MUSCLES OF THE FOREARM Flashcards
what mainly innervates the anterior compartment?
median nerve (some exceptions: FCU - ulnar nerve)
what innervates the posterior compartment?
radial nerve
where are the flexor-pronator muscles?
anterior compartment
where are the extensor muscles?
posterior compartment
what is the flexor retinaculum?
transverse carpal ligament
holds tendons of flexor muscles in place along with the palmar carpal ligament
what muscles are in the superficial layer in the anterior compartment?
- pronator teres
- flexor carpi radialis
- palmaris longus
- flexor carpi ulnaris
what muscle is in the intermediate layer in the anterior compartment?
- flexor digitorum superficialis
what muscles are in the deep layer of the anterior compartment?
- flexor digitorum profundus
- flexor pollicis longus
- pronator quadratus
which muscles groups in the anterior compartment cross the elbow joint?
- superficial layer (4)
2. intermediate layer (1)
what are the proximal and distal attachments of pronator teres?
proximal:
ulnar head: coronoid process of ulna
humeral head: medial epicondyle of humerus
distal attachment: radius
what is the innervation of pronator teres?
median nerve
what is the action of pronator teres?
pronate and flex forearm
what are the proximal and distal attachments of flexor carpi radialis?
proximal: medial epicondyle of humerus
distal: base of 2nd metacarpal
what is the innervation of flexor carpi radialis?
median nerve
what is the function of flexor carpi radialis?
flex and abduct hand at wrist
what are the proximal and distal attachments of palmaris longus?
proximal: medial epicondyle of humerus
distal: flexor retinaculum, palmar aponeurosis
what is the innervation of palmaris longus?
median nerve
what is the action of palmaris longus?
flex hand at wrist
tenses palmar aponeurosis
what are the proximal and distal attachments of flexor carpi ulnaris?
proximal: olecranon and post. border of ulna
distal: pisiform, hook of hamate, 5th metacarpal
what are the two heads of flexor carpi ulnaris?
humeral head
ulnar head
what is the innervation of flexor carpi ulnaris?
ulnar nerve
what is the action of flexor carpi ulnaris?
flex and adduct hand at wrist
what are the proximal and distal attachments of flexor digitorum superficialis?
proximal:
humero-ulnar head: medial epicondyle of humerus and coronoid process of ulna
radial head: oblique line of radius
distal: middle phalanges (not including thumb)
what is the innervation of flexor digitorum superficialis?
median nerve
what is the action of flexor digitorum superficialis?
flex wrist
flex proximal interphalangeal joints (not including thumb)
what are the proximal and distal attachments of flexor digitorum profundus?
proximal: ant. surface of ulna and interosseous membrane
distal: bases of distal phalanges (not including thumb)
what is the innervation of flexor digitorum profundus?
digits 2 and 3: median nerve
digits 4 and 5: ulnar nerve
what is the action of flexor digitorum profundus?
flex wrist joint
flex distal interphalangeal joints (not including thumb)
what are the proximal and distal attachments of flexor pollicis longus?
proximal: anterior surface of radius, interosseous membrane
distal: base of distal phalanx of thumb
what is the innervation of flexor pollicis longus?
median nerve
what is the action of flexor pollicis longus?
flex wrist
flex interphalangeal joints (not including thumb)
what are the proximal and distal attachments of pronator quadratus?
proximal: ulna
distal: radius
what is the innervation of pronator quadratus?
median nerve
what is the action of pronator quatratus?
pronate forearm
bind radius and ulna together
what muscles extend/abduct/adduct the hand at the wrist?
- extensor carpi radialis longus
- extensor carpi radialis brevis
- extensor carpi ulnaris
What muscles extend the medial 4 digits?
- extensor digitorum
- extensor indicis
- extensor digiti minimi
what muscles extend or abduct the thumb
- abductor pollicis longus
- extensor pollicis brevis
- extensor pollicis longus
what holds the extensor tendons in place in the wrist region?
extensor retinaculum
what covers the extensor tendons as they pass over the dorsum?
synovial tendon sheaths
what are the muscles in the superficial extensor group?
