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Musculoskeletal Exam 2
Hand, forearm muscle origins, insertions, actions, innervations. Power grips vs precision grips
30
Anatomy
Professional
10/17/2011

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Term
Pronator Teres
Definition
O: Medial epicondyles of humerus; coronoid process of ulna

I: Lateral surface of midshaft of radius

A: Pronation of forearm (and hand)

Innervation:
-Median Nerve
Term
Palmaris Longus
Definition
O: Medial epicondyle of humerus (common flexor tendon)

I: Palmar aponeurosis

A: Flexion of Hand

Innervation: median nerve
Term
Flexor carpi radialis
Definition
O: medial epicondyle of humerus (common flexor tendon)

I: Base of second metacarpal and possible 3rd metacarpal

A: Flexion and abduction (radial deviation) of hand

Innervation: Median nerve
Term
Flexor carpi ulnaris
Definition
O: Medial epicondyle of humerus (common flexor tendon)
-proximal 2/3 of posterior surface of ulna

I: Pisiform bone

A: Flexion and adduction (ulnar deviation) of hand

Innervation: Ulnar nerve
Term
Flexor digitorum superficialis
Definition
O: medial epicondyle of humerus (common flexor tendon)
-Medial aspect of coronoid process of ulna
-proximal half of radius distal to radial tuberosity

I: base of middle phalanx of each of 4 fingers (medial 4 digits)

A: Flexion of middle phalanx of each of four fingers (medial 4 digits)
-with continued action, flexion of each proximal phalanx.
-aids in flexion of hand

Innervation: median nerve
Term
Flexor digitorum profundus
Definition
O: ant and med surface of prox. 2/3 of ulna
-interosseous membrane
-aponeurosis of flexor carpi ulnaris

I: Distal phalanx of each of hte four fingers (medial 4 digits)

A: Flexion of distal phalanx of each of the 4 fingers (med 4 digits)
-with continued action, flexion of hte middle and proximal phalanges
-aids in flexion of hand

Innervation: median and ulnar nerves
Term
Flexor pollicis longus
Definition
O: ant surface of middle half of radius
-adjacent interosseous membrane

I: Distal phalanx of thume

A: flexion of distal phalanx of thume

Innervation: Median nerve
Term
Pronator quadratus
Definition
O: Distal 1/4 of ulna

I: distal part of radius

A: Pronation of forearm (and hand)

Innervation: median nerve
Term
Brachioradialis
Definition
O: lateral supracondylar ridge of humerus
-lateral intermuscular septum of arm

I: lat side of distal end of radius

A: flexion of forearem

Innervation: radial nerve
Term
Extensor carpi radialis longus
Definition
O: Lateral supracondylar ridge and lat intermuscular septume
-epicondyle of humerus (common extensor tendon)

I: Base of 2nd metacarpal

A: Extension and abduction (radial deviation) of hand

Innervation: radial nerve
Term
Extensor carpi radialis brevis
Definition
O: lat epicondyle of humerus (common ext tendon)
-intermuscular septa
-antebrachial fascia

O: base of 3rd metacarpal

A: extension of hand

Innervation: Radial nerve
Term
Extensor digitorum
Definition
O: Lateral epicondyle of humerus (common ext tensdon)
-intermuscular septa
-antebrachial fascia

I: Middle and distal phalanges of each of four fingers (medial 4 digits)

A: Extension of each of 4 fingers (medial 4 digits)

Innervation: radial nerve
Term
Extensor digiti minimi
Definition
O: Lat epicondyle of humerus (common extensor tendon)
-intermuscular septa in common with the extensor digitorum

Insertion: Middle and distal phalanges of little finger

A: Extension and abduction of little finger

Innervation: radial nerve
Term
Extensor carpi ulnaris
Definition
O: Lateral epicondyle of humerus (common ext tendon)
-proximal half of posterior border of ulna

I: base of 5th metacarpal

A: extension and adduction (ulnar deviation) of hand

Innervation: Radial nerve
Term
Supinator
Definition
O: Posterolateral surface of ulna below radial notch
-lateral epicondyle
-radial collateral and annular ligaments

