9.27.16 Forearm Flashcards
The deep fascia of the forearm (antebrachial fascia) is a continuation of the ___ from the arm. Distally, the antebrachial fascia will thicken and form the ___.
Brachial fascia; flexor and extensor retinacula
What extends obliquely across the posterior radiocarpal joint from the anterior border of the distal radius to the triquetrum and pisiform bones?
Extensor retinaculum
What is also called the transverse carpal ligament?
Flexor retinaculum
What is attached medially to the pisiform and the hook of the hamate, and laterally to the trapezium and scaphoid bones of the wrist?
Flexor retinaculum
The flexor retinaculum forms what two things?
The carpal tunnel and the canal of Guyon
What are the superficial muscles of the anterior forearm?
- Pronator teres
- Flexor carpi radialis
- Palmaris longus
- Flexor digitorum superficialis
- Flexor carpi ulnaris
What is the origin and insertion of pronator teres?
Origin: two heads - medial epicondyle of humerus and coronoid process of ulna.
Insertion: Midway along lateral surface of radius
What innervates pronator teres?
Median nerve
What is the function of pronator teres?
Pronates forearm and assists with elbow flexion
What supplies pronator teres?
Anterior ulnar recurrent artery
What is the origin and insertion of flexor carpi radialis?
Origin: medial epicondyle of humerus
Insertion: base of 2nd metacarpal
What innervates flexor carpi radialis?
Median nerve
What is the function of flexor carpi radialis?
Flexes and abducts hand at wrist
What supplies flexor carpi radialis?
Radial artery
What is the origin and insertion of palmaris longus?
Origin: medial epicondyle of humerus
Insertion: distal half of flexor retinaculum and palmar aponeurosis
What innervates palmaris longus?
Median nerve
What is the function of palmaris longus?
Flexes hand at wrist and tenses palmar aponeurosis
What supplies palmaris longus?
Posterior ulnar recurrent artery
What is the origin and insertion of flexor digitorum superficialis?
Origin of humero-ulnar head: medial epicondyle of humerus and coronoid process of ulna
Origin of radial head: superior half of anterior radius
Insertion: Bodies of middle phalanges of medial four digits
What innervates flexor digitorum superficialis?
Median nerve
What is the function of flexor digitorum superficialis?
Flexes middle and proximal phalanges of medial four digits, flexes hand at wrist
What supplies flexor digitorum superficials?
Ulnar and radial arteries
What is the origin and insertion of flexor carpi ulnaris?
Origin of humeral head: medial epicondyle of humerus
Origin of ulnar head: olecranon and posterior border of ulna
Insertion: pisiform bone, hook of hamate, base of 5th metacarpal
What innervates flexor carpi ulnaris?
Ulnar nerve
What is the function of flexor carpi ulnaris?
Flexes and adducts hand at wrist
What supplies flexor carpi ulnaris?
Posterior ulnar recurrent artery
The tendons of flexor digitorum superficialis split and insert onto ___; this allows tendons of FDP to pass through to the ___.
Middle phalynx; Distal phalynx
What are the deep muscles of the anterior forearm?
- Flexor digitorum profundus
- Flexor pollicis longus
- Pronator quadratus
What is the origin and insertion of flexor digitorum profundus?
Origin: Medial and anterior surface of proximal 3/4 of ulna and interosseous membrane
Insertion: Palmar base of distal phalanges of medial four digits
What innervates flexor digitorum profundus?
Medial part: ulnar nerve
Lateral part: median nerve
What is the function of flexor digitorum profundus?
Flexes distal phalanges of medial four digits, assists with flexion of hand at wrist
What supplies flexor digitorum profundus?
Anterior interosseous artery, muscular branches of ulnar artery
What is the origin and insertion of flexor pollicis longus?
Origin: anterior surface of radius and interosseous membrane
Insertion: palmar base of distal phalanx of thumb
What innervates flexor pollicis longus?
Median nerve (anterior interosseous)
What is the function of flexor pollicis longus?
Flexes phalanges of thumb
What supplies flexor pollicis longus?
Anterior interosseous artery
What is the origin and insertion of pronator quadratus?
Origin: distal fourth of anterior ulna
Insertion: Distal fourth of anterior radius
What innervates pronator quadratus?
Median nerve (anterior interosseous)
What is the function of pronator quadratus?
Pronates forearm
What supplies pronator quadratus?
Anterior interosseous artery
The tendons of the flexor digitorum profoundus pass under/through the tendons of the FDS and isnert onto the ___.
Distal phalynx
What are the superficial muscles of the posterior forearm?
- Brachioradialis
- Anconeus
- Extensor carpi radialis longus
- Extensor capri radialis brevis
- Extensor digitorum
- Extensor digiti minimi
- Extensor carpi ulnaris
The muscles of the posterior forearm are all innervated by a branch of the ___.
Radial nerve
What is the origin and insertion of brachioradialis?
Origin: proximal 2/3 of lateral supracondylar ridge of humerus
Insertion: lateral side of distal end of radius
What innervates brachioradialis?
Radial nerve
What is the function of brachioradialis?
Weak flexion of forearm when forearm is midpronated
What supplies brachioradialis?
Radial recurrent artery