Anterior Forearm and Hand Flashcards
brachioradialis
lateral to the flexor carpi radialis
superficial to pronator teres
looks like the muscles of the forearm, but it doesn’t actually cross the wrist
Action:Flexes elbow
Origin:Lateral distal humerus
Insertion:Styloid process of radius
innervation:Radial nerve
superficial layer of the anterior forearm
pronator teres
Flexor carpi radialis
flexor carpi ulnaris
palmaris longus
pronator teres
deep to brachioradialis and flexor carpi radialis
this is more superior in the forearm
the shortest muscle originating from the medial epicondyle
Action:Pronates forearm
Origin:Medial epicondyle of humerus
Insertion:Lateral radius
innervation:Median nerve
Flexor carpi radialis
- this muscle is going to be medial to the brachioradialis
- this is lateral to the palmaris longus
- cross only the wrist joints
- inserts on the ulnar side of the wrist and assists with ulnar deviation (wrist adduction)
Action:Flexes wrist and abducts hand
Origin:Medial epicondyle of humerus
Insertion:Base of 2nd & 3rd metacarpals
innervation:Median nerve
flexor carpi ulnaris
- cross only the wrist joints
- inserts on the radial side of the wrist and also assists with radial deviation (wrist abduction)
Action: Flexes wrist and adducts hand
Origin:Medial epicondyle of humerus
Insertion:Medial carpal and metacarpal bones
innervation:Ulnar nerve
palmaris longus
- this is going to be medial to the flexor carpi radialis
- this is lateral to the flexor carpi ulnaris
- a very small muscle
- not present in 10-20% of the population.
Action:Weak wrist flexor
Origin:Medial epicondyle of humerus
Insertion:Palmar aponeurosis
innervation:Median nerve
flexor digitorum superficialis (FDS)
- this is the only muscle in the intermediate layer of the anterior arm
- crosses the wrist, MCP, and PIP joints of digits 2-5 in the hand.
- Notice how this muscle splits and inserts on the middle phalanx of these digits.
- the tendons of this muscle are pierced by the tendons of flexor digitorum profundus
Action:Flexes wrist, 2nd–5th MP joints, and PIP joints
Origin:Medial epicondyle of humerus
Insertion:Middle phalanges of fingers 2–5
innervation:Median nerve
deep layer of the anterior forearm
flexor digitorum profundus (FDP)
flexor pollicis longus
pronator quadratus
flexor digitorum profundus (FDP)
- is deep to the flexor digitorum superficialis
- runs deep to the tendon of FDS through its split at the middle phalanx and continues distally
Action:Flexes wrist, 2nd–5th MP joints, PIP joints, & DIP joints
Origin:Anteromedial ulna
Insertion:Distal phalanges of fingers 2–5
innervation:
- Lateral 1⁄2 = median nerve - Medial 1⁄2 = ulnar nerve
flexor pollicis longus
- lateral to the flexor digitorum profundus
- sends its tendon across the IP joint of the first digit to insert on the distal phalanx of digit 1, the thumb
Action:Flexes MP joint of thumb, IP joint of thumb
Origin: Anterior shaft of radius
Insertion:Distal phalanx of thumb
innervation:Median nerve
pronator quadratus
- very deep on the anterior aspect of the distal forearm
- sits just anterior to the interosseus membrane
Action:Pronates forearm
Origin:Distal ulna
Insertion:Distal radius
innervation:Median Nerve
flexor retinaculum
- a thick sheet of connective tissue
- helps to hold these flexor tendons in place and create a mechanical advantage, increasing the amount of force these muscles can produce
- the tendons of these muscles run underneath
- median nerve also runs deep to the retinaculum
Note that the palmaris longus is the only muscle whose tendon does not travel through the carpal tunnel but, instead, travels superficial to the flexor retinaculum
carpal tunnel
space that these tendons and the median nerve runs through within the flexor retinaculum
-Irritation of the median nerve often occurs in this place, and this is called carpal tunnel syndrome
thenar muscles
intrinsic hand muscles that act on the thumb
- contain an abductor, flexor, and opponens muscle
hypothenar muscles
intrinsic hand muscles that act on the 5th digit
- contain an abductor, flexor, and opponens muscle