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It contains tendons of the flexor digitorum superficialis and the flexor digitorum profundus, but not the flexor pollicis longus. [ 2 ] 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 .
Its distal tendon ends in three slips that are inserted into the ulnopalmar margin of the proximal phalanx, the palmar plate of the metacarpophalangeal joint, and the sesamoid bone when present. Some fibers insert into the finger's dorsal aponeurosis, which is why the muscle acts similar to a dorsal interosseus muscle. [2]
In Dupuytren's contracture, the palmar fascia within the hand becomes abnormally thick, which can cause the fingers to curl and can impair finger function. The main function of the palmar fascia is to increase grip strength; thus, over time, Dupuytren's contracture decreases a person's ability to hold objects and use the hand in many different ...
Extensor compartments of wrist (back of hand) The fingers have two long flexors, located on the underside of the forearm. They insert by tendons to the phalanges of the fingers. The deep flexor attaches to the distal phalanx, and the superficial flexor attaches to the middle phalanx. The flexors allow for the actual bending of the fingers.
On the back of the hand, the ED tendons diverge to follow the fingers and the EI tendon joins the ulnar side of one of the ED tendons along the back of the index finger. The EDM takes a similar course as the EI except it follows the ED tendon along the little finger. The ECU crosses from the lateral to the medial side of the forearm.
The vincula brevia (short), which are two in number in each finger, and consist of triangular bands of fibers, one connecting the tendon of the flexor digitorum superficialis to the front of the first interphalangeal joint and head of the first phalanx, and the other the tendon of the flexor digitorum profundus to the front of the second ...
There are six separate synovial sheaths run beneath the extensor retinaculum: (1st) abductor pollicis longus and extensor pollicis brevis tendons, (2nd) extensor carpi radialis longus and brevis tendons, (3rd) extensor pollicis longus tendon, (4th) extensor digitorium communis and extensor indicis proprius tendons, (5th) extensor digiti minimi tendon and (6th) extensor carpi ulnaris tendon.
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]