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These muscles are unusual in that they do not attach to bone. Instead, they attach proximally to the tendons of flexor digitorum profundus, [1] [2] [3] and distally to the extensor expansions. [1] [3] The first and second lumbricals are unipennate, while the third and fourth lumbricals are bipennate. [2] [4] #
The median nerve innervates the flexors of the wrist and digits, the abductors and opponens of the thumb, the first and second lumbricals. The ulnar nerve innervates the remaining intrinsic muscles of the hand. [3] [4] All muscles of the hand are innervated by the brachial plexus (C5–T1) and can be classified by innervation: [1] [4] [5]
It is considered an extrinsic hand muscle because it acts on the hand while its muscle belly is located in the forearm. Together the flexor pollicis longus, pronator quadratus, and flexor digitorum profundus form the deep layer of ventral forearm muscles. [2] The muscle is named from Latin 'deep bender of the fingers'.
The muscular branches supply muscles on the medial side of the sole, including the abductor hallucis, the flexor digitorum brevis, the flexor hallucis brevis, and the first lumbrical; those for the abductor hallucis and flexor digitorum brevis arise from the trunk of the nerve near its origin and enter the deep surfaces of the muscles; the branch of the flexor hallucis brevis springs from the ...
The first lumbrical is unipennate, while the second, third and fourth are bipennate. The muscles end in tendons, which pass forward on the medial sides of the four lesser toes, and are inserted into the expansions of the tendons of the extensor digitorum longus muscle on the dorsal surfaces of the proximal phalanges. [1]
A hand imitating an ulnar claw. The metacarpophalangeal joints of the 4th and 5th fingers are extended and the Interphalangeal joints of the same fingers are flexed.. An ulnar claw, also known as claw hand or ‘Spinster’s Claw’, is a deformity or an abnormal attitude of the hand that develops due to ulnar nerve damage causing paralysis of the lumbricals.
The lumbricals, attached to the tendons of the flexor digitorum profundus (FDP) and extensor digitorum communis (FDC), flex the MCP joints while extending the IP joints and allow a smooth transfer of forces between these two muscles while extending and flexing the fingers. [11] Muscles of the hand [4] Metacarpal
This muscle is the most superficial of the thenar group. Flexor pollicis brevis , which lies next to the abductor, will flex the thumb, curling it up in the palm. (The flexor pollicis longus , which is inserted into the distal phalanx of the thumb, is not considered part of the thenar eminence.)