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How many flexor tendons are in the wrist?

Published in Wrist Anatomy 2 mins read

Based on typical anatomy and the provided reference, there are nine flexor tendons that pass through the carpal tunnel in the wrist.

Understanding Flexor Tendons in the Wrist

Flexor tendons are tough, fibrous cords of tissue that connect forearm muscles to the bones of the fingers and thumb. Their primary function is to allow you to bend (flex) your fingers and thumb. As these tendons travel from the muscles in the forearm down to the digits, they must pass through the narrow passageway in the wrist known as the carpal tunnel.

According to anatomical descriptions, including the information provided, there are nine long tendons which pass from the forearm through the carpal tunnel of the wrist. These tendons enable the complex movements of gripping, grasping, and making a fist.

The Nine Flexor Tendons Through the Carpal Tunnel

These nine tendons originate from different muscles in the forearm but share the common path through the carpal tunnel. They include:

  • Four tendons from the Flexor Digitorum Superficialis muscle (FDS), which primarily flex the middle joints of the fingers.
  • Four tendons from the Flexor Digitorum Profundus muscle (FDP), which primarily flex the end joints of the fingers.
  • One tendon from the Flexor Pollicis Longus muscle (FPL), which flexes the thumb.

These tendons, along with the median nerve, occupy the limited space within the carpal tunnel. Understanding the number and arrangement of these tendons is crucial when discussing wrist anatomy and conditions like carpal tunnel syndrome, where pressure on the median nerve or tendons can cause symptoms.

Practical Insight

The smooth gliding of these nine tendons within the carpal tunnel is essential for proper finger and thumb function. Each tendon is covered by a slippery sheath that helps it move easily. Conditions like tenosynovitis (inflammation of the tendon sheaths) can affect one or more of these nine tendons, leading to pain and impaired movement.

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