6 Muscles of Forearm Fin

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Forearm

Objectives

1. Identify the muscles in forearm in terms of their


origin, insertion, nerve supply and actions.
2. Describe the neurovascular structures in the
forearm.
3. Discuss the functions of the muscles in
compartments of the forearm.
Functional organization of anterior and posterior
compartments of forearm
Names of the muscles of forearm

• Long names: good guide to location and function


• Location: i.e. superficial / deep
radial / ulnar

• Function: i.e. flexor / extensor


adductor / abductor
• Does it act on the thumb (pollux) or the fingers
(digits)?
Functional organization

• Anterior compartment – flexor / pronator


• Posterior Compartment – extensor / supinator
• Flex the wrist ………[flexor]
• Extend the wrist ……..[extensor]
• Pronate the forearm ……..[pronator]
• Acting on wrist (carpus) only ……[carpi]
• Acting on fingers ……..[digiti / digitorum]
• Acting on thumb (pollux) ……[pollicus]
Flexion / Extension at the wrist joint.

Extension

Flexion
Adduction / abduction at the wrist joint

Adduction Abduction
Movements of fingers.

Metacarpophalangeal (condyloid joints):


flexion / extension and abduction / adduction

Interphalangeal (hinge joints): flexion / extension

X
X
Movements of the thumb – a specialized digit, occur at
right angles to the fingers. Mainly at the Carpometacarpal
(saddle) joint. MCP – condyloid; IP – hinge (like fingers).
Radius and Ulna (Pronated)
Anterior Compartment of forearm

Superficial group:
Common flexor origin
1. Pronator Teres
2. Flexor Carpi Radialis
3. Palmaris Longus
4. Flexor Digitorum
Superficialis
5. Flexor Carpi Ulnaris
Anterior Compartment of forearm
Functional organization:

Only flex at the wrist.

 Flexor carpi radialis


 Palmaris longus
 Flexor carpi ulnaris
Anterior Compartment of forearm
Muscles of the anterior compartment of forearm
Muscles of the anterior compartment of forearm
Neurovasculature of Anterior Compartment of forearm
Forearm arteries
Branches from radial and ulnar arteries

• Radial artery gives the • Ulnar artery gives the


following branches: following branches :
1. Anterior & posterior
1. Radial recurrent
ulnar recurrent
artery branches
2. Common interosseus
2. Palmar &dorsal
divides into
carpal branches 3. anterior and posterior
interosseus branches
3. Muscular branches
4. Palmar & dorsal carpal
for adjacent muscles branches
Anastomoses around the Elbow
Anastomoses around the Elbow
Medially : Laterally :
* ant branch of the *the radial collateral
inferior ulnar collateral anastomose with the
anastomses with the radial recurrent
anterior ulnar recurrent anteriorly
anteriorly *the middle collateral
* superior ulnar collateral anastomse with the
+post branch of the recurrent interosseous
inferior ulnar collateral artery posteriorly
anastomose with the
posterior ulnar recurrent
posteriorly
Median nerve
 Formed in axilla by lateral and
medial roots from respective
cords.
 At elbow crossed by bicipital
aponeurosis
 Passes between 2 heads of
pronator teres to enter forearm
 Enter palm beneath flexor
retinaculum
Branches:

 in proximal forearm
 To all anterior compartment muscles except:
 flexor carpi ulnaris .
 medial half of flexor digitorum profundus.
Elbow joint
Elbow Joint:
Type: Synovial hinge joint
Articulation occurs :
between the trochlea and capitulum of the humerus

and the trochlear notch of the ulna and the head of the radius
Humeroulnar joint :
 formed by trochlear of humerus and troclear noch (hinge(

Humeroradial joint :
 formed by capitulum of humerus and head of radius (ball
and socket(
Proximal radioulnar joint :
 formed by articular circumference of radius and radial
notch of ulna

Capsule: thin and lax anteriorly and posteriorly, strongly


thickened on either side by collateral ligaments
• Ligaments:
– Radial collacteral ligament= triangular :
– attached to lateral epicondyle(apex)
– and to annular ligament of radius(base)
– Ulnar collacteral ligament :
– attached to medial epicondyle to medial border of trochlear
notch
– Annular ligament of radius :
– attached to anterior and posterior margins of radial notch
of ulna, surrounds the head of radius
• Movements:
• flexion and extension, pronation and supination
Ulnar collacteral ligament
Blood supply:
Derived from the anastomosis around the elbow joint
Nerve supply:

Musculocutaneous, radial, ulnar and median nerves


Muscles of
Forearm
-Extensors-
Muscles of the Forearm
(Post. View)

Anconeus
Deep Posterior Compartment

 Abductor Pollicis Longus


 Extensor Pollicis Brevis
 Extensor Pollicis Longus
 Extensor Indicis
 Supinator

Functional Organization:
 Extend Hand At Wrist
 Extend / Abduct Thumb
 Extend Index Finger
 Supinate
Deep Dissection Forearm (Posterior)
Muscles of the posterior compartment of forearm
Muscles of the posterior compartment of forearm
Muscles of the posterior compartment of forearm
Supination and Pronation
Course of radial and ulnar arteries in forearm
Neurovasculature (deep).

Lateral:
- radial artery
- radial nerve

Midline:
- median nerve
- anterior interosseus a.
- anterior interosseus n.
(deep branch of median)

Medial:
- ulnar artery
(gives off common interosseus artery
divides into anterior and posterior
branches)
- ulner nerve
Anatomical snuff box

Extensor pollicis
longus
Neurovasculature.

Radial nerve and its branches supply


all muscles in posterior compartment,
except(?).

1. - superficial radial nerve


2. - deep radial nerve
(posterior interosseous nerve).
Radial & Ulnar Arteries

lateral medial

Radial artery Ulnar artery

Common interosseous
Anterior
Dorsal and Posterior
palmer carpal Dorsal and
branches palmer carpal
Deep branches
superficial
(superficial) (deep)palmar arches
RELATION OF ARTERIES,
NERVES AND TENDONS
AT THE WRIST

MOVING LATERAL TO MEDIAL


1-9

1. Brachioradialis 6. Flexor Digitorum Superficialis

2. Superficial Radial n. 7. Ulnar Artery

3. Radial Artery 8. Ulnar Nerve

4. Flexor Carpi Radialis 9. Flexor Carpi Ulnaris

5. Median Nerve

Thumb
Thank you

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