Flexor Carpi Ulnaris Muscle

Original Editor -

Top Contributors - Uchechukwu Chukwuemeka, Ananya Bunglae Sudindar, Patti Cavaleri and Vidya Acharya

Description[edit | edit source]

Flexor carpi ulnaris muscle (FCU) is the most medial flexor muscles in the superficial compartment of the forearm. It can adduct and flex the wrist at the same time; acts in tandem with FCR to flex the wrist and with the extensor carpi ulnaris to adduct the wrist. This muscle is the only muscle in the anterior compartment that is fully innervated by the ulnar nerve.

Origin[edit | edit source]

It has an long linear origin from olecranon and posterior border of the ulna,

A humeral head origin from the medial epicondyle of the humerus.

Insertion[edit | edit source]

It inserts at the base of Pisiform bone, hook of hamate and base of 5th metacarpal.

Nerve[edit | edit source]

FCU is innervated by the Ulnar nerve (C7,C8, T1)

Artery[edit | edit source]

FCU blood supply is via ulnar collateral ulnar arteries, and also anterior and posterior ulnar recurrent arteries.

Function[edit | edit source]

FCU flexes and adducts the hand at the wrist joint

Clinical relevance[edit | edit source]

The ulnar nerve enters the forearm by passing between the humeral and the ulnar heads of its proximal attachment.

The tendon of the FCU is a guide to the ulnar nerve and artery, which are on its lateral side at the wrist

Assessment[edit | edit source]

To test the flexor carpi ulnaris, the person puts the and is then asked to flex the wrist against resistance while the examiner palpates the muscle and its tendon.

The patient/client is seated with posterior aspect of the forearm and hand flat on a table table; the is then hand positioned in supination and extension

The therapist is seated at the side of the upper limb being tested, one hand stabilizes the patient's forearm and the other hand's two to three fingers is placed on the radial side at the 5th metacarpal and metacarpal joint of the patient

Instruction: The patient is instructed to abduct the little finger while flexing the wrist against the therapist's resistance.

[1]

Resources[edit | edit source]

  1. OTstudentVids.MMT of Flexor Carpi Radialis/Ulnaris and Extensor Carpi Uln. Available from:https://www.youtube.com/watch?v=31Wbe7xv8Jk [last accessed 29/3/2019]

References[edit | edit source]