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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]
Muscles of the upper limb (1 C, 70 P) N. Nerves of the upper limb (51 P) V. ... Palmar intercarpal ligaments; Pisiform joint; Posterior carpometacarpal ligament;
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 .
A palmar ligament is one of several ligaments in or near the palm of the hand: Palmar radiocarpal ligament; Palmar carpal ligament; Palmar plate
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). [6]
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.
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 line). Both sets of muscles are innervated by the deep branch of the ulnar nerve. [1]
The palmar radiocarpal ligament (anterior ligament, volar radiocarpal ligament) is a broad membranous band, attached above to the distal end of the radius, and passing downward to the scaphoid, lunate, triquetrum and capitate of the carpal bones in the wrist.