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The ulnar nerve is a nerve that runs near the ulna, one of the two long bones in the forearm. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is common. [ 1 ]
File information Description Ulnar tunnel syndrome, or Guyon's canal syndrome, can cause pain and paraesthesia in the distribution of the ulnar nerve.
The palmar branch represents the continuation of the ulnar nerve as it crosses the flexor retinaculum of the hand on the lateral side of the pisiform bone, medial to and a little behind the ulnar artery. Some sources state that it ends by dividing into a superficial and a deep branch. [1]
It supplies the palmaris brevis and the skin on the ulnar side of the hand. [2] [3] It also divides into a common palmar digital nerve and a proper palmar digital nerve. [2] The proper digital branches are distributed to the fingers in the same manner as those of the median nerve.
The dorsal branch of ulnar nerve arises about 5 cm. proximal to the wrist; it passes backward beneath the Flexor carpi ulnaris, perforates the deep fascia, and, running along the ulnar side of the back of the wrist and hand, divides into two dorsal digital branches; one supplies the ulnar side of the little finger; the other, the adjacent sides of the little and ring fingers.
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]
The third and fourth lumbricals (most ulnar two) are innervated by the deep branch of ulnar nerve. [5] This is the usual innervation of the lumbricals (occurring in 60% of individuals). However 1:3 (median:ulnar - 20% of individuals) and 3:1 (median:ulnar - 20% of individuals) also exist.
The proper palmar digital nerves of the ulnar nerve are nerves of the hand.. The superficial branch of the ulnar nerve divides into a proper palmar digital nerve, which supplies the medial side of the fifth digit and a common palmar digital nerve which divides into two proper palmar digital nerves that supply the adjacent sides of the fourth and fifth digits.