I: Lateral and adjacent posterior and anterior aspects of proximal shaft of radius

A: supination of forearm (and hand)

Innervation: radial nerve
Term
Abductor pollicis longus
Definition
O: Posterior surface of ulna and radius
-Interosseous membrane

I: base of 1st metacarpal

A: Abduction and extension of thumb
-abduction and flexion of hand at wrist

Innervation: radial nerve
Term
Extension pollicis brevis
Definition
O: post surface of radius
-interosseous membrane

I: proximal phalanx of thumb

A: extension of proximal phalanx and metacarpal of thumb.
-abduction of hand at wrist

Innervation: radial nerve
Term
Extensor pollicis longus
Definition
O: posterior surface of middle third of ulna
-interosseous membrane

I: distal phalanx of thumb

A: extension of proximal and distal phalanges of thumb
-extension and adduction of metacarpal of thumb

Innervation: radial nerve
Term
Extensor indicis
Definition
O: Posterior surface of ulna
-interosseous membrane

I: Extensor expansion of index finger

A: extension and adduction of index finger

Innervation: radial nerve
Term
Lumbricals (4)
Definition
O: tendons of flexor digitorum profundus

I: extensor expansion of medial four digits on the proximal phalanges

A: extension of interphalangeal joints of medial 4 digits
-flexion of metacarpophlangeal joints

Innervation: Median Nerve (lateral 2) and ulnar nerve (medial 2)
Term
Abductor pollicis brevis
Definition
O: Flexor retinaculum
-scaphoid and trapezium

I: base of proximal phalanx

A: abduction of thumb

IInnervation: median nerve
Term
Opponens pollicis
Definition
O: Flexor retinaculum
-trapezium

I: first metacarpal

A: opposition of thumb

Innervation: median nerve
Term
Flexor pollicis brevis
Definition
O: superficial head: flexor retinaculum (and possible trapezium)
-Deep head: trapezoid and capitate

I: base of proximal phalanx

A: flexion of thumb
-aids in opposition and adduction

Innervation: median nerve (superficial head)
-ulnar nerve (deep head)
Term
Adductor pollicis
Definition
O: Transverse head : 3rd metacarpal
Oblique head: capitate, trapezoid, and trapezium and bases of first three metacarpals

I: base of proximal phalanx

A: Adduction and flexion of thumb

Innervation: ulnar nerve
Term
Palmaris brevis
Definition
O: Palmar aponeurosis, medial border

I: skin on ulnar side of hand

A: Stabilization of skin of palm for gripping

Innervation: ulnar nerve
Term
Abductor digiti minimi
Definition
O: pisiform

I: base of proximal phalanx of little finger

A: abduction of little finger

Innervation: Ulnar nerve
Term
Flexor digiti minimi brevis
Definition
O: flexor retinaculum
-hook of hamate

I: proximal phalanx of little finger

A: flexion of little finger

Innervation: ulnar nerve
Term
Opponens digiti minimi
Definition
O: flexor retinaculum
-hook of hamate

I: fifth metacarpal

A: opposition of little finger to thumb

Innervation: ulnar nerve
Term
Palmar interossei (3 of them)
Definition
O: shaft of metacarpal: one each to index, ring, and little fingers

I: extensor expansion of finger of origin

A: adducitons of the respective finger (index, ring and little fingers)
-flexion of metacarpophalangeal joints
-extension of interphalangeal joints

Innervation: ulnar nerve
Term
Dorsal interossei (4 of them)
Definition
O: adjacent surfaces of 2 metacarpals

I: 1st: proximal phalanx on radial side of index finger
-2nd, 3rd, and 4th: proximal phalanx on radial side of middle, ulnar side of middle, and ulnar side of ring fingers, respectively, and extensor expansion.

A: Abduction of index, middle, and ring fingers;
-flexion of metacarpophalangeal joints
-extension of interphalangeal joints (depending on insertion, 1st one may not extend interphalangeal joints)

Innervation: ulnar nerve
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