
Origin: From the tendons of flexor digitorum profundus.
First lumbrical: lateral side of the tendon of the index finger.
Second lumbrical: radial side of the tendon of the middle finger.
Third lumbrical: medial side of the tendon of the middle finger. The radial side of the tendon of the ring finger.
Fourth lumbrical: ulnar side of the tendon of the ring finger. The radial side of the tendon of the little finger.
Insertion: Distal tendons of the extensor digitorum (the dorsal digital expansion
Primary Action: Flexion of the fingers at the metacarpophalangeal joints
Secondary Action: Extension of the fingers at the proximal interphalangeal joints.
Innervation:
First and second lumbricals: median nerve (C8, T1).
Third and fourth lumbricals: ulnar nerve (C8, T1).
Blood Supply:
- Dorsal digital artery
- Superficial palmar arch
- Deep palmar arch
- Palmar digital artery
Primary Actions of the Lumbrical Muscles
1. Flexion of the digits at the metacarpophalangeal joints
Agonists:
- Dorsal Interossei
- Palmar Interossei
- Flexor Digiti Minimi
- Flexor Digitorum Superficialis
- Flexor Digitorum Profundus
Antagonists:
- Extensor Digitorum
- Extensor Indicis
- Extensor Digiti Minimi
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Secondary Actions of the Lumbrical Muscles
2. Assists with extension of the digits at the proximal interphalangeal joints
Agonists:
- Dorsal Interossei
- Palmar Interossei
- Extensor Digitorum
- Extensor Indicis
- Extensor Digiti Minimi
Antagonists:
- Flexor Digitorum Superficialis
- Flexor Digitorum Profundus
3. Assists with extension of the digits at the distal interphalangeal joints
Agonists:
- Dorsal Interossei
- Palmar Interossei
- Extensor Digitorum
- Extensor Indicis
- Extensor Digiti Minimi
Antagonists:
- Flexor Digitorum Profundus
References:
Clay, J. H., Allen, L., Pounds, D. (2015). Clay & Pounds' Basic Clinical Massage Therapy: Integrating Anatomy and Treatment (3rd ed.). Philadelphia, PA: Lippincott Williams & Wilkins
Netter, F. (2014). Atlas of Human Anatomy (6th ed.). Philadelphia, PA: Saunders.
Muscolino, J., (2016) Kinesiology: The Skeletal System and Muscle Function (3rd ed.). Maryland Heights, Missouri: Mosby.
Image Credits: Dreamstime
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