About one centimeter from the wrist the muscle ends in a flat tendon
which passes through the transverse ligament and divides on the hand
into four or five (or sometimes only three) tendons (Fig. 77, _s′_)
which diverge to the insertions. The ulnar portion of the flexor
sublimis digitorum (Fig. 77, _x_) takes origin from the common tendon
before its division.
_Insertion._--Each tendon except the first gives off a branch which
spreads out in the trilobed pad in the palm. The middle two of these may
be traced to the integument covering the pad. The tendon is then
inserted (Fig. 88, _a_) near the base of the first phalanx onto the
outer surface of the perforated portion of the flexor sublimis tendon
(_b_, _b′_) at its side, except that to the thumb, which divides near
its distal end into two which are inserted into the sesamoid bones at
the base of the first phalanx. The tendons of insertion are closely
united to the fibrous pulley-ring at the base of the first phalanx, and
each may send a slip to the base of the phalanx at either side of the
ring.
_Relations._--Outer surface with the superficial fascia and one head of
the flexor sublimis (Fig. 77, _x_). Radial border with the flexor carpi
radialis. Ulnar border with the flexor carpi ulnaris and a part of the
flexor profundus digitorum. Inner surface with the flexor carpi
radialis (_r_), the flexor carpi ulnaris (_t_), the flexor profundus
digitorum (_u_), and the radial head of the flexor sublimis digitorum.
_Action._--Flexor of the first phalanx of each of the digits.
=M. flexor carpi ulnaris= (Fig. 77, _t_, _t′_).
_Origin._--There are two heads. The first or humeral head (_t′_) takes
origin in common with the second part of the flexor profundus from the
median surface of the distal end of the humerus just distad of the
medial epicondyle (Fig. 82, _q_). The second or ulnar head (_t_) takes
origin by fleshy fibres from the lateral surface of the olecranon and
from the dorsal border of the ulna from the olecranon to a point distad
of the semilunar notch (Fig. 87, _f_). The two heads join proximad of
the middle of the forearm. The muscle passes obliquely across the
ventral surface of the forearm to its
_Insertion_ by fleshy and tendinous fibres into the proximal surface of
the pisiform bone.
_Relations._--Outer surface with the integument and the palmaris longus
(Fig. 77, _s_). Inner surface and ulnar border with the flexor profundus
digitorum.
_Action_ indicated by the name.
=M. flexor sublimis digitorum= (or perforatus).--This muscle is in two
parts, which are given a common name only because of the similar
structure and insertions of their tendons.
Public-domain text, read in full here on John Shaqi.
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