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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]
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 intercarpal ligaments are fibrous bands that extend transversely across the palmar surfaces of the carpal bones, connecting adjacent carpals. These are the ligaments that define the structure of the ligamentous palmar arch .
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 ABduct. The axial line goes down the middle of the 3rd digit, towards the palm of the hand (it's an imaginary ...
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.
In human anatomy, the annular ligaments of the fingers, often referred to as A pulleys, are the annular part of the fibrous sheathes of the fingers. Four or five such annular pulleys, together with three cruciate pulleys , form a fibro-osseous tunnel on the palmar aspect of the hand through which passes the deep and superficial flexor tendons .
The lumbrical innervation always follows the innervation pattern of the associated muscle unit of flexor digitorum profundus (i.e. if the muscle units supplying the tendon to the middle finger are innervated by the median nerve, the second lumbrical will also be innervated by the median nerve).
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 ...