
Lumbrical muscles are intrinsic muscles of the hand that originate from the flexor digitorum profundus tendons and insert into the extensor expansions. There are four of these small, worm-like muscles in each hand, which are capable of two different actions: flexion at the metacarpophalangeal joints and extension in both the proximal and distal interphalangeal joints. Lumbricals are unique in that they do not attach to bone, and they contain many muscle spindles, which are specialised sensory receptors that play a role in proprioception.
| Characteristics | Values |
|---|---|
| Definition | Deep muscles of the hand that flex the metacarpophalangeal joints and extend the interphalangeal joints |
| Number | Four on each hand |
| Shape | Small and worm-like |
| Attachment | Proximally to the tendons of flexor digitorum profundus and distally to the extensor expansions |
| Innervation | First and second lumbricals: Median nerve; Third and fourth lumbricals: Ulnar nerve |
| Blood supply | Superficial palmar arch, common palmar digital artery, deep palmar arch, and dorsal digital artery |
| Function | Extension of the proximal and distal interphalangeal joints; flexion of the metacarpophalangeal joints |
| Role | Precision pinch movements, sensory feedback, and complex hand movements |
| Injury | Can be damaged in crush injuries to the hand, leading to adhesions with the interosseous muscle |
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What You'll Learn

Lumbrical muscles are intrinsic muscles of the hand
The lumbrical muscles are intrinsic muscles of the hand. There are four of them, each associated with a digit. They are small, worm-like muscles that do not attach to bone. Instead, they attach proximally to the tendons of the flexor digitorum profundus and distally to the extensor expansions. This attachment makes their two insertion points mobile, allowing them to perform two different actions.
The lumbricals flex the metacarpophalangeal joints and extend the interphalangeal joints. These combined movements play a role in complex hand movements, such as holding a pen, and contribute to the hand's overall dexterity. The muscles also contain many muscle spindles, which are specialised sensory receptors involved in precision movements. The high number of muscle spindles in the lumbricals suggests that they play a role in proprioceptive monitoring of the fingers and sensory feedback, which is important for precision pinch movements and precise manipulation of objects.
The first and second lumbricals (the most radial two) are innervated by the median nerve, while the third and fourth lumbricals (the most ulnar two) are innervated by the ulnar nerve. The first lumbrical arises from the radial side and palmar surface of the tendon of the index finger, while the second arises from the same areas of the tendon of the middle finger. The third lumbrical arises from the ulnar side of the middle finger tendon and the radial side of the ring finger tendon, and the fourth arises from the ulnar side of the ring finger tendon and the radial side of the little finger tendon.
The lumbrical muscles are sometimes damaged in crush injuries to the hand. Following these injuries, adhesions may occur between the lumbrical muscle and the interosseous muscle.
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They do not attach to bone
The lumbrical muscles are four small, worm-like muscles on each hand. They are unusual in that they do not attach to bone. Instead, they attach proximally to the tendons of flexor digitorum profundus and distally to the extensor expansions. This means that both of their attachment points are quite mobile, allowing the muscles to be capable of two different actions. These are flexion at the metacarpophalangeal joints and extension in both the proximal and distal interphalangeal joints. The lumbricals assist in metacarpophalangeal joint flexion and contribute to interphalangeal joint extension by acting as deflexors of the proximal interphalangeal joint.
The reason for these opposite actions is that the tendons cross the metacarpophalangeal joints on the palmar side but distally insert at the dorsal side of the finger. These combined movements play a role in complex movement of the hand, such as holding a pen, and contribute to the general dexterity of the hand. The lumbricals are also thought to be involved in sensory feedback, which is important for precision pinch movements and the precise manipulation of objects.
The first and second lumbricals (the most radial two) are innervated by the median nerve. The third and fourth lumbricals (most ulnar two) are innervated by the ulnar nerve. This is the usual innervation of the lumbricals, occurring in 60% of individuals. However, variations do exist, such as a 1:3 (median:ulnar) ratio in 20% of individuals and a 3:1 ratio in another 20%.
The lumbrical muscles of the hand originate from the flexor digitorum profundus tendons and insert onto the lateral band of the extensor tendons. Each lumbrical muscle originates from one or two adjacent tendons of the flexor digitorum profundus muscle. Lumbricals 1-2 are usually unipennate, meaning their fibres arise obliquely from one tendon, while lumbricals 3-4 are bipennate, arising from two adjacent tendons.
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They are involved in sensory feedback
The lumbrical muscles are intrinsic muscles of the hand that play a role in complex hand movements, such as holding a pen, and contribute to the hand's overall dexterity. Each hand has four small, worm-like lumbrical muscles, and they are unique in that they do not attach to bone. Instead, they attach proximally to the tendons of the flexor digitorum profundus and distally to the extensor expansions.
