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Opponens pollicis muscle | |
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![]() The muscles of the thumb | |
![]() The muscles of the left hand. Palmar surface. | |
Details | |
Latin | musculus opponens pollicis |
trapezium and transverse carpal ligament | |
metacarpal bone of the thumb on its radial side | |
Superficial palmar arch | |
Recurrent branch of the median nerve | |
Actions | Flexion of the thumb's metacarpal at the first carpometacarpal joint, which aids in opposition of the thumb |
Flexor pollicis brevis muscle | |
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![]() The muscles of the left hand. Palmar surface. (Flexor pollicis brevis visible at center right, near thumb.) | |
Details | |
Latin | musculus flexor pollicis brevis |
trapezium, flexor retinaculum | |
thumb, proximal phalanx | |
Superficial palmar arch | |
Recurrent branch of the median nerve, deep branch of ulnar nerve (medial head) | |
Actions | Flexes the thumb at the firstmetacarpophalangeal joint |
Extensor pollicis longus andbrevis |
Abductor pollicis brevis muscle | |
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![]() Abductor pollicis brevis visible at center right. | |
Details | |
Latin | musculus abductor pollicis brevis |
Transverse carpal ligament, thescaphoid and trapezium[1] | |
Radial base of proximal phalanxof thumb and the thumb extensors[1] | |
Superficial palmar arch | |
Recurrent branch of the median nerve | |
Actions | Abduction of the thumb by acting across thecarpometacarpal joint and themetacarpophalangeal joint. It also assists in opposition and extension of the thumb. |
Adductor pollicis muscle |
3) Adductor pollicis muscle
Adductor pollicis muscle | |
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![]() The muscles of the thumb. (Adductor pollicis transversus is red band at bottom, and adductor pollicis obliquus is red band immediately above it.) | |
Details | |
Latin | musculus adductor pollicis |
Transverse head: anterior body of the third metacarpal Oblique head: bases of thesecond and the third metacarpals and the adjacenttrapezoid and capitate bones | |
medial side of the base of theproximal phalanx of the thumband the ulnar sesamoid | |
deep palmar arch | |
deep branch of the ulnar nerve(T1) | |
Actions | adducts the thumb at thecarpometacarpal joint |
Abductor pollicis longus muscle,Abductor pollicis brevis muscle |
4) hypothenar
Opponens digiti minimi muscle | |
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![]() The muscles of the thumb. (Opponens quinti digiti visible at center right.) | |
![]() Front of the left forearm. Deep muscles. (Opponens digiti quinti visible at bottom left.) | |
Details | |
Latin | musculus opponens digiti minimi |
Hook of hamate and flexor retinaculum | |
Medial border of 5th metacarpal | |
ulnar artery | |
deep branch of ulnar nerve (C8 and T1) | |
Actions | Draws 5th metacarpal anteriorly and rotates it, bringing little finger (5th digit) into opposition with thumb |
Flexor digiti minimi brevis | |
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![]() The muscles of the left hand. Palmar surface | |
Details | |
Latin | musculus flexor digiti minimi brevis manus |
hamate bone | |
ulnar side of the base of the proximal phalanx of minimi | |
ulnar artery | |
deep branch of ulnar nerve | |
Actions | flexes little finger |
Extensor digiti minimi muscle |
Abductor digiti minimi muscle of hand | |
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![]() The muscles of the left hand seen frompalmar surface (abductor digiti quinti visible at center left) | |
Details | |
Latin | Musculus abductor digiti minimi manus |
