Deep head of flexor pollicis brevis

Caput profundum flexoris brevis pollicis

  • Related terms: Deep head; Flexor pollicis brevis: Deep head

Definition

Muhammad A. Javaid

Deep head of flexor pollicis brevis

Origin

Trapezoid, capitate bones.

Insertion

Base of the proximal phalanx (radial side).

Innervation

Deep branch of ulnar nerve C8, T1

Action

Flexes the thumb

Antagonist

Extensor pollicis longus muscle, Extensor pollicis brevis muscle

The deep head of flexor pollicis brevis is the more medial and deeper portion of this thenar muscle, contributing to thumb flexion. This head is often smaller and may be variably present.

Origin

It arises from the trapezoid bone and the capitate bone.

Course & Insertion

The deep head courses obliquely to converge with the superficial head. Together, both heads insert via a common tendon onto the radial side of the base of the proximal phalanx of the thumb.

Innervation

When present, the deep head of flexor pollicis brevis receives its nerve supply from the ulnar nerve.

References

  • Okwumabua E, Sinkler MA, Bordoni B. Anatomy, Shoulder and Upper Limb, Hand Muscles. [Updated 2023 Jul 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537229/

  • Loss J, Li ZM. Biometry of thenar muscle origins on the flexor retinaculum. Clin Anat. 2020 Nov;33(8):1176-1180.

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