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
Carpal tunnel to the pisiform and hook of hamate. The narrowest section of the tunnel is located a centimetre beyond the mid-line of the distal row of carpal bones where the sectional area is limited to 1.6 cm. The tendons of the flexor digitorum superficialis and profundus pass through a common ulnar sheath, while the tendon of the flexor pollicis longus passes through a separate radial sheath. The mesotendon shared by these tendons is attached to the radial and palmar walls of the carpal tunnel. Superficial to the carpal tunnel and the flexor retinaculum, the ulnar artery and ulnar nerve pass through