Hand/Wrist Muscles

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Palmaris Longus

Origin: Medial epicondyle of humerus
Insertion: Palmar aponeurosis
Innervation: Median
Action: Wrist flexion

Flexor Carpi Radialis

Origin: Medial epicondyle of humerus
Insertion: Bases of 2nd and 3rd metacarpals
Innervation: Median
Action: Wrist flexion and radial deviation

Flexor Carpi Ulnaris

Origin: Medial epicondyle of humerus & proximal medial ulna
Insertion: Pisiform, hamate and base of 5th metacarpal
Innervation: Ulnar
Action: Wrist flexion and ulnar deviation

Extensor Carpi Radialis Longus

Origin: Lateral supracondylar ridge of humerus
Insertion: Base of 2nd metacarpal
Innervation: Radial
Action: Wrist extension and radial deviation

Extensor Carpi Radialis Brevis

Origin: Lateral epicondyle of humerus
Insertion: Base of 3rd metacarpal
Innervation: Radial
Action: Wrist extension and radial deviation

Extensor Carpi Ulnaris

Origin: Lateral epicondyle of humerus & proximal dorsal ulna
Insertion: Base of 5th metacarpal
Innervation: Deep radial
Action: Wrist extension & ulnar deviation

Extensor Digitorum

Origin: Lateral epicondyle of humerus
Insertion: dorsal surface of phalanges 2-5
Innervation Deep radial
Action: Wrist, MP, & IP extension (& hyperextension)

Extensor Digiti Minimi

Origin: lateral epicondyle of humerus
Insertion: proximal phalanx of digit 5
Innervation: Deep radial
Action: Wrist and 5th MP extension

Extensor Indicis

Origin: Interosseus membrane and posterior ulna
Insertion: Posterior phalanges of 2nd digit
Innervation: Deep radial
Action: Wrist, 2nd MP, & 2nd IP extension

Extensor Pollicis Longus

Origin: Interosseus membreane and midshaft of ulna
Insertion: Base of distal phalanx of # 1.
Innervation: Deep radial
Action: Wrist extension and radial deviation, extension of carpometacarpal, MP, and IP of digit # 1.

Extensor Pollicis Brevis

Origin: Shaft of radius and interosseus membrane
Insertion: Base of proximal phalanx of # 1.
Innervation: Deep radial
Action: Wrist extension and radial deviation, extension and abduction of carpometacarpal, MP, and IP of digit # 1.

Abductor Pollicis Longus

Origin: Proximal dorsal surface of ulna and radius
Insertion: Base of metacarpal # 1.
Innervation: Deep radial
Action: Wrist extension and radial deviation, extension and abduction of first carpometacarpal jt.

Flexor Digitorum Superficialis

Origin: Medial epicondyle of humerus and radius and ulna
Insertion: lateral surface of middle phalanges of # 2-5
Innervation: Median
Action: Wrist flexion, MP, and PIP flexion of phalanges # 2-5.

Flexor Digitorum Profundus

Origin: Medial surface and coronoid process of ulna, & interosseus membrane.
Insertion: Bases of distal phalanges of # 2-5.
Innervation: Median and ulnar
Action: Wrist flexion, MP, and IP flexion.

Flexor Pollicis Longus

Origin: Anterior shaft of radius and interosseus membrane.
Insertion: Base of distal phalanx of # 1.
Innervation: Median
Action: Wrist flexion, MP and IP flexion of digit # 1.

Thenar Muscles

Abductor pollicis brevis
Flexor pollicis brevis
Adductor pollicis
Opponens pollicis

Hypothenar Muscles

Opponens digiti minimi
Abductor digiti minimi
Flexor digiti minimi brevis
Palmaris brevis

Nerves to hand muscles

Median n.
Ulnar n.

Lumbricals

Origin: tendon of FDP
Insertion: tendon of extensor digitorum

Action: Flexion of MP and extension of PIP

Palmar interossei

Origin: Sides of metatarsals
Insertion: Bases of proximal phalanges 2, 4, & 5

Action: Adducts 2,4,5, flexion of MPs

Dorsal interossei

Origin: metatarsals
Insertion: Bases of proximal phalanges 2-4

Action: Abducts 2-4, flexes MPs

Nerves of the Upper Extremity

Brachial Plexus
Trunks Superior Middle Inferior
Cords Lateral Medial Posterior
Nerves: Lateral Cord Musculocutaneous Median (lateral)
Medial Cord Median (medial) Ulnar
Posterior Cord Radial Axillary Thoracodorsal Subscapular

Arteries of the Upper Extremity

Aorta Brachiocephalic Subclavian Axillary Subscapular Ant. & Post. Humeral circumflex Brachial Profunda brachial
Ulnar Superficial Palmar arch
Radial Deep Palmar arch


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