... but it also flares into the palm, orÂ
this palmar aponeurosis — which I'm going  to zoom in for you — that you can seeÂ
in the palmar surface of the hand here. Some of you are losing muscles! And I'm not talking about because you'reÂ
sitting on your Gluteus Maximus all day long,  watching amazing anatomy videos on YouTube. I'm talking about that youÂ
were never even born with them! There are a handful of muscles in the humanÂ
body that are variable from person to person  because these are thought toÂ
be evolving out of humans. We need to talk about why that is,  and we're gonna even talk about a little test youÂ
can do to see if you've got one in your forearm. And don't worry — if you don't have this muscle,  you can just tell your friends that do thatÂ
you're a little bit more evolved than them. So let's do this! As I already mentioned, there areÂ
a handful of muscles in the human  body that are variable from person to person. And we're going to focus on this one in theÂ
forearm because you can actually figure out if  you have this just sitting here watching thisÂ
video with a little test that we'll show you. The other ones, you're gonna have to doÂ
some sort of imaging study to find out  if you have those, and that's justÂ
not really feasible for most of us. But to understand how this works withÂ
this forearm, let's take a look at the  upper limb dissection to get some contextÂ
around the muscles of the upper limb. So here is a dissection of the upper limb. Just FYI you guys — people get a littleÂ
bit uncomfortable with fingertips and the  skin of the fingertips, so we've just covered that  for your viewing pleasure — or yourÂ
viewing comfort, I guess I should say. But let me move the upper limbÂ
so you can orient yourselves. It's essentially just like myÂ
upper limb is sitting like so. Now this is the brachium, or the upper arm,  which there are 4 total muscles hereÂ
in the brachium, or the upper arm. Now if I move down here and grab the forearmÂ
— which the fancy-pants name for forearm in  anatomy is the antebrachiumÂ
— there are 20 muscles here. So 4-20. Some of you remember 420 forÂ
certain extracurricular activities. I remember 420 because of itsÂ
reference to anatomical awesomeness. So regardless of how you want toÂ
remember the reference of 420,  let's just go a little bit further. So again, 4 muscles here, 20 muscles here. But there are 11 more inside the hand. And if we take a step back and kind of thinkÂ
of that logic — the muscles of the brachium,  or the upper arm, are going to mobilize the elbow. And what does the elbow do? We're like flexion, extension, and we're kind ofÂ
done with also some supination, and that's it. But when we get to the forearmÂ
muscles and the hand muscles,  we're doing all sorts of things like,Â
you know, abduction and adduction. Waving, things like this... wigglingÂ
those fingers... doing "the Spock"...  you know, opposition — things of that nature. Lots of specialized work here. So again, it would make sense to have more muscles  for more, you know, fine motor movements thatÂ
we're going to do with the wrist and the hand. Now 20 muscles here, right? Some of you only have 19.... And finally, we can talk aboutÂ
this mystery variable muscle here. So let's take a look here atÂ
the cadaver again, and here is  this mystery muscle, called the Palmaris Longus. Now you can see why I got the name Longus,Â
because it's a fairly long tendon here. There is a Palmaris Brevis, FYI. But it also flares into the palm, or thisÂ
Palmar Aponeurosis — which I'm going to  zoom in for you — that you can see inÂ
the palmar surface of the hand here. Now again, this muscle coming all theÂ
way back to the elbow is not a very big  muscle here — just a small little muscleÂ
belly, so not a very powerful muscle. But what does it do? This Palmaris Longus muscleÂ
can weakly help flex the wrist. I say weakly, because there are otherÂ
muscles that are much more powerful  and stronger with flexing the wrist. Now because it goes to the palm of the hand andÂ
that Palmar Aponeurosis, when you do certain  gripping motions it can put tension on the skinÂ
and the connective tissues of the palm to kind  of help create that cup in the palm of yourÂ
hand that you're seeing here with gripping. So this always comes back to this question of,  "why do some people have this muscleÂ
and others not have the muscle?" And those who don't have these variable musclesÂ
that we've mentioned, don't really miss them. And what I mean by that isÂ
that they're not necessary  for day to day functions or physical activities. For this muscle in particular — rememberÂ
we had 11 other muscles in the hand  and all these other forearm musclesÂ
that could perform similar functions. So if you don't have this muscle, youÂ
can still do all the hand and wrist  movements that you would need to do evenÂ
without the small little Palmaris Longus. And of course, this knocksÂ
