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Hypothenar hammer syndrome (HHS) is a vascular occlusion in humans in the region of the ulna. It is caused by repetitive trauma to the hand or wrist (such as that caused by the use of a hammer) [ 2 ] by the vulnerable portion of the ulnar artery as it passes over the hamate bone , which may result in thrombosis , irregularity or aneurysm formation.
The abductor digiti minimi is the most variable hypothenar muscle, [4] and might be joined by accessory slips from the tendon of the flexor carpi ulnaris, the flexor retinaculum, the fascia of the distal forearm, or the tendon of the palmaris longus. Occasionally, the muscle is partially inserted onto the fifth metacarpal bone.
The muscles of hypothenar eminence are from medial to lateral: Opponens digiti minimi; Flexor digiti minimi brevis; Abductor digiti minimi; The intrinsic muscles of hand can be remembered using the mnemonic, "A OF A OF A" for, Abductor pollicis brevis, Opponens pollicis, Flexor pollicis brevis (the three thenar muscles), Adductor pollicis, and the three hypothenar muscles, Opponens digiti ...
The intrinsic muscle groups are the thenar and hypothenar (little finger) muscles; the interossei muscles (four dorsally and three volarly) originating between the metacarpal bones; and the lumbrical muscles arising from the deep flexor (and which are special because they have no bony origin) to insert on the dorsal extensor hood mechanism.
Palmar branch of ulnar nerve - arises from the middle part of the forearm and supplies the skin over the hypothenar eminence. [7] Dorsal branch of ulnar nerve - arises from 7.5 cm above the wrist, winds backwards to supply the skin of the proximal part of the ulnar one and half fingers and the adjoining area between the fingers. [6] [7]
According to the U.S. Food and Drug Administration (FDA), dogs receive a complete and balanced diet from the commercially processed dog food alone. Pet owners who give their dogs homemade diets may incorporate extra vitamins and supplements. Between approximately 10 and 30 percent of dogs in the United States receive nutritional supplements. [70]
Care One, sold at Food Lion, Giant, Stop & Shop and Hannaford stores, lemon and cherry flavors. Label for Care One Magnesium Citrate laxative Cariba, lemon flavor only.
The thenar eminence is the mound formed at the base of the thumb on the palm of the hand by the intrinsic group of muscles of the thumb. [1] The skin overlying this region is the area stimulated when trying to elicit a palmomental reflex. The word thenar comes from Ancient Greek θέναρ (thenar) 'palm of the hand'. [2]
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