Flexor Retinaculum

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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.

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