The muscles of the hand are the

skeletal muscle Skeletal muscle (commonly referred to as muscle) is one of the three types of vertebrate muscle tissue, the others being cardiac muscle and smooth muscle. They are part of the somatic nervous system, voluntary muscular system and typically are a ...

s responsible for the movement of the

hand A hand is a prehensile, multi-fingered appendage located at the end of the forearm or forelimb of primates such as humans, chimpanzees, monkeys, and lemurs. A few other vertebrates such as the Koala#Characteristics, koala (which has two thumb#O ...

and

fingers A finger is a prominent 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 (pentadactyly), Chambers 1998 p. 60 ...

. 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 In anatomy, extension is a movement of a joint that increases the angle between two bones or body surfaces at a joint. Extension usually results in straightening of the bones or body surfaces involved. For example, extension is produced by extend ...

. They are called extrinsic because the muscle belly is located on 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 ...

. The intrinsic group are the smaller muscles located within the hand itself. The muscles of the hand are innervated by the

radial Radial is a geometric term of location which may refer to: Mathematics and Direction * Vector (geometric), a line * Radius, adjective form of * Radial distance (geometry), a directional coordinate in a polar coordinate system * Radial set * A ...

median The median of a set of numbers is the value separating the higher half from the lower half of a Sample (statistics), data sample, a statistical population, population, or a probability distribution. For a data set, it may be thought of as the “ ...

, 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 from the

brachial plexus The brachial plexus is a network of nerves (nerve plexus) formed by the anterior rami of the lower four Spinal nerve#Cervical nerves, cervical nerves and first Spinal nerve#Thoracic nerves, thoracic nerve (cervical spinal nerve 5, C5, Cervical spi ...

Intrinsic

The intrinsic muscle groups are the

thenar 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 w ...

(

thumb The thumb is the first digit of the hand, next to the index finger. When a person is standing in the medical anatomical position (where the palm is facing to the front), the thumb is the outermost digit. The Medical Latin English noun for thumb ...

) and

hypothenar The hypothenar muscles are a group of three muscles of the hand, palm that control the motion of the little finger. The three muscles are: * Abductor minimi digiti muscle (hand), Abductor digiti minimi * Flexor digiti minimi brevis (hand), Flexor ...

(

little finger The little finger or pinkie, also known as the baby finger, fifth digit, or pinky finger, is the most ulnar and smallest digit of the human hand, and next to the ring finger. Etymology The word "pinkie" is derived from the Dutch word ''pink' ...

) muscles; the interossei muscles ( four dorsally and three volarly) originating between the

metacarpal bone 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 ( wrist bones), which articulate ...

s; and the lumbrical muscles arising from the deep flexor (and which are special because they have no bony origin) to insert on the dorsal extensor hood mechanism.

Palmaris brevis Palmaris brevis muscle is a thin, quadrilateral muscle, placed beneath the integument of the ulnar side of the hand. It acts to fold the skin of the hypothenar eminence transversally. Structure Origin and insertion Palmaris brevis muscle is l ...

which is a superficial muscle and

adductor pollicis In human anatomy, the adductor pollicis muscle is a muscle in the hand that functions to Adduction, adduct the thumb. It has two heads: transverse and oblique. It is a fleshy, flat, triangular, and fan-shaped muscle deep in the Thenar eminence, ...

are also intrinsic muscles.

Extrinsic

The fingers have two long flexors, located on the underside of the forearm. They insert by

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 to the

phalanges of the fingers 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. Structure ...

. The deep flexor attaches to the distal phalanx, and the superficial flexor attaches to the middle phalanx. The flexors allow for the actual bending of the fingers. The thumb has one long flexor and a short flexor in the thenar muscle group. The human thumb also has other muscles in the thenar group ( opponens and abductor brevis muscle), moving the thumb in opposition, making grasping possible. The extensors are located on the back of the forearm and are connected in a more complex way than the flexors to the dorsum of the fingers. The tendons unite with the interosseous and lumbrical muscles to form the extensorhood mechanism. The primary function of the extensors is to straighten out the digits. The thumb has two extensors in the forearm; the tendons of these form the

anatomical snuff box The anatomical snuff box or snuffbox or foveola radialis is a triangular deepening on the radial, dorsal aspect of the hand—at the level of the carpal bones, specifically, the scaphoid and trapezium bones forming the floor. The name originate ...

. Also, the

index finger The index finger (also referred to as forefinger, first finger, second finger, pointer finger, trigger finger, digitus secundus, digitus II, and many other terms) is the second digit of a human hand. It is located between the thumb and the m ...

and the little finger have an extra extensor, used, for instance, for

pointing Pointing is a gesture specifying a direction from a person's body, usually indicating a location, person, event, thing or idea. It typically is formed by extending the arm, hand, and index finger, although it may be functionally similar to othe ...

. The extensors are situated within 6 separate compartments. The first four compartments are located in the grooves present on the dorsum of inferior side of

radius In classical geometry, a radius (: radii or radiuses) of a circle or sphere is any of the line segments from its Centre (geometry), center to its perimeter, and in more modern usage, it is also their length. The radius of a regular polygon is th ...

, while the 5th compartment is in between radius and

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 ...

. The 6th compartment is in the groove on the dorsum of inferior side of ulna.

Nerve supply

The muscles of the hand are innervated by the

, and

s. The radial nerve innervates the finger extensors and the thumb abductor; that is, the muscles that extend at the wrist and

metacarpophalangeal joints 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 ...

(knuckles) and abduct and extend the thumb. The median nerve innervates the flexors of the wrist and digits, the abductors and opponens of the thumb, the first and second lumbricals. The ulnar nerve innervates the remaining intrinsic muscles of the hand. All muscles of the hand are innervated by the

( C5– T1) and can be classified by innervation:

References

Sources

* * {{Muscles of upper limb Muscles of the upper limb Hand

Intrinsic

Extrinsic

Nerve supply

See also

References

Sources