It has long been recognized that the first and second lumbricals are n
ormally innervated by the median nerve, whereas the third and fourth l
umbricals are innervated by the ulnar nerve (Sunderland and Ray, 1946)
. However, the courses of the motor nerves, particularly to the first
two lumbricals and their loci of insertion, have not been clearly desc
ribed. Because this information may be useful to a surgeon operating i
n the palm, we undertook a cadaver study to define more precisely the
pathways of innervation of the lumbrical muscles.