- brachioradialis
- extensor carpi radialis longus
- extensor carpi radialis brevis
- extensor digitorum
- extensor digiti minimi
- extensor carpi ulnaris
what muscle is in the deep layer of the extensors?
supinator
what extensor muscles are in the “outcropping” muscles of the deep layer?
- abductor pollicis longus
- extensor pollicis longus
- extensor pollicis brevis
- extensor indicis
What are the proximal and distal attachments of brachioradialis?
proximal: lateral supra-epicondylar ridge of humerus
distal: distal end of radius
what is the innervation of brachioradialis?
radial nerve
what is the action of brachioradialis?
weak flexion of elbow
what are the proximal and distal attachments of extensor carpi radialis longus?
proximal: lateral supra-epicondylar ridge of humerus
distal: 2nd metacarpal bone
what is the innervation of extensor carpi radialis longus?
radial nerve
what is the action of extensor carpi radialis longus?
extend and abduct wrist
what are the proximal and distal attachments of extensor carpi radialis brevis?
proximal: lateral epicondyle of humerus
distal: 3rd metacarpal
what is the innervation of extensor carpi radialis brevis?
radial nerve
what is the action of extensor carpi radialis brevis?
fist clenching
what are the proximal and distal attachments of extensor digitorum?
proximal: lateral epicondyle of humerus
distal: medial 4 digits
what is the innervation of extensor digitorum?
posterior interosseous nerve (continuation of radial nerve)
what is the action of extensor digitorum?
extend wrist
extend med. 4 digits at MCP joint
what are the proximal and distal attachments of extensor digiti minimi?
proximal: lateral epicondyle of humerus
distal: 5th digit
what is the innervation of extensor digiti minimi?
posterior interosseous nerve (continuation of radial nerve)
what is the action of extensor digiti minimi?
extend wrist
extend 5th digit at MCP joint
what are the proximal and distal attachments of extensor carpi ulnaris?
proximal:
lateral epicondyle of humerus
post. border of ulna
distal: base of 5th metacarpal
what is the innervation of extensor carpi ulnaris?
posterior interosseous nerve (continuation of radial nerve)
what is the action of extensor carpi ulnaris?
extend and adduct wrist
what is the common extensor origin?
lateral epicondyle of humerus
what are the proximal and distal attachments of supinator?
proximal: lat. epicondyle of humerus
distal: radius
what is the innervation of supinator?
radial nerve
what is the action of supinator
supinate forearm
what are the proximal and distal attachments of abductor pollicis longus?
proximal: ulna, interosseous membrane
distal: base of 1st metacarpal
what is the innervation of abductor pollicis longus?
posterior interosseous nerve (continuation of radial nerve)
what is the action of abductor pollicis longus?
extend wrist
extend distal phalanx of thumb
what are the proximal and distal attachments of extensor pollicis brevis?
proximal: radius and interosseous membrane
distal: base of proximal phalanx of thumb
what is the innervation of extensor pollicis brevis?
posterior interosseous nerve (continuation of radial nerve)
what is the action of extensor pollicis brevis?
extend wrist
extend proximal phalanx of thumb
what are the proximal and distal attachments of extensor indicis?
proximal: ulna and interosseous membrane
distal: 2nd finger
what is the innervation of extensor indicis?
posterior interosseous nerve (continuation of radial nerve)
what is the action of extensor indicis?
extend wrist
extend 2nd finger
what tendons make up the borders of the snuff box?
lateral border:
- APL: a
- EPB:
medial border:
EPL:
floor:
radial artery
what can be palpated in and around the snuff box?
proximally: radial styloid process
distally: base of 1st metacarpal
floor: scaphoid and trapezium
what is the common flexor origin?
medial epicondyle of humerus