Flexor pollicis brevis muscle

Muscle in the thenar compartment From Wikipedia, the free encyclopedia

The flexor pollicis brevis is a muscle in the hand that flexes the thumb. It is one of three thenar muscles.[1][2] It has both a superficial part and a deep part.

Origin and insertion

The muscle's superficial head arises from the outer two-thirds of the lower (distal) edge of the flexor retinaculum and the tubercle of the trapezium, the most lateral bone in the distal row of carpal bones.[1] It passes along the outer (radial) side of the tendon of the flexor pollicis longus.

The deeper (and medial) head "varies in size and may be absent."[3] It arises from the trapezoid and capitate bones on the floor of the carpal tunnel, as well as the ligaments of the distal carpal row.[3]

Both heads become tendinous and insert together into the outer (radial) side of the base of the first phalanx of the thumb;[2] at the junction between the tendinous heads there is a sesamoid bone (the so-called flexor sesamoid).[4]

Innervation

The superficial head is usually innervated by the lateral terminal branch of the median nerve.[1] The deep part is often innervated by the deep branch of the ulnar nerve (C8, T1).[2][3]

Blood supply

The flexor pollicis brevis receives its blood supply from the superficial palmar branches of radial artery.[5]

Action

The flexor pollicis brevis flexes the thumb at the metacarpophalangeal joint,[1] as well as flexion and medial rotation of the 1st metacarpal bone at the carpometacarpal joint.[3]

Pathology

Flexor pollicis brevis can, rarely, be completely absent at birth due to a congenital issue (as can the other muscles of the thenar eminence).[6]

Additional images

References

Related Articles

Wikiwand AI