The hand Flashcards
What are the extrinsic muscles of the hand?
(flexors) flexor carpi radialis palmaris longus flexor carpi ulnaris flexor digitorum superficialis
(extensors) extensor digitorum extensor digiti minimi extensor carpi ulnaris extensor carpi radialis longus extensor carpi radialis brevis
What are the thenar muscles of the hand
opponens pollicis
abductor pollicis brevis
flexor pollicis brevis
adductor pollicis
What are the hypothenar muscles of the hand
abductor digiti minimi
flexor digiti minimi brevis
opponens digiti minimi
What are the short muscles of the hand
lumbricals 1-4
dorsal interossei
palmar interossei
Describe opponens pollicis
O: flexor retinaculum + tubercles of scaphoid + trapezium
A: lateral side of 1st metacarpal
I: recurrent branch of median nerve (C8, T1)
Fn: opposes thumb
What is the origin of opponens pollicis
flexor retinaculum + tubercles of scaphoid + trapezium
What is the attachment of opponens pollicis
lateral side of 1st metacarpal
What is the innervation of opponens pollicis
recurrent branch of median nerve (C8, T1)
What is the fn of opponens pollicis
opposes thumb
Describe abductor pollicis brevis
O: flexor retinaculum + tubercles of scaphoid and trapezium
A: lateral side of base of prox. phalanx of thumb
I: recurrent branch of the median nerve (C8, T1)
Fn: abduction of thumb
What is the origin of abductor pollicis brevis
flexor retinaculum + tubercles of scaphoid and trapezium
What is the attachment of abductor pollicis brevis
lateral side of base of prox. phalanx of thumb
What is the innervation of abductor pollicis brevis
recurrent branch of the median nerve (C8, T1)
What is the function of abductor pollicis brevis
abduction of thumb
Describe flexor pollicis brevis
O: flexor retinaculum + tubercles of scaphoid and trapezium
A: lateral side of base of prox. phalanx of thumb
I: recurrent branch of median nerve (C8, T1)
Fn: flexes thumb
What is the attachment of flexor pollicis brevis
lateral side of base of prox phalanx of thumb
What is the origin of flexor pollicis brevis
flexor retinaculum + tubercles of scaphoid and trapezium
What is the innervation of flexor pollicis brevis
recurrent branch of the median nerve (C8, T1)
What is the function of flexor pollicis brevis?
flexion of thumb
Describe adductor pollicis
O: (oblique head) bases of 2nd and 3rd metacarpals
(transverse head) ant. surface of shaft of 3rd metacarpal
A: medial side of base of proximal phalanx of thumb
I: deep branch of ulnar nerve (C8, T1)
Fn:: adducts thumb
What is the origin of adductor pollicis
(oblique head) bases of 2nd and 3rd metacarpals
(transverse head) ant. surface of shaft of 3rd metacarpal
What is the attachment of adductor pollicis
medial side of base of proximal phalanx of thumb
What is the innervation of adductor pollicis ?
deep branch of ulnar nerve (C8, T1)
What is the function of adductor pollicis?
adduction
Describe abductor digiti minimi
O: pisiform
A: medial side of base of prox. phalanx of 5th metacarpal
I: deep branch of ulnar nerve (C8, T1)
Fn: abducts 5th finger
What is the attachment of abductor digiti minimi
medial side of base of proximal phalanx of 5th metacarpal
What is the origin of abductor digiti minimi
pisiform
What is the innervation of abductor digiti minimi
deep branch of ulnar nerve (C8, T1)
What is the function of abductor digiti minimi
abducts 5th finger
Describe flexor digiti minimi brevis
O: hook of hamate
A: medial side of base of prox phalanx of 5th finger
I: deep branch of ulnar nerve (C8, T1)
Fn: flexes proximal phalanx at 5th finger
What is the origin of flexor digiti minimi brevis
hook of hamate
What is the attachment of flexor digiti minimi brevis
medial side of base of prox phalanx of 5th finger
What is the innervation of flexor digiti minimi brevis
deep branch of ulnar neve (C8, T1)
What is the function of flexor digiti minimi brevis
flexion of prox. phalanx at 5th finger
Describe opponens digiti minimi
O: hook of hamate
A: medial border of 5th metacarpal
I: deep branch of ulnar nerve (C8, T1)
Fn: brings 5th finger anterior for opposition w/ thumb
What is the origin of opponens digiti minimi
hook of hamate
What is the attachment of opponens digiti minimi
medial border of 5th metacarpal
What is the innervation of opponens digiti minimi
deep branch of ulnar nerve (C8, T1)
What is the function of opponens digiti minimi
brings pinky anterior for opposition w/ thumb
Describe lumbricals 1-2
O: lateral 2 tendons of flexor digitorum profundus
A: lateral sides of extensor expansions of 2-5 fingers
I: median nerve (C8, T1)
Fn: flex metacarpalphalangeal joints
What is the origin of lumbricals 1-2
lateral 2 tendond of flexor digitorum profundus
What is the attachment of lumbricals 1-2
lateral sides of extensor expansions of 2-5 fingers
What is the innervation of lumbricals 1-2
median nerve (C8, T1)
What is the function of lumbricals 1-2
flex metacarpalphalangeal joints
Describe lumbricals 3-4
O: medial 3 tendons of flexor digitorum profundus
A: lateral sides of extensor expansions of 2-5 fingers
I: deep branch of ulnar nerve (C8, T1)
Fn: flex the metacarpalphalangeal joints
What is the origin of lumbricals 3-4
medial 3 tendons of flexor digitorum profundus
What is the attachment of lumbricals 3-4
lateral side of extensor expansions of 2-5 fingers
What is the innervation of lumbricals 3-4
deep branch of ulnar nerve (C8, T1)
What is the function of lumbricals 3-4
flex the metacarpalphalangeal joints
Describe dorsal interossei
O: adjacent side of 2 metacarpals
A: bases of prox. phalanges
I: deep branch of ulnar nerve (C8, T1)
Fn: abduct 2nd to 4th fingers
What is the origin of dorsal interossei
adjacent side of 2 metacarpals
What is the attachment of dorsal interossei
bases of prox phalanges
What is the innervation of dorsal interossei
deep branch of ulnar nerve (C8, T1)
What is the function of dorsal interossei
abduction of 2nd-4th fingers
Describe palmar interossei
O: palmar surfaces of 2nd, 4th and 5th metacarpals
A: bases of prox phalanges of 2nd, 4th and 5th metacarpals
I: deep branch of ulnar nerve (C8, T1)
Fn: adduct towards middle finger
What is the origin of palmar interossei
palmar surfaces of 2nd, 4th and 5th metacarpals
What is the attachment of palmar interossei
bases of prox phalanges of 2nd, 4th and 5th metacarpals
What is the innervation of palmar interossei
deep branch of ulnar nerve (C8, T1)
What is the function of palmar interossei
adduction towards middle finger
How do you test palmar interossei
squeeze bit of paper between fingers and try and grip it
How do you test dorsal interossei
try and abduct fingers against resistance