presents
Wheeless' Textbook of Orthopaedics
www.smith-nephew.com
Tracking Pixel

Lumbrical Muscle Sheaths





- Discussion:
    - index lumbrical is adherent to roof of thenar bursa;
    - second, third, & 4th lumbrical sheaths are not so easily demonstrated,
          but when present usually overlie mid palmar bursa or space;
    - lumbar sheaths extend from the web area to the center of the palm;
    - pus from a web area can ascend index lumbrical sheath and
            rupture into thenar bursae or space;
    - long, ring, and little lumbrical sheaths may rupture into midpalmar space;



Original Text by Clifford R. Wheeless, III, MD.