Flexor carpi ulnaris muscle Flexor carpi ulnaris muscle The flexor carpi ulnaris muscle (or FCU) is a muscle of the human forearm that acts to flex and adduct (medial deviation) the hand. Flexor carpi ulnaris muscle arises by two heads, humeral and ulnar, connected by a tendinous arch beneath which the ulnar nerve and artery pass. Its insertion is into the pisiform bone, into the hamate bone via the pisohamate ligament and into the fifth metacarpal bone via the pisometacarpal ligament. The muscle acts to flex and adduct the wrist joint. The flexor carpi ulnaris muscle is innervated by the ulnar nerve which has
Hamate bone bone has six surfaces: The "hook of hamate" () is found at the proximal, ulnar side of the hamate bone. The hook is a curved, hook-like process that projects 1–2 mm distally and radially. The hook forms the ulnar border of the carpal tunnel, and the radial border for Guyon's canal. Numerous structures attach to it, including ligaments from the pisiform, the transverse carpal ligament, and the tendon of Flexor carpi ulnaris. Its medial surface to the flexor digiti minimi brevis and opponens digiti minimi; its lateral side is grooved for the passage of the flexor tendons into the palm