Chapter

MRI of the Hand

202 MRI OF THE HAND
Table 4: Muscles of the Hand
MUSCLE
Palmaris brevis
Abductor pollicis brevis
Opponens pollicis
Flexor pollicis brevis
Adductor pollicis brevis
Abductor digiti minimi
Flexor digiti minimi brevis
Opponens digiti minimi
Lumbrical
ORIGIN
Ulnar border of the palmar
aponeurosis
Palmar surface of the flexor
retinaculum, trapezium, and
occasionally scaphoid
Palmar surface of the flexor
retinaculum and tubercle of
the trapezium
Superficial head: trapezium,
adjacent part of the flexor
retinaculum, and tendon
sheath of the flexor carpi
radialis; deep head: trapezoid
and capitate
Carpal head: flexor retina-
culum, capitate, bases of the
second and third metacarpals;
metacarpal head: palmar ridges
of the third metacarpal and
capsules of the second, third,
and fourth metacarpo-
phalangeal articulations
Distal half of the pisiform,
pisihamate ligament, tendon
of the flexor carpi ulnaris, and
frequently the flexor
retinaculum
Hook of the hamate and
adjacent parts of the flexor
retinaculum
Distal border of the hook of
the hamate and adjacent flexor
retinaculum
Two lateral lumbricals: radial
and palmar sides of the first
and second tendons of the
flexor digitorum profundus
Two medial lumbricals: adjacent
side of the second and third
tendons, and the third and
fourth tendons of the flexor
digitorum profundus
INSERTION
Deep surface of the skin along
the ulnar border of the palm
Radial side of the base of the
proximal phalanx of the
thumb
Lateral part of the palmar
surface of the shaft of the first
the metacarpal
Superficial head: lateral side of
the front of the base of the
proximal phalanx; deep head:
into a tendon of the superficial
head
Ulnar side of the front of the
base of the proximal phalanx
of the thumb
Two tendons: (1) the ulnar side
of the base of the proximal
phalanx of the little finger and
(2) the aponeurosis of the
extensor tendon of the little
finger
Ulnar side of the base of the
proximal phalanx of the little
finger
Medial surface of the body and
particularly onto the head of
the fifth metacarpal
Into the radial border of the
tendon of the extensor
digitorum on the back of the
proximal phalanx
NERVE SUPPLY
Superficial branch of ulnar
(C8, T1)
Recurrent branch of median
(C8, T1)
Recurrent branch of median
(C8, T1)
Recurrent branch of median
and deep branch of ulnar
(C8, T1)
Recurrent branch of median
(C8, T1)
Deep palmar division of ulnar
(C8, T1)
Superficial or deep palmar
branch of ulnar (C8, T1)
Deep palmar branch of ulnar
(C8, T1)
Median, lateral two or three
lumbricals; ulnar, deep palmar
branch, medial one or two
lumbricals (C8, T1)

Table 4: Muscles of the Hand—Cont’d
MUSCLE ORIGIN
Interosseous Palmar interosseous: anterior
border of the shaft of the first,
second, fourth, and fifth
metacarpals. The first arises
near the base and the others
arise from three fourths of the
shaft of the bone. Dorsal
interosseous: adjacent sides of
the metacarpal bones in each
metacarpal interspace
MRI OF THE HAND 203
INSERTION NERVE SUPPLY
Into the expansion on the axial Deep palmar branch of ulnar
side of the corresponding digit. (C8, T1)
The first palmar interosseous is
described frequently as a
division of the flexor brevis or
adductor pollicis. The first
dorsal interosseous usually
inserts onto the proximal
phalanx. The other three insert
into the extensor expansion
and proximal phalanx
204 MRI OF THE HAND: AXIAL

