Muscles of the Posterior (Extensor-Supinator) Compartment of the Forearm Flashcards

1
Q

The most superficial muscles of the posterior compartment of the forearm arise from where?

A

lateral epicondyle of the humerus via common extensor tendon

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2
Q

The deep muscles of the posterior compartment of the forearm mainly arise from where

A

posterior ulna, radius, and interosseous membrane

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3
Q

Are all muscles in the posterior compartment of the forearm innervated by the same nerve? Which nerve(s)?

A

all innervated by radial nerve

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4
Q

What holds the extensor tendons in place?

A

extensor retinaculum

prevents bowstrigning of tendons when hand is hyperextended @ wrist joint

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5
Q

What is synovial sheath

A

encompasses tendons that pass over dorsum of wrist to reduce friction between extensor tendons and bones`

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6
Q

What muscles are included in the wad of three?

A

Brachioradialis, Extensor carpi radialis longus, extensor carpi radialis brevis

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7
Q

What is considered the ‘beer drinking muscle’?

A

brachioradialis

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8
Q

What is the origin of the brachioradialis

A

proximal 2/3 of lateral supracondylar ridge

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9
Q

What is the insertion of the brachioradialis

A

superior to styloid process of radius

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10
Q

What muscle of the posterior compartment passes anterior to the axis of flexion/extension
?

A

brachioradialis

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11
Q

What nerve innervates the brachioradialis

A

radial nerve

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12
Q

What is the origin of the extensor carpi radialis longus

A

distal 1/2 of lateral supracondylar ridge

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13
Q

What is the insertion of the extensor carpi radialis longus

A

base of 2nd metacarpal bone

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14
Q

What are the functions of the extensor carpi radialis longus

A

ext of hand @ wrist joint

abduction of hand @ wrist joint

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15
Q

What is the innervation of the extensor carpi radialis longus

A

radial nerve

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16
Q

What is the origin of the extensor carpi radialis brevis

A

lateral epicondyle vis common extensor tendon

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17
Q

What is the insertion of the extensor carpi radialis brevis

A

base of 3rd metacarpal bone

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18
Q

What are the functions of the extensor carpi radialis brevis

A

ext of hand @ wrist joint

abduction of hand @ wrist joint

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19
Q

What nerve innervates the extensor carpi radialis brevis

A

radial nerve

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20
Q

What is the origin of the extensor digitorum

A

lateral epicondyle via common extensor tendon

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21
Q

What is the insertion of the extensor digitorum

A

distal and middle phalanges of digits 2-5 via dorsal digital expansion

22
Q

What are the functions of the extensor digitorum

A

ext of digits 2-5 @ MCP, PIP, DIP
weak ex of forearm @ elbow joint
ex of hand @ wrist joint

23
Q

What nerve innervates the extensor digitorum

A

radial nerve

24
Q

What is the origin of the extensor digit minimi

A

lateral epicondyle via common extensor tendon

25
What is the insertion of the extensor digiti minimi
middle and distal phalanges of pinkie via its dorsal digital expansion
26
What are the functions of the extensor digiti minimi
ext of pinkie @ MCP, PIP, DIP ext of hand @ wrist joint weak ext of forearm @ elbow joint
27
What nerve innervates the extensor digiti minimi
radial nerve
28
What is the dorsal digital expansion also known as
extensor hoods
29
What is a dorsal digital expansion
triangular tendinous aponeurosis that wraps the metacarpalphalageal joints and extent along proximal and middle phalanges across two interphalangeal joints to attach to the distal phalanx on the dorsal aspect of digits 2-5
30
what muscles attach to the sides of the dorsal digital expansion
interossei and lumbrical muscles
31
What causes the ‘Ta-Ta’ movement. What is the ‘Ta-Ta’ movement
muscles come from the palm to the sides of the digits and insert to the corners of the base of the dorsal digital expansion does flex of MCP and passive ext of PIP+DIP
32
What is the origin of the extensor carpi ulnaris
lateral epicondyle via common extensor tendon middle posterior border of ulna
33
What is the insertion of the extensor carpi ulnaris
base of 5th metacarpal
34
What are the functions of the extensor carpi ulnaris
``` ext of hand @ wrist joint ulnar deviation (ADD) of hand @ wrist joint ext of forearm @ elbow joint ```
35
What nerve innervates the extensor carpi ulnaris
radial nerve
36
What is the origin of the anconeus?
lateral epicondyle of humerus *note NOT via common extensor tendon
37
What is the insertion of the anconeus
lateral side of olecranon proximal 1/4 of posterior surface of shaft of ulna
38
What are the functions of the anconeus
extension of forearm @ elbow joint
39
What nerve innervates anconeus
radial nerve
40
What is the origin of the supinator
supinator crest of ulna, lateral epicondyle of humerus
41
What is the insertion of the supinator
proximal lateral surface of radius
42
What is the innervation of supinator
radial nerve
43
What is medial epicondylitis also known as
golf elbow
44
What causes medial epicondylitis
forceful and repeated flexion/pronation of wrist and digits causes ruptures of common flexor tendon, small tears in muscle begin to heal but when re-injured becomes painful
45
What are the symptoms of medial epicondylitis
tenderness/pain @ med. epicondyle made worse by flexing wrist
46
What is lateral epicondylitis also known as
tennis elbow
47
What causes lateral epicondylitis
repeated extension and supination of common extensor tendon usually result of specific strain, overuse and direct impact (sometimes no cause)
48
What are the symptoms of lateral epicondylitis
tenderness/pain @ lat epicondyle
49
What is drop wrist
patient cannot extend hand due to damage and/or paralysis of radial nerve
50
What is transient nerve palsy also known as
Saturday night palsy
51
What causes transient nerve palsy? What happens?
leaning over surface (ie chair) causes compression of radial nerve in axilla or upper arm in patient sleeping causing drop wrist