Muscle | Proximal attachment | Distal attachment | Innervation* | Main action |
Superficial (first) layer |
Pronator teres | | Middle of convexity of lateral surface of radius | Median nerve (C6, C7) | Pronates and flexes forearm (at elbow) |
Ulnar head | Coronoid process |
Humeral head | Medial epicondyle of humerus (common flexor origin) |
Flexor carpi radialis (FCR) | Base of second metacarpal | Flexes and abducts hand (at wrist) |
Palmaris longus | Distal half of flexor retinaculum and apex of palmar aponeurosis | Median nerve (C7, C8) | Flexes hand (at wrist) and tenses palmar aponeurosis |
Flexor carpi ulnaris (FCU) | Flexes and adducts hand (at wrist) |
Humeral head | Pisiform, hook of hamate, fifth metacarpal | Ulnar nerve (C7, C8) | |
Ulnar head | Olecranon and posterior border (via aponeurosis) |
Intermediate (second) layer |
Flexor digitorum superficialis (FDS) | Medial epicondyle (common flexor origin and coronoid process) | Shafts (bodies) of middle phalanges of medial four fingers | Median nerve (C7, C8, T1) | Flexes middle phalanges at proximal interphalangeal joints of middle four fingers; acting more strongly, it also flexes proximal phalanges at metacarpophalangeal joints |
Humeroulnar head |
Radial head | Superior half of anterior border |
Deep (third) layer |
Flexor digitorum profundus (FDP) | Proximal three quarters of medial and anterior surfaces of ulna and interosseous membrane | Bases of distal phalanges of fourth and fifth fingers | Ulnar nerve (C8, T1) | Flexes distal phalanges four and five at distal interphalangeal joints |
Medial part |
Lateral part | Anterior interosseous nerve, from median nerve (C8, T1) | Flexes distal phalanges two and three at distal interphalangeal joints |
Flexor pollicis longus (FPL) | Anterior surface of radius and adjacent interosseous membrane | Base of distal phalanx of thumb | Flexes phalanges of first digit (thumb) |
Pronator quadratus | Distal quarter of anterior surface of ulna | Distal quarter of anterior surface of radius | | Pronates forearm; deep fibers bind radius and ulna together |