Lumbricals of the foot phalanges. All four lumbricals insert into extensor hoods of the phalanges, thus creating extension at the inter-phalangeal (PIP and DIP) joints. However, as the tendons also pass inferior to the metatarsal phalangeal (MTP) joints it creates flexion at this joint. Absence of one or more; doubling of the third or fourth even the fifth. Insertion partly or wholly into the first phalanges. The most medial lumbrical is innervated by the medial plantar nerve while the remaining three lumbricals are supplied by the lateral plantar nerve. Lumbricals of the foot The lumbricals are four small skeletal muscles, accessory to the tendons
Muscles of the hand and hypothenar (little finger) muscles; the interossei muscles (four dorsally and three volarly) originating between the metacarpal bones; and the lumbrical muscles arising from the deep flexor (and are special because they have no bony origin) to insert on the dorsal extensor hood mechanism. Palmaris brevis which is a superficial muscle and adductor pollicis are also intrinsic 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