AXIAL
Figure 8.1.1 Extensor carpi
radialis longus t
Extensor carpi
radialis brevis t
Second
metacarpal Extensor digitorum tt
Extensor pollicis
longus t Extensor indicis t
Radial a, deep Extensor digiti minimi t
palmar arch Third, fourth, and fifth
Extensor pollicis metacarpals
brevis t Abductor digiti minimi t
First metacarpal Flexor digitorum
Flexor pollicis profundus tt
longus t Flexor digiti minimi
Opponens brevis m
pollicis Opponens digiti
brevis m minimi m
Flexor pollicis Palmaris brevis m
brevis m Ulnar a,
superficial and deep
Abductor Radial a, Median n Palmar Flexor digitorum
artery = a
pollicis superficial aponeurosis superficialis tt
brevis m arteries = aa
palmar arch
vein = v
veins = vv
muscle = m
muscles = mm
tendon = t
tendons = tt
nerve = n
nerves = nn
ligament = lig
ligaments = ligs

Figure 8.1.2 Extensor carpi

radialis longus t
Second
metacarpal
Extensor carpi
radialis brevis t

Deep palmar Extensor digitorum tt

arch
Extensor pollicis
longus t Extensor indicis t
Extensor digiti minimi t
Extensor pollicis Third, fourth, and fifth
brevis t metacarpals
Abductor digiti minimi t
First metacarpal Flexor digitorum
Flexor pollicis profundus tt
longus t Flexor digiti minimi
Opponens pollicis brevis m
brevis m Opponens digiti
minimi m
Flexor pollicis Palmaris brevis m
brevis m Ulnar a, superficial
and deep
Abductor pollicis Median n Palmar Flexor
brevis m aponeurosis digitorum
superficialis tt
 MRI OF THE HAND: AXIAL 205

Figure 8.1.3 Second

metacarpal
Extensor
indicis t Extensor digitorum tt
First dorsal Extensor digiti
interosseous m minimi t

Extensor pollicis Fourth dorsal

longus t interosseous m
Third, fourth, and fifth
Deep palmar metacarpals
arch
Abductor digiti minimi t
Extensor pollicis
Third palmar
brevis t
interosseous m
First metacarpal
Flexor pollicis Flexor digitorum
longus t profundus tt
Opponens Flexor digiti
pollicis minimi brevis m
brevis m Opponens digiti
Flexor pollicis minimi m
brevis m Palmaris brevis m

Abductor pollicis Adductor Median n Palmar Flexor digitorum Ulnar a,

brevis m pollicis m aponeurosis superficialis tt superficial arch

Figure 8.1.4 Second

metacarpal
Second dorsal
interosseous m
Extensor
digitorum tt
Extensor
indicis t
First dorsal Extensor digiti
interosseous m minimi t
Palmar Fourth dorsal
metacarpal aa interosseous m
Extensor pollicis Third, fourth, and fifth
longus t metacarpals
Extensor pollicis Third palmar
brevis t interosseous m
Abductor digiti
First metacarpal minimi t
Opponens Flexor digitorum
pollicis profundus tt
brevis m Flexor digiti minimi
Flexor pollicis brevis m
longus t
Opponens digiti
Flexor pollicis minimi m
brevis m Palmaris brevis m
Abductor pollicis Adductor Median n, Palmar Flexor digitorum Superficial
brevis m pollicis m branches aponeurosis superficialis tt palmar arch
206 MRI OF THE HAND: AXIAL

Figure 8.1.5 Second

metacarpal
Second dorsal
interosseous m
Extensor
digitorum tt
Extensor
indicis t

First dorsal Extensor digiti

interosseous m minimi t
Palmar Third and fourth
metacarpal aa interosseous mm
Extensor pollicis 3
4 Third palmar
longus t interosseous m
Extensor pollicis 5 Abductor digiti
brevis t minimi t
First metacarpal Flexor digitorum
Flexor pollicis profundus tt
longus t Flexor digiti minimi
Opponens pollicis
brevis m
brevis m
Flexor pollicis Opponens digiti
brevis m minimi m

Abductor Adductor Median n, Palmar Flexor Superficial

pollicis pollicis m branches aponeurosis digitorum palmar arch
brevis m superficialis tt

Figure 8.1.6 First dorsal

interosseous m
Second
metacarpal
Second dorsal
interosseous m
Extensor
digitorum tt

