Учебники / Atlas_anatomii_cheloveka_Frenk_Netter_6-oe_izdanie_Chast3
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Attachments of Muscles of Forearm: Anterior View
See also Plate 422
Brachioradialis muscle
Extensor carpi radialis longus muscle
Supinator
Extensor carpi radialis brevis, |
Common |
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extensor digitorum, extensor |
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extensor |
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digiti minimi, extensor carpi |
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tendon |
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ulnaris muscles |
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Brachialis muscle |
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Biceps brachii muscle |
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Supinator muscle |
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Flexor digitorum superficialis muscle (radial head)
Pronator teres muscle
Flexor pollicis longus muscle
Radius
Pronator quadratus muscle
Brachioradialis muscle
Abductor pollicis longus muscle
Flexor carpi radialis muscle
Brachialis muscle
Pronator teres muscle (humeral head)
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Pronator teres, flexor |
Common |
carpi radialis, palmaris |
flexor |
longus, flexor carpi ulnaris, |
tendon |
flexor digitorum superficialis |
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(humero-ulnar head) muscles |
Flexor digitorum superficialis muscle (humero-ulnar head)
Pronator teres muscle (ulnar head)
Flexor digitorum profundus muscle
Ulna
Pronator quadratus muscle
Note: Attachments of intrinsic muscles of hand not shown.
Flexor carpi ulnaris muscle
Extensor carpi ulnaris muscle
Flexor pollicis |
Flexor digitorum superficialis muscle |
longus muscle |
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Flexor digitorum profundus muscle |
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Origins |
Insertions |
Plate 437 Elbow and Forearm
Attachments of Muscles of Forearm: Posterior View |
6 |
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See also Plate 427 |
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Note: Attachments of intrinsic muscles of hand not shown.
Flexor carpi ulnaris muscle (humeral origin via common flexor tendon)
Flexor carpi ulnaris muscle (ulnar origin)
Flexor digitorum profundus muscle
Extensor carpi ulnaris muscle (ulnar origin)
Extensor pollicis longus muscle
Extensor indicis muscle
Ulna
Extensor carpi radialis longus muscle
Extensor carpi radialis brevis muscle
Extensor carpi ulnaris muscle
Extensor digitorum muscle (central bands)
Extensor digiti minimi muscle
Extensor digitorum muscle (lateral bands)
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Origins |
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Insertions |
Triceps brachii muscle (medial head)
Triceps brachii muscle
Supinator muscle
Anconeus muscle
Biceps brachii muscle
Supinator muscle
Abductor pollicis longus muscle
Pronator teres muscle
Extensor pollicis brevis muscle
Radius
Brachioradialis muscle
Abductor pollicis longus muscle
Extensor pollicis brevis muscle
Extensor pollicis longus muscle
Extensor indicis muscle
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Elbow and Forearm |
Plate 438 |
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Carpal Bones
See also Plate 425
Metacarpal bones
Anterior (palmar) view
Capitate
Hook of hamate
Hamate
Pisiform
Triquetrum
Lunate
Ulnar styloid process
Ulna
Metacarpal bones
Posterior (dorsal) view
Trapezoid
Trapezium
Radial styloid process
Scaphoid
Dorsal tubercle of radius (Lister’s)
Radius
Trapezoid
Tubercle of trapezium Trapezium
Tubercle of scaphoid Scaphoid
Radial styloid process
Radius
Capitate
Hamate
Triquetrum
Lunate
Ulnar styloid process
Ulna
Plate 439 |
Wrist and Hand |
Movements of Wrist 6
Metacarpal |
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bones |
5 |
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4 |
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Hamate |
3 |
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2 |
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Pisiform |
1 |
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Triquetrum |
Sesamoid |
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bones |
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Trapezium |
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Lunate |
Trapezoid |
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Capitate |
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Scaphoid |
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Ulna |
Radius |
Position of carpal bones with hand in abduction: anterior (palmar) view
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Sesamoid |
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bones |
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1 |
Metacarpal |
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bones |
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2 |
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3 |
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4 |
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5 |
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Trapezium |
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Trapezoid |
Hamate |
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Capitate |
Pisiform |
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Scaphoid |
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Triquetrum |
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Lunate |
