Opponens pollicis muscle

Musculus opponens pollicis

  • Related terms: Opponens pollicis

Definition

Muhammad A. Javaid

Opponens pollicis muscle

Origin

Flexor retinaculum, trapezium.

Insertion

Metacarpal bone of the thumb on its radial side

Innervation

Median nerve (recurrent branch)

Action

Opposition of the thumb

The opponens pollicis muscle is an intrinsic thenar muscle of the hand.

Origin

The muscle originates primarily from the flexor retinaculum (transverse carpal ligament) and the tubercle of the trapezium bone. Its muscle belly lies deep to the other two thenar muscles, specifically the abductor pollicis brevis and flexor pollicis brevis.

Insertion

The muscle fibers of the opponens pollicis muscle run obliquely and laterally to insert along the entire length of the lateral aspect of the first metacarpal bone.

Innervation

Like the other thenar muscles, the opponens pollicis is innervated by the recurrent branch of the median nerve.

Action

Functionally, the opponens pollicis is the principal muscle for thumb opposition. It achieves this by flexing, abducting, and medially rotating the first metacarpal at the carpometacarpal joint, allowing the thumb to touch the tips of the other fingers. This action is essential for precision grip and various manipulation tasks, significantly contributing to overall hand dexterity.

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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