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Recurrent Branch Of The Median Nerve
The recurrent branch of the median nerve is the branch of the median nerve which supplies the thenar muscles. It is also occasionally referred to as the thenar branch of the median nerve, or the thenar muscular branch of the median nerve. Structure An earlier branch of the median nerve also supplies the lumbricals 1 & 2. All other intrinsic muscles of the hand receive their motor innervation from branches of the ulnar nerve. It usually passes distal to the transverse carpal ligament. It ends in the opponens pollicis. Function In the thenar eminence, the recurrent branch of the median nerve provides motor innervation to: * opponens pollicis muscle. * abductor pollicis brevis muscle. * the superficial part of flexor pollicis brevis muscle. Clinical significance The recurrent branch of the median nerve may be affected in carpal tunnel syndrome, or from its own separate peripheral neuropathies. Surgery The recurrent branch of the median nerve is also colloquially called the ...
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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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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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Ulnar Nerve
In human anatomy, the ulnar nerve is a nerve that runs near the ulna bone. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is common. This nerve is directly connected to the little finger, and the adjacent half of the ring finger, innervating the palmar aspect of these fingers, including both front and back of the tips, perhaps as far back as the fingernail beds. This nerve can cause an electric shock-like sensation by striking the medial epicondyle of the humerus posteriorly, or inferiorly with the elbow flexed. The ulnar nerve is trapped between the bone and the overlying skin at this point. This is commonly referred to as bumping one's "funny bone". This name is thought to be a pun, based on the sound resemblance between the name of the bone of the upper arm, the humerus, and the word "humorous". Alternatively, according to the Oxford English Dictionary, i ...
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Transverse Carpal Ligament
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 (bone), radius and ulna. On the ulnar side, the flexor retinaculum attaches to the pisiform bone and the hamate, 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), 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 retin ...
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Opponens Pollicis
The opponens pollicis is a small, triangular muscle in the hand, which functions to oppose the thumb. It is one of the three thenar muscles. It lies deep to the abductor pollicis brevis and lateral to the flexor pollicis brevis. Structure The opponens pollicis muscle is one of the three thenar muscles. It originates from the flexor retinaculum of the hand and the tubercle of the trapezium. It passes downward and laterally, and is inserted into the whole length of the metacarpal bone of the thumb on its radial side. Innervation Like the other thenar muscles, the opponens pollicis is innervated by the recurrent branch of the median nerve. In 20% of the population, opponens pollicis is innervated by the ulnar nerve. Blood supply The opponens pollicis receives its blood supply from the superficial palmar arch. Function ''Opposition of the thumb'' is a combination of actions that allows the tip of the thumb to touch the tips of other fingers. The part of apposition that this musc ...
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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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Opponens Pollicis Muscle
The opponens pollicis is a small, triangular muscle in the hand, which functions to oppose the thumb. It is one of the three thenar muscles. It lies deep to the abductor pollicis brevis and lateral to the flexor pollicis brevis. Structure The opponens pollicis muscle is one of the three thenar muscles. It originates from the flexor retinaculum of the hand and the tubercle of the trapezium. It passes downward and laterally, and is inserted into the whole length of the metacarpal bone of the thumb on its radial side. Innervation Like the other thenar muscles, the opponens pollicis is innervated by the recurrent branch of the median nerve. In 20% of the population, opponens pollicis is innervated by the ulnar nerve. Blood supply The opponens pollicis receives its blood supply from the superficial palmar arch. Function ''Opposition of the thumb'' is a combination of actions that allows the tip of the thumb to touch the tips of other fingers. The part of apposition that this muscle ...
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Abductor Pollicis Brevis Muscle
The abductor pollicis brevis is a muscle in the hand that functions as an abductor of the thumb. Structure The abductor pollicis brevis is a flat, thin muscle located just under the skin. It is a thenar muscle, and therefore contributes to the bulk of the palm's thenar eminence. It originates from the flexor retinaculum of the hand, the tubercle of the scaphoid bone, and additionally sometimes from the tubercle of the trapezium. Running lateralward and downward, it is inserted by a thin, flat tendon into the lateral side of the base of the first phalanx of the thumb, and the capsule of the metacarpophalangeal joint. Nerve supply The abductor pollicis brevis is supplied by the recurrent branch of the median nerve (Roots C8-T1). Function Abduction of the thumb is defined as the movement of the thumb anteriorly, a direction perpendicular to the palm. The abductor pollicis brevis does this by acting across both the carpometacarpal joint and the metacarpophalangeal joint. It ...
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Flexor Pollicis Brevis Muscle
The flexor pollicis brevis is a muscle in the hand that flexes the thumb. It is one of three thenar muscles. It has both a superficial part and a deep part. Origin and insertion The muscle's superficial head arises from the distal edge of the flexor retinaculum and the tubercle of the trapezium, the most lateral bone in the distal row of carpal bones. It passes along the radial side of the tendon of the flexor pollicis longus. The deeper (and medial) head "varies in size and may be absent." It arises from the trapezoid and capitate bones on the floor of the carpal tunnel, as well as the ligaments of the distal carpal row. Both heads become tendinous and insert together into the radial side of the base of the proximal phalanx of the thumb; at the junction between the tendinous heads there is a sesamoid bone.''Gray's Anatomy'' 1918, see infobox Innervation The superficial head is usually innervated by the lateral terminal branch of the median nerve. The deep part is often in ...
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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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Peripheral Neuropathy
Peripheral neuropathy, often shortened to neuropathy, is a general term describing disease affecting the peripheral nerves, meaning nerves beyond the brain and spinal cord. Damage to peripheral nerves may impair sensation, movement, gland, or organ function depending on which nerves are affected; in other words, neuropathy affecting motor, sensory, or autonomic nerves result in different symptoms. More than one type of nerve may be affected simultaneously. Peripheral neuropathy may be acute (with sudden onset, rapid progress) or chronic (symptoms begin subtly and progress slowly), and may be reversible or permanent. Common causes include systemic diseases (such as diabetes or leprosy), hyperglycemia-induced glycation, vitamin deficiency, medication (e.g., chemotherapy, or commonly prescribed antibiotics including metronidazole and the fluoroquinolone class of antibiotics (such as ciprofloxacin, levofloxacin, moxifloxacin)), traumatic injury, ischemia, radiation therapy, excessi ...
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Colloquialism
Colloquialism (), also called colloquial language, everyday language or general parlance, is the style (sociolinguistics), linguistic style used for casual (informal) communication. It is the most common functional style of speech, the idiom normally employed in conversation and other informal context (language use), contexts. Colloquialism is characterized by wide usage of Interjection, interjections and other expressive devices; it makes use of non-specialist terminology, and has a rapidly changing lexicon. It can also be distinguished by its usage of formulations with incomplete logical and syntax (linguistics), syntactic ordering. A specific instance of such language is termed a ''colloquialism''. The most common term used in dictionaries to label such an expression is ''colloquial''. Explanation Colloquialism or general parlance is distinct from public speaking, formal speech or formal writing.colloquial. (n.d.) Dictionary.com Unabridged (v 1.1). Retrieved September 10, 2008 ...
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