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Front of Forearm

Content Of Front Of Forearm

a)Muscles:- Eight muscles arranged in 2 groups

b) Arteries:- Radial & Ulnar

c) Nerves:- Median,Ulnar,Radial
Muscle of Front of Forearm
There are total eight muscle in front of forearm.
Five superficial muscle.
Three deep muscle.
Superficial Muscle(Lat-Med)
Pronator teres
Flexor Carpi Radialis
Palmaris Longus
Flexor digitorum Superficialis.
Flexor Carpi Ulnaris

 Nerve Supply :- All superficial muscle are supplied by


median nerve except flexor carpi ulnaris which is supplied
by ulnar nerve.
 All are flexors of forearm and originate from medial
epicondyle of humerus as common flexor origin.
Pronator Teres
Origin :- It arise by 2 heads:-
superficial humeral head by medial epicondyle
of humerus and deep ulnar head from medial
border of coronoid process of ulna.

Insertion :- on the rough impression on the


middle one-third of the lateral surface of
radius.
Action:- main pronator of forearm and also
help in flexion of elbow.
Nerve supply:- Median Nerve.
Flexor Carpi Ulnaris
Origin :- two heads:-
Humeral head from Medial epicondyle
Ulnar head from medial and posterior surface
of olecranon process of ulna.
Insertion :- base of 5th metacarpal bone,
pisiform and hook of hamate.
Nerve supply:- Ulnar Nerve
Action:- adduction of wrist(with ECU)
Flexion of wrist(with FCR)
Flexor Carpi Radialis
Origin :- Medial epicondyle of humerus.
Insertion :- Base of 2nd and 3rd metacarpal
bone.
Nerve supply:- Median nerve
Action:-Flexion of wrist (FCR)
Abduction of wrist (Brachioradialis)
Palmaris Longus
Origin :- Medial epicondyle of
humerus.
Insertion :- Flexor retinaculum
and palmar aponeurosis.
Nerve supply:- Median nerve
Action:- wrist flexion.
Flexor Digitorum Superficialis
Origin :- It arise from 2 heads
Humero-ulnar head from
Medial epicondyle of humerus, medial
border of coronoid process and ulnar
collateral ligament
Radial head from:-Anterior oblique line
of shaft of radius.
Insertion :- Muscle divide into four
tendon, each tendon divided into two
slips attached on side of middle
phalanges of 2nd to 5th digit.
Nerve supply:- Median nerve

Action:- Flexion of proximal inter-phalengeal joint of medial 4


digits.

Also flexes metacarpo-phalangeal and wrist joint


Deep Muscles
Flexor Digitorum Profundus
Flexor Pollicis Longus
Pronator Quadratus
Flexor Digitorum Profundus
 Origin :- Upper ¾ of anterior and medial surface of ulna
and medial half of interosseous membrane.
 From aponeurosis of upper 3/4th of the posterior border
of ulna along with FCU & ECU.
 From the medial side of olecranon and coronoid process
of ulna.
 Insertions :- muscle form four tendon and attached on
the base of distal phalanges of 2nd to 5th digit.
 Nerve supply:- Medial half by ulnar nerve
lateral half by anterior interosseous nerve.
Action:- FDP flexes the distal interphalangeal joint and
wrist joint.
Flexor Pollicis Longus
Origin :- upper 2/3 of anterior surface of
radius and interior surface of interosseous
membrane.
Insertion :- base of distal phalanges of
thumb.
Action:- flexes distal phalanx of thumb and
proximal phalanx and first metacarpal at
MP joint and carpometacarpal joints.
Nerve supply- Anterior interroseous nerve.
Pronator Quadratus
Origin :- Oblique ridge on lower ¼ of
anterior surface of shaft of ulna.
Insertion :- Lower ¼ of anterior
surface and anterior border of shaft of
radius.
Nerve supply:- anterior interosseous
nerve.
Action:- pronation of arm.
FLEXOR RETINACULUM
It’s a strong fibrous band that bridge the anterior concavity of carpus and convert it into
an osseo-fibrous tunnel called as carpal tunnel.

It is a rectangular structure about the size of a postage stamp.

Attachment

Medially:- pisiform and hook of hamate

Laterally:- Tubercle of scaphoid and crest


of trapezium
Structure passing above the retinaculum (medial-lateral)

a) Ulnar nerve
b) Ulnar artery
c) Palmar cutaneous branch of ulnar nerve
d) Tendon of palmaris longus.
e) Palmar cutaneous branch of median nerve
Structure passing deep to retinaculum
a) Tendon of FDS
b) Tendon of FDP
c) Tendon of FPL
d) Median nerve.
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