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Updated: Feb 3 2018

Intrinsic Hand Muscles

  • Introduction
    • The muscles of the hand can be divided into extrinsic and intrinsic muscles
      • extrinsic hand muscles
        • these are muscles that are located outside of the hand (thus extrinsic)
          • they are located in the forearm
            • extrinsic extensor muscles of the hand are located in the posterior compartment of the forearm
            • extrinsic flexor muscles of the hand are located in the anterior compartment of the forearm
      • intrinsic hand muscles
        • these are muscles that are located inside the hand (thus intrinsic)
          • these include the
            • thenar muscles
            • hypothenar muscles
            • interosseous muscles
            • lumbricals
  • Thenar Muscles
    • Introduction
      • the thenar muscles form the thenar eminence on the lateral surface of the palm
      • the thenar hand muscles include
        • Opponens pollicis
        • Abductor pollicis brevis
        • Flexor pollicis brevis
        • mnemonic: "OAF"
      • these muscles are innervated by the median nerve and are involved in fine movements of the thumb
    • Function
      • the thenar hand muscles are involved in
        • Opposition
        • Abduction
        • Flexion
        • mnemonic: "OAF"
  • Hypothenar Muscles
    • Introduction
      • the hypothenar muscles form the hypothenar eminence on the medial surface of the palm
      • the hypothenar muscles include
        • Opponens digiti minimi
        • Abductor digiti minimi
        • Flexor digiti minimi
        • mnemonic: "OAF"
      • these muscles are innervated by the ulnar nerve
    • Function
      • the hypothenar muscles are involved in
        • Opposition
        • Abduction
        • Flexion
        • mnemonic: "OAF"
  • Interossei and Lumbricals
    • Introduction
      • interossei
        • can be divided into dorsal and palmar interossei
        • function
          • dorsal interossei
            • abduction of the fingers at the metacarpophalangeal (MCP) joint
          • palmar interossei
            • adduction of the fingers at the MCP joint
          • mnemonic
            • "DAB" = Dorsals ABduct
            • "PAD" = Palmars ADduct
        • innervation
          • the dorsal and palmar interossei are innervated by the ulnar nerve
      • lumbricals
        • there are 4 lumbrical muscles of the hand
          • they attach to the
            • flexor digitorum profundus tendon proximally
            • tendons of the extensor expansion distally
        • function
          • flexion of the MCP joint
          • extension the interphalangeal (IP) joints
        • innervation
          • the median nerve innervates the lateral lumbricals (the 1st and 2nd lumbrical)
          • the ulnar nerve innervates the medial lumbricals (the 3rd and 4th lumbrical)
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