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The palmar plate moves in three phases during joint flexion. First, it slides back toward the hand. Next, it is lifted away from the proximal phalanx by the A3 pulley. Last, a lip on the middle phalanx rolls into a recess on the plate. If the A3 pulley is not intact, the normal three phases of motion do not occur and instead the plate crumples. [7]
The collateral ligaments originate on depressions on each side of the metacarpal heads dorsal to axis of rotation. From there, they extend obliquely and distally to their insertions onto tubercles at the base of the proximal phalanx. The accessory collateral ligaments originate volar to the collateral ligaments and are inserted on the palmar ...
The metacarpophalangeal joints (MCP) are situated between the metacarpal bones and the proximal phalanges of the fingers. [1] These joints are of the condyloid kind, formed by the reception of the rounded heads of the metacarpal bones into shallow cavities on the proximal ends of the proximal phalanges. [1]
The metacarpal bones are connected together by dorsal, palmar, and interosseous ligaments. The dorsal metacarpal ligaments (ligamenta metacarpalia dorsalia) and palmar metacarpal ligaments (ligamenta metacarpalia palmaria) pass transversely from one bone to another on the dorsal and palmar surfaces.
Palmar aspect. Palmar ligament labelled as volar ligament. The palmar ligament is thinner and more flexible in its central-proximal part. On both sides it is reinforced by the so-called check rein ligaments. The accessory collateral ligaments (ACL) originate at the proximal phalanx and are inserted distally at the base of the middle phalanx ...
The palmar surface is narrow, rounded, and rough, for the attachment of ligaments and a part of the adductor pollicis muscle. [1] The lateral surface articulates with the lesser multangular by a small facet at its anterior inferior angle, behind which is a rough depression for the attachment of an interosseous ligament.
The palmar interosseous muscles adduct the fingers towards the middle finger. This is in contrast to the dorsal interossei , which abduct the fingers away from the middle finger. In addition (like dorsal interossei ) they flex the finger at the metacarpo-phalangeal joint and extend the finger at the interphalangeal joint and thus assist the ...
As the fingers are being flexed, palmar cupping is contributed to by muscles crossing the carpometacarpal joints when they act on the mobile parts of the palmar arch system. The oblique opponens digiti minimi muscle of hand acts on the fifth carpometacarpal joint and is the only muscle that act on the carpometacarpal joints alone.