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pronator teres
- attach: med. epicondyle of humerus (via common flexor tendon), coronoid process of ulna
- mid radius (lat. surface)
- nerve: median n.
- action: pronates forearm
- Anterior Compartment of the Forearm (superficial)
- attaches to mid-radius
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flexor carpi radialis
- attach:med. epicondyle of humerus (via common flexor tendon)
- base of 2nd metacarpal
- nerve: median n.
- action: flexes & abducts (radial deviation) of hand
- Anterior Compartment of the Forearm (superficial)
- sends tendon to radial side of wrist
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palmaris longus
- attach: med. epicondyle of humerus (via common flexor tendon)
- palmar aponeurosis
- nerve: median n.
- action: aids in flexion of hand, tightens palmar aponeurosis
- Anterior Compartment of the Forearm (superficial)
- sends tendon to palmar aponeurosis
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flexor carpi ulnaris
- attach: med. epicondyle of humerus ( via common flexor tendon), olecranon process, post. ulna
- pisiform bone, hook of hamate, 5th metacarpal bone
- nerve: ulnar n.
- action: flexes & adducts (ulnar deviation) hand
- Anterior Compartment of the Forearm (superficial)
- sends tendon to the ulnar side of wrist
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flexor digitorum superficialis
- attach: med. epicondyle of humerus (via common flexor tendon), ulnar collateral lig., coronoid
- process of ulna, superior radius
- middle phalanges of medial four digits
- nerve: median n.
- action: flexion of medial 4 phalanges at proximal IP joints
- Anterior Compartment of the Forearm (Intermediate)
- sends tendons to medial 4 digits
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flexor digitorum profundis
- attach: proximal ulna & interosseus membrane
- distal phalanges of medial four digits
- nerve: medial � - ulnar nerve, lateral � - median n.
- action: flexion of the medial 4 phalanges at distal IP joints
- Anterior Compartment of the Forearm (deep)
- immediately deep to FDS
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flexor pollicis longus
- attach:radius & interosseus membrane
- distal phalanx of thumb
- nerve: median n. (anterior interosseus branch)
- action:flexes thumb
- Anterior Compartment of the Forearm (deep)
- on radial side of forearm
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pronator quadratus
- attach: distal ulna
- distal radius
- nerve:median n. (anterior interosseus branch)
- action: pronates forearm
- Anterior Compartment of the Forearm (deep)
- deep to distal FDS and FPL; runs horizontally between radius & ulna
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biceps
- attach: coracoid process of scapula (short head)
- supraglenoid tubercle of scapula (long head)
- radial tuberosity & forearm fascia
- nerve:: musculocutaneous n.
- action: flexion and supination of forearm; flexion of arm at shoulder
- artery: brachial artery
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brachialis
- attach:anterior humerus (distal �)
- coronoid process of ulna & ulnar tuberosity
- nerve: musculocutaneous n.
- action: flexion of forearm
- artery:brachial artery
- deep to inferior � of biceps
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coracobrachialis
- attach: coracoid process of scapula
- medial humerus
- nerve:musculocutaneous n.
- action: flexes and adducts arm
- deep to superior � of biceps
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Anterior (Flexor) Compartment of the Forearm
- Superficial Layer Muscles:
- 1.pronator teres (PT)
- 2.flexor carpi radialis (FCR)
- 3.palmaris longus (PL)
- 4.flexor carpi ulnaris (FCU)
- Intermediate Layer Muscles
- 1.flexor digitorum superficialis (FDS)
- Deep Layer Muscles
- 1.flexor digitorum profundis (FDP)
- 2.flexor pollicis longus (FPL)
- 3.pronator quadratus (PQ)
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Arm Compartments and Contents
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ELBOW JOINTS AND LIGAMENTS
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Golfer’sElbow
- A painful musculoskeletal condition that may follow repetitive use of the wrist flexor-pronator group as a result of activities such as golfing.
- Pain is experienced on the medial side of the elbow. Repeated forceful movements strain the common
- flexor tendon of these muscles and produce inflammation of the medial epicondyle.
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Anterior Compartment Innervation
- The median nerve (and its anterior interosseus branch) and the ulnar nerve.
- All of the anterior compartment muscles are innervated by the median nerve except for 1 and 1/2 muscles.
- The flexor carpi ulnaris and ½ of the flexor digitorum profundis are innervated by the ulnar nerve.
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anteriorinterosseus artery
- A branch of the common interosseus artery which divided into anterior & posterior branches.
- The common interosseus artery is a branch of the ulnar artery
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brachial artery
A continuation of the axillary artery and travels down the arm in the medial neurovascular bundle.
- deep
- brachial artery –
- The brachial artery gives rise to the deep brachial artery (profunda
- brachii a.) as it enters into the arm. The deep brachial artery
- will travel into the posterior compartment of the arm and will
- accompany the radial nerve in the radial groove of the humerus deep
- to the triceps.
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Medialneurovascular bundle
- Tuns down the medial aspect of the arm. This bundle contains the
- brachial artery,
- brachial veins,
- basilic vein,
- median nerve,
- ulnar nerve,
- and medial
- antebrachial cutaenous nerve
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Elbow Bursae
- bursae (synovial sacs).
- olecranon bursa-deep to the triceps tendon is the subtendinous
- subcutaneousolecranon bursa In the superficial fascia over the olecranon process of the ulna
Clinical note: Inflammation of these bursae is called “bursitis”.
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elbow ligaments
- The elbow joint ligaments – the elbow has a thin articular capsule. Anteriorly and posteriorly the joint is protected by muscles, but medially and laterally it is strengthened by 2 special ligaments:
- (1) the radial (lateral) collateral ligament [a.k.a. lateral collateral ligament –LCL],
- (2) the ulnar (medial) collateral ligament [a.k.a. medial collateral ligament – MCL].
- The annular ligament helps protect the proximal radioulnar joint and allows the head of the radius to move beneath it while preventing it from being displaced.
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elbow joints
- (1) the humeroulnar, (flex ext)
- (2) the humeroradial, (flex ext)
- (3) the radioulnar articulations. (supination/pronation)
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- B. Important structures of the ulna:
- 1. trochlear notch
- 2. coronoid process
- 3. radial notch
- 4. ulnar tuberosity
- 5. body
- 6. head
- 7. styloid process
- C. Important structures of the radius:
- 1. head
- 2. neck
- 3. radial tuberosity
- 4. styloid process
- 5. body
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