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Anatly

Palmaris longus: origin, insertion, nerve supply and action

Quick answer

The palmaris longus is a slender forearm muscle with a long tendon that is absent in a minority of people. It arises from the medial epicondyle of the humerus and inserts on the flexor retinaculum and palmar aponeurosis. The median nerve supplies it, and it weakly flexes the wrist.

Key facts

OriginCommon flexor origin on the medial epicondyle of the humerus.
InsertionFlexor retinaculum and palmar aponeurosis.
InnervationMedian nerve (C7-C8).
Blood supplyUlnar artery.
ActionWeakly flexes the wrist and tenses the palmar aponeurosis.
3D model of the palmaris longus shown with nearby bones

3D model: BodyParts3D (CC BY 4.0), adult male reference anatomy. Highlighted structure shown with nearby bones for context.

About the palmaris longus

The palmaris longus is absent on one or both sides in roughly 15 percent of people, with variation between populations. Its absence causes no functional problem.

Clinical relevance

Frequently asked questions

Is it normal to lack a palmaris longus?

Yes. It is absent in a minority of people and its absence does not weaken the hand in any noticeable way.

Why is the palmaris longus tendon used for grafts?

It is long, easily harvested and its loss has minimal effect on function.

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