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Common Synovial Sheath For The Flexor Tendons
The common synovial sheath for the flexor tendons or the ulnar bursa is a synovial sheath in the carpal tunnel of the human hand. It contains tendons of the flexor digitorum superficialis and the flexor digitorum profundus, but not the flexor pollicis longus. The sheath which surrounds the flexor digitorum extends downward about halfway along the metacarpal bones, where it ends in blind diverticula around the tendons to the index, middle, and ring finger The ring finger, third finger, fourth finger, leech finger, or annulary is the fourth digit of the human hand, located between the middle finger and the little finger. Sometimes the term ring finger only refers to the fourth digit of a left-han ...s. It is prolonged on the tendons to the little finger and usually communicates with the mucous sheath of these tendons. References File:Slide11AAAA.JPG, flexor tendon sinovial sheath of hand File:Slide5BBBB.JPG, flexor tendon sinovial sheath of hand File:Slide8HHHH.JPG, flexor ...
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Synovial Sheath
A synovial sheath is one of the two membranes of a tendon sheath which covers a tendon. The other membrane is the outer fibrous tendon sheath. The tendon invaginates the synovial sheath from one side so that the tendon is suspended from the membrane by the mesotendon, through which the blood vessels reach the tendon, in places where the range of movement is extensive. The mesotendon disappears or remains in the form of narrow tendinous bands as threads known as vincula tendina. The synovial sheath is found where the tendon passes under ligaments and through osseofibrous tunnels; their function is to reduce friction between the tendon and their surrounding structure. An example is the common synovial sheath for the flexor tendons of the hand. See also * Synovial membrane The synovial membrane (also known as the synovial stratum, synovium or stratum synoviale) is a specialized connective tissue that lines the inner surface of capsules of synovial joints and tendon sheath. It ma ...
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Carpal Tunnel
In the human body, the carpal tunnel or carpal canal is the passageway on the palmar side of the wrist that connects the forearm to the hand. The tunnel is bounded by the bones of the wrist and flexor retinaculum from connective tissue. Normally several tendons from the flexor group of forearm muscles and the median nerve pass through it. There are described cases of variable median artery occurrence. When any of the nine long flexor tendons passing through the narrow carpal canal swell or degenerate, the narrowing of the canal may result in the median nerve becoming entrapped or compressed, a common medical condition known as carpal tunnel syndrome (CTS). Structure The carpal bones that make up the wrist form an arch which is convex on the dorsal side of the hand and concave on the palmar side. The groove on the palmar side, the ''sulcus carpi'', is covered by the flexor retinaculum, a sheath of tough connective tissue, thus forming the carpal tunnel. On the side of the ...
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Flexor Digitorum Superficialis
Flexor digitorum superficialis (''flexor digitorum sublimis'') is an extrinsic flexor muscle of the fingers at the proximal interphalangeal joints. It is in the anterior compartment of the forearm. It is sometimes considered to be the deepest part of the superficial layer of this compartment, and sometimes considered to be a distinct, "intermediate layer" of this compartment. It is relatively common for the Flexor digitorum superficialis to be missing from the little finger, bilaterally and unilaterally, which can cause problems when diagnosing a little finger injury. Structure The muscle has two classically described heads – the humeroulnar and radial – and it is between these heads that the median nerve and ulnar artery pass. The ulnar collateral ligament of elbow joint gives its origin to part of this muscle. Four long tendons come off this muscle near the wrist and travel through the carpal tunnel formed by the flexor retinaculum. These tendons, along with those of fle ...
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Flexor Digitorum Profundus
The flexor digitorum profundus is a muscle in the forearm of humans that flexes the fingers (also known as digits). It is considered an extrinsic hand muscle because it acts on the hand while its muscle belly is located in the forearm. Together the flexor pollicis longus, pronator quadratus, and flexor digitorum profundus form the deep layer of ventral forearm muscles.Platzer 2004, p 162 The muscle is named . Structure Flexor digitorum profundus originates in the upper 3/4 of the anterior and medial surfaces of the ulna, interosseous membrane and deep fascia of the forearm. The muscle fans out into four tendons (one to each of the second to fifth fingers) to the palmar base of the distal phalanx. Along with the flexor digitorum superficialis, it has long tendons that run down the arm and through the carpal tunnel and attach to the palmar side of the phalanges of the fingers. Flexor digitorum profundus lies deep to the superficialis, but it attaches more distally. Therefore, ...
