Posterior Forearm and Hand Flashcards
Posterior compartment of forearm layers
Deep and superficial
Most extensors arise from
lateral epicondyle
Muscles of superficial layer of posterior
Brachioradialis Extensor carpi radialis longus Extensor carpi radialis brevis Extensor digitorum Extensor carpi ulnaris Extensor carpi minimi
Muslces of deep layer of posterior
Abductor pollicis longus Extensor pollicis brevis Extensor pollicis longus Extensor indices Supinator
All muscles of posterior compartment innervated by the
radial nerve
Brachioradialis function and innervation
Flexes forearm
Radial nerve
Crosses anterior to the elbow joint
Extensor carpi radialis longus function and innervation
Radial
Extends and abducts wrist
Extensor carpi radialis brevis function and innervation
Extends and abducts writst radial
Extensor digitorum function and innervation
Extends fingers and wrist
Radial
Extensor digiti minimi function and innervation
Extends digit 5 and wrist
Radial
Extensor carpi ulnaris function and innervation
Extends and adducts wrist Radial
Supinator function and innervation
Supinates forearm
Radial
Abductor pollicis longus function and innervation
Radial
Abducts and extends thumb
Extensor pollicis longus function and innervation
Extends 1st digit at MCP joint
Radial nerve
Extensor indicis function and innervation
Extends digit 2
Radial
Extensor expansion
Mostly works on the MCP
Connects extensors of the hand
Radial artery forearm location
Deep to brachioradialis
Ulnar artery location
Deep to flexor carpi ulnaris
Which branch does common intnerosseus artery come from?
Ulnar artery
Median nerve innervation and location
Between flexor digitorum superficialis and profundus
Innervates all anterior except flexor carpi ulnaris and medial half of flexor digitorum profundus
Ulnar nerve location and innervation
Medial side deep to flexor carpi ulnaris
Innervates flexor carpi ulnairs and medial half of flexor digitorum ulnais
Radial nerve location and innervation
Enters between brachioradialis and brachialis
Deep branch supplies all extensors
Superficial has no muscular or cutaneous in the forearm
Compartments of hand
Thenar compartment
Hypothenar compartment
Central compartment
Adductor-interosseus compartment
Compartments of hand separated by
Fascial septa
Central compartment limited by the
Palmar aponeurosis (anterior) Thenar septum (laterally) Hypothenar septum (medially) Palmar interosseus fascia (posteriorly)
Palmar aponeurosis
Covers palm between thenar and hypothenar eminences
Tendon of palmaris longus inserts into
Palmar aponeurosis
Thenar compartment muslces and innervation
Abductor pollicis brevis Flexor pollicis brevis Opponens pollicis Median nerve Position and move thumb
Hypothenar muscles and innervation
Abductor digiti minimi Flexor digiti minimi Opponens digiti minimi Ulnar Position and move little finger
Central compartment muscles and innervations
Lumbricals (medial 2 ulnar nerve, lateral 2 median nerve)
Tendons of flexor digitorum superficialis
Tendons of flexor digitorum profundus
Lumbricals
Worm-like muscles that attach tendons of flexor digitorum profundus to the extensor expansions
Lumbrical function and innervation
Flex MCP joints and extend IP joints
1 and 2 - median
3 and 4 - ulnar
Adductor-interosseus compartment muscles and innervation
Adductor pollicis
Palmar interossei
Dorsal interossei
Ulnar nerve
Palmar interossei function
adduction - 2,4,5
Dorsal interossei function
Abduction - 2,3,4
Adductor pollicis function and innervation
Adducts thumb
Ulnar
Dorsum of hand contains
Dorsal tendon compartment for extensor compartment of forearm
Extensor retinaculum
Binds tendons to dorsal aspect of the hand
Only muscles intrinsic to dorsum of hand
Dorsal interosseus muslces
Synovial sheaths
Enclose tendons of the flexors and extensors to reduce friction during movement
Flexor retinaculum
Forms carpal tunnel
Attaches carpal bones
Digital fibrous sheaths
Fibrous bands superficial to the synovial digital tendon sheaths in the fingers
Prevents bowing of tendons when muscles contract
What does carpal tunnel contain
Tendons of flexor digitorum superficialis, flexor digitorum profundus, flexor pollicis longus, and median nerve,
Palmaris longus lies
Superficial to flexor retinaculum and ends in palmar aponeurosis
Flexor carpi radialis lies
In its own connective tissue sheath
Carpal tunnel syndrome
Compresses median nerve
Affects mostly the index and middle fingers
Radial and ulnar artery location
Superficial to flexor retinaculum
Superficial palmar arch
Formed by anastomosis between ulnar and branch of radial artery
Common palmar digital arteries
Originate from superficial palmar arch
Proper palmar digital arteries
Branches of common palamr digital arteries and supply sides of 2,3,4,5
Deep palmar arch
Formed by anastomsis between branch of ulnar and radial artery
Palmar metacarpal arteries
Supplement superficial palmar arteries by anastomosis with common palmar arteries
Princeps pollicis
Radial artery branch supplying thumb
Radial indeces
Radial artery branch supplying index finger
Where is deep arch located toward (radius or ulna)
Radial
Anatomical snuff box boundaries
Extensor pollicis longus posteriorly
Extensor pollicis brevis and abductor pollicis longus anteriorly
What artery passes through snuff box?
Raidal
What forms floor of snuff box?
Scaphoid and trapezium