Palmaris Longus

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2–3 minutes

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The palmaris longus is a slender muscle located in the anterior forearm. It is superficial and just medial to the flexor carpi radialis. It originates from the medial epicondyle of the humerus and inserts into the palmar aponeurosis and flexor retinaculum. On some models—and in real anatomy—it may be absent, as this muscle is congenitally missing in about 10–15% of people. When present, its long, thin tendon is often visible just under the skin. You can see it when you touch your thumb to your pinky and flex the wrist slightly.

This muscle is used during actions that tense the palm. Examples include gripping a ball, wringing out a cloth, or doing a push-up. While it’s not a major contributor to wrist strength, overuse can still occur in repetitive gripping tasks. Exercises like plank holds can also lead to overuse because the wrist is flexed under load. In surgical procedures, the palmaris longus tendon is often harvested for grafts. Its absence does not significantly impair hand function.

Diagram of forearm anatomy showing palmaris longus muscle (flexes wrist) and attached tendons.
Diagram of forearm anatomy showing palmaris longus muscle (flexes wrist) and attached tendons.
Photography, text, and labels by Rob Swatski, Assistant Professor of Biology, Harrisburg Area Community College – York Campus, York, PA.

Origin

Palmar aponeurosis

Flexor retinaculum of the hand

Insertion

Palmar aponeurosis

Flexor retinaculum of the hand

Actions

Tenses the palmar aponeurosis

Assists in wrist flexion

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