Hand Bones Joints Muscles Vessels & Nerves
Muscles of the hand Extrinsic muscles - flexors of fingers - extensors of fingers - long muscles of the thumb Intrinsic muscles - thenar region - hypothenar region - intermediate region
Extrinsic muscles flexors of fingers: - Flexor digitorum superficialis - Flexor digitorum profundus extensors of fingers: - Extensor digitorum - Extensor digiti minimi - Extensor indicis long muscles of the thumb: - Flexor pollicis longus - Abductor pollicis longus - Extensor pollicis brevis - Extensor pollicis longus
Intrinsic muscles Thenar region: - Abductor pollicis brevis - Flexor pollicis brevis - Opponens pollicis Hypothenar region: - Abductor digiti minimi - Flexor digiti minimi brevis - Opponens digiti minimi Intermediate region: - Lumbricals - Adductor pollicis - Interossei
Extrinsic muscles (flexors)
Long flexors of fingers
Flexor tendon insertion Action: flexion in MP&IP joints How can we flex just MP?
Muscles of the Anterior Compartment of the Forearm Superficial: Pronator Teres Flexor Carpi Radialis Palmaris Longus Flexor Digitorum Superficialis Flexor Carpi Ulnaris Deep: Flexor Digitorum Profondus Flexor Pollicis Longus Pronator Quadratus
Extrinsic muscles (extensors)
Extrinsic muscles
Anatomic snuffbox
Anatomic Snuffbox Extensor pollicis brevis/Abductor pollicis longus Extensor pollicis longus Scaphoid Radial a
Extensor tendon insertion
Superficial: Deep: Post.Compartment m. Brachioradialis Extensor Carpi Radialis Longus Extensor Carpi Radialis Brevis Extensor Digitorum Extensor Digiti Minimi Extensor Carpi Ulnaris Anconeus Deep: Supinator Abductor Pollicis Longus Extensor Pollicis Brevis Extensor Pollicis Longus Extensor Indicis
Intrinsic muscles Thenar region: - Abductor pollicis brevis - Flexor pollicis brevis - Opponens pollicis Hypothenar region: - Abductor digiti minimi - Flexor digiti minimi brevis - Opponens digiti minimi Intermediate region: - Lumbricals - Adductor pollicis - Interossei
Intrinsic muscles
henar & hypothenar muscles Insertion: 1- deep attaches to Metacarpal 2- superficial to P. Phalanx origin: 1. flex. retinaculum
thenar & hypothenar muscles 2. Origin of thenar & hypothenar muscles Trap. tubercle Ham. hook Scapho. tubercle Pisifo.
Intrinsic muscles Thenar region: - Abductor pollicis brevis - Flexor pollicis brevis - Opponens pollicis Hypothenar region: - Abductor digiti minimi - Flexor digiti minimi brevis - Opponens digiti minimi Intermediate region: - Adductor pollicis -Lumbricals -Interossei
Intermediate region Adductor pollicis
Intermediate region Dorsal Interossei Function: Dab
Intermediate region Palmar Interossei Function: Pad
Intermediate region lumbricals Function: MP flex. !
Intermediate region muscles insertion: Extensor hood
Extensor & flexor mechanism The extensor mechanism is the name for the tendon complex (green) that extends the finger. It is much more complex than the flexor mechanism (brown). The two systems interact in a complex manner.
Tendon insertion Action: pad/dab Function: MP flex. Action: pad/dab Flexion in MP and extension in IP joints How can we flex just MP?