nd,3rd, and medial 4th fingers.
The Median nerve is involved with carpal tunnel syndrome
how does the ulnar nerve innervates
The Ulnar nerve supplies feeling and motor function to the lateral 4th and 5th fingers.