Lecture 14: Forearm extensor aspect Flashcards
what causes wrist drop?
damage to radial nerve( e.g. upper humeral fracture) -> loss of innervation to the extensor muscles of the forearm-> cannot extend the wrist-> loses grip power-> cannot get any good strength from the forearm flexors( not in the optimal position)
what are the 7 superficial extensor muscles of the forearm?
anconeus
extensor carpi ulnaris
extensor digiti minimi
extensor digitorum
extensor carpi radialis longus
extensor carpi radialis brevis
brachioradialis
which 2 digits have their own extensor muscles?
2nd and 5th digits
extensor digiti minimi( pinky)
extensor indicis( index finger)
what is the insertion of abductor pollicis longus?
1st metacarpal
what is the insertion of extensor pollicis brevis
base of proximal phalanx of the 1st digit(thumb)
what is the insertion of extensor pollicis longus?
base of distal phalanx of the 1st digit
(thumb)
what is the insertion of extensor indicis?
DDEH(dorsal digital expansion hood)
the anatomical snuff box serves as a landmark for what?
-scaphoid bone forms the floor of the snuff box
-radial artery
-formed by abductor pollicis longus, extensor pollicis brevi, and extensor pollicis longus
O of the deep head of the supinator
Ulnar crest (Lateral olecranon)
O of superficial head of supinator
lateral epicondyle of humerus
supinator is a useful landmark for?
radial nerve
is supination or pronation stronger on average?
pronation
between which 2 muscles in the front arm can the radial nerve be found?
between brachialis and brachioradialis
what muscles in the arm and forearm are innervated directly by the radial nerve( main branch)?
triceps and anconeus
brachioradialis
extensor carpi radialis longus
what muscles are innervated by the deep branch of the radial nerve?
extensor carpi radialis brevis
supinator
what muscles are innervated by the posterior interosseous nerve( branch of the radial n)?
extensor digitorum
extensor digiti minimi
extensor carpi ulnaris
abductor pollicis longus
extensor pollicis longus
extensor indicis
extensor pollicis brevis
which muscles are stronger in the forearm: flexor or extensor?
flexor
what is the defining characteristic of the extensor compartment?
all muscles of the extensor compartment are innervated by radial n
how are the long tendons of extensor digitorum insert onto the fingers?
the long tendons of the the ED form the extensor expansion or hood over metacarpophalangeal joints and proximal phalanges and insert by three bands, a central one into the base of the middle phalanx and 2 lateral ones into the base of the distal phalanx.
what is the cutaneous innervation/distribution of the forearm?
Medially(forearm): medial cutaneous nerve of the forearm from medial cord of brachial plexus.
Laterally(forearm): the lateral cutaneous nerve of the forearm(terminal portion of musculocutaneous nerve from the lateral cord)
Posteriorly: the posterior cutaneous nerve of the forearm ( a branch of radial n)
what is the name of the branch of the radial nerve that passes in between the heads of the supinator m?
deep branch
when the nerve emerges in the posterior compartment it is the posterior interosseous nerve
what branches does the radial nerve divide into as it enters the lateral aspect of the cubital fossa?
superficial branch(runs under brachioradialis)
deep branch