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In human anatomy, the annular ligaments of the fingers, often referred to as A pulleys, are the annular part of the fibrous sheathes of the fingers.Four or five such annular pulleys, together with three cruciate pulleys, form a fibro-osseous tunnel on the palmar aspect of the hand through which passes the deep and superficial flexor tendons.
These tendons, along with those of flexor digitorum profundus, are enclosed by a common flexor sheath. The tendons attach to the anterior margins on the bases of the intermediate phalanges of the four fingers. These tendons have a split (Camper's Chiasm) at the end of them through which the tendons of flexor digitorum profundus pass.
Joints of the hand, X-ray Interphalangeal ligaments and phalanges. Right hand. Deep dissection. Posterior (dorsal) view. The PIP joint exhibits great lateral stability. Its transverse diameter is greater than its antero-posterior diameter and its thick collateral ligaments are tight in all positions during flexion, contrary to those in the metacarpophalangeal joint.
The sheath which surrounds the flexor digitorum extends downward about halfway along the metacarpal bones, where it ends in blind diverticula around the tendons to the index, middle, and ring fingers. It is prolonged on the tendons to the little finger and usually communicates with the synovial sheath of these tendons.
The tendon to the index finger is accompanied by the tendon of extensor indicis, which lies on its ulnar side. On the back of the hand, the tendons to the middle, ring, and little fingers are connected by two obliquely placed bands, one from the third tendon passing inferior and laterally to the second tendon, and the other passing from the ...
Flexor digitorum profundus lies deep to the superficialis, but it attaches more distally. Therefore, profundus's tendons go through the tendons of superficialis, and end up attaching to the distal phalanx. For this reason profundus is also called the perforating muscle. [2] The lumbricals of the hand arise from the radial side of its tendons. [2]
The abductor brings the thumb away from the other four fingers. The flexor pollicis brevis, which lies next to the abductor, will flex the thumb, curling it up in the palm. The opponens pollicis lies deep to abductor pollicis brevis. As its name suggests, it opposes the thumb, bringing it against the fingers.
It passes posteriorly along the radial side of the middle finger and inserts on the extensor expansion near the metacarpophalangeal joint. Third: bipennate: One head originates on the radial side of the flexor digitorum profundus tendon corresponding to the ring finger, while the other originates on the ulnar side of the tendon for the middle ...