Munsayac John Paul F.

PTNAT1 10:00-11:00 M-Th

Sept 5, 2013

Muscle(Extrinsic) Origin

Insertion

Action

Nerve Supply

Flexor Digitorum
Superficialis
Muscle

Common flexor
tendon on the
medial
epicondyle,
coronoid process,
and radius

Sides of the
middle phalanx of
the four
fingers

Flexes the MCP

and PIP joints of
the
fingers

Median nerve
(C7, C8, T1)

Flexor Digitorum
Profundus
Muscle

Upper threeDistal phalanx of

fourths of the ulna the four fingers

Flexes all three

joints of the
fingers
(MCP, PIP, and
DIP)

Median and ulnar

nerves (C8, T1)

Flexor Pollicis
Longus Muscle

Radius, anterior
surface

Distal phalanx of
thumb

Flexes all three

joints of the
thumb (CMC,
MCP, IP)

Median nerve
(C8, T1)

Abductor Pollicis
Longus Muscle

Posterior radius,
interosseous
membrane,
middle ulna

Base of the first

metacarpal

Abducts thumb
(CMC)

Radial nerve (C6,

C7)

Extensor Pollicis
Brevis Muscle

Posterior distal
radius

Base of the
proximal phalanx
of thumb

Extends CMC
and MCP joints of
thumb

Radial nerve (C6,

C7)

Extensor Pollicis
Longus Muscle

Middle posterior
ulna and
interosseous
membrane

Base of distal
phalanx of thumb

Extends all three

joints of the
thumb
(CMC, MCP, and
IP)

Radial nerve (C6,

C7, C8)

Extensor
Digitorum
Muscle

Lateral
epicondyle of the
humerus

Base of distal
phalanx of the
second
through fifth
fingers

Extends all three

joints of the
fingers
(MCP, PIP, and
DIP)

Radial nerve (C6,

C7, C8)

Extensor Indicis
Muscle

Distal ulna

Base of distal
phalanx of the
second
finger

Extends all three

joints of the
second
finger (MCP, PIP,
and DIP)

Radial nerve (C6,

C7, C8)

Extensor Digiti
Minimi Muscle

Lateral
epicondyle of
humerus

Base of distal
phalanx of fifth
finger

Extends all three

joints of fifth
finger
(MCP, PIP, and
DIP)

Radial nerve (C6,

C7, C8)

Muscle(Intrinsic)

Origin

Insertion

Action

Nerve Supply

Flexor Pollicis
Brevis Muscle

Trapezium and
flexor retinaculum

Proximal phalanx
of the thumb

Flexes the CMC

and MCP joints of
thumb

Median nerve
(C6, C7)

Abductor
Pollicis Brevis
Muscle

Scaphoid,
trapezium, and
flexor retinaculum

Proximal phalanx
of the thumb

Abducts the
thumb (CMC
joint)

Median nerve
(C6, C7)

Opponens
Pollicis Muscle

Trapezium and
flexor retinaculum

First metacarpal

Opposes the
thumb (CMC
joint)

Median nerve
(C6, C7)

Adductor
Pollicis Muscle

Capitate, base of
the second
metacarpal,
palmar surface of
the third
metacarpal

Base of proximal
phalanx of thumb

Adducts thumb
(CMC joint)

Ulnar nerve (C8,

T1)

Dorsal
Interossei

Adjacent
metacarpals

Base of proximal
phalanx

Abduct fingers at
MCP joint

Ulnar nerve (C8,

T1)

Palmar
Interossei
Muscles

1st, 2nd, 4th, and

5th metacarpals

Base of
respective
proximal phalanx

Adduct fingers at
MCP joint

Ulnar nerve (C8,

T1)

Lumbrical
Muscles

Tendon of the
flexor digitorum
profundus muscle

Tendon of the
extensor
digitorum muscle

Flex the MCP

joint while
extending the
PIP and DIP
joints

Flexor Digiti
Minimi Muscle

Hamate and
flexor retinaculum

Base of proximal
phalanx of the
fifth
finger

Flexes CMC and

MCP joints of the
fifth
finger

First and second

lumbricales:
medial nerve
Third and fourth
lumbricales: ulnar
nerve
(C6, C7, C8)
Ulnar nerve (C8,
T1)

Abductor Digiti
Minimi Muscle

Pisiform and
tendon of flexor
carpi ulnaris

Proximal phalanx
of fifth finger

Abducts the MCP

joint of the fifth
finger

Ulnar nerve (C8,

T1)

Opponens Digiti
Minimi Muscle

Hamate and
flexor retinaculum

Fifth metacarpal

Opposes the fifth

finger (CMC joint)

Ulnar nerve (C8,

T1)

Dorsal Interossei Muscles of the Hand

Muscle Proximal
First
Second
Third

Fourth

Proximal Attachment
First and second
metacarpals
Second and third
metacarpals
Third and fourth
metacarpals

Distal Attachment
Lateral side of index
finger
Lateral side of middle
finger
Medial side of middle
finger

Action
Abduct index finger

Fourth and fifth

metacarpals

Medial side of ring

finger

Abduct ring finger

Abduct middle finger

laterally
Abduct middle finger
medially

Muscles Proximal Attachment Distal Attachment Action

Muscle Proximal
First
Second

Proximal Attachment
First metacarpal
Second metacarpal

Third

Fourth metacarpal

Fourth

Fifth metacarpal

Distal Attachment
Medial side of thumb
Medial side of index
finger
Lateral side of ring
finger
Lateral side of little
finger

Action
Adduct thumb
Adduct index finger
Adduct ring finger
Adduct little finger

Bones
Distal phalanges
Middle phalanges
Proximal phalanges
Metacarpals
Carpals- Scaphoid, Lunate Triquetrum, Pisiform, Trapezium, Trapezoid, Capitate, Hamate.
JOINTS
Carpometacarpal(CMC) joint,
Metacarpophalangeal (MCP) joint
Interphalangeal (IP) joint
Proximal interphalangeal (PIP) joint
Distal interphalangeal (DIP) joint
Ligaments
Flexor retinaculum ligament
Palmar carpal ligament
Transverse carpal ligament
Extensor retinaculum ligament
Extensor expansion ligament