Extensor indicis t
First palmar
interosseous m Extensor digiti minimi t
Third and fourth
Extensor pollicis dorsal interosseous mm
3
longus t Palmar interosseous mm
4
Extensor pollicis Abductor digiti minimi t
brevis t 5 Flexor digitorum
Palmar profundus tt
metacarpal aa Flexor digiti minimi
First metacarpal brevis m
Flexor pollicis Opponens digiti minimi m
longus t Common palmar
Flexor pollicis digital aa
brevis m Flexor digitorum
superficialis tt
Abductor pollicis Adductor Median n, Palmar
brevis m pollicis m branches aponeurosis
 MRI OF THE HAND: AXIAL 207

Figure 8.1.7 Second

metacarpal
Second dorsal
interosseous m
Extensor
digitorum tt
First dorsal Extensor indicis t
interosseous m Extensor digiti minimi t
First palmar Third and fourth
interosseous m 3 dorsal interosseous
Extensor mm
pollicis 4 Second and third
longus t palmar interosseous
Adductor 5 mm
pollicis m with Abductor digiti minimi t
ulnar sesamoid Flexor digitorum
First profundus tt
metacarpal
Flexor pollicis Flexor digiti
longus t minimi brevis m
Flexor pollicis Opponens
brevis m with digiti
radial sesamoid minimi m
Abductor Palmar Median n, Palmar Flexor Common
pollicis metacarpal aa branches aponeurosis digitorum palmar
brevis m superficialis tt digital aa

Figure 8.1.8 Second dorsal interosseous m Extensor digitorum tt

Extensor digiti
First dorsal minimi t
interosseous m Third and fourth
dorsal interosseous
mm
2 3 Second and third
Extensor indicis t
First palmar 4 palmar interosseous
interosseous m mm
Extensor 5 Abductor digiti
pollicis longus t minimi t
Flexor digitorum
Adductor pollicis m profundus tt
with ulnar sesamoid Flexor digiti minimi
Metacarpophalangeal brevis m
joint Flexor digitorum
superficialis tt
Abductor pollicis Flexor pollicis Median n,
brevis m longus t branches
208 MRI OF THE HAND: AXIAL

Figure 8.1.9 Extensor indicis t

Second dorsal Extensor digitorum tt
interosseous m Extensor digiti minimi t
First dorsal
interosseous m 3 Third and fourth
2 dorsal interosseous mm
First palmar 4
interosseous m Second and third
Extensor pollicis palmar interosseous mm
longus t 5
Abductor digiti minimi t
Adductor
pollicis m and t Flexor digitorum
Thumb, proximal profundus tt
phalanx Flexor digiti minimi
brevis m

Flexor pollicis Median n, Flexor digitorum Volar plate

longus t branches superficialis tt sesamoid

Figure 8.1.10 Extensor indicis t

Extensor
digitorum tt

Second dorsal Extensor digiti minimi t

interosseous m Third and fourth
First dorsal dorsal interosseous
interosseous m mm
First palmar 3 Second and third
2
interosseous m 4 palmar interosseous
Extensor pollicis mm
longus t Abductor digiti minimi t
Adductor Flexor digitorum
pollicis m and t profundus tt
Thumb, proximal Flexor digiti
phalanx minimi brevis m
Flexor pollicis
longus t Fifth proximal phalanx
A1 pulley
First, second, and third Median n, Flexor digitorum
lumbrical mm branches superficialis tt
 MRI OF THE HAND: AXIAL 209

Figure 8.1.11 Extensor indicis t

Second dorsal
interosseous m Extensor digitorum tt
First dorsal Extensor digiti minimi t
interosseous m 3 Third and fourth
2 4 dorsal interosseous mm
First palmar
interosseous m Second and third
palmar interosseous mm
Extensor pollicis
Abductor digiti minimi t
longus t
Extensor Flexor digitorum
expansion (hood) profundus tt
Fifth proximal phalanx

