Lecture 6: Flexor Forearm & Hand Flashcards
Where do most anterior (flexor) muscles originate?
Common flexor tendon on medial epicondyle
What nerves innervate most muscles of anterior compartment of forearm?
Median N
What innervates the FCU
Ulnar N
What innervates FDP
Ulnar N
What are the superficial muscles of the anterior forearm?
Flexor Carpi Radialis
Flexor Carpi Ulnaris
Flexor Digitorum Superficialis
Pronator Teres
Palmaris Longus
What is the function of the FCR
Flex + ABDuct wrist
What is the function of the FCU
Flex + ADDuct wrist
What is the function of the FDS
Flex wrist + digits
What is the function of pronator teres
Pronate
Palmaris longus function
Flex wrist
What are the deep muscles of forearm (ant)
Flexor pollicis longus
Flexor digitorum profundus
Pronator quadratus
FPL function
Flex thumb
FDP function
Flex wrist + Digits
Pronator Quadratus function
Pronates
Describe the vasculature of the forearm
Ulnar & Radial A
Ulnar Artery and its subdivisions
Ulnar A –> Common interosseous A –> Anterior Interosseous –> Posterior interosseous
Does the median N travel through the carpal tunnel?
yes!
What two muscles does the median N not supply in ant forearm?
FCP, Medial 1/2 FDP
What are the branches of median nerve?
Anterior interosseous N + Palmar cutaneous branch (over Flexor Ret.)
Where does the Ulnar N run in the forearm?
Behind medial epicondyle, along ulna, to hand
What does the ulnar N supply in forearm?
-FCU, medial 1/2 FDP
What type of joint is the radiocarpal jt?
Condylooid (ellipsoid) synovial joint
What are the movements of the wrist joint with the intercarpal joint?
Full ROM - flexion, extension, ADDuction, ABDuction, circumduction
What is deep to the flexor retinaculum?
Carpal Tunnel
What are the lateral attachements of the flexor retinaculum?
-Scaphoid
-Trapezium
What are the medial attachments of the flexor retinaculum?
-Pisiform
-Hamate
What are the contents of the carpal tunnel?
Flexor digitorum superficialis & profundus
Flexor pollicis longus
Median N
Does the Radial N & A travel in the carpal tunnel?
No
Does the Ulnar N & Artery travel in the carpal tunnel
No
Does the palmar cutaneous branch of median N travel through carpal tunnel?
No
What forms the floor of the anatomical snuff box?
Scaphoid bone
Where does the radial A travel in the wrist region?
Snuff box
What tendons bound the anatomical snuff box?
-ABDuctor pollicis longus
-Extensor pollicis brevis
-Extensor pollicis longus
What is a triangular-shaped thickening of deep fascia on the palm?
Palmar Aponeurosis
What is the function of the palmar aponeurosis?
Provide a firm attachement to skin and this improve grip
Structure protection
What are the compartments of the hand?
-Thenar
-Central
-Hypothenar
What are the muscles around the metacarpals (compartment)?
Interosseous compartment
What are the 3 muscles of the thenar compartment?
-Flexor pollicis brevis
-ABDuctor pollicis brevis
-Opponens pollicis
What innervates the thenar compartment?
Recurrent branch - Median N
What are the 3 muscles of the hypothenar compartment?
Flexor digiti minimi
ABDuctor digiti minimi
Opponens digiti Minimi
What is the innervation of the hypothenar compartment?
Deep branch of ulnar N
What is found in the central compartment?
FDS amd FDP tendons
Lumbricals
Superficial and deep palmar arteries
branches of median and ulnar N
What are the muscles of the interosseous compartment?
-ADDuctor pollicis
-Palmar interossei
-Dorsal interossei
Muscles of the interosseous compartment are innervated by
Deep branch of Ulnar N
Function of lumbrical and interossei muscle
Flex the MP joints + extend the PIP and DIP joints
What is the innervation of the lateral 2 lumbricals?
median N
What is the innervation of the medial 2 lumbricals?
Deep branch of ulnar N
Innervation of palmar interossei
Deep branch of ulnar N
Function of palmar interossei
ADduct the fingers
Innervation of dorsal interossei
Deep branch of ulnar N
Function of Dorsal interossei
ABduct fingers
The superficial palmar arch is formed primarily from the _________ artery. The deep palmar arch is formed by the _________ artery.
Ulnar; Radial