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Flexor Retinaculum Of The Hand
The flexor retinaculum (transverse carpal ligament, or anterior annular ligament) is a fibrous band on the palmar side of the hand near the wrist. It arches over the carpal bones of the hands, covering them and forming the carpal tunnel. Structure The flexor retinaculum is a strong, fibrous band that covers the carpal bones on the palmar side of the hand near the wrist. It attaches to the bones near the radius and ulna. On the ulnar side, the flexor retinaculum attaches to the pisiform bone and the hook of the hamate bone. On the radial side, it attaches to the tubercle of the scaphoid bone, and to the medial part of the palmar surface and the ridge of the trapezium bone. The flexor retinaculum is continuous with the palmar carpal ligament, and deeper with the palmar aponeurosis. The ulnar artery and ulnar nerve, and the cutaneous branches of the median and ulnar nerves, pass on top of the flexor retinaculum. On the radial side of the retinaculum is the tendon of the flexor c ...
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Fibrous
Fiber or fibre (from la, fibra, links=no) is a natural or artificial substance that is significantly longer than it is wide. Fibers are often used in the manufacture of other materials. The strongest engineering materials often incorporate fibers, for example carbon fiber and ultra-high-molecular-weight polyethylene. Synthetic fibers can often be produced very cheaply and in large amounts compared to natural fibers, but for clothing natural fibers can give some benefits, such as comfort, over their synthetic counterparts. Natural fibers Natural fibers develop or occur in the fiber shape, and include those produced by plants, animals, and geological processes. They can be classified according to their origin: *Vegetable fibers are generally based on arrangements of cellulose, often with lignin: examples include cotton, hemp, jute, flax, abaca, piƱa, ramie, sisal, bagasse, and banana. Plant fibers are employed in the manufacture of paper and textile (cloth), and ...
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Flexor Carpi Radialis
In anatomy, flexor carpi radialis is a muscle of the human forearm that acts to flex and (radially) abduct the hand. The Latin ''carpus'' means wrist; hence flexor carpi is a flexor of the wrist. Origin and insertion The flexor carpi radialis is one of four muscles in the superficial layer of the anterior compartment of the forearm. This muscle originates from the medial epicondyle of the humerus as part of the common flexor tendon. It runs just laterally of flexor digitorum superficialis and inserts on the anterior aspect of the base of the second metacarpal, and has small slips to both the third metacarpal and trapezium tuberosity. The tendon of the flexor carpi radialis is visible on the anterior surface of the forearm, just proximal to the wrist, when the wrist is flexed. It is the tendon seen most lateral, closest to the thumb. Nerve and artery Like most flexors of the anterior compartment of the forearm, FCR is innervated by the median nerve, specifically by axons from c ...
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Musculoskeletal System
The human musculoskeletal system (also known as the human locomotor system, and previously the activity system) is an organ system that gives humans the ability to move using their muscular and skeletal systems. The musculoskeletal system provides form, support, stability, and movement to the body. It is made up of the bones of the skeleton, muscles, cartilage, tendons, ligaments, joints, and other connective tissue that supports and binds tissues and organs together. The musculoskeletal system's primary functions include supporting the body, allowing motion, and protecting vital organs. The skeletal portion of the system serves as the main storage system for calcium and phosphorus and contains critical components of the hematopoietic system. This system describes how bones are connected to other bones and muscle fibers via connective tissue such as tendons and ligaments. The bones provide stability to the body. Muscles keep bones in place and also play a role in the movement ...
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Extensor Retinaculum Of The Hand
The extensor retinaculum (dorsal carpal ligament, or posterior annular ligament) is an anatomical term for the thickened part of the antebrachial fascia that holds the tendons of the extensor muscles in place. It is located on the back of the forearm, just proximal to the hand. It is continuous with the palmar carpal ligament, which is located on the anterior side of the forearm. Structure The extensor retinaculum is a strong, fibrous band, extending obliquely downward and medialward across the back of the wrist. It consists of part of the deep fascia of the back of the forearm, strengthened by the addition of some transverse fibers. The extensor retinaculum is attached laterally to the lateral margin of the radius. However, it is not attached to the ulna, as the distance between these two bones varies with supination and pronation of the forearm. Instead the medial attachment is to the pisiform bone and triquetral bone. Other authors may state the medial attachment of extensor ...
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Peroneal Retinacula
The fibular retinacula (also known as peroneal retinacula) are fibrous retaining bands that bind down the tendons of the fibularis longus and fibularis brevis muscles as they run across the side of the ankle. (''Retinaculum'' is Latin for "retainer.") These bands consist of the superior fibular retinaculum and the inferior fibular retinaculum. The superior fibers are attached above to the lateral malleolus and below to the lateral surface of the calcaneus. The inferior fibers are continuous in front with those of the inferior extensor retinaculum of the foot; behind they are attached to the lateral surface of the calcaneus; some of the fibers are fixed to the calcaneal tubercle, forming a septum between the tendons of the fibularis longus and fibularis brevis. See also * Fibularis longus * Fibularis brevis In human anatomy, the fibularis brevis (or peroneus brevis) is a muscle that lies underneath the fibularis longus within the lateral compartment of the leg. It acts to tilt th ...
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Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) is the collection of symptoms and signs associated with median neuropathy at the carpal tunnel. Most CTS is related to idiopathic compression of the median nerve as it travels through the wrist at the carpal tunnel (IMNCT). Idiopathic means that there is no other disease process contributing to pressure on the nerve. As with most structural issues, it occurs in both hands, and the strongest risk factor is genetics. Other conditions can cause CTS such as wrist fracture or rheumatoid arthritis. After fracture, swelling, bleeding, and deformity compress the median nerve. With rheumatoid arthritis, the enlarged synovial lining of the tendons causes compression. The main symptoms are numbness and tingling in the thumb, index finger, middle finger and the thumb side of the ring finger. People often report pain, but pain without tingling is not characteristic of IMNCT. Rather, the numbness can be so intense that it is described as painful. Symptoms are ...
