UPPER LIMBMuscle
Muscles of thenar eminence
Abductor pollicis brevis (Fig. 9.20)
Flexor pollicis brevis
Opponens pollicisAdductor of thumb
Adductor pollicisMuscle of medial side of palm
Palmaris brevis
Muscles of hypothenar eminences
Abductor digiti minimi
Flexor digiti minimi
Opponens digiti minimiLumbricals (Fi9.9.21)
Lumbricals (4)Palmar interossei
Palmar (a) (Fig.9.2ab)Dorsal interossei
Dorsal (4) (Figs 9.23 and9.24a)Table 9.6: Nenie supply and actions of smafi muscles of the hand
Nerve supplyMedian nerve
Median nerve
Median nerveDeep branch of ulnar nerue which
ends in this muscleSuperficial branch of ulnar nerveDeep branch of ulnar nerve
Deep branch of ulnar nerve
Deep branch of ulnar nerveFirst and second, i.e. lateral two by
median nerve; third and fourth by
deep branch of ulnar nerveDeep branch of ulnar nerveDeep branch of ulnar nerveActionsAbduction of thumb
Flexes metacarpophalangeal joint of thumb
Pulls thumb medially and forward across palm
(opposes thumb towards the fingers)Adduction of thumbWrinkles skin to improve grip of palmAbducts little finger
Flexes little finger
Pulls fifth metacarpal fonivard as in cupping the
palmFlex metacarpophalangeal joints, extend
interphalangeal joints of 2nd-Sth digitsPalmar interossei adduct fingers towards centre
of third digit or middle fingerDorsal interossei abduct fingers from centre of third
digit. Both palmar and dorsal interossei flex the
metacarpophalangeal joints and extend the
interphalangeal joints.Gt Pam
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a
Fig. 9.26: The planes of movements of the thumbthe lateral side, the arch is completed by superficial
palmar branch of radial artery (Fig.9.32).ffefsfsosls
The superficial palmar arch lies deep to the palmaris
Fig.9.25: The planes of movements of the fingers brevis and the palmar aponeurosis. It crosses the palm