Adductor pollicis muscle

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Adductor pollicis muscle
1121 Intrinsic Muscles of the Hand Superficial sin.png
The superficial muscles of the left hand. Palmar view
Adductor pollicis is labelled at bottom right.
Details
Origin Transverse head: anterior body of the third metacarpal
Oblique head: bases of the second and the third metacarpals and the adjacent trapezoid and capitate bones
Insertion medial side of the base of the proximal phalanx of the thumb and the ulnar sesamoid
Artery deep palmar arch
Nerve deep branch of the ulnar nerve (T1)
Actions adducts the thumb at the carpometacarpal joint
Antagonist Abductor pollicis longus muscle, Abductor pollicis brevis muscle
Identifiers
Latin musculus adductor pollicis
TA98 A04.6.02.059
TA2 2526
FMA 37380
Anatomical terms of muscle

In human anatomy, the adductor pollicis muscle is a muscle in the hand that functions to adduct the thumb. It has two heads: transverse and oblique.

Contents

It is a fleshy, flat, triangular, and fan-shaped muscle deep in the thenar compartment beneath the long flexor tendons and the lumbrical muscles at the center of the palm. It overlies the metacarpal bones and the interosseous muscles. [1]

Structure

Oblique head

The oblique head (Latin: adductor obliquus pollicis) arises by several slips from the capitate bone, the bases of the second and third metacarpals, the intercarpal ligaments, and the sheath of the tendon of the flexor carpi radialis. [2]

From this origin the greater number of fibers pass obliquely downward and converge to a tendon, which, uniting with the tendons of the medial portion of the flexor pollicis brevis and the transverse head of the adductor pollicis, is inserted into the ulnar side of the base of the proximal phalanx of the thumb, a sesamoid bone being present in the tendon. [2]

A considerable fasciculus, however, passes more obliquely beneath the tendon of the flexor pollicis longus to join the lateral portion of the flexor pollicis brevis and the abductor pollicis brevis. [2]

Transverse head

The transverse head (Latin: adductor transversus pollicis) is deeply seated. [2]

It is triangular, arising by a broad base from the lower two-thirds of the palmar surface of the third metacarpal bone; the fibers converge, to be inserted with the medial part of the flexor pollicis brevis and the oblique head into the ulnar side of the base of the proximal phalanx of the thumb. [2]

Relations

The radial artery passes between the two heads, travelling from the back of the hand into the palm, where it forms the deep palmar arch.

Innervation

The adductor pollicis is innervated by the deep branch of the ulnar nerve (C8–T1). [3]

Between the oblique and transverse heads is a thin fibrous arcade which the nerve passes as it traverses the palm laterally. The nerve is accompanied by the deep palmar arch. [1]

Function

While adduction of the thumb (bringing it back into the plane of the palm of the hand from its previously abducted position) is mainly produced by the adductor pollicis, it can also bring the thumb to the side of the palm and index finger and the flexor pollicis brevis and the opponens pollicis help in thumb adduction. [3]

Clinical significance

Froment's sign is used to test for a compromised adductor pollicis muscle.

In neuromuscular monitoring, the ulnar nerve is stimulated and the strength of adductor pollicis contraction is measured.

Other animals

The adductor pollicis evolved from the contrahens I muscle as man's ancestors' thumbs and big toes became opposable. It might also contain an element of the thumb's interosseous muscle. [4]

In the Pan-Homo LCA the oblique head of the adductor pollicis probably had a relatively small physiological cross sectional area (PCSA) and both heads probably acted as extensors and adductors at the carpometacarpal joint. In humans the PCSA of the oblique head is relatively enlarged and both heads act as flexors at this joint. [5]

See also

Additional images

Related Research Articles

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In human anatomy, the dorsal interossei (DI) are four muscles in the back of the hand that act to abduct (spread) the index, middle, and ring fingers away from hand's midline and assist in flexion at the metacarpophalangeal joints and extension at the interphalangeal joints of the index, middle and ring fingers.

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The deep palmar arch is an arterial network found in the palm. It is usually primarily formed from the terminal part of the radial artery. The ulnar artery also contributes through an anastomosis. This is in contrast to the superficial palmar arch, which is formed predominantly by the ulnar artery.

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<span class="mw-page-title-main">Deep branch of ulnar nerve</span>

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<span class="mw-page-title-main">Outline of human anatomy</span> Overview of and topical guide to human anatomy

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<span class="mw-page-title-main">Extrinsic extensor muscles of the hand</span>

The extrinsic extensor muscles of the hand are located in the back of the forearm and have long tendons connecting them to bones in the hand, where they exert their action. Extrinsic denotes their location outside the hand. Extensor denotes their action which is to extend, or open flat, joints in the hand. They include the extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), extensor digitorum (ED), extensor digiti minimi (EDM), extensor carpi ulnaris (ECU), abductor pollicis longus (APL), extensor pollicis brevis (EPB), extensor pollicis longus (EPL), and extensor indicis (EI).

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References

PD-icon.svgThis article incorporates text in the public domain from page 462 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 Chang & Blair 1985
  2. 1 2 3 4 5 Gray's Anatomy 1918. (See infobox)
  3. 1 2 Platzer 2004 , p. 176
  4. Yamamoto, Murakami & Ohtsuka 1988
  5. Tocheri et al. 2008 , p. 549