Posterior Forearm Flashcards

(27 cards)

1
Q

Extensor carpi radialis longus

A

Origin: lateral supracondylar ridge of humerus

Insertioin: dorsal aspect of base of 2nd metacarpal

Axns: extend and abduct hand at wrist

Blood: Radial collateral artery
radial recurrent ar.
recurrent interosseous
posterior interosseous ar

Nerve: radial nerve (C6, C7)

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2
Q

Extensor carpi radialis brevis

A

Origin: lateral epicondyle of humerus (common extensor origin)

Insertion: dorsal aspect of base of 3rd metacarpal

Axns: extend hand
abduct hand at wrist

Blood: radial collateral
radial recurrent
recurrent interosseous
post. interosseous

Nerve: deep branch of radial nerve (C7, C8)

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3
Q

Extensor digitorum

A

Origin: lateral epicondyle of humerus (common)

Insertion: extensor expansions of medial 4 fingers

Axns: extends medial 4 fingers at MCP joint
some at IP joints

Blood: post. interosseous ar
Recurrent interosseous ar
perforating branch of an. interosseous ar

Nerve: posterior interosseous nerve (C7, C8): continuation of deep branch of radial nerve

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4
Q

Extensor digiti minimi

A

Origin: lateral epicondyle of humerus

Insertion: extensor expansion of 5th finger

Axn: extend 5th finger at MCP and at IP joint

Blood: post. interosseous
recurrent interosseous
perforating branch of ant. interosseous

Nerve: post. interosseous nerve C7, C8

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5
Q

Extensor carpi ulnaris

A

Origin: lateral epicondyle of humerus
post. border of ulna (medial)

Insertion: dorsal base of 5th metacarpal

Axns: extends and adducts hand at wrist

Blood: radial collateral, radial recurrent, recurrent interosseous
post. interosseous ar

Nerve: posterior interosseous nerve (C7, C8)

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6
Q

Deep Extensors:

A
Supinator
Extensor indicis
Abductor pollicis longus
Extensor pollicis longus
extensor pollicis brevis
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7
Q

Supinator

A

Origin: lateral epicondyle of humerus
radial collateral and anular ligaments
ulnar crest

Insertion: prox. 1/3 of radius (nearly all surfaces, as it wraps around the bone)

Axns: supinates forearm, bringing radius back to anatomical postition

Blood: radial a
post. interosseous
radial recurrent
recurrent interosseous
middle collateral

Nerve: deep branch of radial nerve (C7, C8)

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8
Q

Extensor indicis

A

Origin: post. surface of distal 1/3 of ulna and interosseous membrane

Insertion: extensor expansion of 2nd finger

Axns: independent extension of 2nd finger, but also helps w/ extension of wrist

Blood: post. interosseous and perforating branch of ant. interosseous ar

Nerve: post. interosseous Nerve

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9
Q

Abductor pollicis longus (outcropping)

A

Origin: post. surface of prox. 1/2 of ulna and radius; interosseous membrane

Insertion: base of 1st metacarpal

Axns: abducts thumb and extends it at CMC joint

Blood: post. interosseous a

Nerve: post interosseous nerve (C7, C8)

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10
Q

Extensor pollicis brevis

A

Origin: post. surface of distal 1/3 of radius
interosseous membrane

Insertion: dorsal aspect of prox. phalanx of thumb

Axns: extends prox. phalanx of thumb at its MCP joint
extends CMC joint

Blood:Post. interosseous and perforating branch of anterior interosseous a

Nerve: post. interosseous nerve

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11
Q

Extensor Pollicis Longus

A

Origin: post. surface of middle 1/3 of ulna
interosseous membrane

Insertion: dorsal aspect of base of distal phalanx of thumb

Axns: extends distal phalanx of thumb at its interphalangeal joint
extends the MCP and CMC joint

Blood: post. interosseous and perforating branch of anterior interosseous a.

Nerve: posterior interosseous nerve

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12
Q

Brachioradialis

A

Origin: prox. 2/3 of supraepicondylar ridge of humerus

Insertion: distal radius: prox. to styloid process

Axns: flex forearm when pronated (mid prone or neutral)

Blood: radial collateral
recurrent radial
radial a.

Nerve: radial nerve (C5, 6, 7)

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13
Q

Posterior Compartment

A

Radial Nerve via:

Deep branch

OR

Posterior interosseous nerve

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14
Q

Radial Nerve

A

superficial branch and dorsal digital branches

Lateral Dorsal half of hand (anatomical position

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15
Q

Radialis (superficial lateral Group)

A

Brachioradioradialis

Extensor carpi radialis longus

Extensor carpi radialis brevis

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16
Q

Superficial group

A

Extensor carpi ulnaris

Extensor digiti minimi

Extensor digitorum

17
Q

Deep Group

A

Extensor pollicis longus

Extensor indicis

Extensor pollicis brevis

Abductor pollicis longus

Supinator

18
Q

Radial Nerve muscles

A

Brachioradialis

Extensor carpi radialis longus

19
Q

Deep radial nerve muscles

A

Extensor carpi radialis brevis

Supinator

20
Q

Posterior interossesous nerve

A

Extensor carpi ulnaris

Extensor digitorum

Extensor digiti minimi

Extensor indicis

Abductor pollicis longus

Extensor pollicis longus

Extensor pollicis brevis

21
Q

Superficial radial nerve

A

Sensation of lateral half of dorsal wrist, hand, thumb

22
Q

Brachioradialis

A

Origin: supraepicondylar ridge of humerus

Insertion: distal radius

Axns: flexes forearm (mid prone or neutral position)

Blood: radial collateral
recurrent radial
radial arteries

Nerve: Radial (C5, 6, 7)

23
Q

Extensor Expansion and Extensor Hood Mechanism

A

Extensor digitorum contracts
pulls extensor hood (extensor expansion)

causes IP joints to extend

Lumbricals attach to this expansion at the hood (also able to extend IP joints)

24
Q

Arterial Supply to posterior forearm and hand

A

Radial artery: via deep palmar arch (hand)
via dorsal carpal arch (hand)

Common interosseous artery
posterior interosseous artery

Perforating (posterior) branch of anterior interosseous artery

25
Innervation of posterior forearm
radial nerve superficial branch of radial n lateral, runs beneach brachioradialis deep branch posterior, becomes post. interosseous nerve
26
Radial Nerve Injury
fracture to humeral shaft paralysis of extensors of wrist and fingers flexors take over (wrist drop)
27
Anatomical Snuff Box
Extensor poliicis longs (ulnar/medial border) Extensor pollicis brevis (radial lateral border) Abductor pollicis longus (runs w/ EPB ^)