Thenar eminence

Thenar eminence
The mucous sheaths of the tendons on the anterior surface of the wrist and digits
Transverse section across the wrist and digits (muscles of thumb labeled at upper left)
Details
ArterySuperficial palmar arch
NerveMedian nerve
ActionsControl movement of the thumb
Identifiers
LatinEminentia thenaris
TA98A01.2.07.023
TA2306
FMA61520
Anatomical terms of muscle

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.[1] The skin overlying this region is the area stimulated when trying to elicit a palmomental reflex. The word thenar comes from Greek θέναρ (thenar) 'palm of the hand'.[2]

Structure

The following three muscles are considered part of the thenar eminence:[3]

Another muscle that controls movement of the thumb is adductor pollicis. It lies deeper and more distal to flexor pollicis brevis. Despite its name, its main action is mainly rotation and opposition. It is not in the thenar group of muscles, so is supplied by the ulnar nerve.[4]

Nerve supply

The opponens pollicis and abductor pollicis brevis are normally innervated by the median nerve.

The flexor pollicis brevis has two heads a superficial and a deep. The flexor pollicis brevis (FPB) is typically an ulnar-innervated muscle. Due to a common interconnection between the median and ulnar nerves in the hand (Riche-Cannieu interconnection), the Median nerve may innervate the FPB in 35% of people. It is innervated by the Ulnar nerve in 50% of people and by both the median and ulnar nerves in 15%.

The adductor pollicis is typically innervated by the ulnar nerve. There are normal variations. In a Cannieu-Riche anastomosis, fibers from the deep palmar branch of the ulnar nerve innervate the opponens pollicis and/or abductor pollicis brevis. Regardless of their final innervation, the nerves that reach the thenar muscles arise from the C8 and T1 roots, pass through the lower trunk of the plexus, and then through the medial cord of the plexus.

The ulnar nerve is exclusively responsible for the innervations of the hypothenar eminence. Both nerves contribute to the innervations of the midpalmar group.[5]

The muscles in this location are usually innervated by the recurrent branch of the median nerve. They all control movement of the thumb.

The innervation of these muscles by the median nerve is unusual, as most of the intrinsic muscles on the palm of the hand are supplied by the ulnar nerve. The lateral two lumbrical muscles are the other exception.

Additional images

See also

References

  1. ↑ Gupta, S; Michelsen-Jost, H (February 2012). "Anatomy and function of the thenar muscles". Hand Clinics. 28 (1): 1–7. doi:10.1016/j.hcl.2011.09.006. PMID 22117918.
  2. ↑ θέναρ
  3. ↑ "Intrinsic Muscles of the Hand — Wheeless' Textbook of Orthopaedics". Retrieved 2008-01-16.
  4. ↑ "Applied MSK anatomy of the hand". Archived from the original on 2008-01-01. Retrieved 2008-01-16.
  5. ↑ Van De Graaff, Kent M. (1992). Human Anatomy (3rd ed.). Dubuque: Wm C Brown. ISBN 0-697-09716-1. Print.
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