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Intrinsic Hand Muscles
Muscle
Origin
Insertion
abductor digiti pisiform
minimi (hand)
base of the proximal
phalanx of the 5th digit on
its ulnar side
abductor
pollicis brevis
flexor retinaculum,
scaphoid, trapezium
base of the proximal
phalanx of the first digit
adductor
pollicis
oblique head: capitate
and base of the 2nd
and 3rd metacarpals;
transverse head: shaft
of the 3rd metacarpal
four muscles, each
arising from two
adjacent metacarpal
shafts
base of the proximal
phalanx of the thumb
dorsal
interosseous
(hand)
flexor digiti
minimi brevis
(hand)
hook of hamate & the
flexor retinaculum
base of the proximal
phalanx and the extensor
expansion on lateral side of
the 2nd digit, lateral &
medial sides of the 3rd
digit, and medial side of the
4th digit
proximal phalanx of the 5th
digit
flexor pollicis
brevis
flexor retinaculum,
trapezium
proximal phalanx of the 1st
digit
interosseous,
dorsal (hand)
four muscles, each
arising from two
adjacent metacarpal
shafts
base of the proximal
phalanx and the extensor
expansion on lateral side of
the 2nd digit, lateral &
medial sides of the 3rd
digit, and medial side of the
4th digit
Action
abducts the 5th digit
Innervation
deep branch of
the ulnar nerve
Notes
abductor digiti minimi, flexor
digiti minimi brevis, and
opponens digiti minimi are
located in the hypothenar
compartment of the hand
abducts thumb
recurrent branch abductor pollicis brevis, flexor
of median nerve pollicis brevis, and opponens
pollicis are located in the thenar
compartment of the hand
adducts the thumb
ulnar nerve,
deep palmar arch and deep
deep branch
ulnar nerve pass between the
two heads of adductor pollicis,
which is in the adductorinterosseous compartment
flex the metacarpophalangeal joint, extend ulnar nerve,
bipennate muscles; remember
the proximal and distal interphalangeal
deep branch
DAB & PAD - Dorsal
joints of digits 2-4, abduct digits 2-4
interosseous mm. ABduct and
(abduction of digits in the hand is defined
Palmar interosseous mm.
as movement away from the midline of the
ADduct - then you can figure out
3rd digit)
where they must insert to cause
these actions
flexes the carpometacarpal and
ulnar nerve,
flexor digiti minimi brevis,
metacarpophalangeal joints of the 5th digit deep branch
abductor digiti minimi, and
opponens digiti minimi are in the
hypothenar compartment of the
hand
flexes the carpometacarpal and
recurrent branch flexor pollicis brevis, abductor
metacarpophalangeal joints of the thumb of the median
pollicis brevis, and opponens
nerve
pollicis are the three muscles of
the thenar compartment of the
hand
flex the metacarpophalangeal joint, extend ulnar nerve,
bipennate muscles; remember
the proximal and distal interphalangeal
deep branch
DAB & PAD - Dorsal
joints of digits 2-4, abduct digits 2-4
interosseous mm. ABduct and
(abduction of digits in the hand is defined
Palmar interosseous mm.
as movement away from the midline of the
ADduct - then you can figure out
3rd digit)
where they must insert to cause
these actions
Intrinsic Hand Muscles
Muscle
Origin
interosseous, three muscles,
palmar
arising from the
palmar surface of
the shafts of
metacarpals 2, 4, &
5
lumbrical
flexor digitorum
(hand)
profundus tendons
of digits 2-5
Insertion
base of the proximal
phalanx and extensor
expansion of the
medial side of digit 2,
and lateral side of
digits 4 & 5
extensor expansion on
the radial side of the
proximal phalanx of
digits 2-5
Action
Innervation
unipennate muscles; remember
PAD & DAB: Palmar interossei
ADduct and Dorsal interossei
ABduct, and you will be able to
figure out where they must insert
flex the metacarpophalangeal joints,
extend the proximal and distal
interphalangeal joints of digits 2-5
lumbricals, (lumbricus is latin for
"worm") arise from the profundus
tendons and have the same pattern
of innervation as does the
profundus muscle (ulnar and
median nn. split the task equally)
opposition is a rotational movement
of the 5th metacarpal around the
long axis of its shaft; opponens digiti
minimi, abductor digiti minimi, and
flexor digiti minimi brevis are in the
hypothenar compartment of the
hand
opposition is a rotational movement
of the 1st metacarpal around the
long axis of its shaft; opponens
pollicis, abductor pollicis brevis, and
flexor pollicis brevis are in the
thenar compartment of the hand
unipennate muscles; remember
PAD & DAB: Palmar interossei
ADduct and Dorsal interossei
ABduct, and you will be able to
figure out where they must insert
median nerve (radial
2) via palmar digital
nerves & ulnar nerve
(ulnar 2) via deep
branch
opponens
digiti minimi
hook of hamate and shaft of 5th metacarpal opposes the 5th digit
flexor retinaculum
ulnar nerve, deep
branch
opponens
pollicis
flexor retinaculum,
trapezium
shaft of 1st metacarpal opposes the thumb
recurrent branch of
median nerve
palmar
interosseous
three muscles,
arising from the
palmar surface of
the shafts of
metacarpals 2, 4, &
5
fascia overlying the
hypothenar
eminence
base of the proximal
phalanx and extensor
expansion of the
medial side of digit 2,
and lateral side of
digits 4 & 5
skin of the palm near
the ulnar border of the
hand
palmaris
brevis
Notes
flexes the metacarpophalangeal, extends ulnar nerve, deep
proximal and distal interphalangeal joints branch
and adducts digits 2, 4, & 5 (adduction of
the digits of the hand is in reference to
the midline of the 3rd digit)
flexes the metacarpophalangeal, extends ulnar nerve, deep
proximal and distal interphalangeal joints branch
and adducts digits 2, 4, & 5 (adduction of
the digits of the hand is in reference to
the midline of the 3rd digit)
draws the skin of the ulnar side of the
hand toward the center of the palm
superficial br. of the
ulnar n.
palmaris brevis improves the grasp