Palmar Aponeurosis
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Palmar Aponeurosis
The palmar aponeurosis (palmar fascia) invests the muscles of the palm, and consists of central, lateral, and medial portions. Structure The central portion occupies the middle of the palm, is triangular in shape, and of great strength Its apex is continuous with the lower margin of the transverse carpal ligament, and receives the expanded tendon of the palmaris longus. Its base divides below into four slips, one for each finger. Each slip gives off superficial fibers to the skin of the palm and finger, those to the palm joining the skin at the furrow corresponding to the metacarpophalangeal articulations, and those to the fingers passing into the skin at the transverse fold at the bases of the fingers. The deeper part of each slip subdivides into two processes, which are inserted into the fibrous sheaths of the flexor tendons. From the sides of these processes offsets are attached to the transverse metacarpal ligament. By this arrangement short channels are formed on the front ...
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Deep Fascia
Deep fascia (or investing fascia) is a fascia, a layer of dense connective tissue that can surround individual muscles and groups of muscles to separate into fascial compartments. This fibrous connective tissue interpenetrates and surrounds the muscles, bones, nerves, and blood vessels of the body. It provides connection and communication in the form of aponeuroses, ligaments, tendons, retinacula, joint capsules, and septa. The deep fasciae envelop all bone (periosteum and endosteum); cartilage (perichondrium), and blood vessels (tunica externa) and become specialized in muscles (epimysium, perimysium, and endomysium) and nerves (epineurium, perineurium, and endoneurium). The high density of collagen fibers gives the deep fascia its strength and integrity. The amount of elastin fiber determines how much extensibility and resilience it will have. Examples Examples include: * Fascia lata * Deep fascia of leg * Brachial fascia * Buck's fascia Fascial dynamics Deep fascia is l ...
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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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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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Metacarpophalangeal
The metacarpophalangeal joints (MCP) are situated between the metacarpal bones and the proximal phalanges of the fingers. These joints are of the condyloid kind, formed by the reception of the rounded heads of the metacarpal bones into shallow cavities on the proximal ends of the proximal phalanges. Being condyloid, they allow the movements of flexion, extension, abduction, adduction and circumduction at the joint. Structure Ligaments Each joint has: * palmar ligaments of metacarpophalangeal articulations * collateral ligaments of metacarpophalangeal articulations Dorsal surfaces The dorsal surfaces of these joints are covered by the expansions of the Extensor tendons, together with some loose areolar tissue which connects the deep surfaces of the tendons to the bones. Function The movements which occur in these joints are flexion, extension, adduction, abduction, and circumduction; the movements of abduction and adduction are very limited, and cannot be performed while th ...
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Transverse Metacarpal Ligament (other)
Transverse metacarpal ligament can refer to: * Deep transverse metacarpal ligament The deep transverse metacarpal ligament (also called the deep transverse palmar ligament) is a narrow fibrous band which runs across the palmar surfaces of the heads of the second, third, fourth and fifth metacarpal bones, connecting them together ... * Superficial transverse metacarpal ligament {{disambig ...
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Lumbricals Of The Hand
The lumbricals are intrinsic muscles of the hand that flex the metacarpophalangeal joints, and extend the interphalangeal joints. p. 97 The lumbrical muscles of the foot also have a similar action, though they are of less clinical concern. Structure The lumbricals are four, small, worm-like muscles on each hand. These muscles are unusual in that they do not attach to bone. Instead, they attach proximally to the tendons of flexor digitorum profundus, and distally to the extensor expansions. The first and second lumbricals are unipennate, while the third and fourth lumbricals are bipennate. Nerve supply The first and second lumbricals (the most radial two) are innervated by the median nerve. The third and fourth lumbricals (most ulnar two) are innervated by the deep branch of ulnar nerve. This is the usual innervation of the lumbricals (occurring in 60% of individuals). However 1:3 (median:ulnar - 20% of individuals) and 3:1 (median:ulnar - 20% of individuals) also exist ...
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Palmaris Brevis
Palmaris brevis muscle is a thin, quadrilateral muscle, placed beneath the integument of the ulnar side of the hand. It acts to fold the skin of the hypothenar eminence transversally. Structure Origin and insertion Palmaris brevis muscle is located on the ulnar side of the hand. It arises from the tendinous fasciculi from the transverse carpal ligament and palmar aponeurosis. The muscle fibres are inserted into the skin on the ulnar border of the palm of the hand, and occasionally on the pisiform bone. Innervation Palmaris brevis muscle is the only muscle innervated by the superficial branch of the ulnar nerve (C8, T1). Blood supply Palmaris brevis muscle is supplied by the palmar metacarpal artery of the deep palmar arch. Discovery The first recorded observation of the muscle is by Italian anatomist Giambattista Canano sometime before 1543. The muscle was independently discovered a few years later by Realdo Colombo before being pushed to general acceptance in the works o ...
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Superficial Volar Arch
The superficial palmar arch is formed predominantly by the ulnar artery, with a contribution from the superficial palmar branch of the radial artery. However, in some individuals the contribution from the radial artery might be absent, and instead anastomoses with either the princeps pollicis artery, the radialis indicis artery, or the median artery, the former two of which are branches from the radial artery. Alternative names for this arterial arch are: superficial volar arch, superficial ulnar arch, arcus palmaris superficialis, or arcus volaris superficialis.Again, ''palmar'' and ''volar'' may be used synonymously, but ''arcus volaris superficialis'' does not occur in the TA, and can therefore be considered deprecated. The arch passes across the palm in a curve (Boeckel's line) with its convexity downward, If one were to fully extend the thumb, the superficial palmar arch would lie approximately 1 cm distal from a line drawn between the first web space to the Hook of Ha ...
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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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Little Finger
The little finger, or pinkie, also known as the baby finger, fifth digit, or pinky finger, is the most ulnar and smallest digit of the human hand, and next to the ring finger. Etymology The word "pinkie" is derived from the Dutch word ''pink'', meaning "little finger". The earliest recorded use of the term "pinkie" is from Scotland in 1808. The term (sometimes spelled "pinky") is common in Scottish English and American English, and is also used extensively in other Commonwealth countries such as New Zealand, Canada, and Australia. Nerves and muscles The little finger is nearly impossible for most people to bend independently (without also bending the ring finger), due to the nerves for each digit being intertwined. There are also nine muscles that control the fifth digit: Three in the hypothenar eminence, two extrinsic flexors, two extrinsic extensors, and two more intrinsic muscles: * Hypothenar eminence: ** Opponens digiti minimi muscle ** Abductor minimi digiti muscle (a ...
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Dorsum (anatomy)
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and anatomical axes. The meaning of terms that are used can change depending on whether an organism is bipedal or quadrupedal. Additionally, for some animals such as invertebrates, some terms may not have any meaning at all; for example, an animal that is radially symmetrical will have no anterior surface, but can still have a description that a part is close to the middle ("proximal") or further from the middle ("distal"). International organisations have determined vocabularies that are often used as standard vocabularies for subdisciplines of anatom ...
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