Forearm Flashcards
Bones of wrist
Scaphoid, lunate, triquetral, pisiform
Trapezium, trapezoid, capitate, hamate
Wrist joint
Ulnar and radial collateral ligaments
Articular disc distal to ulna
Scaphoid and lunate articulate with radius
Can flex, extend, adduct, abduct
Compartments of forearm
Flexor - anteromedial, ventral muscle mass, arise from medial epicondyle, median and ulnar nerves
Extensor - posterolateral, dorsal muscle mass, arise from lateral epicondyle, radial nerve
Pronator teres origin
Common flexor tendon (medial epicondyle of humerus)
Pronator teres insertion
Radius, mid-shaft
Pronator teres innervation
Median nerve (direct, superficial compartment)
Pronator teres action
Pronates forearm
Flexor carpi radialis origin
Common flexor tendon (medial epicondyle of humerus)
Flexor carpi radialis insertion
Metacarpals
Flexor carpi radialis innervation
Median nerve (direct, superficial compartment)
Flexor carpi radialis action
Flexes and abducts hand
Palmaris longus origin
Common flexor tendon (medial epicondyle of humerus)
Palmaris longus insertion
Palmar aponeurosis
Palmaris longus innervation
Median nerve (direct, superficial compartment)
Palmaris longus action
Flexes hand
Flexor carpi ulnaris origin
Common flexor tendon (medial epicondyle of humerus)
Ulna
Flexor carpi ulnaris insertioin
Pisiform, hamate, 5th metacarpal
Flexor carpi ulnaris innervation
Ulnar nerve (direct)
Flexor carpi ulnaris action
Flexes and adducts hand
Flexor digitorum superficialis origin
Common flexor tendon (medial epicondyle of humerus)
Radius
Flexor digitorum superficialis insertion
Digits 2-5, middle phalanges
Flexor digitorum superficialis innervation
Median nerve (direct, superficial compartment)
Flexor digitorum superficialis action
Flexes hand and MP/PIP joints of digits 2-5
Flexor pollicis longus origin
Radius, interosseous membrane
Flexor pollicis longus insertion
Distal phalanx of thumb
Flexor pollicis longus innervation
Anterior interosseous branch (median)
Flexor pollicis longus action
Flexes MP/IP joints of thumb
Flexor digitorum profundus origin
Ulna, interosseous membrane
Flexor digitorum profundus insertion
Digits 2-5, distal phalanges
Flexor digitorum profundus innervation
lateral half: 1/2 anterior interosseous (median)
medial 1/2: ulnar nerve
Flexor digitorum profundus action
Flexes hand and MP/DIP joins of digits 2-5
Pronator quadratus origin
Distal shaft of ulna
Pronator quadratus insertion
Distal shaft of radius
Pronator quadratus innervation
Anterior interosseous (median)
Pronator quadratus action
Pronates forearm
Extensor digitorum origin
Common extensor tendon (lateral epicondyle)
Extensor digitorum insertion
Digits 2-5 (extensor expansion)
Extensor digitorum innervation
Radial nerve (deep branch)
Extensor digitorum action
Extends wrist and digits 2-5
Extensor digiti minimi origin
Common extensor tendon (lateral epicondyle)
Extensor digiti minimi insertion
Digit 5 (extensor expansion)
Extensor digiti minimi innervation
Radial nerve (deep branch)
Extensor digiti minimi action
Extends 5th digit
Extensor carpi ulnaris origin
Common extensor tendon (lateral epicondyle)
Extensor carpi ulnaris insertion
Metacarpals
Extensor carpi ulnaris innervation
Radial nerve (deep branch)
Extensor carpi ulnaris action
Extends and adducts wrist
Extensor carpi radialis longus origin
Lateral supracondylar ridge
Extensor carpi radialis longus insertion
Metacarpals
Extensor carpi radialis longus innervation
Radial nerve (direct)
Extensor carpi radialis longus action
Extends and abducts wrist
Extensor carpi radialis brevis origin
Common extensor tendon (lateral epicondyle)
Extensor carpi radialis brevis insertion
Metacarpals
Extensor carpi radialis brevis innervation
Radial nerve (direct)
Extensor carpi radialis brevis action
Extends and abducts wrist
Abductor pollicis longus origin
Midshaft radius and ulna
Interosseous membrane
(U shaped origin)
Abductor pollicis longus insertion
1st metacarpal
Abductor pollicis longus innervation
Posterior interosseous (radial)
Abductor pollicis longus action
Abducts thumb
Extensor pollicis brevis origin
Radius (distal shaft)
Interosseous membrane
Extensor pollicis brevis insertion
Proximal phalanx of thumb
Extensor pollicis brevis innervation
Posterior interosseous (radial)
Extensor pollicis brevis action
Extends thumb
Extensor pollicis longus origin
Ulna (distal shaft)
Interosseous membrane
Extensor pollicis longus insertion
Distal phalanx of thumb
Extensor pollicis longus innervation
Posterior interosseous (radial)
Extensor pollicis longus action
Extends thumb
Extensor indicis origin
Ulna (distal shaft)
Interosseous membrane
Extensor indicis insertion
Digit 2 (extensor expansion)
Extensor indicis innervation
Posterior interosseous (radial)
Extensor indicis action
Extends index finger
Supinator origin
Common extensor tendon (lateral epicondyle)
Supinator insertion
Radius
Supinator innervation
Radial nerve (deep branch)
Supinator action
Supinates forearm
Biceps is stronger
Radial nerve in forearm
Anterior to lateral epicondyle
Sensory/cutaneous:
Arm - post cutaneous of arm
Forearm - posterior cutaneous of forearm
Hand - superficial branch
Muscles:
Radial -> triceps, brachioradialis, carpi radialis
Through supinator
Deep -> digitorum, carpi ulnaris, digiti minimi
Posterior interosseous -> pollicis, indicis
Median nerve in forearm
Cubital fossa (anterior to medial epicondyle)
Sensory/cutaneous:
Lateral palm, 2-4 digits
Muscles:
- > superficial (pronator teres, superficialis, palmaris longus, carpi radialis)
- > anterior interosseous -> deep (digitorum profundus, pollicis, pronator quad)
Ulnar nerve in forearm
Posterior to medial epicondyle
Cutaneous -
medial hand, 5th+ 1/2 digit?
dorsal cutaneous branch -> dorsal hand
Flexor carpi ulnaris
Medial half of digitorum profundus
Arteries of forearm
Brachial -> radial and ulnar
Radial (superficial) - beneath brachioradialis
Ulnar (deep) - deep to pronator teres -> hand with ulnar nerve common interosseous branch -> anterior interosseous posterior interosseous
Carpal tunnel
Flexor retinaculum over carpals
Contains median nerve
Ulnar nerve and artery are superficial