Thumb, Flexor pollicis First and second Flexor digitorum

proximal longus t lumbrical mm superficialis tt
phalanx

Figure 8.1.12 Extensor

indicis t
Extensor
digitorum tt
Second dorsal
Extensor digiti
interosseous m
minimi t and
First dorsal extensor expansion
interosseous t (hood)
First palmar 3 Abductor digiti minimi t
interosseous m 2
and interosseous
Extensor pollicis insertions into
longus t extensor
Extensor expansion (hood)
expansion (hood)
Thumb, proximal Fifth proximal phalanx
phalanx Flexor digitorum
Flexor pollicis profundus tt
longus t
First and second Flexor digitorum
lumbrical mm superficialis tt
210 MRI OF THE HAND: AXIAL

Figure 8.1.13 Extensor digitorum

and extensor indicis tt

Second
metacarpal Dorsal digital
head neurovascular
structures
Sagittal band
Third metacarpal head
Radial collateral Ulnar collateral lig,
lig, proper proper
Interosseous m
Collateral ligs,
accessory
Palmar digital a
Volar plate
Lumbrical m
Lumbrical t
Volar plate Palmar digital nn,
sesamoid proper

A1 pulley

Flexor digitorum Flexor digitorum

profundus t superficial t

Figure 8.1.14 Extensor expansion

(hood)
Proximal
phalanx

Dorsal digital v
Flexor digitorum
profundus t
Palmar digital
a, n, and v
A2 pulley

Flexor digitorum Palmar digital

superficial t a, v, and n
 MRI OF THE HAND: SAGITTAL 211

SAGITTAL
Figure 8.2.1

Thumb, distal phalanx

Collateral lig
Collateral lig

Interphalangeal joint

Thumb, proximal phalanx

Extensor expansion (hood) Adductor aponeurosis

First metacarpal

Figure 8.2.2

Volar plate and flexor pollicis longus t

Metacarpophalangeal joint

Thumb, proximal phalanx

Adductor aponeurosis

Radial collateral lig Ulnar collateral lig

Abductor pollicis brevis t

First dorsal interosseous m
and extensor expansion (hood)
First metacarpal
212 MRI OF THE HAND: SAGITTAL

Figure 8.2.3

Index finger

Flexor pollicis longus t

Thumb, proximal phalanx Adductor pollicis m and

adductor aponeurosis
Ulnar collateral lig
Radial collateral lig

Abductor pollicis brevis t First dorsal interosseous m

and extensor expansion (hood)
Metacarpophalangeal joint

First metacarpal

Figure 8.2.4
Index finger, proximal phalanx

First dorsal interosseous m

Flexor pollicis longus t
Flexor pollicis brevis m
with radial sesamoid Adductor pollicis m with
ulnar sesamoid

Opponens pollicis m
Abductor pollicis brevis m First metacarpal
 MRI OF THE HAND: SAGITTAL 213

Figure 8.2.5

Index finger, middle phalanx

Index finger, proximal phalanx

Volar plate sesamoid Second metacarpal

First lumbrical m

Adductor pollicis m

Flexor pollicis longus t First dorsal interosseous m

Flexor pollicis brevis m, superficial Flexor pollicis brevis m, deep

Opponens pollicis m

Abductor pollicis brevis m

Trapezium

Figure 8.2.6
Index finger, distal phalanx
Distal interphalangeal joint
Volar plate

Flexor digitorum profundus t

Proximal interphalangeal joint
Volar plate
Extensor digitorum t

Index finger, proximal phalanx

Metacarpophalangeal joint
Volar plate sesamoid Second metacarpal
First lumbrical m

Adductor pollicis m

First dorsal interosseous m

Flexor pollicis longus t
Flexor pollicis brevis m, deep
Flexor pollicis brevis m, superficial

Opponens pollicis m
Abductor pollicis brevis m Trapezoid
Trapezium
Scaphoid
214 MRI OF THE HAND: SAGITTAL

Figure 8.2.7
Index finger, distal phalanx
Distal interphalangeal joint

Proximal interphalangeal joint

Volar plate

Flexor digitorum profundus and superficialis tt

Index finger, proximal phalanx
Extensor digitorum t
Metacarpophalangeal joint
Second metacarpal

