Forearm muscles anterior (flexor) compartment

harshal55 724 views 38 slides Apr 06, 2019
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About This Presentation

Forearm muscle
superficial
intermediate
deep


Slide Content

Anterior (Flexor) Compartment FOREARM MUSCLES

superficial , intermediate deep 03 CATEGORIES

SUPERFICIAL COMPARTMENT

The superficial muscles in the anterior compartment are the Flexor carpi ulnaris , Palmaris longus , Flexor carpi radialis Pronator teres . They all originate from a common tendon, which arises from the medial epicondyle of the humerus .

PRONATOR TERES

PRONATOR TERES SYNDROME

https://www.youtube.com/watch?v=BjIab-huqgU Forearm Muscles https://www.earthslab.com/anatomy/muscles-anterior-front-forearm/ Teres – as appears in ligamentum teres . Teres is a Latin word that means round and smooth or cylindrical.

Flexor Carpi Radialis

PALMARIS LONGUS

FLEXOR CARPI ULNARIS

Superficial Anterior Muscles of Forearm

https://www.youtube.com/watch?v=WlDR-5Aiuys pronator teres https://www.youtube.com/watch?v=sQAUX_5SjRc Anatomy Of The Pronator Teres Muscle https://www.youtube.com/watch?v=ZqhO1dzqTtY Pronator Teres Syndrome https://www.orthobullets.com/hand/6020/pronator-syndrome Pronator Syndrome

INTERMEDIATE COMPARTMENT

The flexor digitorum superficialis is the only muscle of the INTERMEDIATE COMPARTMENT . It can sometimes be classed as a superficial muscle, but in most cadavers it lies between the deep and superficial muscle layers. The muscle is a good anatomical landmark in the forearm – the median nerve and ulnar artery pass between its two heads, and then travel posteriorly . ATTACHMENTS : It has two heads – one originates from the medial epicondyle of the humerus , the other from the radius. The muscle splits into four tendons at the wrist, which travel through the carpal tunnel, and attaches to the middle phalanges of the four fingers. ACTIONS : Flexes the metacarpophalangeal joints and proximal interphalangeal joints at the 4 fingers, and flexes at the wrist. INNERVATION : Median nerve.

FLEXOR DIGITORUM SUPERFICIALIS

Flexor Digitorum Superficialis https://www.youtube.com/watch?v=9lSOE1CbJYw https://www.earthslab.com/anatomy/flexor-digitorum-superficialis/

DEEP COMPARTMENT

FLEXOR DIGITORUM PROFUNDUS The flexor digitorum profundus (FDP) is the most bulky and powerful muscle on the front of forearm and supplies main gripping power to the hand. ORIGIN From upper three-fourth of the anterior and medial surfaces of the shaft of ulna and nearby medial half of the interosseous membrane. By an aponeurosis from upper three-fourth of the posterior border of ulna along with flexor and extensor carpi ulnaris muscles. From the medial side of olecranon and coronoid process of ulna. INSERTION On to the palmar aspect of the bases of distal phalanges of medial four digits. The actual mode of injection is as follows: the muscle forms four tendons, which enter the palm by passing deep to the flexor retinaculum. Opposite the proximal phalanx of corresponding digit, the tendon perforates the tendon of flexor digitorum superficialis and passes forward to be inserted in palmar surface of the distal phalanx.

NERVE SUPPLY Medial half by the ulnar nerve. Lateral half by the anterior interosseous nerve – a branch of the median nerve . ACTIONS FDP flexes the distal interphalangeal (DIP) joints of medial four digits. It also helps to flex the wrist joint.

CLINICAL TESTING The flexor digitorum profundus is examined by asking the patient to flex the DIP joint, while holding the PIP joint in extension.

https://www.youtube.com/watch?v=FAlrNNCmaC0 Anatomy Of The Flexor Digitorum Profundus Muscle

FLEXOR POLLICIS LONGUS The flexor pollicis longus lies lateral to the FDP and clothes the anterior aspect of the radius distal to the connection of supinator muscle. ORIGIN From upper two-third of the anterior surface of the radius below the anterior oblique line and adjoining part of the interosseous membrane. INSERTION Into the anterior surface of the base of distal phalanx of the thumb. ACTIONS It primarily flexes the distal phalanx of the thumb but secondarily it also flexes proximal phalanx and first metacarpal at the metacarpophalangeal (MP) and carpometacarpal (CM) joints respectively. The anterior interosseous nerve and vessels fall on interosseous membrane between flexor pollicis longus and flexor digitorum profundus . The flexor pollicis longus is the only muscle, which flexes the interphalangeal joints of the thumb.

CLINICAL TESTING The flexor pollicis longus is tested by inquiring the patient to flex the interphalangeal joint of the thumb, while proximal phalanx of the thumb is kept in extension.

Anatomy Of the Flexor Pollicis Longus Muscle https://www.youtube.com/watch?v=3CJ77o6BvKU

PRONATOR QUADRATUS It is a flat quadrilateral muscle, which extends across the front of the distal parts of the radius and ulna. ORIGIN From an oblique ridge on the lower one-fourth of the anterior surface of the shaft of ulna and medial part of this surface. INSERTION The superficial fibres into the distal one-fourth of the anterior border and anterior surface of the shaft of radius. The deeper fibres into the triangular area above the ulnar notch of the radius.

NERVE SUPPLY By anterior interosseous nerve. ACTIONS Pronator quadratus is the primary pronator of the forearm and is supported by pronator teres only in quick and forceful pronation.

Anatomy Of The Pronator Quadratus https://www.youtube.com/watch?v=WqHYy7bFAA4