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(Netter Basic Science) Frank H. Netter - Atlas of Human Anatomy-Elsevier (2018)

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Bursae, Spaces, and Tendon Sheaths of Hand

Flexor digitorum

profundus tendon

Flexor digitorum superficialis tendon

Fibrous and synovial (tendon)

sheaths of finger (opened)

Midpalmar space

(deep to flexor tendons

and lumbrical muscles)

Lumbrical muscles in

fascial sheaths

Common flexor sheath

(ulnar bursa) (opened)

Anular and cruciform parts

(pulleys) of fibrous sheath (over

synovial sheath of finger)

Lumbrical muscles in fascial

sheaths (cut and reflected)

(Synovial) tendon

sheath of finger

Thenar space

(deep to flexor tendon

and 1st lumbrical muscle)

Flexor digitorum superficialis

tendons proximally (3, 4

superficial: 2, 5 deep), distally

(2, 3, 4, 5 same plane)

Fascia of adductor pollicis muscle

Tendinous sheath of flexor pollicis

longus muscle

Flexor digitorum profundus tendons (2, 3, 4, 5)

Common

flexor sheath

Flexor retinaculum (transverse carpal ligament) (reflected)

Tendinous sheath of flexor pollicis longus muscle

Flexor carpi radialis tendon

Pronator quadratus muscle

Common palmar digital

artery and nerve

Lumbrical muscle

in its fascial sheath

Flexor tendons to 5th

digit in common

flexor sheath

Hypothenar muscles

Palmar aponeurosis

Midpalmar space

Septa forming canals

Profundus and superficialis flexor tendons to 3rd digit

Septum between midpalmar and thenar spaces

Thenar space

Flexor pollicis longus

tendon in tendon

sheath

Extensor pollicis

longus tendon

Adductor pollicis muscle

Dorsal fascia of hand

Palmar interosseous muscles

Dorsal interosseous muscles

Extensor tendons

Plate 453

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Wrist and Hand

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