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Flexor Carpi Ulnaris Anatomy

Aug 3, 2025

Overview

This lecture covers the anatomy of the flexor carpi ulnaris muscle in the forearm, focusing on its origin, insertion, and main actions.

Location and Structure

  • The flexor carpi ulnaris runs along the medial side of the forearm and crosses the wrist joint.
  • It is located near other forearm muscles like the flexor digitorum superficialis and palmaris longus.
  • The muscle has two heads: the humeral head (originates from the humerus) and the ulnar head (originates from the ulna).

Origins (Proximal Attachments)

  • Humeral head originates from the medial epicondyle of the humerus via the common flexor tendon.
  • Ulnar head originates from the olecranon and the upper two-thirds of the posterior border of the ulna.
  • Both heads join via a tendinous arch.

Insertions (Distal Attachments)

  • Main insertion is on the pisiform bone of the wrist.
  • Indirectly connects to the hamate bone and base of the fifth metacarpal through the pisohamate and pisometacarpal ligaments.
  • Proximity and ligament connections classify the hamate and fifth metacarpal as additional insertion points.

Actions

  • Flexes the wrist joint (bends the wrist forward).
  • Adducts the wrist joint (moves the hand towards the ulnar side).
  • Weakly assists in flexion of the elbow joint.

Key Terms & Definitions

  • Origin — The muscle's attachment site on the bone that remains stationary during contraction.
  • Insertion — The site where the muscle attaches to the bone that moves during contraction.
  • Common flexor tendon — A shared tendon on the medial epicondyle of the humerus for several forearm muscles.
  • Adduction — Movement of a body part toward the body's midline.
  • Pisiform, hamate, fifth metacarpal — Carpal and metacarpal bones of the hand involved in the insertion of the flexor carpi ulnaris.

Action Items / Next Steps

  • Review diagrams of the flexor carpi ulnaris and its neighboring structures.
  • Memorize the muscle's origins, insertions, and actions for quizzes or practical exams.