on the door of evolution. And to give this brief overview — orÂ
this idea of how this works — is animals,  over the "bazillions" of years of developmentÂ
and evolution and things of that nature,  they were exposed to certain environmentalÂ
factors and participated in certain activities,  and a combination of all these variablesÂ
activated and turned on certain genes. And as those genes were more active andÂ
more frequently turned on and expressed,  those genes were more likely to beÂ
passed on to offspring in generations. And as things got more specialized,  some muscles took over other functionsÂ
and rendered other muscles less useful. And that's the idea of this muscle  kind of evolving out of humans,Â
as well as the other muscles. And just one quick little thing I need to mentionÂ
before I show you the test to see if you have this  muscle — Justin and I have been posting on TikTok,Â
Instagram and YouTube for a little while now,  and we've noticed there are someÂ
trigger words or trigger topics  that get people really firedÂ
up in the comments section. Evolution tends to be one of those, you know? So whether you believe in evolution,Â
or have some religious convictions,  or a combination of the two — go ahead andÂ
discuss, but just be nice to each other. It's not that hard! It's — you know, the Institute of HumanÂ
Anatomy comment section is a safe space, okay? And I'll even start — I believe in evolutionÂ
— obviously, because I'm teaching about this. I think the evidence is pretty strong. However, I grew up in a strongly religiousÂ
family, and i don't necessarily think they  have to go against each other —Â
they can coexist, in my opinion. Let me know what you think below. So finally, we get to test ifÂ
you've got this muscle or not. To do this, I must de-glove. Okay! So what you're going to do, is you'reÂ
going to slightly flex your wrist. You don't want to crank this thing all the way up. You just want to slightly give it some flexion,  and that's not going to giveÂ
you everything you need. What you need to do, is slightly flex the wrist,  and then pinch your pinky and yourÂ
thumb together pretty tightly. And you can see that difference of that tendonÂ
that starts to bulge out of my skin there. Now don't get confused by the secondaryÂ
tendon that's next door to it,  as you can see there's two tendons here,Â
but it's the one that's bulging out more. The one that's closer to the thumb  is actually this other muscle rightÂ
here called the Flexor Carpi Radialis. If you want to get more informationÂ
on that, Justin just did a  Carpal Tunnel video on it, so fun there. But again, take a look at how that works. But I need to show you — my other side. So if you take a look here, I do not have it on myÂ
left wrist or left forearm — it's missing there. I just have that other tendon,Â
that Flexor Carpi Radialis tendon,  but I'm missing the Palmaris Longus. And a lot of you will see that you'llÂ
have it on one side versus the other...  you may have it on both sides...Â
or you may not have it at all! And again, like I mentionedÂ
at the beginning of the video,  if somebody tries to make fun of youÂ
for not having a Palmaris Longus,  your rebuttal is that you are a littleÂ
bit more highly evolved than them. My left side's a little confused comparedÂ
to my right side — it wanted to evolve  faster than my right side, I guess... who knows? And one cool thing, from a clinical perspective. For those who have this tendon you could use it  for a graft if you had someÂ
injury to a certain ligament. For example, pitchers will sometimes injure —Â
pitchers like baseball pitchers — will sometimes  injure this ligament calledÂ
the Ulnar Collateral Ligament. And to help repair this ligament, you couldÂ
take this tendon from the Palmaris Longus  and use it as a graft toÂ
repair this damaged ligament. So this wimpy little muscle can be usedÂ
for, you know, showing people cool tricks. But at the end of the day — eh... As always, thanks for watchingÂ
and going on this tour of the  upper limb and the Palmaris Longus with us. Please like, subscribe, ring the bellÂ
so you know when we drop new videos. We love the comments everybodyÂ
— please blow that section up. We have our affiliates down below — weÂ
love and appreciate all of your support. And have fun testing your PalmarisÂ
Longus with your friends and family. I don't know what that was...Â
like spirit fingers... it has  nothing to do with Palmaris Longus... okay bye!
I honestly expected a wee bit more interest in this video. Not in terms of comments but assuming a certain correlation of post up votes as having seen said video.
Though he says missing a muscle or two wouldn't at all impede everyday function, armwrestling is not everyday and couldn't be further.
I'm missing this tendon in my L wrist, but have it in my right. In my opinion it actually makes a fairly significant difference interms of squeezing power, and somewhat of a difference on wrist flexion.