Wrist and Hand Flashcards
Anterior Compartment
flexors and pronators
flexors originate on the medial epicondyle via common flexor tendon
Anterior Superficial Layer
Pronator Teres
flexor carpi radialis
palmaris longus
flexor carpi ulnaris
Anterior Intermediate Layer
flexor digitorum superficialis
Anterior Deep Layer
flexor digitorum profundus
flexor policis longus
pronator quadratus
Pronator Teres Origin
distal part of the medial supracondylar ridge of the humerus and medial side of the proximal ulna
Pronator Teres Insertion
Middle 1/3 of lateral radius
Pronator Teres Action
forearm pronation
elbow flexion
Pronator Teres Innervation
Median Nerve
Flexor Carpi Radialis Origin
Medial Epicondyle
Flexor Carpi Radialis Insertion
anterior base of the 2nd and 3rd metacarpals
Flexor Carpi Radialis Action
wrist flexion, radial deviation
elbow flexion
forearm pronation
Flexor Carpi Radialis Innervation
Median Nerve
Palmaris Longus Origin
Medial Epicondyle
Palmaris Longus Insertion
Palmar aponeurosis of the 2-5th metacarpals
Palmaris Longus action
Wrist and elbow flexion
Palmaris Longus Innervation
Median Nerve
Flexor carpi Ulnaris Origin
Medial Epicondyle
Flexor Carpi Ulnaris Insertion
pisiform, hamate, and base of the 5th metacarpal
Flexor Carpi Ulnaris Action
wrist flexion, ulnar deviation
elbow flexion
Flexor Carpi Ulnaris Innervation
Ulnar Nerve
Flexor digitorum Superficialis Origin
Medial Epicondyle
Flexor Digitorum Superficialis Insertion
muscle splits into separate tendons. each attach to the sides of middle phalanx of the 4 digits
Flexor Digitorum Superficialis Action
MCP 2-5 flexion
PIP 2-5 flexion
wrist flexion
elbow flexion
Flexor Digitorum Superficialis Innervation
Median Nerve
Flexor Digitorum Profundus Origin
Proximal 3/4 of the anterior and medial ulna
Flexor Digitorum Profundus Insertion
Base of the distal phalanxes of 4 fingers
Flexor Digitorum Profundus Action
MCP 2-5 flexion
PIP 2-5 flexion
DIP 2-5 flexion
wrist flexion
only one to flex DIPs ( fun dip)
Flexor Digitorum Profundus Innervation
2-3 Median Nerve
4-5 Ulnar nerve
Flexor Pollicus Longus Origin
Middle anterior radius and anterior border of the ulna just distal to coronoid process
Flexor Pollicus Longus Insertion
Base of the 1st distal phalanx
Flexor Pollicus Longus Action
CMC 1st flexion
MCP 1st flexion
IP 1st flexion
wrist flexion
wrist radial deviation
Flexor Pollicus Longus Innervation
Median Nerve
Posterior Compartment
extensor muscles
originate on the lateral epicondyle via common extensor tendon
Posterior Superficial Layer
Brachioradialis
Extensor Carpi Radialis Longus (ECRL)
Extensor Carpi Radialis Brevis (ECRB)
Extensor Digitorum
Extensor Digiti Minimi
Extensor Carpi Ulnaris
Posterior Deep Layer
Supinator
Extensor Indicis
Brachioradialis Origin
Distal 2/3 of the lateral supracondylar ridge of the humerus
Brachioradialis Insertion
lateral surface of the distal end of the radius at the styloid process
Brachioradialis Action
elbow flexion
forearm pronation from supination to neutral
forearm supination from pronated position to neutral
Brachioradialis Innervation
Radial Nerve
Extensor Carpi Radialis Longus (ECRL) Origin
Lateral Epicondyle
ECRL Insertion
Base of the 2nd Metacarpal
ECRL Action
wrist extension
radial deviation
elbow flexion
forearm pronation: full supination to neutral
ECRL Innervation
Radial Nerve
ECRB Origin
Lateral Epicondule
ECRB Insertion
Base of 3rd metacarpal
ECRB Action
Wrist extension
radial deviation
elbow flexion
ECRB Innervation
Radial Nerve
Extensor Digitorum Origin
Lateral Epicondyle
Extensor Digitorum Insertion
4 tendons that go to the base of the middle and distal 2-5 phalanx
Extensor Digitorum Action
MCP 2-5 Extension
wrist extension
elbow extension
Extensor Digitorum Innervation
Radial Nerve
Extensor Digiti Minimi Origin
Lateral Epicondyle
Extensor Digiti Minimi Insertion
Base of the 5th middle and distal phalanxes
Extensor Digiti Minimi Action
MCP 5th extension
wrist extension
elbow extension
Extensor Digiti Minimi Innervation
Radial Nerve
Extensor Carpi Ulnaris Origin
Lateral Epicondyle
Extensor Carpi Ulnaris Insertion
Base of the 5th metacarpal
Extensor Carpi Ulnaris Action
wrist extension
ulnar deviation
elbow extension
Extensor Carpi Ulnaris Innervation
Radial Nerve
Supinator Origin
Lateral epicondyle of the humerus and posterior ulna
Supinator Insertion
lateral surface of the proximal radius
Supinator Action
forearm supination
Supinator Innervation
posterior interosseous nerve
(from radial nerve)
Extensor Indicis Origin
between middle and distal 1/3 of posterior ulna
Extensor Indicis Insertion
Base of middle and distal 2nd phalanxes
Extensor Indicis Action
MCP 2nd extension
wrist extension
forearm supination from a pronated position
Extensor Indicis Innervation
Radial Nerve
Abductor Policis Longus (APL) Origin
Posterior aspect of radius and midshaft ulna
APL Insertion
base of 1st metacarpal
APL Action
CMC 1st abduction
radial deviation
CMC 1st extension
forearm supination from pronated postion
wrist extension
APL Innervation
Radial Nerve
Extensor Pollicis Lingus (EPL) Origin
Posterior lateral surface of lower middle ulna
EPL Insertion
base of 1st distal phalanx
EPL Action
CMC 1st extension
MCP 1st extension
IP 1st extension
wrist extension
radial deviation
forearm supination from pronated position
EPL Innervation
Radial Nerve
Extensor Pollicis Brevis (EPB) Origin
Posterior surface of lower middle radius
EPB Insertion
base of 1st proximal phalanz
EPB Action
CMC 1st extension
MCP 1st extension
radial deviation
wrist extension
EPB Innervation
Radial Nerve