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This sumarry is only for the muscles of the (slides: 14-33) please refer to the first 13 slide when studying.

For The innervation of these muscles its easier to memorize them from the last paragraph in the last page

Muscle Origin Insertion Action Image

1st and 2nd, Flexmetacarpoph (lateral two) alangeal (MP) Extensor of flexor ; joints & extend Lumbricals expansion of Digitorum 3rd and 4th interphalangeal (4 muscles) medial four profundus medial deep (IP) joints of branch of ulnar fingers except nerve

-First arises from Proximal base of 1st phalanges of metacarpal thumb and index, Palmar adduct fingers - remaining three ring, and little Deep branch of Interossei toward center of from anterior fingers and (4 muscles) third surface of shafts dorsal extensor of 2nd, 4th, and expansion of 5th metacarpals each finger . Proximal phalanges of index, middle, and ring fingers Contiguous sides abduct fingers Dorsal Interossei and dorsal Deep branch of of shafts of from center of (4 muscles) extensor ulnar nerve third finger expansion (1st:index\ 2nd,3rd:middle \ 4th:ring) Both palmar and dorsal: -Flex metacarpophalangeal joints -Extend interphalangeal joints

Simultaneous flexion at the metacarpophalangeal joints and extension at the interphalangeal joints of a digit are essential for the fine movements of writing, drawing, threading a needle, etc. The Lumbricals and interossei have long been accepted as not only primary agents in flexing the metacarpophalangeal joints but also in extending the interphalangeal joints via their attachments to the dorsal digital expansions Muscles of the Thumb

Abductor Pollicis Abduction of Median nerve Brevis thumb

Flexes Flexor Pollicis metacarpophalan Median nerve Brevis geal joint of thumb

Not required “read only” Just know that the insertion is in base of proximal phalanx Pulls thumb Opponens medially and Median nerve Pollicis forward across palm

Deep branch of Adduction of Adductor Pollicis ulnar nerve thumb

- The first three of these muscles form the .

Muscles of the

Abductor digiti Deep branch of Abducts little minimi ulnar nerve finger

Flexor digiti Deep branch of Flexes little finger minimi brevis ulnar nerve

Not required “read only” Refer to the slides if you are interested

Pulls 5th Opponens digiti Deep branch of metacarpal minimi ulnar nerve forward as in cupping the palm

Corrugates skin Superficial branch Palmaris Brevis to improve grip of of ulnar nerve palm

Together these muscles form

Movments of the thumb and the little finger:

Muscles innervation In total:- Median nerve Ulnar nerve

gives 5 muscles:- gives 15 muscles:-

-Superficial : one muscle (palmaris brevis) (thenar eminence (3 muscles) + 1st & 2nd lumbrical) -Deep : 14 muscle ( hypothenar eminence (3 muscles) \8 muscles the palmar and dorsal interossei,\ the 3rd and 4th lumbrical muscles, adductor pollicis muscle.

Done by Waseem Aldemeri, from Dr Amjad Shatarat’s slides