Flexor Digitorum Profundus
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The flexor digitorum profundus or flexor digitorum communis profundus is a
muscle Muscle is a soft tissue, one of the four basic types of animal tissue. There are three types of muscle tissue in vertebrates: skeletal muscle, cardiac muscle, and smooth muscle. Muscle tissue gives skeletal muscles the ability to muscle contra ...
in the
forearm The forearm is the region of the upper limb between the elbow and the wrist. The term forearm is used in anatomy to distinguish it from the arm, a word which is used to describe the entire appendage of the upper limb, but which in anatomy, techn ...
of
human Humans (''Homo sapiens'') or modern humans are the most common and widespread species of primate, and the last surviving species of the genus ''Homo''. They are Hominidae, great apes characterized by their Prehistory of nakedness and clothing ...
s that flexes the
finger A finger is a prominent digit (anatomy), digit on the forelimbs of most tetrapod vertebrate animals, especially those with prehensile extremities (i.e. hands) such as humans and other primates. Most tetrapods have five digits (dactyly, pentadact ...
s (also known as digits). It is considered an extrinsic hand muscle because it acts on the hand while its
muscle belly Anatomical terminology is used to uniquely describe aspects of skeletal muscle, cardiac muscle, and smooth muscle such as their actions, structure, size, and location. Types There are three types of muscle tissue in the body: skeletal, smooth, a ...
is located in the forearm. Together the
flexor pollicis longus The flexor pollicis longus (; FPL, Latin ''flexor'', bender; ''pollicis'', of the thumb; ''longus'', long) is a muscle in the forearm and hand that flexes the thumb. It lies in the same plane as the flexor digitorum profundus. This muscle is uniq ...
,
pronator quadratus Pronator quadratus is a square-shaped muscle on the distal forearm that acts to pronate (turn so the palm faces downwards) the hand. Structure Its fibres run perpendicular to the direction of the arm, running from the most distal quarter of the ...
, and flexor digitorum profundus form the deep layer of ventral forearm muscles.Platzer 2004, p 162 The muscle is named .


Structure

Flexor digitorum profundus originates in the upper 3/4 of the anterior and medial surfaces of the
ulna The ulna or ulnar bone (: ulnae or ulnas) is a long bone in the forearm stretching from the elbow to the wrist. It is on the same side of the forearm as the little finger, running parallel to the Radius (bone), radius, the forearm's other long ...
,
interosseous membrane An interosseous membrane is a thick dense fibrous sheet of connective tissue that spans the space between two bones, forming a type of syndesmosis joint. Interosseous membranes in the human body: * Interosseous membrane of forearm * Interosseo ...
and
deep fascia Deep fascia (or investing fascia) is a fascia, a layer of dense connective tissue that can surround individual muscles and groups of muscles to separate into fascial compartments. This fibrous connective tissue interpenetrates and surrounds the m ...
of the forearm. The muscle fans out into four tendons (one to each of the second to fifth fingers) to the palmar base of the
distal phalanx The phalanges (: phalanx ) are digital bones in the hands and feet of most vertebrates. In primates, the thumbs and big toes have two phalanges while the other digits have three phalanges. The phalanges are classed as long bones. Structur ...
. Along with the
flexor digitorum superficialis Flexor digitorum superficialis (''flexor digitorum sublimis'') or flexor digitorum communis sublimis is an extrinsic flexor muscle of the fingers at the proximal interphalangeal joints. It is in the anterior compartment of the forearm. It is s ...
, it has long
tendon A tendon or sinew is a tough band of fibrous connective tissue, dense fibrous connective tissue that connects skeletal muscle, muscle to bone. It sends the mechanical forces of muscle contraction to the skeletal system, while withstanding tensi ...
s that run down the arm and through the
carpal tunnel In the human body, the carpal tunnel or carpal canal is a flattened body cavity on the flexor ( palmar/volar) side of the wrist, bounded by the carpal bones and flexor retinaculum. It forms the passageway that transmits the median nerve and the ...
and attach to the palmar side of the
phalanges The phalanges (: phalanx ) are digit (anatomy), digital bones in the hands and foot, feet of most vertebrates. In primates, the Thumb, thumbs and Hallux, big toes have two phalanges while the other Digit (anatomy), digits have three phalanges. ...
of the fingers. Flexor digitorum profundus lies deep to the superficialis, but it attaches more distally. Therefore, profundus's
tendon A tendon or sinew is a tough band of fibrous connective tissue, dense fibrous connective tissue that connects skeletal muscle, muscle to bone. It sends the mechanical forces of muscle contraction to the skeletal system, while withstanding tensi ...
s go through the tendons of superficialis, and end up attaching to the
distal phalanx The phalanges (: phalanx ) are digital bones in the hands and feet of most vertebrates. In primates, the thumbs and big toes have two phalanges while the other digits have three phalanges. The phalanges are classed as long bones. Structur ...
. For this reason profundus is also called the ''perforating muscle''. The
lumbricals of the hand The lumbricals are intrinsic muscles of the hand that flexion, flex the metacarpophalangeal joints, and extension (kinesiology), extend the Interphalangeal articulations of hand, interphalangeal joints. p. 97 The lumbrical muscle of the foot, lu ...
arise from the radial side of its tendons.


