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Deep fascia (or investing fascia) is a fascia, a layer of dense connective tissue that can surround individual muscles and groups of muscles to separate into fascial compartments. This fibrous connective tissue interpenetrates and surrounds the muscles, bones, nerves, and blood vessels of the body.
It is considered an extrinsic hand muscle because it acts on the hand while its muscle belly is located in the forearm. Together the flexor pollicis longus, pronator quadratus, and flexor digitorum profundus form the deep layer of ventral forearm muscles. [2] The muscle is named from Latin ' deep bender of the fingers '.
The extensor retinaculum (dorsal carpal ligament, or posterior annular ligament) is a thickened portion of the antebrachial fascia that holds the tendons of the extensor muscles in place. [1] It is located on the back of the forearm , just proximal to the hand . [ 2 ]
The flexor retinaculum is a strong, fibrous band that covers the carpal bones on the palmar side of the hand near the wrist. It attaches to the bones near the radius and ulna. On the ulnar side, the flexor retinaculum attaches to the pisiform bone and the hook of the hamate bone.
The lateral and medial portions of the palmar aponeurosis are thin, fibrous layers, which cover, on the radial side, the muscles of the ball of the thumb, and, on the ulnar side, the muscles of the little finger; they are continuous with the central portion and with the fascia on the dorsum of the hand.
The lateral intermuscular septum extends from the lower part of the crest of the greater tubercle of the humerus, along the lateral supracondylar ridge, to the lateral epicondyle; it is blended with the tendon of the deltoid muscle, gives attachment to the triceps brachii behind, and to the brachialis, brachioradialis, and extensor carpi radialis longus muscles in front.
Deep fascia was originally considered to be essentially avascular but later investigations have confirmed a rich presence of thin blood vessels. [20] Deep fascia is also richly supplied with sensory receptors. [21] Examples of deep fascia are fascia lata, fascia cruris, brachial fascia, plantar fascia, thoracolumbar fascia and Buck's fascia.
The antebrachial fascia (antibrachial fascia or deep fascia of forearm) continuous above with the brachial fascia, is a dense, membranous investment, which forms a general sheath for the muscles in this region; it is attached, behind, to the olecranon and dorsal border of the ulna, and gives off from its deep surface numerous intermuscular septa, which enclose each muscle separately.