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Lumbrical Muscles Hand Origin, Insertion, Action

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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
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If you are looking for pain and symptoms information, please visit the Lumbricals hand pain page

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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