Thumb Movements and Muscle Anatomy
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Questions and Answers

What is the primary muscle involved in thumb extension?

  • Flexor pollicis longus
  • Opponens pollicis
  • Extensor pollicis brevis (correct)
  • Abductor pollicis longus
  • What is the range of motion for thumb extension at the metacarpophalangeal joint?

  • 30° to 60°
  • 60° to 70° (correct)
  • 90° to 0°
  • 0° to 90°
  • Which muscle is responsible for extending the interphalangeal joints of the thumb?

  • Flexor pollicis brevis
  • Adductor pollicis
  • Opponens pollicis
  • Extensor pollicis longus (correct)
  • What nerve supplies both the extensor pollicis longus and brevis?

    <p>Radial nerve</p> Signup and view all the answers

    What is the action of the extensor pollicis brevis?

    <p>Extends the proximal phalanx at the carpometacarpal joint</p> Signup and view all the answers

    What consequence can occur due to weakness in the extensor pollicis longus?

    <p>Position of flexion of the distal phalanx</p> Signup and view all the answers

    Which of the following muscles is primarily involved in thumb abduction?

    <p>Abductor pollicis longus</p> Signup and view all the answers

    What happens to the proximal phalanx of the thumb if there is weakness in the extensor pollicis brevis?

    <p>It decreases the ability to extend, resulting in flexion</p> Signup and view all the answers

    What is the primary action of the abductor pollicis brevis?

    <p>Abducts the thumb at metacarpophalangeal and carpometacarpal joints</p> Signup and view all the answers

    Which joint allows for the thumb's extension ranged between 0 to 40-50 degrees?

    <p>Metacarpophalangeal joint</p> Signup and view all the answers

    Where does the opponens pollicis muscle originate?

    <p>Tubercle of trapezium and flexor retinaculum</p> Signup and view all the answers

    Which nerve supplies the adductor pollicis muscle?

    <p>Ulnar nerve</p> Signup and view all the answers

    What is the insertion point of the abductor pollicis longus?

    <p>Base of the 1st metacarpal and trapezium</p> Signup and view all the answers

    Which primary muscle is responsible for the thumb adduction motion?

    <p>Adductor pollicis</p> Signup and view all the answers

    What action does the opponens digiti mini perform?

    <p>Opposes the little finger</p> Signup and view all the answers

    What is the origin of the adductor pollicis's oblique head?

    <p>Base of 2nd and 3rd metacarpals, trapezoid and capitate</p> Signup and view all the answers

    Study Notes

    Thumb Extension, Abduction, Adduction, and Opposition

    • Muscles Involved in Thumb Extension: Extensor pollicis longus, Extensor pollicis brevis
    • Range of Motion for Thumb Extension: 60° – 70° to 0° (metacarpophalangeal), 90° – 0° (interphalangeal)
    • Muscles Involved in Thumb Abduction: Abductor pollicis longus, Abductor pollicis brevis
    • Range of Motion for Thumb Abduction: 0° to 40°–50° (metacarpophalangeal)
    • Muscles Involved in Thumb Adduction: Adductor pollicis
    • Range of Motion for Thumb Adduction: 40°–50° to 0°
    • Muscles Involved in Thumb Opposition: Opponens pollicis, Opponens digiti minimi
    • Range of Motion for Thumb Opposition: Opposes (medially rotates and flexes) carpometacarpal and metacarpophalangeal joints of the thumb.

    Primary Muscles: Detailed Anatomy, Origin, Insertion, Nerve Supply, and Action

    Extensor Pollicis Longus

    • Origin: Middle third of posterior ulna
    • Insertion: Base of distal phalanx of thumb
    • Nerve Supply: Radial nerve
    • Action: Extends interphalangeal and metacarpophalangeal joints of thumb

    Extensor Pollicis Brevis

    • Origin: Posterior surfaces of radius and interosseous membrane
    • Insertion: Base of proximal phalanx of thumb
    • Nerve Supply: Radial nerve
    • Action: Extends proximal phalanx of thumb at the carpometacarpal joint

    Abductor Pollicis Longus

    • Origin: Upper posterior surface of ulna and middle third of posterior surface of radius
    • Insertion: Over tendons of radial extensors, brachioradialis to the base of 1st metacarpal and trapezium
    • Nerve Supply: Radial nerve
    • Action: Abducts and extends thumb at carpometacarpal joint

    Abductor Pollicis Brevis

    • Origin: Tubercle of scaphoid and flexor retinaculum
    • Insertion: Radial sesamoid of proximal phalanx of thumb and tendon of extensor pollicis longus
    • Nerve Supply: Median nerve
    • Action: Abducts thumb at the metacarpophalangeal and carpometacarpal joints

    Adductor Pollicis

    • Origin: Oblique head: base of 2nd and 3rd metacarpals, trapezoid, and capitate; Transverse head: palmar border and shaft of 3rd metacarpal
    • Insertion: Ulnar side of base of proximal phalanx of thumb and tendon of extensor pollicis longus
    • Nerve Supply: Ulnar nerve
    • Action: Adducts carpometacarpal joint of thumb

    Opponens Pollicis

    • Origin: Flexor retinaculum and tubercle of trapezium
    • Insertion: Whole of radial border of 1st metacarpal
    • Nerve Supply: Median nerve
    • Action: Opposes (medially rotates and flexes) carpometacarpal and metacarpophalangeal joints of thumb

    Opponens Digiti Minimi

    • Origin: Flexor retinaculum and hook of hamate
    • Insertion: Ulnar border of shaft of 5th metacarpal
    • Nerve Supply: Ulnar nerve
    • Action: Opposes (flexes and laterally rotates) carpometacarpal and metacarpophalangeal joints of little finger

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    Description

    Explore the critical functions and anatomy of the muscles involved in thumb extension, abduction, adduction, and opposition. This quiz includes details on the range of motion and specific muscles' origins, insertions, and actions. Perfect for students of anatomy and physiotherapy.

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