REGION: FOREARM & WRIST

Studying anatomy & physiology grouped by regions of the body.

WORK IN PROGRESS…LAST UPDATE 01.20.2020

Bony Landmarks of the Humerus

Head of humerusLateral supracondylar ridge
Greater tubercleLateral epicondyle
Lesser tubercleMedial epicondyle
Anatomical neckRadial fossa
Surgical neckCapitulum
Intertubercular groove or sulcusTrochlea
Deltoid tuberosityCoronoid fossa
ShaftOlecranon fossa

Bony Landmarks of the Ulna

Olecranon processStyloid process of ulnar
Coronoid processRadial notch
Interosseous borderTrochlear notch
Head of ulna

Bony Landmarks of the Radius

Head of radius (articular disc)Interosseous border
Neck of radiusRadial tuberosity
Anterior surfacePosterior border
Anterior borderPosterior surface
Styloid processLateral surface
Suprastyloid crestUlnar notch
Articular surface for carpalsDorsal tubercle

Anterior Compartment of Forearm, Superficial

Pronator Teresmedial epicondyle of humerus, and coronoid process of ulna.midlateral surface of radius.pronates forearm at radioulnar joints and weakly flexes forearm at elbow joint.
Flexor Carpi Radialismedial epicondyle of humerus.second and third metacarpals.flexes and abducts hand (radial deviation) at wrist joint. Lesser: elbow flexion, forearm pronation.
Palmaris Longusmedial epicondyle of humerus.flexor retinaculum and palmar aponeurosis (fascia in center of palm).weakly flexes hand at wrist joint. Lesser: wrinkles skin of palm; elbow flexion; pronation; radial deviation of hand; ulnar deviation of hand.
Flexor Carpi Ulnarismedial epicondyle of humerus and superior posterior border of ulna.pisiform, hamate, and base of fifth metacarpal.flexes and adducts hand (ulnar deviation) at wrist. Lesser: elbow flexion.

Innervated by the median nerve (ventral rami of C5-T1).

Pronator teres
Flexor carpi radialis
Pronator teres
Flexor carpi radialis

Anterior Compartment of Forearm, Intermediate & Deep

Flexor Digitorum Superficialismedial epicondyle of humerus, coronoid process of ulna and a ridge along lateral margin of anterior surface (anterior oblique line) of radius.middle phalanx of each finger.flexes middle phalanx of each finger at proximal interphalangeal joint, proximal phalanx of each finger at metacarpophalangeal joint, and hand at wrist joint.
Flexor Digitorum Profundusanterior medial surface of body of ulna.base of distal phalanx of each finger.flexes distal and middle phalanges of each finger at interphalangeal joints, proximal phalanx of each finger at metacarpophalangeal joint, and hand at wrist joint.
Flexor Pollicis Longusanterior surface of radius and interosseous membrane (sheet of fibrous tissue that holds shafts of ulna and radius together).base of distal phalanx of thumb.flexes distal phalanx of thumb at interphalangeal joint; wrist flexion. Lesser: radial deviation; forearm flexion; pronation.
Pronator Quadratusdistal portion of ulnar shaft.distal portion of radial shaft.pronates forearm.

Innervated by the median nerve (C5-T1). Medial part of profUndUs –> ulnar nerve.

Flexor digitorum superficialis
Flexor digitorum profundus
Flexor pollicis longus
Pronator quadratus

