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The forearm
Prepared By : Dr. Mohaned Abu lehea
Contents of the Anterior Fascial
Compartment of the Forearm
• Muscles:
• A superficial group : consisting of the pronator
teres, the flexor carpi radialis, the palmaris
longus, and the flexor carpi ulnaris.
• An intermediate group : consisting of the
flexor digitorum superficialis; and a
• Deep group : consisting of the flexor pollicis
longus, the flexor digitorum profundus, and the
pronator quadratus
• Blood supply to the muscles: Ulnar and radial
arteries
• Nerve supply to the muscles:
• All the muscles are supplied by the median
nerve and its branches, except the flexor carpi
ulnaris and the medial part of the flexor
digitorum profundus, which are supplied by
the ulnar nerve
Muscles of the Anterior
Fascial Compartment of
the Forearm
Pronator Teres
Pronator Teres
• Origin
• Humeral head : Medial epicondyle of humerus
• Ulnar head : Medial border of coronoid
process of ulna
• Action
• Lateral aspect of shaft of radius
• Nerve supply : Median nerve
• Action : Pronation and flexion of forearm
Flexor carpi radialis
Flexor carpi radialis
• Origin
• Medial epicondyle of humerus
• Insertion
• Bases of second and third metacarpal bones
• Nerve supply
• Median nerve
• Action
• Flexes and abducts hand at wrist joint
Flexor Carpi Ulnaris
Flexor Carpi Ulnaris
• Origin
• Humeral head : Medial epicondyle of humerus
• Ulnar head : Medial aspect of olecranon
process and posterior border of ulna
• Insertion
• Pisiform bone, hook of the hamate, base at
fifth metacarpal bone
• Nerve supply
• Ulnar nerve
• Action
• Flexes and adducts hand at wrist joint
Palmaris longus
s
Palmaris longus
• Origin
• Medial epicondyle of humerus
• Insertion
• Flexor retinaculum and palmar aponeurosis
• Nerve supply
• Median nerve
• Action
• Flexes hand
Flexor Digitorum Superficialis
Flexor Digitorum Superficialis
• Origin
• Humeroulnar head : Medial epicondyle of
humerus; medial border of coronoid process of
ulna
• Radial head : Oblique line on anterior surface
of shaft of radius
• Insertion
• Middle phalanx of medial four fingers
• Nerve supply
• Median nerve
• Action
• Flexes middle phalanx of fingers and assists in
flexing proximal phalanx and hand
Flexor pollicis longus
Flexor pollicis longus
• Origin
• Anterior surface of shaft of radius
• Insertion
• Distal phalanx of thumb
• Action
• Flexes distal phalanx of thumb
• Nerve supply
• Anterior interosseous branch of median nerve
Flexor digitorum profundus
Flexor digitorum profundus
• Origen
• Anteromedial surface of shaft of ulna
• Insertion
• Distal phalanges of medial four fingers
• Action
• Flexes distal phalanx of fingers; then assists in
flexion of middle and proximal phalanges and
wrist
• Nerve supply
• Ulnar (medial half) and median (lateral half)
nerves
Pronator quadratus
Pronator quadratus
• Origin
• Anterior surface of shaft of ulna
• Insertion
• Anterior surface of shaft of radius
• Action
• Pronates forearm
• Nerve Supply
• Anterior interosseous branch of median nerve
Muscles of the Lateral Fascial Compartment of
the Forearm
Brachioradialis
Brachioradialis
• Origin
• Lateral supracondylar ridge of humerus
• Insertion
• Base of styloid process of radius
• Action
• Flexes forearm atridge of humerus elbow joint
rotates forearm to the midprone position
• Nerve supply
• Radial nerve
Extensor carpi radialis longus
Extensor carpi radialis longus
• Origin
• Lateral supracondylar ridge of humerus
• Insertion
• Posterior surface of base of second metacarpal
bone
• Action
• Extends and abducts hand at wrist joint
• Nerve supply
• Radial nerve
Muscles of the Posterior Fascial Compartment of
the Forearm
Extensor carpi radialis brevis
Extensor carpi radialis brevis
• Origin
• Lateral epicondyle of humerus
• Insertion
• Posterior surface of base of third metacarpal
bone
• Action
• Extends and abducts hand at wrist joint
• Nerve supply
• Deep branch of radial nerve
Extensor digitorum
Extensor digitorum
• Origin
• Lateral epicondyle of humerus
• Insertion
• Middle and distal phalanges of medial four
fingers
• Action
• Extends fingers and hand
• Nerve supply
• Deep branch of radial nerve
Extensor digiti minimi
Extensor digiti minimi
• Origin
• Lateral epicondyle of humerus
• Insertion
• Extensor expansion of little finger
• Action
• Extends metacarpal phalangeal joint of little
finger
• Nerve supply
• Deep branch of radial nerve
Extensor carpi ulnaris
Extensor carpi ulnaris
• Origin
• Lateral epicondyle of humerus
• Insertion
• Base of fifth metacarpal bone
• Action
• Extends and adducts hand at wrist joint
• Nerve supply
• Deep branch of radial nerve
Anconeus
Anconeus
• Origin
• Lateral epicondyle of humerus
• Insertion
• Lateral surface of olecranon process of ulna
• Action
• Extends elbow joint
• Nerve supply
• Radial nerve
Supinator
Supinator
• Origin
• Lateral epicondyle of humerus, anular
ligament of proximal radioulnar joint, and ulna
• Insertion
• Neck and shaft of radius
• Action
• Supination of forearm
• Nerve supply
• Deep branch of radial nerve
Abductor pollicis longus
Abductor pollicis longus
• Origin
• Posterior surface of shafts of radius and ulna
• Insertion
• Base of first metacarpal bone
• Action
• Abducts and extends thumb
• Nerve supply
• Deep branch of radial nerve
Extensor pollicis brevis
Extensor pollicis brevis
• Origin
• Posterior surface of shaft of radius
• Insertion
• Base of proximal phalanx of thumb
• Action
• Extends metacarpophalangeal joints of thumb
• Nerve supply
• Deep branch of radial nerve
Extensor pollicis longus
Extensor pollicis longus
• Origin
• Posterior surface of shaft of ulna
• Insertion
• Base of distal phalanx of thumb
• Action
• Extends distal phalanx of thumb
• Nerve supply
• Deep branch of radial nerve
Extensor indicis
Extensor indicis
• Origin
• Posterior surface of shaft of ulna
• Insertion
• Extensor expansion of index finger
• Action
• Extends metacarpophalangeal joint of index
finger
• Nerve Supply
• Deep branch of radial nerve
Thanks
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