First lumbrical m

Adductor pollicis m, transverse head

First dorsal interosseous m

Adductor pollicis m, oblique head
Flexor pollicis brevis m, superficial
Flexor pollicis longus t Flexor pollicis brevis m, deep
Opponens pollicis m
Abductor pollicis brevis m Second carpometacarpal joint
Trapezoid
Flexor carpi radialis t
Trapezium
Scaphoid

Figure 8.2.8

Index finger

Index finger, proximal phalanx

Second metacarpal
Extensor digitorum t

First lumbrical m

Second dorsal interosseous m

Adductor pollicis m, transverse head
Adductor pollicis m, oblique head
Flexor pollicis brevis m, superficial
Flexor pollicis brevis m, deep
Opponens pollicis m Second metacarpal
Abductor pollicis brevis m Trapezoid
Flexor pollicis longus t
Flexor retinaculum
Flexor carpi radialis t Scaphoid
 MRI OF THE HAND: SAGITTAL 215

Figure 8.2.9
Long finger, distal phalanx

Long finger, middle phalanx

Long finger, proximal phalanx

Second lumbrical m Third metacarpal

Second dorsal interosseous m

Adductor pollicis m, transverse head

Extensor digitorum t
Palmar aponeurosis Adductor pollicis m, oblique head
Third metacarpal

Flexor retinaculum Capitate

Flexor digitorum superficialis t

Flexor digitorum profundus t

Figure 8.2.10
Long finger, distal phalanx
A5 pulley Distal interphalangeal joint
Volar plate

Flexor digitorum profundus t Long finger, middle phalanx

A4 pulley
Proximal interphalangeal joint
Volar plate
A3 pulley
Extensor digitorum t
C1 pulley

A2 pulley
Long finger, proximal phalanx

Metacarpophalangeal joint
A1 pulley
Volar plate

Third metacarpal

Third lumbrical m
Second dorsal interosseous m
Adductor pollicis m, transverse head

Flexor digitorum profundus and superficialis tt

Palmar aponeurosis Adductor pollicis m, oblique head

Opponens digiti minimi m Third metacarpal

Third carpometacarpal joint
Capitate
Flexor retinaculum
216 MRI OF THE HAND: SAGITTAL

Figure 8.2.11
Long finger, distal phalanx
Volar plate

Long finger, middle phalanx

Flexor digitorum profundus t
Proximal interphalangeal joint
Volar plate
A3 pulley

C1 pulley

A2 pulley
Long finger, proximal phalanx
Metacarpophalangeal joint
Volar plate
Extensor digitorum t

Third metacarpal

Adductor pollicis m, transverse head

Flexor digitorum profundus and superficialis tt

Opponens digiti minimi m Fourth metacarpal

Hamate
Flexor retinaculum

Figure 8.2.12

Long finger, middle phalanx

Palmar digital a, proper

Long finger, proximal phalanx

Third metacarpal head

Extensor digitorum t

Third lumbrical m

Third dorsal interosseous m

Second palmar interosseous m

Flexor digitorum profundus and superficialis tt

Opponens digiti minimi m Fourth metacarpal

Hook of hamate Hamate

Flexor digitorum profundus t Triquetrum

Ulnar n
 MRI OF THE HAND: SAGITTAL 217

Figure 8.2.13
Nail

Palmar digital a, proper

Ring finger, proximal phalanx

Volar plate
Fourth metacarpal head
Flexor digitorum profundus and superficialis tt
Extensor digitorum t

Third palmar interosseous m

Opponens digiti minimi m

Fifth metacarpal
Flexor digiti minimi brevis m
Hamate

Flexor carpi ulnaris t Triquetrum

Pisiform

Figure 8.2.14

Ring finger, distal phalanx

Distal interphalangeal joint
Flexor digitorum profundus t

Flexor digitorum superficialis t

Ring finger, middle phalanx
Proximal interphalangeal joint
Volar plate

Ring finger, proximal phalanx

Flexor digitorum profundus and superficialis tt

Metacarpophalangeal joint
Volar plate
Fourth metacarpal head
Extensor digitorum t

