Opponens pollicis muscle

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Opponens pollicis muscle
1121 Intrinsic Muscles of the Hand Deep LD.png
The deep muscles of the right hand. Palmar surface.
1121 Intrinsic Muscles of the Hand Superficial sin.png
The superficial muscles of the left hand. Palmar surface.
Details
Origin Trapezium and transverse carpal ligament
Insertion Metacarpal bone of the thumb on its radial side
Artery Superficial palmar arch
Nerve Recurrent branch of the median nerve
Actions Flexion of the thumb's metacarpal at the first carpometacarpal joint, which aids in opposition of the thumb
Identifiers
Latin musculus opponens pollicis
TA98 A04.6.02.058
TA2 2525
FMA 37379
Anatomical terms of muscle

The opponens pollicis is a small, triangular muscle in the hand, which functions to oppose the thumb. It is one of the three thenar muscles. It lies deep to the abductor pollicis brevis and lateral to the flexor pollicis brevis.

Contents

Structure

The opponens pollicis muscle is one of the three thenar muscles. [1] It originates from the flexor retinaculum of the hand and the tubercle of the trapezium. It passes downward and laterally, and is inserted into the whole length of the metacarpal bone of the thumb on its radial side.

Innervation

Like the other thenar muscles, the opponens pollicis is innervated by the recurrent branch of the median nerve. [2] In 20% of the population, opponens pollicis is innervated by the ulnar nerve. [3]

Blood supply

The opponens pollicis receives its blood supply from the superficial palmar arch.

Function

Opposition of the thumb is a combination of actions that allows the tip of the thumb to touch the tips of other fingers. The part of apposition that this muscle is responsible for is the flexion of the thumb's metacarpal at the first carpometacarpal joint. This specific action cups the palm. Many texts, for simplicity, use the term opposition to represent this component of true apposition. In order to truly appose the thumb, the actions of a number of other muscles are needed at the thumb's metacarpophalangeal joint. Note that the two opponens muscles (opponens pollicis and opponens digiti minimi) are named so because they oppose each other, but their actions appose the bones.

Additional images

Related Research Articles

<span class="mw-page-title-main">Thumb</span> First digit of the hand

The thumb is the first digit of the hand, next to the index finger. When a person is standing in the medical anatomical position, the thumb is the outermost digit. The Medical Latin English noun for thumb is pollex, and the corresponding adjective for thumb is pollical.

<span class="mw-page-title-main">Median nerve</span> Nerve of the upper limb

The median nerve is a nerve in humans and other animals in the upper limb. It is one of the five main nerves originating from the brachial plexus.

<span class="mw-page-title-main">Thenar eminence</span> Mound at the base of the thumb formed by the intrinsic group of muscles

The thenar eminence is the mound formed at the base of the thumb on the palm of the hand by the intrinsic group of muscles of the thumb. The skin overlying this region is the area stimulated when trying to elicit a palmomental reflex. The word thenar comes from Ancient Greek θέναρ (thenar) 'palm of the hand'.

<span class="mw-page-title-main">Extensor carpi radialis longus muscle</span>

The extensor carpi radialis longus is one of the five main muscles that control movements at the wrist. This muscle is quite long, starting on the lateral side of the humerus, and attaching to the base of the second metacarpal bone.

<span class="mw-page-title-main">Ulnar nerve</span> Nerve which runs near the ulna bone

In human anatomy, the ulnar nerve is a nerve that runs near the ulna bone. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is common. This nerve is directly connected to the little finger, and the adjacent half of the ring finger, innervating the palmar aspect of these fingers, including both front and back of the tips, perhaps as far back as the fingernail beds.

<span class="mw-page-title-main">Trapezium (bone)</span> Bone of the wrist

The trapezium bone is a carpal bone in the hand. It forms the radial border of the carpal tunnel.

<span class="mw-page-title-main">Metacarpal bones</span> Bones of hand

In human anatomy, the metacarpal bones or metacarpus, also known as the "palm bones", are the appendicular bones that form the intermediate part of the hand between the phalanges (fingers) and the carpal bones, which articulate with the forearm. The metacarpal bones are homologous to the metatarsal bones in the foot.

<span class="mw-page-title-main">Upper limb</span> Consists of the arm, forearm, and hand

The upper limbs or upper extremities are the forelimbs of an upright-postured tetrapod vertebrate, extending from the scapulae and clavicles down to and including the digits, including all the musculatures and ligaments involved with the shoulder, elbow, wrist and knuckle joints. In humans, each upper limb is divided into the arm, forearm and hand, and is primarily used for climbing, lifting and manipulating objects.

