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Muscles of the Forearm that Move the Hand and Fingers01:16

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The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
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The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
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The muscles that move the forearms can be divided into four groups: forearm flexors, forearm extensors, forearm pronators, and forearm supinators. The flexors and extensors act on the elbow joint, while the pronators and supinators act on the radioulnar joints.
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
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Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
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Related Experiment Video

Updated: Apr 4, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
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Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

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Ulnar Slip Flexor Digitorum Superficialis Excision in Trigger Finger Surgery: Anatomic Study.

Ryan C Cassidy1, Elizabeth Plocher2, Jack Bragg1

  • 1Department of Orthopaedic Surgery and Rehabilitation Medicine, Tufts Medical Center, Boston, MA.

The Journal of Hand Surgery
|April 3, 2026
PubMed
Summary

Excision of the flexor digitorum superficialis (FDS) tendon slip in the palm leaves a significant residual stump near the A2 pulley. This technique preserves Camper's chiasm, potentially avoiding persistent trigger finger symptoms.

Keywords:
FDSflexor digitorum superficialissliptrigger fingerulnar superficialis slip resection

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Area of Science:

  • Hand surgery
  • Orthopedic surgery
  • Anatomy

Background:

  • Surgical treatment for trigger finger sometimes requires flexor digitorum superficialis (FDS) tendon resection.
  • Ulnar FDS slip excision via a palm-only approach is described, but its anatomical outcomes are not fully understood.
  • Quantifying residual tendon length is crucial for understanding potential persistent triggering.

Purpose of the Study:

  • To quantify the residual distal FDS tendon stump length after ulnar slip excision in the palm.
  • To determine the relationship between the residual stump and the distal edge of the A2 pulley.

Main Methods:

  • Ulnar FDS slip excision was performed in 19 cadaveric digits through a palm-only incision.
  • Measurements of the residual distal tendon stump length were taken.
  • The distance from the cut end of the slip to the distal edge of the A2 pulley was recorded.

Main Results:

  • A mean residual stump length of 26.2 mm was observed within the sheath.
  • The average distance from the cut end to the A2 pulley's distal edge was 4.9 mm.
  • Camper's chiasm remained intact in all specimens, and the excised segment was shorter than the remaining distal tendon.

Conclusions:

  • Isolated palm-only FDS tendon slip excision leaves a substantial residual stump.
  • The residual stump's proximity to the A2 pulley varies, and Camper's chiasm is preserved.
  • Intraoperative assessment can guide decisions on complete FDS slip excision to address residual triggering.