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NBCOT Study Cards
Musculoskeletal System of the Hand
23
Other
Professional
09/08/2007

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Term
What intrinsic muscles are innervated by the median nerve?
Definition
ABductor pollicis brevis
Opponens pollicis
Flexor pollicis brevis
Lumbricals (radial side)
Term
ABductor pollicis brevis (origin, insertion, function)
Definition
[image] origin: scaphoid, trapezium, flexor retinaculum, and tendon of the ABductor pollicis longus insertion: base of proximal phalanx, radial side of thumb function: palmar ABduction
Term
Opponens pollicis (origin, insertion, function)
Definition
[image] origin: trapezium and flexor retinaculum insertion: 1st metacarpal function: opposition
Term
Flexor pollicis brevis (origin, insertion, function)
Definition
[image] origin: trapezium, trapezoid, capitate, and flexor retinaculum insertion: base of proximal phalanx, radial side of thumb function: thumb MCP flexion, deep head innervated by ulnar nerve
Term
Lumbricals (origin, insertion, function)
Definition
[image] origin: tendons of flexor digitorum profundus, index and middle fingers (radial and palmar sides) insertion: radial side of digits II and III into extensor expansion function: MCP flexion and IP extension
Term
What intrinsic muscles are innervated by the ulnar nerve?
Definition
ABductor digiti minimi
Opponens digiti minimi
Flexor digiti minimi
Lumbricals (ulnar side)
Palmar interossei
Dorsal interossei
Term
ABductor digiti minimi (origin, insertion, function)
Definition
[image] origin: pisiform and tendon of flexor carpi ulnaris insertion: proximal phalanx of the 5th digit function: ABduction of the 5th digit
Term
Opponens digiti minimi (origin, insertion, function)
Definition
[image] origin: hook of hamate and flexor retinaculum insertion: 5th metacarpal function: opposition of 5th digit
Term
Flexor digiti minimi (origin, insertion, function)
Definition
[image] origin: hook of hamate and flexor retinaculum insertion: proximal phalanx of 5th digit function: flexion of MCP joint and opposition of 5th digit
Term
Palmar interossei (origin, insertion, function)
Definition
[image] origin: 1st palmar= ulnar surface of 2nd metacarpal. 2nd palmar= radial surface of 4th metacarpal. 3rd palmar= radial surface of 5th metacarpal. insertion: 1st palmar= ulnar surface of 2nd proximal phalanx. 2nd palmar= radial surface of 4th proximal phalanx. 3rd palmar=radial surface of 5th proximal phalanx. function: ADduction and assistance with MCP flexion and extension of IP joints of digits II through V
Term
Dorsal interossei (origin, insertion, function)
Definition
[image] origin: all 4 arise from adjacent sides of the metacarpals insertion: proximal phalanx ont he radial aspect of the index, radial and ulnar sides of the middle, and ulnar side of rign finger (all into extensor digitorum) function: ABduction and assists with MCP flexion and extension of IP joints of digits II through V
Term
What extrinsic flexor muscles are innervated by the median nerve?
Definition
Flexor digitorum superficialis (FDS)
Flexor digitorum profundus (FDP)
Flexor pollicis longus (FPL)
Term
Flexor digitorum superficialis (FDS) (origin, insertion, function)
Definition
[image] origin: medial epicondyle insertion: middle phalanx (2 slips) function: flexion of PIP joints
Term
Flexor digitorum profundus (FDP) (origin, insertion, function)
Definition
[image] origin: proximal 2/3 of ulna and interosseous membrane insertion: distal phalanx function: flexion of DIP joints to digits II through V
Term
Flexor pollicis longus (FPL) (origin, insertion, function)
Definition
[image] origin: radium, middle 1/3 insertion: distal phalanx of thumb function: flexion of IP joint of thumb
Term
What extrinsic flexors are innervated by the ulnar nerve?
Definition
Flexor digitorum profundus (FDP)
Term
What extrinsic extensor muscles are innervated by the radial nerve?
Definition
Extensor digitorum communis (EDC)
Extensor digniti minimi (EDM)
Extensor indidicis proprius (EIP)
Extensor pollicis longus (EPL)
Extensor pollicis brevis (EPB)
ABductor pollicis longus (APL)
Term
extensor digitorum communis (EDC) (origin, insertion, function)
Definition
[image] origin: lateral epicondyle insertion: medial band to middle phalanx and lateral band to distal phalanx function: extension of MCPs and contributes to extension of IPs
Term
extensor digiti minimi (EDM) (origin, insertion, function)
Definition
[image] origin: lateral epicondyle insertion: EDC at MCP level of 5th digit function: extension of MCP of 5th and contributes to extension of IPs
Term
extensor indicis proprius (EIP) (origin, insertion, function)
Definition
[image] origin: ulna, middle 1/3 insertion: inerts into EDC at MCP level function: extension of MCP of 2nd digit and contributes to extension of IP joints
Term
Extensor pollicis longus (EPL) (origin, insertion, function)
Definition
[image] origin: ulna, middle 1/3 insertion: distal phalanx of thumb function: extension of IP joint of thumb
Term
extensor pollicis brevis (EPB) (origin, insertion, function)
Definition
[image] origin: radius, middle 1/3 insertion: proximal phalanx of thumb function: extension of MCP and CMC of thumb
Term
ABductor pollicis longus (APL) (origin, insertion, function)
Definition
[image] origin: middle 1/3 of ulna and radius insertion: 1st MCP, radial side function: ABduction and extenion of CMC
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