Muscles of the Forearm Flashcards
Pronator teres
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Coronoid process of ulna and medial epicondyle
- Distal Attachment: Radius
- Action: Pronates forearm
- Innervation: Median nerve
- Blood Supply: Anterior ulnar recurrent artery
Flexor carpi radialis
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Medial humeral epicondyle
- Distal Attachment: Base of 2nd metacarpal
- Action: Flexes and abducts hand at wrist (radia deviation)
- Innervation: Median nerve
- Blood Supply: Radial artery
Palmaris longus
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Medial epicondyle of humerus
- Distal Attachment: Flexor retinaculum, palmar aponeurosis
- Action: Flexes hand at wrist and tenses palmar aponeurosis
- Innervation: Median nerve
- Blood Supply: Posterior ulnar recurrent artery
Flexor carpi ulnaris
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Olecranon process of ulna
- Distal Attachment: Pisiform, hook of hamate, 5th metacarpal
- Action: Flexes and adducts hand at wrist (ulnar deviation)
- Innervation: Ulnar nerve
- Blood Supply: Posterior ulnar recurrent artery
Flexor digitorum superficialis
Proximal Attachment
Distal Attachment
Action
Innervation
Bloody Supply
- Proximal Attachment: Medial humeral epicondyle
- Distal Attachment: Middle phalanges of digits 2-5
- Action: Flexes middle phalanx at proximal interphalangeal (PIP) joint of digits 2-5
- Innervation: Median nerve
- Bloody Supply: Ulnar and radial arteries
Flexor digitorum profundus
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Anterior ulna and interosseus membrane
- Distal Attachment: Distal phalanges of digits 2-5
- Action: Flexes distal phalanx at distal interphalangeal (DIP) joint of digits 2-5
- Innervation:
- Lateral part (digits 2-3) - median nerve
- Medail part (digits 4-5) - ulnar nerve
- Blood Supply: Anterior interosseus artery, ulnar artery
Flexor pollicis longus
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Anterior radius
- Distal Attachment: Base of distal phalanx of thumb
- Action: Flexes 1st digit (thumb)
- Innervation: Median nerve
- Blood Supply: Anterior interosseus artery
Pronator quadratus
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Anterior ulna
- Distal Attachment: Anterior radius
- Action: Pronates forearm
- Innervation: Median nerve
- Blood Supply: Anterior interosseus artery
Brachioradialus
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Lateral supracondylar ridge of humerus
- Distal Attachment: Distal radius
- Action: Flexes forearm
- Innervation: Radial nerve
- Blood Supply: Radia recurrent artery
Extensor carpi radialis longus
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Lateral supracondylar ridge of humerus
- Distal Attachment: Dorsal aspect of 2nd metacarpal
- Action: Extend and abduct hand at wrist
- Innervation: Radial nerve
- Blood Supply: Radial artery, radial recurrent artery
Extensor carpi radialis brevis
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Lateral epicondyle of humerus
- Distal Attachment: Dorsal aspect of base of 3rd metacarpal
- Action: Extend and abduct hand at wrist
- Innervation: Deep branch of radial nerve
- Blood Supply: Radial artery, radial recurrent artery
Extensor digitorum
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Lateral epicondyle of humerus
- Distal Attachment: Extensor expansion of digits 2-5
- Action: Extends digits 2-5 at metacarpophalangeal joints
- Innervation: Posterior interosseus nerve
- Blood Supply: Posterior interosseus artery
Extensor digit minimi
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Lateral epicondyle of humerus
- Distal Attachment: Extensor expansion of digit 5
- Action: Extends digit 5 at metacarpophalangeal joint
- Innervation: Posterior interosseus nerve
- Blood Supply: Posterior interosseus artery
Extensor carpi ulnaris
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Lateral epicondyle of humerus
- Distal Attachment: Dorsal aspect of base of 5th metacarpal
- Action: Extends and adducts hand at wrist
- Innervation: Posterior interosseus nerve
- Blood Supply: Posterior interosseus artery
Supinator
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Lateral epicondyle of humerus
- Distal Attachment: Proximal radius
- Action: Supinates forearm
- Innervation: Radial nerve (deep branch)
- Blood Supply: Radial recurrent artery, posterior interosseus arteries
Abductor pollicis longus
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Posterior ulna and radius
- Distal Attachment: Base of 1st metacarpal
- Action: Abducts thumb
- Innervation: Posterior interosseus nerve
- Blood Supply: Posterior interosseus artery
Extensor pollicis brevis
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Posterior radius
- Distal Attachment: Base of proximal phalanx of thumb
- Action: Extends proximal phalanx of thumb at metacarpophalangeal joint
- Innervation: Posterior interosseus nerve
- Blood Supply: Posterior interosseus artery
Extensor pollicis longus
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Posterior ulna
- Distal Attachment: Base of distal phalanx of thumb
- Action: Extends distal phalanx of thumb
- Innervation: Posterior interosseus nerve
- Blood Supply: Posterior interosseus artery
Extensor indicis
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Posterior ulna
- Distal Attachment: Extensor expansion of digit 2
- Action: Extends digit 2
- Innervation: Posterior interosseus nerve
- Blood Supply: Posterior interosseus artery
Anatomical Snuffbox
Lateral Boundary
Medial Boundary
Contents
Common Injury
- Lateral Boundary:
- Abductor pollicis longus
- Extensor pollicis brevis
- Medial Boundary: Extensor pollicis longus
- Contents:
- Radial artery
- Base of 1st metacarpal
- Scaphoid and trapezium
- Radial styloid process
- Common Injury: Scaphoid is most commonly fractured carpal bone. Yields tenderness over snuffbox.
Cubital Fossa
Medial Boundary
Lateral Boundary
Superior Boundary
Floor
Roof
Contents
- Medial Boundary: Pronator teres
- Lateral Boundary: Brachioradialis
- Superior Boundary: Line connecting medial and lateral humeral epicondyles
- Floor: Brachialis and supinator muscles
- Roof: Bicipital aponeurosis (median cubital vein crosses this superficially)
- Contents:
- Biceps brachii tendon
- Brachial artery and vein
- Proximal radial and ulnar arteries and veins
- Median and radial nerves