Pisiform bone, the pisohamate ligament, and the flexor retinaculum | |
Base of the proximal phalanx of the 5th digit on the ulnar ormedial side | |
Ulnar artery | |
Deep branch of ulnar nerve | |
Actions |
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4) Palmaris brevis muscle
Palmaris brevis muscle | |
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![]() The muscles of the left hand. Palmar surface (palmaris brevis visible at center left). | |
Details | |
Latin | Musculus palmaris brevis |
Flexor retinaculum (medial) andpalmar aponeurosis | |
Palm | |
Superficial branch of ulnar nerve | |
Actions | Pulls on skin over hypothenar eminence, deepening the cup of the palm and so improving grip |
5) Lumbricals of the hand
Lumbricals of the hand | |
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![]() The muscles of the left hand. Palmar surface. (1st lumbricalis labeled at bottom right of muscular group.) | |
Details | |
Latin | musculi lumbricales manus |
flexor digitorum profundus | |
extensor expansion | |
superficial palmar arch, common palmar digital arteries, deep palmar arch, dorsal digital artery | |
3rd and 4th deep branch of ulnar nerve, 1st and 2nd median nerve | |
Actions | flex metacarpophalangeal joints,extend interphalangeal joints |
6)Dorsal interossei of the hand
Dorsal interossei of the hand | |
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![]() Interossei dorsales of left hand. | |
Details | |
Latin | Musculi interossei dorsales manus |
Metacarpals | |
Proximal phalanges andextensor expansions | |
Dorsal and palmar metacarpal artery | |
Deep branch of ulnar nerve | |
Actions | Abduct finger |
Palmar interossei |
7)Palmar interossei muscles
Palmar interossei muscles | |
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![]() Three of the palmar interossei of the left hand | |
Details | |
Latin | Musculi interossei palmares |
Sides of metacarpals facing midline | |
Bases of proximal phalanges, extensor expansions | |
Palmar metacarpal artery of deep palmar arch | |
Deep branch of ulnar nerve | |
Actions | Adduction, flexion and extension of fingers |
Dorsal interossei |
4. 손과 손목의 흔한 질환
http://cafe.naver.com/panicbird/141
손목 통증질환 https://www.youtube.com/watch?v=vTcgJuwoPis&feature=player_embedded
https://www.youtube.com/watch?v=tJhfKBhzRRM&feature=player_embedded
5. 근막이완
1) 롤핑
http://cafe.daum.net/panicbird/OJs0/281
2) CMP건
- http://cafe.daum.net/panicbird/Qibc/88
- http://cafe.daum.net/panicbird/Qibc/89
3) 단단한 공 이용
6. 주요 근육 스트레칭
1) 스트레칭 기본개념
*** 각 동작은 5초씩 3회가 기본(7초가 넘어가면 보상기전이 발생하므로)
*** 모든 동작은 다음 동작을 위한 예비동작 임, 건너 뛰지 말 것
http://cafe.daum.net/panicbird/QtNi/299
2) thenar
3) hypothenar
4) lumbrical, interossei
7. 관절가동
1) 총괄
http://cafe.daum.net/panicbird/OUdz/3
2) distal radioulnar joint mobilization
https://www.youtube.com/watch?feature=player_embedded&v=Fn3JSdqaZFE
3) wrist complex joint mobilization
4) Metacarpal Mobilization
https://www.youtube.com/watch?feature=player_embedded&v=jq4qscIUhm0
5) mcp and ip joint mobilization
8. 인대 약침, 가열식 화침
http://cafe.daum.net/panicbird/RNu8/21
9. stabilizing ex.
10. 근력 불균형 검사
1)근력 검사의 고려사항
http://cafe.daum.net/panicbird/QzZ4/15
2) https://youtu.be/OtR35RCNc9k
3) finger extension, finger flexion, finger abduction , thumb abduction, thumb opposition
11. isolation ex.
12. functional ex.
1) 수건이나 신문 구기기
치료대 위에 수건을 펼쳐 놓는다. 수건의 한쪽 끝에 손바닥이 아래로 가게 환자의 손을놓게 한다. 팔꿈치가 닿도록 유지하는 동안 손으로 수건을 구긴다 . 이 같은 운동은 손아래에 신문을 놓음 으로써 수행되어질 수 있다. 환자는 맨위에 있는 신문을 동그랗게 구겨서 바구니 안에 던져 넣는다.
2) 다양한 크기의 작은 물건을 집어올리기
3) 나사를 돌리고 볼트를 빼내기
4) 매듭을 묶고 풀기, 작은 병 열고 닫기
출처 : 키스너 콜비 '운동치료 총론' p744
13. 정렬운동
14. 행동수정
손목쪽에는 ganglion이 많이 발생하는데 compression 후 움직임을 주도록 티칭.
스트레칭과 아이스팩.
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