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Interossei

  • First dorsal interossei has two muscle bellies:
    • Ulnar belly flexes, abducts, and pronates the index MCP joint
    • Radial muscle belly helps to radially adduct the thumb MCP joint
  • Together muscle bellies help extend the index PIPJ and DIPJ
  • Primary MCP joint flexor
  • The palmar and dorsal interossei insert into the extensor mechanism
  • All interossei are innervated by the ulnar nerve
  • All dorsal interossei have two muscle bellies.  They insert into bone (proximal phalanx) and soft tissue (extensor mechanism).
  • The first dorsal interossei is a little different from the other three because the insertion is mostly bone for both bellies
  • In about 3% of cases the first dorsal interosseous is innervated by the median nerve

Thenar Muscles

A good way to remember the thenar muscles is that they spell OAF

O=Opponens pollicis
A=Abductor pollicis brevis
F=Flexor pollicis brevis