Lecture 9 Flashcards
interosseus membrane
fibrous connective tissue membrane between the shafts of the radius and ulna
Compartments of forearm
anterior:
superficial, ontermediate, deep
posterior:
superficial, deep
Pronator teres: origin
medial epicondyle of humerus
Pronator teres: insertion
lateral radius
Pronator teres: action
pronation
Flexor carpi radialis: origin
medial epicondyle of humerus
Flexor carpi radialis: insertion
2nd and 3rd metacarpals
Flexor carpi radialis: actions (2)
flexion of wrist, abduction of wrist
palmaris longus (the one some people don’t have anymore): origin
medial epicondyle of humerus
palmaris longus: insertion
palmar aponeurosis
palmaris longus: action
weak flexion of wrist
what is the palmar aponeurosis
thickening of palmar fascia (connective tissue) - cotinous with the tendon of palmaris longus
Flexor carpi ulnaris: origin
medial epicondyle of humerus; olecranon of ulna
Flexor carpi ulnaris: insertions (3)
carpals (pisiform, hook of hamate), 5th metacarpal
Flexor carpi ulnaris: actions (2)
flexion of wrist, adduction of wrist
what is the trick to remember anterior compartment - superficial muscles?
Pass - Fail - Pass - Fail
pronator teres - flexor carpi radialis - palmaris longus - flexor carpi ulnaris
Flexor digitorum superficialis: origin (2)
medial epicondyle of humerus, anterior surface of radius and ulna
Flexor digitorum superficialis: insertion
4 tendons split and insert on middle phalanges 2-5
Flexor digitorum superficialis: actions (3)
flexion of wrist, flexion of metacarpophalangeal joint 2-5, flexion of proximal interphalangeal joints 2-5
Flexor digitorum profundus: origin
ulna, interosseus membrane
Flexor digitorum profundus: insertion
distal phalanges 2-5
Flexor digitorum profundus: actions
same as flexor digitorum superficialis plus flexion of distal interphalangeal joints 2-5
Trick to remember flexor digitorum superficialis and flexor digitorum profundus
flexor digitorum superficialis splits in two to allow flexor digitorum profundus to pass through
Flexor pollicis longus: origins (2)
anterior radius interosseus membrane
Flexor pollicis longus: insertion
distal phalanx of the thumb
Flexor pollicis longus: action
flexion of the thumb
pronator quadratus: origin
distal anterior surf ace of ulna
pronator quadratus: insertion
distal anterior surfa e of radius
pronator quadratus: action
pronation
What muscles are innervated by the median nerve
all anterior forearm muscles (pronator teres, flexor carpi radialis, palmaris, flexor digitorum superficialis, pronator quadratus, flexor policis longus) except flexor carpi ulnaris and median half of flexor digitorum profundus
What muscles are innervated by the ulnar nerve
flexor carpi unlnaris, median half of digitorum profundus
What is the flexor retinaculum?
fibrous connective tissue band located on the palmar surface of the hand, near the wrist - holds the tendon of the flexor muscles in place - forms the roof of the carpal tunnel
What is carpal tunnel?
flexor retinaculum arches over the carpal bones of the wrist to form the carpal tunnel (across palm of hand)
What does the carpal tunnel contain?
tendons of: flexor digitorum superficialis & profundus, flexor pollicis longus
median nerve
Extensor carpi radials longus and brevis: origin
lateral epicondyle of humerus
Extensor carpi radials longus and brevis: insertion
2nd and 3rd metacarpals
Extensor carpi radials longus and brevis: actions
extension of wrist, abduction of wrist
extensor capri ulnaris: origin
lateral epicondyle of humerus
extensor capri ulnaris: insertion
base of the 5th metacarpal
extensor capri ulnaris: actions (2)
extension of wrist, adduction of wrist
Extensor digitorum: origin
lateral epicondyle of humerus
Extensor digitorum: insertion
posterior surfaces of phalanges 2-5
Extensor digitorum: actions (2)
extension of wrist, extension of fingers
Extension digiti minimi: origin
lateral epicondyle of humerus
Extension digiti minimi: insertions (2)
middle phalanx of pinky finger (5th digit), posterior surface
Extension digiti minimi: actions (2)
extension of wrist, extension of pinky finger
Supinator: origins (2)
lateral epicondyle of humerus, proximal ulna
Supinator: insertion
lateral proximal radius
Supinator: action
supination
abductor pollicis longus: origins (2)
proximal ulna & radius, posterior surface
abductor pollicis longus: insertion
1st metacarpal
abductor pollicis longus: action
abduction of thumb and wrist
extensor pollicis longus: origins (2)
posterior ulan, interosseus membrane
extensor pollicis longus: insertions (2)
thumb, distal phalanx
extensor pollicis longus: action
extension of thumb
extensor pollicis brevis: origins (2)
posterior radius, interosseus membrane
extensor pollicis brevis: insertions (2)
thumb, proximal phalanx
extensor pollicis brevis: action
extension of the thumb
extensor indicis (index finger): origins (2)
posterior distal ulna and interosseus memebrane
extensor indicis (index finger): insetrion
index finger
extensor indicis (index finger): actions (2)
extension of index finger, extension of wrist
anatomical snuffbox: lateral border
abductor pollicis longus tendon, extensor polliccis brevis tendon
anatomical snuffbox: medial border
extensor pollicis longus tendon
what nerve innervates all posterior forearm muscles?
radial nerve
what is the extensor retinaculum?
fibrous connective tissue band located on the dorsal surface of the hand, near the wrist, holds the tendons of the extensor muscles in place
what are extrinsic muscles?
muscles of the hand, originate in the forarm and insert on the hand, control crude movements
what are intrinsic muscles?
originate and insert within the hand, control fine movements of the hand