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The palmaris longus is a muscle visible as a small tendon located between the flexor carpi radialis and the flexor carpi ulnaris, although it is not always present.Reviews report rates of absence in the general population ranging from 10–20%; however, the rate varies in different ethnic groups.
The extrinsic muscle groups are the long flexors and extensors. They are called extrinsic because the muscle belly is located on the forearm. The intrinsic group are the smaller muscles located within the hand itself. The muscles of the hand are innervated by the radial, median, and ulnar nerves from the brachial plexus. [1]
These three muscles act as flexors at the elbow joint. [5] The extensor carpi radialis brevis and longus are both weak flexors at the elbow joint. Brevis moves the arm from ulnar abduction to its mid-position and flexes dorsally. Longus is a weak pronator in the flexed arm and a supinator in the outstretched arm.
The palmaris is a popular source of tendon material for grafts and this has prompted studies which have shown the absence of the palmaris does not have any appreciable effect on grip strength. [ 61 ] The levator claviculae muscle in the posterior triangle of the neck is a supernumerary muscle present in only 2–3% of all people [ 62 ] but ...
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 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. [5]
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There does not appear to be a definitive source counting all skeletal muscles. Different sources group muscles differently, regarding physical features as different parts of a single muscle or as several muscles. There are also vestigial muscles that are present in some people but absent in others, such as the palmaris longus muscle.