jacobkrishnak(Finger)

Anatomy

The 5 digits are attached to the forearm by a joint called the wrist (carpus).

The thumb (connected to the trapezium) is located on one of the sides, parallel to the arm.
Illustration depicting the bones of the human hand

The palm has five bones known as metacarpal bones, one to each of the 5 digits. Human hands contain fourteen digital bones, also called phalanges, or phalanx bones: two in the thumb (the thumb has no middle phalanx) and three in each of the four fingers. These are the distal phalanx, carrying the nail, the middle phalanx, and the proximal phalanx.

Sesamoid bones are small ossified nodes embedded in the tendons to provide extra leverage and reduce pressure on the underlying tissue. Many exist around the palm at the bases of the digits; the exact number varies between different people.

The articulations are: interphalangeal articulations between phalangeal bones, and metacarpophalangeal joints connecting the phalanges to the metacarpal bones.

The pulp of a finger is the fleshy mass on the palmar aspect of the extremity of the finger.

Muscles
Muscles and other structures of wrist and palm

Muscles of the fingers can be subdivided into two groups: the extrinsic and intrinsic muscle groups. The extrinsic muscle groups are the long flexors and extensors. They are called extrinsic because the muscle belly is located on the forearm.

The intrinsic muscle groups are the thenar and hypothenar muscles (thenar referring to the thumb, hypothenar to the small finger), the interossei muscles (between the metacarpal bones, four dorsally and three volarly) and the lumbrical muscles. These muscles arise from the deep flexor (and are special because they have no bony origin) and insert on the dorsal extensor hood mechanism. The intrinsic muscles of hand can be remembered using the mnemonic, "A OF A OF A" for, Abductor pollicis brevis, Opponens pollicis, Flexor pollicis brevis, Adductor pollicis (thenar muscles) and Opponens digiti minimi, Flexor digiti minimi brevis, Abductor digiti minimi (hypothenar muscles).

The fingers have two long flexors, located on the underside of the forearm. They insert by tendons to the phalanges of the fingers. The deep flexor attaches to the distal phalanx, and the superficial flexor attaches to the middle phalanx. The flexors allow for the actual bending of the fingers. The thumb has one long flexor and a short flexor in the thenar muscle group. The human thumb also has other muscles in the thenar group (opponens and abductor brevis muscle), moving the thumb in opposition, making grasping possible.

The extensors are located on the back of the forearm and are connected in a more complex way than the flexors to the dorsum of the fingers. The tendons unite with the interosseous and lumbrical muscles to form the extensorhood mechanism. The primary function of the extensors is to straighten out the digits. The thumb has two extensors in the forearm; the tendons of these form the anatomical snuff box. Also, the index finger and the little finger have an extra extensor, used for instance for pointing. The extensors are situated within 6 separate compartments. The 1st compartment contains abductor pollicis longus and extensor pollicis brevis. The 2nd compartment contains extensors carpi radialis longus and brevis. The 3rd compartment contains extensor pollicis longus. The extensor digitorum indicis and extensor digititorum communis are within the 4th compartment. Extensor digiti minimi is in the fifth, and extensor carpi ulnaris is in the 6th.
Anomalies and diseases
Radiograph of Type 1 Syndactyly

A rare anatomical variation affects 1 in 500 humans, in which the individual has more than the usual number of digits; this is known as polydactyly. A human may also be born without one or more fingers or underdevelopment of some fingers such as symbrachydactyly. Extra fingers can be functional. One individual with seven fingers not only used them but claimed that they “gave him some advantages in playing the piano.”

Phalanges are commonly fractured. A damaged tendon can cause significant loss of function in fine motor control, such as with a mallet finger.

Finger locking is the act of locking the middle joint of a finger in place, and bending the very last joint independently from the others. Many people have the ability to do this in only one hand or even in both, depending on how the muscles are formed in the hand. Finger locking may cause pain.[citation needed]

The fingers are commonly affected by diseases such as rheumatoid arthritis and gout. Diabetics often use the fingers to obtain blood samples for regular blood sugar testing. Raynaud's phenomenon is a neurovascular disorder that affects the fingers.

Research has linked the ratio of lengths between the index and ring fingers to higher levels of testosterone, and to various physical and behavioral traits such as penis length and risk for development of alcohol dependence.


Each finger has an orderly somatotopic representation on the cerebral cortex in the somatosensory cortex area 3b, part of area 1 and a distributed, overlapping representations in the supplementary motor area and primary motor area.

The somatosensory cortex representation of the hand is a dynamic reflection of the fingers on the external hand: in syndactyly people have a clubhand of webbed, shortened fingers. However, not only are the fingers of their hands fused, but the cortical maps of their individual fingers also form a club hand. The fingers can be surgically divided to make a more useful hand. Surgeons did this at the Institute of Reconstructive Plastic Surgery in New York to a 32-year-old man with the initials O. G.. They touched O. G.’s fingers before and after surgery while using MRI brain scans. Before the surgery, the fingers mapped onto his brain were fused close together; afterward, the maps of his individual fingers did indeed separate and take the layout corresponding to a normal hand.
JACOBKRISHNAK