The flexor retinaculum is a fibrous band that bridges the carpal bones in the wrist, forming the carpal tunnel. It attaches medially to the pisiform and hook of hamate bones and laterally to the tubercle of the scaphoid and crest of the trapezium bones. The median nerve and tendons of the flexor digitorum profundus pass deep to the retinaculum. The thenar muscles that control thumb movement include the abductor pollicis brevis, flexor pollicis brevis, and opponens pollicis. The hypothenar muscles that control little finger movement are the palmaris brevis, abductor digit
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The flexor retinaculum is a fibrous band that bridges the carpal bones in the wrist, forming the carpal tunnel. It attaches medially to the pisiform and hook of hamate bones and laterally to the tubercle of the scaphoid and crest of the trapezium bones. The median nerve and tendons of the flexor digitorum profundus pass deep to the retinaculum. The thenar muscles that control thumb movement include the abductor pollicis brevis, flexor pollicis brevis, and opponens pollicis. The hypothenar muscles that control little finger movement are the palmaris brevis, abductor digit
The flexor retinaculum is a fibrous band that bridges the carpal bones in the wrist, forming the carpal tunnel. It attaches medially to the pisiform and hook of hamate bones and laterally to the tubercle of the scaphoid and crest of the trapezium bones. The median nerve and tendons of the flexor digitorum profundus pass deep to the retinaculum. The thenar muscles that control thumb movement include the abductor pollicis brevis, flexor pollicis brevis, and opponens pollicis. The hypothenar muscles that control little finger movement are the palmaris brevis, abductor digit
Copyright:
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Download as PPT, PDF, TXT or read online from Scribd
The flexor retinaculum is a fibrous band that bridges the carpal bones in the wrist, forming the carpal tunnel. It attaches medially to the pisiform and hook of hamate bones and laterally to the tubercle of the scaphoid and crest of the trapezium bones. The median nerve and tendons of the flexor digitorum profundus pass deep to the retinaculum. The thenar muscles that control thumb movement include the abductor pollicis brevis, flexor pollicis brevis, and opponens pollicis. The hypothenar muscles that control little finger movement are the palmaris brevis, abductor digit
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Flexor Retinaculum
It’s a Fibrous band bridging the
anterior concavity of the carpas, forming a tunnel called Carpal tunnel. Attachments Medial = Pisiform, Hook of Hamate Lateral = Tub. Of Scaphoid, Crest of Trapezium Flexor Retinaculum Relations of Flexor Retinaculum Superficial Tendon of palmaris longus, palmar cutaneous branches of median & ulnar nerves, ulnar nerve & ulnar vessels Deep Median nerve, tendons of flexor digitorum, flexor digitorum profundus, flexor pollicis longus, ulnar & radial bursa Carpal tunnel bones Tub. Of Scaphoid, Crest of Trapezium, Pisiform & Hook of Hamate. Carpal tunnel Thenar muscles The following three muscles are considered part of the thenar eminence: Abductor Pollicis Brevis abducts the thumb. This muscle is the most proximal of the thenar group. Flexor Pollicis Brevis, which lies next to the abductor, will flex the thumb, curling it up in the palm. Opponens Pollicis lies deep to abductor pollicis brevis. It opposes the thumb, bringing it against the fingers. This is a very important movement, as most of our dexterity comes from this action. Thenar muscles Abductor Pollicis Brevis Origin = Tub. Of Scaphoid, Crest of Trapezium, Flexor retinaculum Insertion = Lat. Side of base of proximal phalanx of the thumb Nerve supply = Median nerve (C8,T1) Action = Abduction of thumb Thenar muscles Flexor Pollicis Brevis O = Crest of Trapezium, Flexor retinaculum (Superficial head) Trapezoid & Capitate (Deep head) I = Lat. Side of base of proximal phalanx of the thumb N.S = Median nerve Act. = Flexion of thumb Thenar muscles Opponens Pollicis O = Crest of Trapezium, Flexor retinaculum I = Lat. Half of the palmar surface of the 1st metacarpal bone N.S = Median nerve (C8,T1) Act. = Opposition of thumb Hypothenar muscles Hypothenar refers to a group of 4 muscles of the palm that control the motion of the little finger. The 4 muscles are: Palmaris Brevis, Abductor Digiti Minimi, Flexor Digiti Minimi, Opponens Digiti Minimi Hypothenar muscles Palmaris Brevis Origin = flexor retinaculum & palmar aponeurosis Insertion = Skin along medial border of the hand Nerve supply = Ulnar nerve (C8,T1) Action = Gripping Hypothenar muscles Abductor Digiti Minimi O = Pisiform, tendon of flexor carpi ulnaris, pisohamate ligament I = Ulnar side of base of proximal phalanx of little finger N.S = Ulnar nerve (C8,T1) Act. = Abduction of little finger Hypothenar muscles Flexor Digiti Minimi O = Hook of Hamate, Flexor retinaculum I = Ulnar side of base of proximal phalanx of little finger N.S = Ulnar nerve (C8,T1) Act. = Flexion of little finger Hypothenar muscles Opponens Digiti Minimi O = Hook of Hamate, Flexor retinaculum I = Medial surface of shaft of 5th metacarpal bone N.S = Ulnar nerve (C8,T1) Act. = Flexion lateral rotation of 5th metacarpal Carpal Tunnel Syndrome Carpal Tunnel Syndrome (CTS), or median neuropathy at the wrist, is a medical condition in which the median nerve is compressed at the wrist, leading to paresthesias, numbness and muscle weakness in the hand.