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MOINA of wrist &hand
Origin, Insertion, Nerve supply, Action of muscles of the wrist and hand
| MUSCLE | ORIGIN | INSERTION | NERVE | ACTION |
|---|---|---|---|---|
| Abductor pollicis brevis | Scaphoid ,trapezium, flexor retinaculum | Base of proximal phalanx of thumb | Median nerve (C8; T1) | Abduction of thumb |
| Flexor pollicis brevis | Flexor retinaculum | Base of proximal phalanx of thumb | Median nerve (C8;T1) | Flexes metacarpophalangeal joint of thumb |
| Opponens pollicis | Flexor retinaculum | Shaft of metacarpal bone of thumb | Median nerve (C8; T1) | Pulls thumb medially and forward across palm |
| Adductor pollicis | Oblique head; 2nd,3rd metacarpal bones Transverse head; 3rd metacarpal bone | Base of proximal phalanx of thumb | Deep branch of ulnar nerve (C8; T1) | Adduction of thumb |
| Abductor digiti minimi | Pisiform bone | Base of proximal phalanx of little finger | Deep branch of ulnar nerve (C8; T1) | Abducts little finger |
| Flexor digiti minimi | Flexor retinaculum | Base of proximal phalanx of little finger | Deep branch of ulnar nerve (C8; T1) | Flexes little finger |
| Opponens digiti minimi | Flexor retinaculum | Medial border 5th metacarpal bone | Deep branch of ulnar nerve (C8; T1) | Pulls 5th metacarpal forward as in cupping the palm |
| Palmaris brevis | Flexor retinaculum, palmar aponeurosis | Skin of palm | Superficial branch of ulnar nerve (C8; T1) | Corrugates skin to improve grip of palm |
| Palmar interossei (4) | Base of 1st metacarpal bone, remaining 3 from anterior shaft of 2nd, 4th, and 5th metacarpals | Proximal phalanges of thumb, index, ring finger; Dorsal extensor expansion of each finger | Deep branch of ulnar nerve (C8; T1) | Adducts dingers toward center of 3rd finger, flexes MCP joints and extends IP joints |
| Dorsal interossei (4) | Contiguous sides of shafts of metacarpal bones | Proximal phalanges of index, middle, ring finger; dorsal extensor expansion | Deep branch of ulnar nerve (C8; T1) | Abducts fingers from center of 3rd finger, Flexes MCP joints and extends IP joints |
| Lumbricals (4) | Tendons of flexor digitorum profundus | Extensor expansion of medial 4 fingers | 1st, 2nd, median nerve; 3rd, 4th , deep branch of ulnar nerve (C8; T1) | Flexes MCP joints, extends IP joints of fingers except thumb |