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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.
It contains tendons of the flexor digitorum superficialis and the flexor digitorum profundus, but not the flexor pollicis longus. [2] The sheath which surrounds the flexor digitorum extends downward about halfway along the metacarpal bones, where it ends in blind diverticula around the tendons to the index, middle, and ring fingers.
Joints of the hand, X-ray Interphalangeal ligaments and phalanges. Right hand. Deep dissection. Posterior (dorsal) view. The PIP joint exhibits great lateral stability. Its transverse diameter is greater than its antero-posterior diameter and its thick collateral ligaments are tight in all positions during flexion, contrary to those in the metacarpophalangeal joint.
It passes posteriorly along the radial side of the middle finger and inserts on the extensor expansion near the metacarpophalangeal joint. Third: bipennate: One head originates on the radial side of the flexor digitorum profundus tendon corresponding to the ring finger, while the other originates on the ulnar side of the tendon for the middle ...
The vincula brevia (short), which are two in number in each finger, and consist of triangular bands of fibers, one connecting the tendon of the flexor digitorum superficialis to the front of the first interphalangeal joint and head of the first phalanx, and the other the tendon of the flexor digitorum profundus to the front of the second ...
These tendons, along with those of flexor digitorum profundus, are enclosed by a common flexor sheath. The tendons attach to the anterior margins on the bases of the intermediate phalanges of the four fingers. These tendons have a split (Camper's Chiasm) at the end of them through which the tendons of flexor digitorum profundus pass.
Opposite the head of the second metacarpal bone, it joins the ulnar side of the tendon of the extensor digitorum which belongs to the index finger. Like the extensor digiti minimi (i.e. the extensor of the little finger), the tendon of the extensor indicis runs and inserts on the ulnar side of the tendon of the common extensor digitorum. [2]
Flexor digitorum profundus lies deep to the superficialis, but it attaches more distally. Therefore, profundus's tendons go through the tendons of superficialis, and end up attaching to the distal phalanx. For this reason profundus is also called the perforating muscle. [2] The lumbricals of the hand arise from the radial side of its tendons. [2]