Anatomy - Elbow & Medial Forearm - Flexors Flashcards
Pronator Teres - Proximal Attachment(s)
Medial epicondyle, common flexor tendon, & coronoid process
Pronoator Teres - Distal Attachment(s)
Lateral surface of the middle radius
Pronoator Teres - Innervation
Median Nerve (C6, C7)
Pronator Teres - Action
Pronate forearm (stronger when elbow flexed) & assist with elbow flexion
Flexor Carpi Radialis - Proximal Attachment(s)
Medial epicondyle
Flexor Carpi Radialis - Distal Attachment(s)
Palmar base of 2nd metacarpal
Flexor Carpi Radialis - Innervation
Median Nerve C6, C7
Flexor Carpi Radialis - Action
Radial deviation & wrist flexion (co-contraction with FCU)
Palmaris Longus - Proximal Attachment(s)
Medial epicondyle
Palmaris Longus - Distal Attachment(s)
Palmar aponeurosis
Palmaris Longus - Innervation
Median Nerve C7, C8
Palmaris Longus - Action
Assist wrist flexion & tighten palmar aponeurosis
Flexor Carpi Ulnaris - Proximal Attachment(s)
Medial epicondyle
Flexor Carpi Ulnaris - Distal Attachment(s)
Pisiform, then via pisometacarpal ligament to hook of hamate, then to palmar base of 5th metacarpal
Flexor Carpi Ulnaris - Innervation
Ulnar Nerve C7, C8
Flexor Carpi Ulnaris - Action
Ulnarly deviates & assists wrist flexion (co-contraction with FCR)
Flexor Digitorum Superficialis - Proximal Attachment(s)
Medial epicondyle, MCL, coronoid process, & superior half of the anterior radius
Flexor Digitorum Superficialis - Distal Attachment(s)
Splits & then inserts on the MPs of digits 2-5
Flexor Digitorum Superficialis - Innervation
Median Nerve C7, C8, T1
Flexor Digitorum Superficialis - Action
Flex PIPs and MCPs of 2-5, assist wrist flexion, & assist elbow flexion
Flexor Digitorum Profundus - Proximal Attachment(s)
Proximal medial and anterior 3/4 of ulna and interosseous membrane
Flexor Digitorum Profundus - Distal Attachment(s)
DPs of digits 2-5 after passing through FDS insertion split
Flexor Digitorum Profundus - Innervation
Digits 2 & 3: Median Nerve
Flexor Digitorum Profundus - Action
Flex DIPs (can assist in flexion of PIPs, & MCPs) of digits 2-5 & assist in wrist flexion (tendon to index independent; tendons to other 3 digits function as unit –> quadregia effect: one fails = all fail)
Flexor Pollicis Longus - Proximal Attachment(s)
Anterior radius and adjacent IM
Flexor Pollicis Longus - Distal Attachment(s)
Palmar surface of DP of 1st finger
Flexor Pollicis Longus - Innervation
AIN (C8, T1)
Flexor Pollicis Longus - Action
Flex 1st digit at IP and MCP joints
Pronator Quadratus - Attachment(s)
Distal 1/4 anterior surface of radius & distal 1/4 anterior surface of ulna
Pronator Quadratus - Innervation
AIN (C8, T1)
Pronator Quadratus - Action
Pronation
Nursemaid’s Elbow
Dislocation of the radius out of the annular ligament (happens to children if lifted up by hand forcefully)
Little Leaguer’s Elbow
Repetitive, micro trauma from valgus stress causes epiphysisitis of medial epicondylar epiphysis, epiphyseal plate fractures of the proximal radius, or avulsion of the medial epicondyle
Compartment Syndrome
After injury –> swelling/bleeding can cause increased pressure in compartments of forearm; if higher than capillary pressure –> tissue ischemia (very painful), muscle tissue death and fibrosis, leading to Volkmann’s ischemic contracture