Palmaris longus muscle

Palmaris longus muscle
Palmaris longus tendon as seen in surface anatomy
Details
OriginMedial epicondyle of humerus (common flexor tendon)
InsertionPalmar aponeurosis and flexor retinaculum of the hand
ArteryUlnar artery
NerveMedian nerve
ActionsWrist flexor
AntagonistExtensor carpi radialis brevis, extensor carpi radialis longus, extensor carpi ulnaris
Identifiers
Latinmusculus palmaris longus
GreekΜακρύς παλαμικός μυς
TA98A04.6.02.029
TA22482
FMA38462
Anatomical terms of muscle

The palmaris longus is a muscle visible as a small tendon located between the flexor carpi radialis and the flexor carpi ulnaris, although it is not always present. Reviews report rates of absence in the general population ranging from 10–20%; however, the rate varies in different ethnic groups.[1][2][3] Absence of the palmaris longus does not have an effect on grip strength.[4] The lack of palmaris longus muscle does result in decreased pinch strength in fourth and fifth fingers. The absence of palmaris longus muscle is more prevalent in females than males.[5]

The palmaris longus muscle can be observed by touching the pads of the fourth finger and thumb and flexing the wrist. The tendon, if present, will be visible in the midline of the anterior wrist.

  1. ^ Sebastin SJ, Puhaindran ME, Lim AY, Lim IJ, Bee WH (October 2005). "The prevalence of absence of the palmaris longus--a study in a Chinese population and a review of the literature". Journal of Hand Surgery. 30 (5): 525–7. doi:10.1016/j.jhsb.2005.05.003. PMID 16006020. S2CID 12394636.
  2. ^ Yammine, Kaissar (September 2013). "Clinical prevalence of palmaris longus agenesis: A systematic review and meta‐analysis". Clinical Anatomy. 26 (6): 709–718. doi:10.1002/ca.22289.
  3. ^ Pękala, Przemysław A.; Henry, Brandon Michael; Pękala, Jakub R.; Skinningsrud, Bendik; Walocha, Jerzy A.; Bonczar, Mariusz; Tomaszewski, Krzysztof A. (December 2017). "Congenital absence of the palmaris longus muscle: A meta-analysis comparing cadaveric and functional studies". Journal of Plastic, Reconstructive & Aesthetic Surgery. 70 (12): 1715–1724. doi:10.1016/j.bjps.2017.08.002.
  4. ^ Sebastin SJ, Lim AY, Bee WH, Wong TC, Methil BV (August 2005). "Does the absence of the palmaris longus affect grip and pinch strength?". Journal of Hand Surgery. 30 (4): 406–8. doi:10.1016/j.jhsb.2005.03.011. PMID 15935531. S2CID 35394120.
  5. ^ Cetin, A.; Genc, M.; Sevil, S.; Coban, Y. K. (2013). "Prevalence of the palmaris longus muscle and its relationship with grip and pinch strength". Hand (New York, N.Y.). 8 (2): 215–220. doi:10.1007/s11552-013-9509-6. PMC 3652998. PMID 24426922.