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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 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 lumbrical innervation always follows the innervation pattern of the associated muscle unit of flexor digitorum profundus (i.e. if the muscle units supplying the tendon to the middle finger are innervated by the median nerve, the second lumbrical will also be innervated by the median nerve).
It adducts the thumb, and assists in opposition and flexion. It is innervated by the deep branch of the ulnar nerve (C8-T1). [6] The first dorsal interosseous, one of the central muscles of the hand, extends from the base of the thumb metacarpal to the radial side of the proximal phalanx of the index finger. [7]
Anterior margins on the base of the middle phalanges of the four fingers: Artery: Radial artery: Nerve: Median nerve: Actions: Flexor of fingers (primarily at proximal interphalangeal joints) Antagonist: Extensor digitorum muscle: Identifiers; Latin: musculus flexor digitorum superficialis: TA98: A04.6.02.033: TA2: 2486: FMA: 38469: Anatomical ...
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.
Weakness in flexion of the hand at the wrist, loss of flexion of ulnar half of digits, or the 4th and 5th digits, loss of ability to cross the digits of the hand. (Note: Motor deficit is absent or very minor in cubital tunnel syndrome as the ulnar nerve is compressed in the cubital tunnel, rather than transected.)
Its primary function is the flexion of the fingers, and this is used as the clinical test for C8 integrity, in conjunction with the finger jerk reflex. [ 4 ] The particular muscles receive innervation from C8 [ 3 ] (shown by specific nerve and spinal nerve segments; muscles in italics only have a minor contribution from C8) :