4. =Muscles of the Hand.=

A. BETWEEN THE TENDONS.--=Mm. lumbricales= (Fig. 88, _f_, _f′_).--Four

small muscles in the palm of the hand.

_Origin_ by fleshy fibres from the outer (palmar) surface of the tendon

common to the ulnar four parts of the profundus (_c′_).

_Insertion_ (_f′_).--The four slips are flat at their origin. Each

becomes cylindrical and curves about the base of one of the four ulnar

digits and is inserted into the radial side of the base of the first

phalanx close to its ventral border.

[Illustration: FIG. 89.--DEEP MUSCLES OF THE PALM OF THE HAND.

_a_, M. flexor brevis pollicis; _b_, M. adductor pollicis; _c_, M.

interosseus of second digit (M. flexor brevis digiti secundi); _d_, M.

adductor digiti secundi; _e_, M. interosseus of third digit; _f_, M.

interosseus of fourth digit; _g_, M. opponens digiti quinti; _h_, M.

interosseus of fifth digit (M. flexor brevis digiti quinti); _i_, M.

abductor digiti quinti. 1-5, the digits in order.]

_Action._--Bend the digits toward the radial side.

B. MUSCLES OF THE THUMB.--=M. abductor brevis pollicis= (Fig. 77, _w_)

(includes also the opponens pollicis of man).--A very minute, probably

rudimentary muscle.

_Origin_ from the transverse ligament (1) which connects the prominent

fibrous, hairless projection that lies over the pisiform bone with the

radial border of the head of the radius. The muscle passes radiodistad

and ends in a very slender tendon, the insertion of which is into the

base of the first phalanx of the thumb.

=M. flexor brevis pollicis= (Fig. 89, _a_).

_Origin_ by fleshy fibres from the adjacent borders of the os magnum and

scapholunar bones and from the fascia which bridges the intervening

groove for the flexor carpi radialis.

_Insertion_ by a short tendon into the base of the first phalanx of the

pollex.

_Action._--Flexor of the thumb.

=M. adductor pollicis= (Fig. 89, _b_).

_Origin_ by fleshy fibres from the ventral border of the os magnum. It

curves about the base of the first metacarpal on its ulnar side to its

insertion.

_Insertion_ by fleshy fibres into the base of the first phalanx of the

pollex on its ulnar side.

C. MUSCLES LYING BETWEEN THE METACARPALS.--=Mm. interossei= (Fig.

89).--Small stout muscles lying on the palmar surfaces of the

metacarpals of the second, third, fourth, and fifth digits.

_Origin_ by fleshy fibres from the ventral or lateral surfaces of the

bases of the metacarpals. Near the distal end of the metacarpal each

divides into two masses which pass onto the lateral surfaces of the

metacarpal, so as to leave the ventral surface of the distal end

exposed.

_Insertion_ partly onto the lateral surfaces of the base of the first

phalanx and its sesamoids, and partly by a slender tendon (Fig. 84, _h_)

which is continued dorsad to join the extensor tendon of the digit.

D. SPECIAL MUSCLES OF THE SECOND DIGIT (THE INDEX).--=M. flexor brevis

digiti secundi= (or indicis).--This name may be applied to M.

interosseus of the second digit (Fig. 89, _c_).

=M. abductor digiti secundi.=--This name might be applied to a portion

of the interosseus of the second digit which is sometimes differentiated

from the remainder.

_Origin_ from the radial and ventral surfaces of the base of the second

metacarpal, and from the ventral surface of the trapezium.

_Insertion_ into the radial side of the base of the first phalanx of the

second digit and into its sesamoid.

=M. adductor digiti secundi= (Fig. 89, _d_).

_Origin_ from the ventral surface of the os magnum.

_Insertion_ into the ulnar side of the base of the first phalanx of the

second digit.

E. SPECIAL MUSCLES OF THE FIFTH DIGIT.--=M. abductor digiti quinti=

(Fig. 89, _i_).--A thick, small, conical bundle.

_Origin_ from the distal surface of the pisiform bone and from the

transverse ligament on the ulnar side of the pisiform. It ends in a

slender tendon which runs along the ulnar side of the fifth metacarpal

to its

_Insertion_ into the ulnar side of the base of the first phalanx of the

fifth digit.

=M. flexor brevis digiti quinti= (Fig. 89, _h_; Fig. 88, _e_).--This

covers the ventral surface of the fifth metacarpal, and is really the

interosseus of this digit.

_Origin_ by fleshy fibres from the ventral surface of the base of the

fifth metacarpal; from the ventral process of the unciform bone, and

from the transverse ligament proximad of the fifth metacarpal.

_Insertion_ by fleshy fibres into the ventral border of the proximal end

of the first phalanx of the fifth digit.

=M. opponens (adductor) digiti quinti= (Fig. 89, _g_).

_Origin_ by a flat tendon from the ventral surface of the os magnum on

the ulnar side of the adductor pollicis (_b_). It passes toward the

ulnar side and distad, the fibres diverging to their

_Insertion_ (1) into nearly the whole of the radial surface of the fifth

metacarpal, (2) into the base of its first phalanx.

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