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The extrinsic muscle groups are the long flexors and extensors. They are called extrinsic because the muscle belly is located on the forearm. The intrinsic group are the smaller muscles located within the hand itself. The muscles of the hand are innervated by the radial, median, and ulnar nerves from the brachial plexus. [1]
Joints of the hand, X-ray Interphalangeal ligaments and phalanges. Right hand. Deep dissection. Posterior (dorsal) view. The PIP joint exhibits great lateral stability. Its transverse diameter is greater than its antero-posterior diameter and its thick collateral ligaments are tight in all positions during flexion, contrary to those in the metacarpophalangeal joint.
The common flexor sheath of hand or the ulnar bursa [1] is a synovial sheath in the carpal tunnel of the human hand. It contains tendons of the flexor digitorum superficialis and the flexor digitorum profundus , but not the flexor pollicis longus .
Passing through the first tendon compartment, it inserts to the base of the first metacarpal bone. A part of the tendon reaches the trapezium, while another fuses with the tendons of the extensor pollicis brevis and the abductor pollicis brevis. Except for abducting the hand, it flexes the hand towards the palm and abducts it radially.
The absence of the tendon of the extensor digitorum communis to the little finger is associated with the thicker type 3r juncturae tendinum in the fourth intermetacarpal space. [3] Hirai et al. reported type 1 junturae tendinum between the extensor digiti minimi and the extensor digitorum communis to the ring finger in 6% of the specimens. [1]
In human anatomy, the annular ligaments of the fingers, often referred to as A pulleys, are the annular part of the fibrous sheathes of the fingers.Four or five such annular pulleys, together with three cruciate pulleys, form a fibro-osseous tunnel on the palmar aspect of the hand through which passes the deep and superficial flexor tendons.
The ED divides into four tendons which, with the EI tendons, go through the fourth tendon compartment of the dorsal carpal ligament. On the back of the hand, the ED tendons diverge to follow the fingers and the EI tendon joins the ulnar side of one of the ED tendons along the back of the index finger.
The joints in the hand are joints found at the distal end of the upper limb.. The joints are: In the wrist there is the radiocarpal joint between the radius and carpus.Between the carpal bones are the intercarpal articulations and the midcarpal joint.