PALM SKIN 1 NON HAIRY THICK SKIN 2

PALM CONTENTS 1. MODIFICATIONS OF DEEP FASCIAFLEXOR RETINACULUM. PALMAR APONUEROSIS. 2. INTERINSIC MUSCLESTHENAR MUSCLES.

PALMAR APONEUROSIS • 1. IT IS A MODIFICATION DEEP FASCIA IN PALM. • 2.

• 1. LATERAL MARGIN-CONTINOUS WITH LATERAL PALMAR FACIA. • 2. MEDIAL MRAGIN- CONTINOUS

THENAR MUSCLES • INTRINSIC MUSCLES OF THUMB • 1. OPPONENS POLLICIS. • 2. ABDUCTOR

EXTRINSIC MUSCLES OF THUMB • 1. FLEXOR POLLICIS LONGUS. • 2. EXTENSOR POLLICIS LONGUS.

HYPOTHENAR MUSCLES • 1. ABDUCTOR DIGITI MINIMI. • 2. FLEXOR DIGITI MINIMI BREVIS. •

LUMBRICALS 1. SMALL WORM LIKE MUSCLES. 2. SITUATED B/W-FDP TENDONS. 3. FOUR LUMBRICALS. 4.

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PALM SKIN • 1. NON HAIRY THICK SKIN. • 2. NO SEBACEOUS GLANDS. • 3. PALMAR CREASES AND RIDGES. • 4. THENAR EMINENCE AND HYPOTHENAR EMINENCE. • 5. INTERDIGITAL CLEFTS.

PALM CONTENTS 1. MODIFICATIONS OF DEEP FASCIAFLEXOR RETINACULUM. PALMAR APONUEROSIS. 2. INTERINSIC MUSCLESTHENAR MUSCLES. HYPOTHENAR MUSCLES. LUMBRICALS. • 3. PALMAR AND DORSAL INTEROSSIE MUSCLES. • 4. SUPERFICIAL AND DEEP PALMAR ARCHES. • 5. MEDIAN AND ULNAR NERVE IN PALM. • 6. PALMAR SPACES

PALMAR APONEUROSIS • 1. IT IS A MODIFICATION DEEP FASCIA IN PALM. • 2. IT IS TRIANGULAR IN SHAPE. • 3. APEX IS ATTACHED TO PALMARIS LOGUS TENDON. • 4. BASE DIVIDES INTO 4 SLIPS, EACH SLIP AGAIN DIVIDES INTI SUP. AND DEEP. GETS ATTACHED TO FLEXOR SHEATHS.

• 1. LATERAL MARGIN-CONTINOUS WITH LATERAL PALMAR FACIA. • 2. MEDIAL MRAGIN- CONTINOUS WITH MEDIAL PALMAR SEPTA. • FUNCTIONS • 3. IT GIVES FIRM ATTACHMENT TO SKIN TO IMPROVE GRIP. • 4. IT PROTECTS UNDERLYING TENDONS, NERVES AND VESSELS. • 5. IT GIVES ATTACHMENT TO MUSCLES OF PALM. • 6. HELPS IN DIVIDING THE PALM INTO COMPARTMENTS.

THENAR MUSCLES • INTRINSIC MUSCLES OF THUMB • 1. OPPONENS POLLICIS. • 2. ABDUCTOR POLLICIS BREVIS. • 3. FLEXOR POLLICIS BREVIS. • 4. ADDUCTOR POLLICIS. • 5. NERVE SUPPLY- ALL ARE SUPPLIED BY MEDIAN NERVE EXCEPT ADDUCTOR POLLICISSUPPLIED BY ULNAR NERVE.

EXTRINSIC MUSCLES OF THUMB • 1. FLEXOR POLLICIS LONGUS. • 2. EXTENSOR POLLICIS LONGUS. • 3. ABDUCTOR POLLICIS LONGUS. • 4. EXTENSOR POLLICIS BREVIS.

HYPOTHENAR MUSCLES • 1. ABDUCTOR DIGITI MINIMI. • 2. FLEXOR DIGITI MINIMI BREVIS. • 3. OPPONENS DIGITI MINIMI. • 4. PALMARIS BREVISREMNANT OF PANNICULUS CARNOSUS. • 5. NERVE SUPPLY-DEEP BRANCH OF ULNAR NERVE.

LUMBRICALS 1. SMALL WORM LIKE MUSCLES. 2. SITUATED B/W-FDP TENDONS. 3. FOUR LUMBRICALS. 4. COUNTED FROM LATERAL TO MEDIAL. 1 ST AND 2 ND – UNIPENNATE, 3 RD AND 4 TH – BIPENNATE. • 5. ACTION-FLEXION AT MP JOINTS AND EXTENSION OF IP JOINTS OF DIGITS. • 5. NERVE SUPPLY-1 ST -2 ND MEDIAN NERVE, 3 RD -4 TH ULNAR NEVRE. • •