The _second head_ has _origin_ (Fig. 82, _n_) from the distal end of the
medial epicondyle of the humerus between the flexor ulnaris and the
third and fourth heads of the profundus. It may be very closely attached
to these muscles at their origins. Its tendon joins the radial border of
the tendon of the first head. From this junction the radial part of the
flexor sublimis arises.
The _third head_ (Fig. 77, _u_) has _origin_ (Fig. 82, _o_) by a strong
tendon from the medial epicondyle of the humerus, between the palmaris
(_p_) and flexor radialis (_m_). Its tendon forms the radial part of the
common tendon.
The _fourth head_ has _origin_ by a strong tendon from the medial
epicondyle of the humerus just ventrad of the origin of the second head
and the flexor ulnaris, to which many of its fibres are attached. Its
tendon forms the middle and superficial part of the common tendon.
The _fifth_ or _radial head_ (Fig. 75, _q_; Fig. 77, _u′_) has _origin_
(Fig. 87, _h_) from the middle third of the ventral surface of the shaft
of the radius over an area limited by two oblique bony ridges; from the
adjacent parts of the interosseous membrane; and from the ventral part
of the medial surface of the shaft of the ulna between a point about two
centimeters distad of the semilunar notch and the junction of the middle
and distal thirds of the shaft. Its very thick tendon forms the middle
and deep part of the common tendon.
The common tendon (Fig. 88, _c′_) covers the carpus and metacarpus
ventrally. It divides into five tendons (_c_) which pass to the five
digits and are _inserted_ into the bases of the terminal phalanges.
Those of the first four digits perforate the tendon of the flexor
sublimis (_b_) at the base of the first phalanx of each digit. At the
same place each passes through a fibrous pulley-ring attached to the
base of the phalanx. Each then passes through a second pulley-ring (2)
near the head of the phalanx and is finally inserted into the base of
the terminal phalanx.
_Relations._--Outer surface with the pronator teres (Fig. 77, _q_),
flexor carpi radialis (Fig. 77, _r_), palmaris longus (_s_), flexor
carpi ulnaris (_t_), integument, and extensor carpi ulnaris (Fig. 75,
_o_). Inner surface with the radius, ulna, interosseous membrane and
pronator quadratus (Fig. 87, _a_).
_Action._--Flexor of all the digits.
[Illustration: FIG. 88.--ARRANGEMENT OF THE TENDONS of M. palmaris
longus, M. flexor sublimis digitorum, and M. flexor profundus
digitorum, with Mm. lumbricales.
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