Fourth dorsal interosseous m

Third palmar interosseous m

Opponens digiti minimi m

Fifth metacarpal

Flexor digiti minimi m

Abductor digiti minimi m
Extensor carpi ulnaris t
218 MRI OF THE HAND: SAGITTAL

Figure 8.2.15

Ring finger, distal phalanx

Ring finger, middle phalanx

Flexor digitorum profundus Proximal interphalangeal joint
and superficialis tt

Volar plate

Ring finger, proximal phalanx

Fourth metacarpal head
Fourth lumbrical m
Extensor digitorum and extensor
digiti minimi tt
Flexor digitorum
profundus and superficialis tt Third palmar interosseous m
Fourth dorsal interosseous m

Opponens digiti minimi m

Fifth metacarpal
Flexor digiti minimi m
Extensor carpi ulnaris t
Abductor digiti minimi m

Figure 8.2.16

Small finger, proximal phalanx Metacarpophalangeal joint

Flexor digitorum
profundus and superficialis tt Extensor expansion (hood)
Volar plate sesamoid Extensor digitorum and
extensor digiti minimi tt

Flexor digiti minimi m Fifth metacarpal head

Opponens digiti minimi m

Abductor digiti minimi m

 MRI OF THE HAND: SAGITTAL 219

Figure 8.2.17

Small finger, middle phalanx

Proximal interphalangeal joint
Volar plate
Flexor digitorum profundus t
Flexor superficialis t

Small finger, proximal phalanx

Extensor expansion (hood)
Flexor digitorum profundus
and superficialis tt Fifth metacarpal head
Volar plate

Abductor digiti minimi m

Figure 8.2.18

Small finger, distal phalanx

Distal interphalangeal joint
Volar plate

Small finger, middle phalanx

Flexor digitorum and superficialis tt Proximal interphalangeal joint
Volar plate

Small finger, proximal phalanx

Abductor digiti minimi m

220 MRI OF THE HAND: CORONAL

CORONAL
Figure 8.3.1

Flexor pollicis brevis m

Abductor pollicis Palmar aponeurosis
brevis m
Flexor pollicis longus t
Palmaris brevis m
Base of first metacarpal
Ulnar a, superficial
Abductor pollicis longus t palmar arch
Trapezium
Flexor digitorum
superficialis t
Pisiform
Flexor carpi radialis t
Flexor retinaculum
Median n Palmaris longus t

Figure 8.3.2

Lumbrical mm
Volar plate
Flexor pollicis longus t
Flexor pollicis brevis m
Opponens pollicis m
Extensor pollicis brevis t
Ulnar a, superficial
palmar arch
Opponens digiti
minimi m
Palmaris brevis m

Base of first metacarpal

Hook of hamate
Trapezium Flexor digitorum
Abductor pollicis longus t superficialis tt
Scaphoid tuberosity Pisiform
Flexor pollicis longus t
Ulnar n
Ulnar a
Median n
Flexor carpi ulnaris
 MRI OF THE HAND: CORONAL 221

Figure 8.3.3

Small finger,
middle phalanx

Lumbrical mm

Volar plate Flexor digitorum

superficialis tt
Adductor pollicis m, 1
oblique head Opponens digiti
minimi m
First metacarpal Abductor digiti
minimi m
Flexor pollicis brevis m Flexor digiti
minimi m
Hook of
Trapezium hamate

Extensor pollicis brevis t Pisohamate lig

Scaphoid tuberosity
Abductor pollicis longus t Pisiform
Radioscaphocapitate lig Lunate
Ulnar n
Radial a
Ulnar a

Figure 8.3.4 Long finger,

middle phalanx
Ring finger,
middle phalanx
Proper palmar
digital aa
Small finger, middle
phalanx
Small finger, proximal
phalanx
Flexor digitorum
profundus tt
Lumbrical mm Volar plate
Adductor pollicis m,
transverse head
Flexor pollicis longus t
Extensor pollicis brevis t
Volar plate sesamoid
Adductor pollicis m, 1
oblique head Opponens digiti
Deep palmar arch minimi m
First metacarpal Abductor digiti
Flexor pollicis brevis m minimi m
Flexor digiti minimi m
Trapezium Ulnar a, deep
Trapezoid Hook of hamate
Capitate
Radial a Triquetrum
Scaphoid Pisiform
Extensor pollicis brevis t
Scapholunate lig
Abductor pollicis longus t Triangular
Radius fibrocartilage
222 MRI OF THE HAND: CORONAL

