Elbow, Cubital Fossa, Forearm Flashcards
Medial boundary of cubital fossa:
Pronator teres m.
Proximal boundary of cubital fossa:
Line between the epicondyles
Lateral boundary of cubital fossa:
Brachioradialis m.
Distal boundary of cubital fossa:
Junction of brachioradialis and pronator teres mm
Posterior boundary (floor) of cubital fossa:
Brachialis m - before it inserts on ulnar tuberosity
Supinator m - as it arises from supinator crest of ulna before passing posterior to proximal radius
Anterior boundary (roof) of cubital fossa:
Antebrachial fascia - continuous with brachial fascia
Cephalic v (lateral), basilic v (medial), median cubital v (connecting)
Medial cutaneous n. of forearm (separate branch of medial cord), lateral cutaneous n. of forearm (termination of musculocutaneous)
Bicipital aponeurosis - medial extension f biceps tendon which fuses with forearm fascia
Contents of cubita fossa:
TENDON of biceps brachii m.
ARTERY - Brachial a. - bifurcates into radial and ulnar aa here
NERVE - Median n. - enters fossa anterior to brachialis m.
(from lateral to medial)
Superficial muscle layers of the forearm:
All arise from common flexor tendon (attaches to medial epicondyle), all innervated by median n. except for flexor carpi ulnaris longus (ulnar n.)
- Pronator teres
- Flexor carpi radialis (FCR)
- Palmaris longus
- Flexor carpi ulnaris (FCU)
Median n. exits the cubital fossa by passing between two heads of ________.
Pronator teres
Ulnar n. enters the forearm by passing between two heads of ________.
Flexor carpi ulnaris
Pronator teres:
O: Humeral head - common flexor tendon, Ulnar head - medial side of coronoid process
I: Lateral surface of mid-shaft of radius
N: Median n.
A: Pronation of forearm
Flexor carpi radialis (FCR):
O: Common flexor tendon
I: Base of metacarpals 2 and 3
N: Median n.
A: Flexes and abducts hand at wrist
Palmaris longus:
O: Common flexor tendon
I: palmar aponeurosis
N: Median n.
A: flexes hand at wrist
Flexor carpi ulnaris (FCU):
O: Humeral head - common flexor tendon, Ulnar head - Olecranon and posterior ulna
I: Pisiform, hamate, and base of metacarpal 5
N: Ulnar n.
A: Flexes and adducts hand at wrist
Intermediate muscle layer:
Flexor digitorum superficialis
Flexor digitorum superficialis (FDS):
O: Ulnar-humeral head - from medial epicondyle and adjacent margin of coronoid process, Radial head - oblique line of radius
I: Intermediate phalanges of digits 2-5
N: Median n.
A: Flexes intermediate phalanx, flexion at metacarpophalangeal joints and wrist joint
Deep muscle layer of forearm:
Flexor pollicis longus, flexor digitorum profundus, pronator quadratus
Medial half of FDP innervated by ulnar n; median n. runs between FDS and FDP; ulnar a. and n. run between FDP and flexor carpi ulnaris
Flexor pollicis longus (FPL):
O:Anterior surface of radius and radial half of interrosseous membrane
I: Base of distal phalanx of thumb
N: Median n. (anterior interosseous n)
A: Flexes distal phalanx of thumb
Flexor digitorum profundus (FDP):
O: Anterior and medial surface of ulna and medial half of interosseous membrane
I: Distal phalanx of digits 2-5
N: Lateral half - median n (anterior interosseous) Medial half - ulnar n.
A: Flexes distal phalanx of digits 2-5
Pronator quadratus:
O: Distal anterior surface of ulna
I: Distal anterior surface of radius
N: Median n. (anterior interosseous n)
A: Pronation of forearm