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Ulna |
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Radius |
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Position of carpal bones with hand in adduction: anterior (palmar) view
Palm |
Dorsum |
3rd metacarpal bone
Carpometacarpal joint
Capitate
Midcarpal joint
Lunate
Articular disc of wrist joint
Wrist (radiocarpal)
joint
Hand in
Radius anatomical position
Sagittal sections through wrist and middle finger
Palm
Carpometacarpal joint
Midcarpal joint
Radius
Wrist (radiocarpal) joint
Hand in flexion
Palm
Carpometacarpal joint
Midcarpal joint
Wrist (radiocarpal) joint
Hand in extension
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Wrist and Hand |
Plate 440 |
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Ligaments of Wrist
Carpal tunnel: palmar view |
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Metacarpal bones |
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5 |
4 |
1 |
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Hook of hamate |
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Pisohamate ligament |
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Deep palmar branch of ulnar artery |
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and deep branch of ulnar nerve |
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Pisometacarpal ligament |
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Pisiform |
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Flexor digitorum |
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superficialis tendons |
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Flexor digitorum |
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profundus tendons |
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Flexor carpi ulnaris tendon |
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Ulnar artery and nerve |
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Interosseous membrane |
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Ulna |
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Radius |
Flexor retinaculum removed: |
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palmar view |
Metacarpal bones |
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Flexor retinaculum (transverse carpal ligament)
Tubercle of trapezium
Tubercle of scaphoid
Palmar aponeurosis
Median nerve
Flexor pollicis longus tendon
Flexor carpi radialis tendon
Radial artery and superficial palmar branch
Palmar carpal ligament
(thickening of deep antebrachial fascia) (cut and reflected)
Palmaris longus tendon
5 |
1 |
Trapeziocapitate ligament |
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Capitohamate ligament |
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Triquetrocapitate ligament |
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Triquetrohamate ligament |
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Trapeziotrapezoid ligament |
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Lunotriquetral ligament |
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Scaphocapitate ligment |
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Ulnotriquetral ligament |
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Scaphotrapeziotrapezoid ligament |
Palmar |
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ulnocarpal Ulnocapitate ligament |
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ligament |
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Radioscaphocapitate ligament |
Ulnolunate ligament |
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Long radiolunate ligament
Palmar radiolunate ligament Short radiolunate ligament
Plate 441 |
Wrist and Hand |
Posterior (dorsal) view
1
Trapeziocapitate ligament
Trapeziotrapezoid ligament
Scapholunate ligament
Dorsal radiocarpal ligament
Coronal section: dorsal view
Ligaments of Wrist (continued) |
6 |
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See also Plate 425 |
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Metacarpal bones
2 3
4
5
Capitohamate ligament
Dorsal intercarpal ligament
Triquetrohamate ligament
Ulnotriquetral ligament (dorsal view)
Dorsal radio-ulnar ligament
Dorsal radial metaphyseal arcuate ligament
Metacarpal bones
2 |
3 |
4 |
5 |
1 |
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Intermetacarpal joints |
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Capitate |
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Carpometacarpal joint |
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Hamate |
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Trapezium |
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Triquetrum |
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Interosseous intercarpal ligaments |
Trapezoid |
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Pisiform |
Midcarpal joint |
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Scaphoid |
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Meniscus |
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Wrist (radiocarpal) joint |
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Articular disc of wrist joint |
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Lunate |
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Distal radio-ulnar joint |
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Radius |
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Ulna |
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Wrist and Hand |
Plate 442 |
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Bones of Wrist and Hand
Head
Distal Tuberosity phalanges Shafts
Base
Head
Middle phalanges Shafts
Base
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Proximal phalanges |