Posterior Compartment of the Forearm

Brachioradialislateral border of distal end of humerus.superior to styloid process of radius.elbow flexion; supinates and pronates forearm at radioulnar joints to neutral position.
Extensor Carpi Radialis Longuslateral supracondylar ridge of humerus.second metacarpal.extends and abducts hand (radial deviation) at wrist joint. Lesser: elbow flexion, pronation, supination.
Extensor Carpi Radialis Brevislateral epicondyle of humerus.third metacarpal.extends and abducts hand (radial deviation) at wrist joint. Lesser: elbow flexion, pronation, supination.
Extensor Digitorumlateral epicondyle of humerus.distal and middle phalanges of each finger.extends distal and middle phalanges of each finger at interphalangeal joints, proximal phalanx of each finger at metacarpophalangeal joint, and hand at wrist joint. Lesser: medial rotation of pinky finger at CMC joint; elbow extension.
Extensor Digiti Minimilateral epicondyle of humerustendon of extensor digitorum on fifth phalanx.extends proximal phalanx of little finger at MCP, DIP, PIP joints; and hand at wrist joint (wrist extension). Lesser: medial rotation of little finger; elbow extension; ulnar deviation.
Extensor Carpi Ulnarislateral epicondyle of humerus, and posterior border of ulna.fifth metacarpal.extends and adducts hand (ulnar deviation) at wrist joint. Lesser: elbow extension, pronation.
Supinatorlateral epicondyle of humerus, and ridge near radial notch of ulna (supinator crest).lateral surface of proximal 1/3 of radius.forearm supination. Lesser degree: elbow flexion.
Extensor Indicisposterior surface of ulna.tendon of extensor digitorum of index finger.extends distal and middle phalanges of index finger at interphalangeal joints, proximal phalanx of index finger at metacarpophalangeal joint and hand at wrist joint. Lesser: adduction index finger at MCP; supination.
Abductor Pollicis Longusposterior surface of middle of radius and ulna and interosseous membrane.first metacarpal.abducts and extends thumb at carpometacarpal joint and abducts hand at wrist joint. Lesser: lateral rotation of thumb at CMC; radial deviation; wrist flexion; supination.
Extensor Pollicis Longusposterior surface of middle of ulna and interosseous membrane.base of distal phalanx of thumb.extends distal phalanx of thumb at interphalangeal joint, first metacarpal of thumb at carpometacarpal joint, and abducts hand at wrist joint. Lesser: lateral rotation of thumb at CMC; wrist extension; radial deviation; supination; adduction of thumb at CMC.
Extensor Pollicis Brevisposterior surface of middle of ulna and interosseous membrane.base of proximal phalanx of thumb.extends proximal phalanx of thumb at metacarpophalangeal joint, first metacarpal of thumb at carpometacarpal joint, and abducts hand at wrist joint. Lesser: lateral rotation of thumb at CMC; radial deviation.

Innervated by radial nerve C5-T1.

Brachioradialis
Extensor carpi radialis longus
Extensor carpi radialis brevis
Extensor carpi ulnaris
Extensor digitorum
Extensor digiti minimi
Supinator
Extensor indicis
Abductor pollicis longus
Abductor pollicis brevis
Extensor pollicis longus
Extensor pollicis brevis

Muscles that Pronate/Supinate

Pronator Teresmedial epicondyle of humerus, and coronoid process of ulna.midlateral surface of radius.pronates forearm at radioulnar joints and weakly flexes forearm at elbow joint.
Pronator Quadratusdistal portion of ulnar shaft.distal portion of radial shaft.pronates forearm.
Supinatorlateral epicondyle of humerus, and ridge near radial notch of ulna (supinator crest).lateral surface of proximal 1/3 of radius.forearm supination. Lesser degree: elbow flexion.
Biceps Brachiishort head—corocoid process; long head—tubercle above glenoid cavity on scapula (supraglenoid tubercle).radial tuberosity of radius, and bicipital aponeurosis.elbow flexion, supination of radioulnar joint, shoulder flexion.
Supinator
Pronator teres
Biceps brachii long head
Biceps brachii short head

Joints

  • Distal radio-ulnar: head of ulna, ulnar notch of the radius, triangular ligament.
  • Wrist/radiocarpal: radius-scaphoid, lunate; disc of radio-ulnar joint–triquetrum.

Ligaments/Tendons

  • Triangular
  • Palmar radiocarpal
  • Radial collateral
  • Ulnar collateral
  • Dorsal radiocarpal

Vascular Supply

Innervation

  • Median nerve (ventral rami of C5-T1).
  • Ulnar nerve.
  • Radial nerve C5-T1.

Clinical/Pathology

Other Features

  • Cubital fossa
  • Extensor retinaculum
  • Anatomical snuffbox

Detailed Studies

Notes

References

Biel, A. (2015). Trail guide to the body: A hands-on guide to locating muscles, bones and more.

Cedars-Sinai. (2018). Vertebrae of the spine. Retrieved from https://www.cedars-sinai.org/health-library/diseases-and-conditions/v/vertebrae-of-the-spine.html

Jenkins, G., & Tortora, G. J. (2012). Anatomy and Physiology: From Science to Life, 3rd Edition International Stu. John Wiley & Sons.

Muscolino, J. E. (2017). The muscular system manual: The skeletal muscles of the human body.