<span class="mw-page-title-main">Flexor pollicis brevis muscle</span> Muscle in the thenar compartment

The flexor pollicis brevis is a muscle in the hand that flexes the thumb. It is one of three thenar muscles. It has both a superficial part and a deep part.

In human anatomy, the abductor pollicis longus (APL) is one of the extrinsic muscles of the hand. Its major function is to abduct the thumb at the wrist. Its tendon forms the anterior border of the anatomical snuffbox.

<span class="mw-page-title-main">Adductor pollicis muscle</span> Muscle in the thenar compartment

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.

<span class="mw-page-title-main">Palmar interossei muscles</span> Muscles between the metacarpals

In human anatomy, the palmar or volar interossei are four muscles, one on the thumb that is occasionally missing, and three small, unipennate, central muscles in the hand that lie between the metacarpal bones and are attached to the index, ring, and little fingers. They are smaller than the dorsal interossei of the hand.

<span class="mw-page-title-main">Opponens digiti minimi muscle of hand</span> Muscle in the hypothenar compartment

The opponens digiti minimi is a muscle in the hand. It is of a triangular form, and placed immediately beneath the palmaris brevis, abductor digiti minimi and flexor digiti minimi brevis. It is one of the three hypothenar muscles that control the little finger.

<span class="mw-page-title-main">Hypothenar eminence</span> Group of three muscles of the palm

The hypothenar muscles are a group of three muscles of the palm that control the motion of the little finger.

<span class="mw-page-title-main">Carpometacarpal joint</span>

The carpometacarpal (CMC) joints are five joints in the wrist that articulate the distal row of carpal bones and the proximal bases of the five metacarpal bones.

<span class="mw-page-title-main">Flexor digiti minimi brevis muscle of hand</span> Muscle in the hypothenar compartment

The flexor digiti minimi brevis is a hypothenar muscle in the hand that flexes the little finger at the metacarpophalangeal joint. It lies lateral to the abductor digiti minimi when the hand is in anatomical position.

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

The deep branch of the ulnar nerve is a terminal, primarily motor branch of the ulnar nerve. It is accompanied by the deep palmar branch of ulnar artery.

<span class="mw-page-title-main">Muscles of the hand</span> Muscles of the human hand

The muscles of the hand are the skeletal muscles responsible for the movement of the hand and fingers. The muscles of the hand can be subdivided into two groups: the extrinsic and intrinsic muscle groups. The extrinsic muscle groups are the long flexors and extensors. They are called extrinsic because the muscle belly is located on the forearm. The intrinsic group are the smaller muscles located within the hand itself. The muscles of the hand are innervated by the radial, median, and ulnar nerves from the brachial plexus.

<span class="mw-page-title-main">Ape hand deformity</span> Medical condition

Ape hand deformity is a deformity in humans who cannot move the thumb away from the rest of the hand. It is an inability to abduct the thumb. Abduction of the thumb refers to the specific capacity to orient the thumb perpendicularly to the ventral (palmar) surface of the hand. Opposition refers specifically the ability to "swing" the first metacarpal such that the tip of the thumb may touch the distal end of the 5th phalanx and if we put the hand on the table as the palm upward the thumb can not point to the sky. The Ape Hand Deformity is caused by damage to the distal median nerve, and subsequent loss of opponens pollicis muscle function. The name "ape hand deformity" is misleading, as some apes do not have opposable thumbs.

<span class="mw-page-title-main">Muscles of the thumb</span>

The muscles of the thumb are nine skeletal muscles located in the hand and forearm. The muscles allow for flexion, extension, adduction, abduction and opposition of the thumb. The muscles acting on the thumb can be divided into two groups: The extrinsic hand muscles, with their muscle bellies located in the forearm, and the intrinsic hand muscles, with their muscles bellies located in the hand proper.

References

  1. Nelson, Fred R. T.; Blauvelt, Carolyn Taliaferro (2015-01-01), Nelson, Fred R. T.; Blauvelt, Carolyn Taliaferro (eds.), "10 - The Hand and Wrist", A Manual of Orthopaedic Terminology (Eighth Edition), Philadelphia: W.B. Saunders, pp. 307–341, ISBN   978-0-323-22158-0 , retrieved 2021-01-11
  2. Tonkin, Michael (2010-01-01), Sambrook, Philip; Schrieber, Leslie; Taylor, Thomas; Ellis, Andrew M. (eds.), "3 - NERVE COMPRESSION SYNDROMES", The Musculoskeletal System (Second Edition), Churchill Livingstone, pp. 33–45, ISBN   978-0-7020-3377-3 , retrieved 2021-01-11
  3. "Opponens Pollicis (OP)". Washington University School of Medicine. Retrieved 2019-07-19.

PD-icon.svgThis article incorporates text in the public domain from page 461 of the 20th edition of Gray's Anatomy (1918)