The lumbricals are involved in sensory feedback due to the presence of a high number of muscle spindles. Muscle spindles are specialized sensory receptors that provide information to the central nervous system about the length and contraction velocity of muscle fibres. This suggests that the lumbricals play a significant role in proprioception, which is essential for precision pinch movements and precise manipulation of objects.
The first and second lumbricals (the most radial two) are innervated by the median nerve, while the third and fourth lumbricals (the most ulnar two) are innervated by the ulnar nerve. This innervation pattern is consistent with the associated muscle unit of the flexor digitorum profundus. The lateral two lumbricals, associated with the index and middle fingers, are also innervated by the median nerve, while the medial two lumbricals, associated with the little and ring fingers, are innervated by the ulnar nerve.
The lumbrical muscles' architectural properties, including their small cross-sectional area and long fibre length, indicate that they are likely important for fast, alternating movements and fine-tuning digit motion. This is further supported by the fact that the lumbricals can perform two different actions due to their attachment points' mobility. These actions include flexion at the metacarpophalangeal joints and extension in both the proximal and distal interphalangeal joints.
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They are important for complex hand movements
The lumbrical muscles are four small, worm-like intrinsic muscles on each hand that are important for complex hand movements. Unlike most muscles, the lumbricals do not attach to bone. Instead, they attach proximally to the tendons of the flexor digitorum profundus and distally to the extensor expansions. This means that the lumbricals are capable of two different actions: flexion at the metacarpophalangeal joints and extension in both the proximal and distal interphalangeal joints.
These combined movements play a role in complex hand movements, such as holding a pen, and contribute to the general dexterity of the hand. The lumbricals are also thought to be involved in sensory feedback, which is important for precision pinch movements and the precise manipulation of objects. This is due to the high number of muscle spindles in the lumbricals, which are specialised sensory receptors that provide information to the central nervous system about the length and contraction velocity of muscle fibres.
The first and second lumbricals (those associated with the index and middle fingers) are innervated by the median nerve, while the third and fourth lumbricals (those associated with the ring and little fingers) are innervated by the ulnar nerve. The first two lumbricals are usually unipennate, meaning their fibres arise obliquely from one tendon, while the third and fourth lumbricals are bipennate, arising from two adjacent tendons.
The lumbrical muscles are also important in the grading of finger flexor pulley system (FFPS) injuries, which are common in rock climbing. Understanding the anatomy and function of the lumbrical muscles can help with the diagnosis and treatment of these injuries.
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They are involved in proprioception
The lumbrical muscles are four small, worm-like muscles on each hand. They are intrinsic muscles of the hand that originate from the flexor digitorum profundus tendons and insert into the lateral band of the extensor tendons. The first lumbrical arises from the radial side and palmar surface of the tendon of the index finger. The second lumbrical arises from the radial side and palmar surface of the tendon of the middle finger. The third lumbrical arises from both the ulnar side of the middle finger tendon and the radial side of the ring finger tendon. The fourth lumbrical arises from the ulnar sides of the ring finger tendon and the little finger tendon.
The lumbricals are unique in that they do not attach to bone. Instead, they attach proximally to the tendons of the flexor digitorum profundus and distally to the extensor expansions. This means that the muscles are capable of two different actions: flexion at the metacarpophalangeal joints and extension in both the proximal and distal interphalangeal joints. These combined movements play a role in complex hand movements, such as holding a pen, and contribute to the hand's dexterity.
The lumbrical muscles contain many muscle spindles and have a large fibre length. Muscle spindles are specialised sensory receptors found in many human muscles involved in precision movements. They provide information to the central nervous system about the length and contraction velocity of muscle fibres. The high number of muscle spindles in the lumbricals suggests that they are important for proprioceptive monitoring of the fingers and sensory feedback, which is crucial for precision pinch movements and the precise manipulation of objects.
The first and second lumbricals (the most radial two) are innervated by the median nerve, while the third and fourth lumbricals (the most ulnar two) are innervated by the ulnar nerve. This is the usual innervation pattern, occurring in 60% of individuals. However, variations do exist, with different ratios of median to ulnar innervation observed in 20% of individuals each.
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Frequently asked questions
Lumbricals are intrinsic muscles of the hand that originate from the flexor digitorum profundus tendons and insert into the lateral band of the extensor tendons.
The lumbrical muscles function to extend the PIP and DIP joints and flex the metacarpophalangeal joints. These combined movements play a role in complex movement of the hand (e.g. for holding a pen) and contribute to the hand's general dexterity.
The lumbrical muscles are unique in that they do not attach to bone. Instead, they attach proximally to the tendons of flexor digitorum profundus and distally to the extensor expansions. This makes their attachment points quite mobile, allowing them to perform two different actions.











































