Flexor Digiti Minimi Brevis: Difference between revisions

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== Clinical relevance  ==
== Clinical relevance  ==
As the ulnar nerve passes between the hook of the hamate and pisiform bone (Guyon's canal), it can become compressed. Individuals that apply direct pressure to the Guyon canal such as cyclists can damage the ulnar nerve. Damage to the ulnar nerve will manifest as atrophy, numbness, tingling, and pain in the hypothenar eminence along with the fourth and fifth digits. This condition is the same as "carpal tunnel syndrome," but it affects the ulnar nerve.<ref>Ramage JL, Varacallo M. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Sep 8, 2020. [https://pubmed.ncbi.nlm.nih.gov/30521235/ Anatomy, Shoulder and Upper Limb, Hand Guyon Canal.]</ref>
The ulnar nerve can become compressed when it travels between the hook of the hamate and the pisiform bone (Guyon's canal). Cyclists, for example, can injure the ulnar nerve by applying direct pressure to the Guyon canal. Atrophy, numbness, tingling, and discomfort in the hypothenar eminence, as well as the fourth and fifth fingers, are all symptoms of ulnar nerve damage. The ulnar nerve is affected in this disorder, which is similar to "carpal tunnel syndrome." <ref>Ramage JL, Varacallo M. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Sep 8, 2020. [https://pubmed.ncbi.nlm.nih.gov/30521235/ Anatomy, Shoulder and Upper Limb, Hand Guyon Canal].</ref>


The hypothenar eminence can become damaged if the ulnar artery is compromised, and there is insufficient collateral blood flow. This condition is called the "hypothenar hammer syndrome: This condition tends to affect individuals that work with tools that need tight gripping and repetitive pounding of the tool. The tight grip and pounding of tools will cause a recoil impact on the vascular blood supply in the hypothenar eminence. If the blood supply becomes compromised, there will be necrosis of the hypothenar eminence.<ref>Kitzinger HB, van Schoonhoven J, Schmitt R, Hacker S, Karle B. [https://pubmed.ncbi.nlm.nih.gov/26010354/ Hypothenar Hammer Syndrome: Long-Term Results After Vascular Reconstruction.] Ann Plast Surg. 2016 Jan;76(1):40-5.</ref><ref>Zhang F, Weerakkody Y, Tosenovsky P. [https://pubmed.ncbi.nlm.nih.gov/28901690/ Hypothenar hammer syndrome in an office worker]. J Med Imaging Radiat Oncol. 2017 Dec;61(6):774-776. </ref>
If the ulnar artery is compromised and collateral blood flow is insufficient, the hypothenar eminence can be injured. The "hypothenar hammer syndrome" is the name given to this condition. Individuals who labour with instruments that need tight grasping and repetitive pounding are more likely to develop this illness. The firm grip and pounding of tools will induce a rebound effect on the hypothenar eminence's vascular blood supply. If the blood supply is jeopardised,.<ref>Kitzinger HB, van Schoonhoven J, Schmitt R, Hacker S, Karle B. [https://pubmed.ncbi.nlm.nih.gov/26010354/ Hypothenar Hammer Syndrome: Long-Term Results After Vascular Reconstruction.] Ann Plast Surg. 2016 Jan;76(1):40-5.</ref><ref>Zhang F, Weerakkody Y, Tosenovsky P. [https://pubmed.ncbi.nlm.nih.gov/28901690/ Hypothenar hammer syndrome in an office worker]. J Med Imaging Radiat Oncol. 2017 Dec;61(6):774-776. </ref>


== Resources  ==
== Resources  ==

Revision as of 18:23, 5 December 2021

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Top Contributors - Rishika Babburu, Sameera Withanage and Oyemi Sillo

Description[edit | edit source]

Thenar refers to fleshy mound. There are two fleshy mounds situated in the palmar surface of the hand. These thenar mounds are called the thenar eminence and the hypothenar eminence.  The fleshy mound at the base of the thumb is the thenar eminence. The mound located at the base of the fifth digit (little finger) is the hypothenar eminence. Primary function of the muscles located in the thenar eminence is to control the thumb movements.The hypothenar eminence is present on the medial side of the hand. This group of muscles is considered intrinsic muscles of the hand. The muscles present in the hypothenar eminence will contract and manifest motion through the little finger.

The hypothenar eminence is made up of four muscles. The four muscles are

  1. The abductor digiti minimi muscle,
  2. The flexor digiti minimi brevis muscle,
  3. The opponens digiti minimi muscle, and
  4. The palmaris brevis muscle. [1]

Origin[edit | edit source]

The muscle originates from the hook of hamate and flexor retinaculum (Transverse carpal ligament) .This muscle lies laterally to the abductor digiti minimi.[2]

Insertion[edit | edit source]

It inserts into the medial side of base of the proximal phalanx of the little finger.

Nerve[edit | edit source]

Deep branch of Ulnar nerve

Artery[edit | edit source]

Ulnar artery

Function[edit | edit source]

Flexes the Metacarpophalangeal joint of the little finger.

Clinical relevance[edit | edit source]

The ulnar nerve can become compressed when it travels between the hook of the hamate and the pisiform bone (Guyon's canal). Cyclists, for example, can injure the ulnar nerve by applying direct pressure to the Guyon canal. Atrophy, numbness, tingling, and discomfort in the hypothenar eminence, as well as the fourth and fifth fingers, are all symptoms of ulnar nerve damage. The ulnar nerve is affected in this disorder, which is similar to "carpal tunnel syndrome." [3]

If the ulnar artery is compromised and collateral blood flow is insufficient, the hypothenar eminence can be injured. The "hypothenar hammer syndrome" is the name given to this condition. Individuals who labour with instruments that need tight grasping and repetitive pounding are more likely to develop this illness. The firm grip and pounding of tools will induce a rebound effect on the hypothenar eminence's vascular blood supply. If the blood supply is jeopardised,.[4][5]

Resources[edit | edit source]

  1. https://www.ncbi.nlm.nih.gov/books/NBK546622/
  2. https://teachmeanatomy.info/upper-limb/muscles/hand/
  3. Ramage JL, Varacallo M. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Sep 8, 2020. Anatomy, Shoulder and Upper Limb, Hand Guyon Canal.
  4. Kitzinger HB, van Schoonhoven J, Schmitt R, Hacker S, Karle B. Hypothenar Hammer Syndrome: Long-Term Results After Vascular Reconstruction. Ann Plast Surg. 2016 Jan;76(1):40-5.
  5. Zhang F, Weerakkody Y, Tosenovsky P. Hypothenar hammer syndrome in an office worker. J Med Imaging Radiat Oncol. 2017 Dec;61(6):774-776.