Head |
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Shafts |
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Right hand: |
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Base |
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anterior |
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Head |
5 |
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(palmar) view |
Metacarpal bones |
4 |
3 |
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Sesamoid |
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Shafts |
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2 |
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bones |
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Base |
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Hook of hamate |
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1 |
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and hamate |
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Carpal |
Capitate |
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Pisiform |
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bones |
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Triquetrum |
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Tubercle |
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Lunate |
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and |
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Scaphoid |
Head |
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Tuberosity |
Distal |
Shafts |
phalanges |
Base |
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Head |
Middle phalanges |
Right hand: |
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Shafts |
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Base |
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posterior |
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Head |
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(dorsal) view |
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Proximal phalanges |
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Shafts |
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Base |
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Head |
Metacarpal bones |
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3 4 |
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Shafts |
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2 |
5 |
Base |
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1 |
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Hamate |
Carpal bones |
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Triquetrum |
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Lunate |
Plate 443 |
Wrist and Hand |
Anteroposterior view
Trapezoid
Base of thumb metacarpal
Trapezium
Capitate
Scaphoid
Styloid process of radius
Lunate
Lateral view
1st metacarpal Hook of hamate Trapezium Pisiform Scaphoid
Wrist and Hand: Radiographs 6
See also Plate 456
Distal phalanx of ring finger (4th digit)
Middle phalanx of middle finger (3rd digit)
Head of proximal phalanx
Head of 5th metacarpal
Shaft of 5th metacarpal
Base of 5th metacarpal
Hook of hamate Hamate Pisiform Triquetrum
Styloid process of ulna
Capitate
Triquetrum
Lunate
Articular surface of radius
Radius (distal end)
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Wrist and Hand |
Plate 444 |
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Metacarpophalangeal and Interphalangeal Ligaments
See also Plates 448, 451
Anterior (palmar) view
Flexor digitorum profundus tendons
Palmar ligaments (volar plates)
Deep transverse metacarpal ligaments
Palmar metacarpal ligaments
Palmar carpometacarpal ligaments
Hook of hamate
Pisiform
Metacarpal bone
Dorsal surface
In extension:
medial view
Palmar surface
Palmar ligament (volar plate)
In flexion: medial view
Palmar ligament (volar plate)
Flexor digitorum superficialis tendons (cut)
Cut margins of digital fibrous sheaths
Collateral ligaments (radial and ulnar aspects)
Joint capsule
Trapezium
Metacarpophalangeal (MP) joint
Accessory collateral |
Proximal interphalangeal (PIP) joint |
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ligament |
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Collateral |
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Distal interphalangeal |
ligament |
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(DIP) joint |
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Proximal |
Middle |
Distal |
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Accessory Phalanges collateral
ligament
Collateral ligament
Note: Ligaments of metacarpophalangeal and interphalangeal joints are similar.
Plate 445 |
Wrist and Hand |
Wrist and Hand: Superficial Palmar Dissections 6
Anterior (palmar) views
Palmar digital nerves from superficial branch of ulnar nerve to 5th digit and medial half of 4th digit
Palmaris brevis muscle (reflected)
Palmar aponeurosis
Hypothenar muscles
Palmaris brevis muscle
Ulnar artery
Superficial branch of ulnar nerve
Deep palmar branch of ulnar
artery and deep branch of ulnar nerve
Pisiform
Palmar branch of ulnar nerve
See also Plate 459
Superficial transverse metacarpal ligaments
Palmar digital arteries and nerves
Transverse fasciculi
Palmar aponeurosis
Minute fasciculi attach palmar aponeurosis to dermis
Recurrent (motor) branch of median nerve to thenar muscles
Thenar muscles
Palmar branch of median nerve
Palmar carpal ligament (thickening of deep antebrachial fascia continuous with extensor retinaculum)
Palmaris longus tendon
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Wrist and Hand |
Plate 446 |
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