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The third and fourth lumbricals (most ulnar two) are innervated by the deep branch of ulnar nerve. [5] This is the usual innervation of the lumbricals (occurring in 60% of individuals). However 1:3 (median:ulnar - 20% of individuals) and 3:1 (median:ulnar - 20% of individuals) also exist.
The palmar interossei, together with the dorsal interossei and the lumbricals, are active components of the finger's extensor mechanism. Fibers from some of the interossei contribute directly to the extensor hoods that wrap around the proximal phalanges, while other fibers may contribute to the central tendon and lateral bands of the mechanism.
The median nerve innervates the flexors of the wrist and digits, the abductors and opponens of the thumb, the first and second lumbricals. The ulnar nerve innervates the remaining intrinsic muscles of the hand. [3] [4] All muscles of the hand are innervated by the brachial plexus (C5–T1) and can be classified by innervation: [1] [4] [5]
The nerve is the largest in the human body unprotected by muscle or bone, so injury is common. [1] This nerve is directly connected to the little finger , and the adjacent half of the ring finger , innervating the palmar aspect of these fingers, including both front and back of the tips , perhaps as far back as the fingernail beds .
4 Dorsal interossei - Abduct the digits away from the 3rd digit (away from axial line) and are bipennate. 3 Palmar interossei - Adduct the digits towards the 3rd digit (towards the axial line) and are unipennate. This is often remembered by the mnemonic PAD-DAB, as the Palmar interosseous muscles ADduct, and the Dorsal interosseous muscles ...
In a Cannieu-Riche anastomosis, fibers from the deep palmar branch of the ulnar nerve innervate the opponens pollicis and/or abductor pollicis brevis. Regardless of their final innervation, the nerves that reach the thenar muscles arise from the C8 and T1 roots, pass through the lower trunk of the plexus, and then through the medial cord of the ...
As it crosses the deep part of the hand, it innervates all the interosseous muscles and the third and fourth lumbricals. It ends by innervating the adductor pollicis and the medial (deep) head of the flexor pollicis brevis. It also sends articular filaments to the wrist-joint (following Hilton's law)
They are called extrinsic because the muscle belly is located on the forearm. The intrinsic muscle groups are the thenar and hypothenar muscles (thenar referring to the thumb, hypothenar to the small finger), the interossei muscles (between the metacarpal bones, four dorsally and three volarly) and the lumbrical muscles.