Figure 8.3.5 Long finger, proximal

phalanx
Ring finger, proximal
Palmar digital aa, proper phalanx
Index finger, proximal Small finger, middle
phalanx phalanx
Thumb, distal phalanx Small finger, proximal
phalanx
Collateral ligs, accessory
Part of extensor
expansion (hood)
Thumb, proximal phalanx Collateral ligs,
accessory
Interosseous tt
Adductor pollicis m, 4
transverse head Fifth metacarpal head
Flexor pollicis longus t 5
Second palmar
Volar plate interosseous m
Extensor pollicis brevis t 1 Fourth dorsal
Adductor pollicis m,
interosseous m
oblique head
First dorsal Third palmar
interosseous m interosseous m
Deep palmar arch Opponens digiti
Base of second, third, fourth, minimi m
and fifth metacarpals Abductor digiti
Trapezium minimi m
Trapezoid Extensor carpi
Radial a ulnaris t
Intercarpal lig Hamate
Capitate Triquetrum
Scaphoid Lunate
Radial styloid
Scapholunate lig Triangular
fibrocartilage,
Radius
Extensor pollicis brevis t meniscus homologue

Figure 8.3.6
Part of extensor
expansion (hood)
Index finger, proximal phalanx Long finger,
Thumb, distal phalanx proximal phalanx
Ulnar collateral ligs, accessory Ring finger,
Extensor pollicis longus t proximal phalanx
Radial collateral ligs, accessory Radial and ulnar
First dorsal interosseous t 2 3 collateral ligs, proper
Joint capsule
Interosseous tt Radial and ulnar
4 collateral ligs, proper
Thumb, proximal phalanx
First palmar interosseous m 5
Third dorsal
Second dorsal interosseous m interosseous m
1
Deep palmar arch Fourth dorsal
interosseous m
First dorsal interosseous m
Extensor pollicis longus t
Base of second, third, fourth,
and fifth metacarpals
Extensor carpi radialis longus t
Radial a
Trapezoid Hamate
Intercarpal lig Extensor carpi
Capitate ulnaris t
Dorsal trapezotriquetral lig
Scaphoid Triquetrum
Radial styloid Triangular
Lunate fibrocartilage
Radius Ulnar styloid
Extensor pollicis brevis t Ulna
 MRI OF THE HAND: CORONAL 223

Figure 8.3.7

Index finger, proximal

phalanx Long finger, proximal
Ulnar collateral ligs, proper phalanx
Thumb, interphalangeal joint Ring finger, proximal
Radial collateral ligs, proper phalanx
First dorsal interosseous t 2 3 Extensor expansion
(hood), sagittal band
4 Extensor
expansion (hood)
5
Second dorsal Third dorsal
interosseous m interosseous m
First dorsal interosseous m Fourth dorsal
interosseous m

Base of second, third,

and fourth metacarpals
Extensor pollicis longus t
Trapezoid Hamate
Capitate
Triquetrum
Dorsal trapezotriquetral lig
Extensor carpi radialis Extensor carpi
longus t ulnaris t
Scaphoid Triangular
Lunate fibrocartilage
Ulnar styloid
Radius
Ulna

Figure 8.3.8

Extensor expansion (hood), 2 3

sagittal band

Extensor expansion
(hood)

Second dorsal interosseous m Third dorsal

First dorsal interosseous m interosseous m

Base of second, third,

and fourth metacarpals
Trapezoid
Capitate

Extensor carpi radialis brevis t

Extensor digitorum tt Extensor digiti
minimi t
Radius
Ulna
224 MRI OF THE HAND: CORONAL

Figure 8.3.9

Extensor expansions (hoods)

Second dorsal interosseous m

Extensor digitorum tt

Radius
Ulna