Nerve supply

Flexor digitorum profundus is a
composite muscle Composite or hybrid muscles are those muscles which have more than one set of fibers but perform the same function and are usually supplied by different nerves for different set of fibers. Examples * Brachialis: Musculocutaneous nerve is motor a ...
innervated by the
anterior interosseous nerve The anterior interosseous nerve (volar interosseous nerve) is a branch of the median nerve that supplies the deep muscles on the anterior of the forearm, except the ulnar (medial) half of the flexor digitorum profundus. Its nerve roots come from C ...
and
ulnar nerve The ulnar nerve is a nerve that runs near the ulna, one of the two long bones in the forearm. 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 ...
s. * The ''medial aspect'' of the muscle (which flexes the 4th and 5th digit) is supplied by the
ulnar nerve The ulnar nerve is a nerve that runs near the ulna, one of the two long bones in the forearm. 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 ...
(C8, T1). * The ''lateral aspect'' (which flexes the 2nd and 3rd digit) is innervated by the
median nerve 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. The median nerve originates from the lateral and medial cords of the brachial plexus, and has cont ...
, specifically the
anterior interosseous branch The anterior interosseous nerve (volar interosseous nerve) is a branch of the median nerve that supplies the deep muscles on the anterior of the forearm, except the ulnar (medial) half of the flexor digitorum profundus. Its nerve roots come from C ...
(C8, T1). It is one of two flexor muscles that is not exclusively supplied by the median nerve (the other is
flexor carpi ulnaris The flexor carpi ulnaris (FCU) is a skeletal muscle, muscle of the forearm that flexion, flexes and Adduction, adducts at the wrist joint. Structure Origin The flexor carpi ulnaris has two heads; a humeral head and ulnar head. The humeral head o ...
). In the forearm, the median nerve travels distally between the
flexor digitorum superficialis Flexor digitorum superficialis (''flexor digitorum sublimis'') or flexor digitorum communis sublimis is an extrinsic flexor muscle of the fingers at the proximal interphalangeal joints. It is in the anterior compartment of the forearm. It is s ...
and the flexor digitorum profundus.


Variation

The tendon of the index finger often has a separate muscle belly.


Function

Flexor digitorum profundus is a flexor of the
wrist In human anatomy, the wrist is variously defined as (1) the carpus or carpal bones, the complex of eight bones forming the proximal skeletal segment of the hand; "The wrist contains eight bones, roughly aligned in two rows, known as the carpal ...
( midcarpal),
metacarpophalangeal The metacarpophalangeal joints (MCP) are situated between the metacarpal bones and the proximal phalanges of the fingers. These joints are of the condyloid kind, formed by the reception of the rounded heads of the metacarpal bones into shallow ...
and
interphalangeal joints Interphalangeal joint may refer to: *Interphalangeal articulations of hand *Interphalangeal articulations of foot The interphalangeal joints of the foot are the joints between the phalanx bones of the toes in the feet. Since the great toe on ...
. The lumbricals, intrinsic muscles of the hand, attach to the tendon of flexor digitorum profundus. Thus, the flexor muscle is used to aid the lumbrical muscles in their role as extensors of the interphalangeal joints. As the lumbrical muscles originate on the palmar side of the hand and attach on the dorsal aponeurosis, power is transferred from the flexor digitorum profundus muscle to fully extend the fingers as well as flex the metacarpophalangeal joints. The tension generated by flexor digitorum profundus at the more distal joints is determined by wrist position. Flexion of the wrist causes muscle shortening at that point, reducing tension that can be generated more distally. Fingers cannot be fully flexed if the wrist is fully flexed.


Other animals

In many primates, the FDP is fused with the
flexor pollicis longus The flexor pollicis longus (; FPL, Latin ''flexor'', bender; ''pollicis'', of the thumb; ''longus'', long) is a muscle in the forearm and hand that flexes the thumb. It lies in the same plane as the flexor digitorum profundus. This muscle is uniq ...
(FPL). In
great apes The Hominidae (), whose members are known as the great apes or hominids (), are a taxonomic family of primates that includes eight extant species in four genera: '' Pongo'' (the Bornean, Sumatran and Tapanuli orangutan); '' Gorilla'' (the ...
the belly of the FDP has a separate tendon for the FDP. In lesser apes, both muscles have separate bellies in the forearm, but in
Old World monkey Old World monkeys are primates in the family Cercopithecidae (). Twenty-four genera and 138 species are recognized, making it the largest primate family. Old World monkey genera include baboons (genus '' Papio''), red colobus (genus '' Piliocolob ...
s they separate in the
carpal tunnel In the human body, the carpal tunnel or carpal canal is a flattened body cavity on the flexor ( palmar/volar) side of the wrist, bounded by the carpal bones and flexor retinaculum. It forms the passageway that transmits the median nerve and the ...
. The lack of differentiation in the FDP musculature in
baboon Baboons are primates comprising the biology, genus ''Papio'', one of the 23 genera of Old World monkeys, in the family Cercopithecidae. There are six species of baboon: the hamadryas baboon, the Guinea baboon, the olive baboon, the yellow ba ...
s makes it unlikely that this monkey can control individual fingers independently. Tocheri ''et al.'' 2008, pp 556-7


Additional images


See also

* Jersey finger, a rupture of the tendon connecting to the muscle *
Flexor digitorum superficialis muscle Flexor digitorum superficialis (''flexor digitorum sublimis'') or flexor digitorum communis sublimis is an extrinsic flexor muscle of the fingers at the proximal interphalangeal joints. It is in the anterior compartment of the forearm. It is s ...


Notes


References

* * (Abstract, PubMed)
PDF
, Smithsonian)


External links

* {{Authority control Muscles of the upper limb