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Flexor Pollicis Longus
The flexor pollicis longus (; FPL, Latin ''flexor'', bender; ''pollicis'', of the thumb; ''longus'', long) is a muscle in the forearm and hand that flexes the thumb. It lies in the same plane as the flexor digitorum profundus. This muscle is unique to humans, being either rudimentary or absent in other primates. A meta-analysis indicated accessory flexor pollicis longus is present in around 48% of the population. Human anatomy Origin and insertion It arises from the grooved anterior (side of palm) surface of the body of the radius, extending from immediately below the radial tuberosity and oblique line to within a short distance of the pronator quadratus muscle.Gray 1918, ''Flexor Pollicis Longus'', paras 20, 25 An occasionally present accessory long head of the flexor pollicis longus muscle is called 'Gantzer's muscle'. It may cause compression of the anterior interosseous nerve. It arises also from the adjacent part of the interosseous membrane of the forearm, and generally ...
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Metacarpal Bones
In human anatomy, the metacarpal bones or metacarpus form the intermediate part of the skeletal hand located between the phalanges of the fingers and the carpal bones of the wrist, which forms the connection to the forearm. The metacarpal bones are analogous to the metatarsal bones in the foot. Structure The metacarpals form a transverse arch to which the rigid row of distal carpal bones are fixed. The peripheral metacarpals (those of the thumb and little finger) form the sides of the cup of the palmar gutter and as they are brought together they deepen this concavity. The index metacarpal is the most firmly fixed, while the thumb metacarpal articulates with the trapezium and acts independently from the others. The middle metacarpals are tightly united to the carpus by intrinsic interlocking bone elements at their bases. The ring metacarpal is somewhat more mobile while the fifth metacarpal is semi-independent.Tubiana ''et al'' 1998, p 11 Each metacarpal bone consists of a bod ...
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Index Finger
The index finger (also referred to as forefinger, first finger, second finger, pointer finger, trigger finger, digitus secundus, digitus II, and many other terms) is the second digit of a human hand. It is located between the thumb and the middle finger. It is usually the most dextrous and sensitive digit of the hand, though not the longest. It is shorter than the middle finger, and may be shorter or longer than the ring finger (see digit ratio). Anatomy "Index finger" literally means "pointing finger", from the same Latin source as '' indicate;'' its anatomical names are "index finger" and "second digit". The index finger has three phalanges. It does not contain any muscles, but is controlled by muscles in the hand by attachments of tendons to the bones. Uses A lone index finger held vertically is often used to represent the number 1 (but finger counting differs across cultures), or when held up or moved side to side (finger-wagging), it can be an admonitory gesture. Wit ...
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Middle Finger
The middle finger, long finger, second finger, third finger, toll finger or tall man is the third digit of the human hand, located between the index finger and the ring finger. It is typically the longest digit. In anatomy, it is also called ''the third finger'', ''digitus medius'', ''digitus tertius'' or ''digitus III''. In Western countries, The finger, extending the middle finger (either by itself, or along with the index finger The index finger (also referred to as forefinger, first finger, second finger, pointer finger, trigger finger, digitus secundus, digitus II, and many other terms) is the second digit of a human hand. It is located between the thumb and the mid ... in the United Kingdom: see V sign) is an offensive and obscene gesture, widely recognized as a form of insult, due to its resemblance of an Erection, erect penis, It is known, colloquially, as "flipping the bird", "flipping (someone) off", or "giving (someone) the finger". The middle finger is ofte ...
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Ring Finger
The ring finger, third finger, fourth finger, leech finger, or annulary is the fourth digit of the human hand, located between the middle finger and the little finger. Sometimes the term ring finger only refers to the fourth digit of a left-hand, so named for its traditional association with wedding rings in many societies, although not all use this digit as the ring finger. Traditionally, a wedding ring was worn only by the bride or wife, but in recent times more men also wear a wedding ring. It is also the custom in some societies to wear an engagement ring on the ring finger. In anatomy, the ring finger is called ''digitus medicinalis'', ''the fourth digit'', ''digitus annularis'', ''digitus quartus'', or ''digitus IV''. In Latin, the word ''anulus'' means "ring", ''digitus'' means "digit", and ''quartus'' means "fourth". Etymology The origin of the selection of the fourth digit as the ring finger is not definitively known. According to László A. Magyar, the names of the ...
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