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TABLE 7.9 Fundamental Movements of the Wrist and Hand and the Muscles That Can Produce Them
Wrist
MP
PIP
DIP
CMC of thumb
Flexion
Exten-sion
Radial deviation
Ulnar
deviation
Flexion
Exten-sion
Abduc-
tion
Adduc-
tion Flexion
Exten-sion Flexion
Exten-sion Flexion
Exten-sion
Abduc-
tion
Adduc-
tion
Oppos-ition
Muscles of the wrist Flexor car
pi radialis
P
P
Flexor carpi ulnaris
P
P
Palmaris longus
P
Extensor carpi radialis longus
P
P
Extensor carpi radialis brevis
P
P
Extensor carpi ulnaris
P
P
Extrinsic muscles of the fingers and wrist Flexor digitorum profundus
S
P
P
Flexor digitorum superficialis
S
P
P
Extensor digitorum
S
P
P
P
Extensor indicis
S
P
P
P
Extensor digiti minimi
S
P
S
P
P
Intrinsic muscles of the fingers Lumbricals
P
P
P
Dorsal interossei
S
P
S
S
Palmar interossei
S
P
S
S
Abductor digiti minimi
S
P
Flexor digiti minimi brevis
P
Opponens digiti minimi
P
P
Extrinsic muscles of the thumb (pollex) Flexor pollicis longus
S
S
P
S
Extensor pollicis longus
S
S
P
P
P
Extensor pollicis brevis
S
P
P
S
Abductor pollicis longus
S
S
SP
Intrinsic muscles of the thumb (pollex) Flexor pollicis brevis
PS
Opponens pollicis
P
Adductor pollicis
P
Abductor pollicis brevis
PS
P = primary action(s) of muscle; S = secondary action(s) of muscle; MP = metacarpophalangeal joint; PIP = proximal interphalangeal joint (for thumb PIP equivalent to interphalangeal joint); DIP = distal interphalangeal joint; CMC = carpo-metacarpal joint of thumb.