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MUSCLES OF THE HAND THE HAND IS THE PART OF THE UPPER EXTREMITY DISTAL TO THE WRIST INTRINSIC MUSCLES OF THE HAND: MANY SMALL MUSCLES WITHIN THE HAND, ALLOW FOR MANUAL DEXTERITY (PRECISE MOVEMENTS) DIVIDED INTO 3 GROUPS: THENAR - THE THUMB HYPOTHENAR - THE LITTLE FINGER MIDPALMER - MIDDLE OF THE HAND INNERVATED BY THE MEDIAN AND ULNAR NERVES THENAR MUSCLES (POLLEX): FORM THE THENAR EMINENCE OF THE LATERAL SIDE OF THE PALM, ROUNDED MUSCULAR AREA THENAR EMINENCE FORMED BY 3 MUSCLES: ABDUCTOR POLLICIS BREVIS FLEXOR POLLICIS BREVIS OPPONENS POLLICIS MOVES THUMB BUT NOT PART OF THENAR EMINENCE - ADDUCTOR POLLICIS THENAR EMINANCE ABDUCTOR POLLICIS BREVIS (MOVES THUMB FORWARD IN SAGGITAL PLANE) FORMS LATERAL EDGE OF THE THENAR EMINENCE MEDIAN NERVE FLEXOR POLLICIS BREVIS LOCATED MEDIAL TO THE ABDUCTOR, SOMETIMES DIFFICULT TO SEPARATE MEDIAN NERVE OPPONENS POLLICIS LOCATED DEEP TO THE ABDUCTOR AND THE FLEXOR INSERTS ALONG LATERAL BORDER OF THE 1ST METACARPAL OPPOSES THE THUMB, MOVES THE THUMB ACROSS THE PALM TO MEET THE LITTLE FINGER MEDIAN NERVE ADDUCTOR POLLICIS DEEPLY PLACED IN THE HAND FILLS IN THE WEB SPACE ON THE PALMER SIDE OF THE HAND ADDUCTS THE THUMB ULNAR NERVE OPPONENS POLLICIS INNERVATION? MEDIAN NERVE ULNAR NERVE ABDUCTOR POLLICIS BREVIS FLEXOR POLLICIS PREVIS ADDUCTOR POLLICIS HYPOTHENAR MUSCLES - FORM THE HYPOTHENAR EMINENCE ON THE MEDIAL SIDE OF THE PALM ABDUCTOR DIGITI MINIMI FLEXOR DIGIT MINIMI BREVIS OPPONENS DIGITI MINIMI HYPOTHENAR EMINANCE ABDUCTOR DIGITI MINIMI MOST MEDIAL MUSCLE IN THE HYPOTHENAR EMINENCE, FORMS ROUNDED CONTOUR ON MEDIAL SIDE OF HAND ABDUCT LITTLE FINGER ULNAR NERVE FLEXOR DIGITI MINIMI BREVIS LOCATED LATERAL TO THE ABDUCTOR, OFTEN INDISTINGUISHABLE FROM THE ABDUCTOR FLEXES THE LITTLE FINGER ULNAR NERVE OPPONENS DIGITI MINIMI LIES DEEP TO THE ABDUCTOR AND THE FLEXOR INSERTS ALONG MEDIAL BORDER OF THE 5TH METACARPAL HELPS TO BRING THE LITTLE FINGER TO MEET THE THUMB ULNAR NERVE ABDUCTOR DIGITI MINIMI & FLEXOR DIGITI MINIMI BREVIS OPPONENS DIGITI MINIMI MIDPALMER MUSCLES - LUMBRICLES AND INTEROSSEI LUMBRICLES: FLEX THE MPJ (METACARPOPHALANGEAL JOINT) AND EXTEND THE IPJ (INTERPHALANGEAL JOINT) “BYE-BYE MUSCLES” INTEROSSEI: ABDUCT AND ADDUCT THE FINGERS LUMBRICLES 4 MUSCLES, NUMBERED 1-4 LATERAL TO MEDIAL ATTACH TO THE TENDONS OF THE FLEXOR DIGITORUM PROFUNDUS MUSCLE PASS TO INSERT INTO THE EXPANSION HOOD ON THE DORSUM OF THE DIGITS 1 & 2 MEDIAN NERVE 3 & 4 ULNAR NERVE INTEROSSEI LOCATED BETWEEN METACARPALS, BETWEEN BONES (OSSEOUS) THEREFORE THE NAME DIVIDED INTO DORSAL AND PALMER BOTH CAN BE SEEN FROM THE PALMER ASPECT THEIR ACTION IS IN REFERENCE TO THE THIRD DIGIT OF THE HAND, THIS IS THE AXIS FOR MOVEMENT MOVING AWAY FROM THE AXIS IS ABDUCTION MOVING TOWARD THE AXIS IS ADDUCTION ALL ARE INNERVATED BY THE ULNAR NERVE PALMER INTEROSSEI BRING THE FINGERS CLOSER TOGETHER, ADDUCTORS, TOWARD THE MIDLINE OR AXIS PAD 3 PALMER INTEROSSEI DORSAL INTEROSSEI MOVE FINGERS AWAY FORM THE MIDLINE, AWAY FORM THE AXIS ABDUCTORS DAB 4 DORSAL INTEROSSEI 2 INSERT INTO THE THIRD FINGER WHAT’S THE NAME OF THESE MUSCLE? ACTION? INNERVATION? WHAT’S THE NAME OF THESE MUSCLES? WHAT’S THE NAME OF THESE MUSCLES? PALMAR INTEROSSEI ADDUCT FIRST DORSAL INTEROSSEOUS ABDUCTOR DIGITI MINIMI WHAT’S THE NAME OF THESE MUSCLE? WHAT’S THE NAME OF THESE MUSCLE? DORSAL INTEROSSEI ABDUCT CARPAL TUNNEL SYNDROME RESULTS FROM A REDUCTION IN THE SIZE OF THE CARPAL TUNNEL MEDIAN NERVE: SENSORY LOSS OR TINGLING OVER LATERAL 3 DIGITS MOTOR LOSS TO THE THENAR MUSCLES EXCEPT ADDUCTOR, UNABLE TO OPPOSE THE THUMB RELIEVE SYMPTOMS BY PARTIAL OR COMPLETE DIVISION OF THE FLEXOR RETINACULUM FLEXOR RETINACULUM CUT CARPAL TUNNEL FLEXOR RETINACULUM CARPAL TUNNEL MEDIAN NERVE ULNAR NERVE