Palmaris longus muscle
Muscle of the upper limb
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Key Takeaways
- The palmaris longus is a muscle visible as a small tendon located between the flexor carpi radialis and the flexor carpi ulnaris, although it is not always present.
- Absence of the palmaris longus does not have an effect on grip strength.
- The absence of palmaris longus muscle is more prevalent in females than males.
- The tendon, if present, will be visible in the midline of the anterior wrist.
- It is widest in the middle, and narrowest at the proximal and distal attachments.
The palmaris longus is a muscle visible as a small tendon located between the flexor carpi radialis and the flexor carpi ulnaris, although it is not always present. Reviews report rates of absence in the general population ranging from 10–20%; however, the rate varies in different ethnic groups. Absence of the palmaris longus does not have an effect on grip strength. The lack of palmaris longus muscle does result in decreased pinch strength in fourth and fifth fingers. The absence of palmaris longus muscle is more prevalent in females than males.
The palmaris longus muscle can be observed by touching the pads of the fourth finger and thumb and flexing the wrist. The tendon, if present, will be visible in the midline of the anterior wrist.
Structure
Palmaris longus is a slender, elongated, spindle shaped muscle, lying on the medial side of the flexor carpi radialis. It is widest in the middle, and narrowest at the proximal and distal attachments.
It arises mainly from the medial epicondyle of the humerus via the common flexor tendon. It also takes origin from the adjacent intermuscular septa and from the antebrachial fascia.
It ends in a slender, flattened tendon, which passes over the upper part of the flexor retinaculum and inserts onto the central part of the flexor retinaculum and lower part of the palmar aponeurosis. Frequently, it sends a tendinous slip to the short muscles of the thumb.
Nerve supply
The palmaris longus is innervated by the median nerve.
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