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Carpal Tunnel Syndrome
Carpal tunnel syndrome (CTS) is the collection of symptoms and signs associated with median neuropathy at the carpal tunnel. Most CTS is related to idiopathic compression of the median nerve as it travels through the wrist at the carpal tunnel (IMNCT). Idiopathic means that there is no other disease process contributing to pressure on the nerve. As with most structural issues, it occurs in both hands, and the strongest risk factor is genetics. Other conditions can cause CTS such as wrist fracture or rheumatoid arthritis. After fracture, swelling, bleeding, and deformity compress the median nerve. With rheumatoid arthritis, the enlarged synovial lining of the tendons causes compression. The main symptoms are numbness and tingling in the thumb, index finger, middle finger and the thumb side of the ring finger. People often report pain, but pain without tingling is not characteristic of IMNCT. Rather, the numbness can be so intense that it is described as painful. Symptoms are ...
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Median Nerve
The median nerve is a nerve in humans and other animals in the upper limb. It is one of the five main nerves originating from the brachial plexus. The median nerve originates from the lateral and medial cords of the brachial plexus, and has contributions from ventral roots of C5-C7 (lateral cord) and C8 and T1 (medial cord). The median nerve is the only nerve that passes through the carpal tunnel. Carpal tunnel syndrome is the disability that results from the median nerve being pressed in the carpal tunnel. Structure The median nerve arises from the branches from lateral and medial cords of the brachial plexus, courses through the anterior part of arm, forearm, and hand, and terminates by supplying the muscles of the hand. Arm After receiving inputs from both the lateral and medial cords of the brachial plexus, the median nerve enters the arm from the axilla at the inferior margin of the teres major muscle. It then passes vertically down and courses lateral to the brachial ar ...
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Hypothenar Eminence
The hypothenar muscles are a group of three muscles of the hand, palm that control the motion of the little finger. The three muscles are: * Abductor minimi digiti muscle (hand), Abductor digiti minimi * Flexor digiti minimi brevis (hand), Flexor digiti minimi brevis * Opponens digiti minimi Structure The muscles of hypothenar eminence are from medial to lateral: * Opponens digiti minimi muscle, Opponens digiti minimi * Flexor digiti minimi brevis muscle (hand), Flexor digiti minimi brevis * Abductor digiti minimi muscle of hand, Abductor digiti minimi The intrinsic muscles of hand can be remembered using the mnemonic, "A OF A OF A" for, Abductor pollicis brevis, Opponens pollicis, Flexor pollicis brevis (the three thenar muscles), Adductor pollicis, and the three hypothenar muscles, Opponens digiti minimi, Flexor digiti minimi brevis, Abductor digiti minimi. Clinical significance "Hypothenar atrophy" is associated with the lesion of the ulnar nerve, which supplies the three hyp ...
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Thenar Eminence
The thenar eminence is the mound formed at the base of the thumb on the palm of the hand by the intrinsic group of muscles of the thumb. The skin overlying this region is the area stimulated when trying to elicit a palmomental reflex. The word thenar comes . Structure The following three muscles are considered part of the thenar eminence: * Abductor pollicis brevis abducts the thumb. This muscle is the most superficial of the thenar group. * Flexor pollicis brevis, which lies next to the abductor, will flex the thumb, curling it up in the palm. (The Flexor pollicis longus, which is inserted into the distal phalanx of the thumb, is not considered part of the thenar eminence.) * Opponens pollicis lies deep to abductor pollicis brevis. As its name suggests it opposes the thumb, bringing it against the fingers. This is a very important movement, as most of human hand dexterity comes from this action. Another muscle that controls movement of the thumb is adductor pollicis. It lies ...
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Flexor Carpi Ulnaris
The flexor carpi ulnaris (FCU) is a muscle of the forearm that flexes and adducts at the wrist joint. Structure Origin The flexor carpi ulnaris has two heads; a humeral head and ulnar head. The humeral head originates from the medial epicondyle of the humerus via the common flexor tendon. The ulnar head originates from the medial margin of the olecranon of the ulnar and the upper two-thirds of the dorsal border of the ulnar by an aponeurosis. Between the two heads passes the ulnar nerve and ulnar artery. Insertion The flexor carpi ulnaris inserts onto the pisiform, hook of the hamate (via the pisohamate ligament) and the anterior surface of the base of the fifth metacarpal (via the pisometacarpal ligament). Action The flexor carpi ulnaris flexes and adducts at the wrist joint. Innervation The flexor carpi ulnaris is innervated by the ulnar nerve. The corresponding spinal nerves are C8 and T1. Tendon The tendon of flexor carpi ulnaris can be seen on the anterior surface of th ...
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Palmaris Longus
The palmaris longus is a muscle visible as a small tendon located between the flexor carpi radialis and the flexor carpi ulnaris, although it is not always present. It is absent in about 14 percent of the population; this number can vary in African, Asian, and Native American populations, however. Absence of the palmaris longus does not have an effect on grip strength. The lack of palmaris longus muscle does result in decreased pinch strength in fourth and fifth fingers. The absence of palmaris longus muscle is more prevalent in females than males. The palmaris longus muscle can be seen by touching the pads of the fourth finger and thumb and flexing the wrist. The tendon, if present, will be visible in the midline of the anterior wrist. Structure Palmaris longus is a slender, elongated, spindle shaped muscle, lying on the medial side of the flexor carpi radialis. It is widest in the middle, and narrowest at the proximal and distal attachments.'' Gray's Anatomy'' (1918), see infob ...
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