Lecture 8 Antebrachium
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Questions and Answers

How does the interosseus membrane contribute to the functionality of the forearm?

  • It directly facilitates rotation at the wrist joint.
  • It allows a slight degree of movement between the two forearm bones enabling pronation and supination. (correct)
  • It rigidly connects the two forearm bones, providing stability for weight-bearing.
  • It primarily serves as an attachment site for the muscles that control finger movement.

Why are the muscle bellies of the forearm muscles primarily located in the proximal forearm, with long tendons extending to the hand?

  • To provide a more direct and powerful contraction of the wrist and fingers.
  • To minimize the bulk in the distal forearm and hand, optimizing dexterity. (correct)
  • To equally distribute muscle mass throughout the forearm for balanced strength.
  • To reduce the risk of muscle strain by concentrating the force generation near the elbow.

Which structural characteristic of the forearm contributes most to its capacity for pronation and supination?

  • The ellipsoid shape of the wrist joint.
  • The concentration of muscle bellies in the distal forearm.
  • The flexible arrangement of the interosseus membrane. (correct)
  • The rigid fusion of the radius and ulna.

A weightlifter is experiencing pain near their elbow that radiates down their forearm. Considering the anatomy of the forearm, what is the most likely explanation?

<p>Inflammation of a muscle attachment point extending past the elbow joint. (B)</p> Signup and view all the answers

If the interosseus membrane were completely rigid, how would it primarily affect forearm function?

<p>It would limit pronation and supination. (A)</p> Signup and view all the answers

Prolonged compression of the ulnar nerve at the wrist, such as from pressure exerted by bicycle handlebars, primarily manifests as:

<p>Tingling and paresthesia in the medial hand, potentially leading to hand weakness. (A)</p> Signup and view all the answers

The superficial branch of the radial nerve is primarily responsible for:

<p>Providing cutaneous sensory information from the dorsolateral surface of the hand. (D)</p> Signup and view all the answers

Supinator syndrome, affecting the deep branch of the radial nerve, leads to 'drop-wrist' due to:

<p>Impaired function of the extensor muscles in the forearm. (B)</p> Signup and view all the answers

Which nerve provides cutaneous sensory innervation to the posterior aspect of the forearm?

<p>Posterior antebrachial cutaneous nerve. (B)</p> Signup and view all the answers

A patient presents with weakness in hand grasping but normal elbow extension. The patient does not report pain or paresthesia. Which condition is most likely?

<p>Supinator syndrome affecting the deep branch of the radial nerve. (C)</p> Signup and view all the answers

Which muscle is unique because it crosses anterior to the elbow joint to facilitate flexion, despite being located in the posterior compartment?

<p>Brachioradialis (D)</p> Signup and view all the answers

What action is produced by the Extensor Carpi Radialis Longus and Brevis muscles?

<p>Wrist extension and radial deviation (C)</p> Signup and view all the answers

The tendons of which muscle are linked through oblique intertendinous connections, causing the digits to function as a group?

<p>Extensor Digitorum (D)</p> Signup and view all the answers

Which muscle contributes primarily to the extension of the 5th digit?

<p>Extensor Digiti Minimi (B)</p> Signup and view all the answers

Which of the following muscles is NOT part of the common extensor group originating off the lateral epicondyle of the humerus?

<p>Supinator (B)</p> Signup and view all the answers

Which muscle 'corkscrews' around the radius during pronation?

<p>Supinator (B)</p> Signup and view all the answers

Which muscle is responsible for generating isolated extension of the second digit?

<p>Extensor Indicis (A)</p> Signup and view all the answers

What is the anatomical landmark formed by the tendons of Extensor Pollicis Longus and Extensor Pollicis Brevis, which is also important for palpating the radial artery?

<p>Anatomical Snuff Box (C)</p> Signup and view all the answers

Which artery supplies blood to the lateral portion of the antebrachium?

<p>Radial Artery (B)</p> Signup and view all the answers

Which artery anastomoses with the radial collateral branch of the brachial artery?

<p>Radial Recurrent Artery (C)</p> Signup and view all the answers

What is the first branch off the ulnar artery, which curves proximally to anastomose with the inferior ulnar collateral branch of the brachial artery?

<p>Anterior Ulnar Recurrent Artery (B)</p> Signup and view all the answers

Which vein is commonly used for venous blood draws due to its superficial location and ease of access in the cubital fossa?

<p>Median Cubital Vein (D)</p> Signup and view all the answers

Compression of the median nerve between the heads of pronator teres can result in pronator syndrome. What wrist position might be observed during wrist flexion due to unbalanced muscle action?

<p>Ulnar Deviation (B)</p> Signup and view all the answers

The anterior interosseus nerve branches off which nerve in the proximal region of the antebrachium?

<p>Median Nerve (B)</p> Signup and view all the answers

The ulnar nerve enters the forearm by passing posterior to which anatomical landmark?

<p>Medial Epicondyle (A)</p> Signup and view all the answers

Which of the following statements accurately describes the anatomical relationship between the radius and ulna in the antebrachium?

<p>The radius is larger distally and articulates with the ulna at the radial notch for pronation and supination. (A)</p> Signup and view all the answers

A patient presents with weakness in wrist flexion and ulnar deviation. Which muscle is MOST likely affected, considering its unique innervation?

<p>Flexor carpi ulnaris (A)</p> Signup and view all the answers

During a surgical procedure to release pressure in the carpal tunnel, the transverse carpal ligament is incised. What anatomical relationship MUST the surgeon consider to avoid damaging key structures?

<p>The digital flexor tendons are separated from the wrist flexors by the transverse carpal ligament and pass through the carpal tunnel. (B)</p> Signup and view all the answers

A weightlifter experiences pain at the medial epicondyle of the humerus. This condition, known as 'golfer's elbow', primarily involves the tendons of muscles originating from the common flexor tendon. Which of the following muscles is LEAST likely to be involved in this condition?

<p>Flexor digitorum profundus (D)</p> Signup and view all the answers

Following a deep laceration to the anterior forearm, a patient exhibits an inability to flex the distal interphalangeal joints of the 4th and 5th digits, but retains the ability to flex the proximal interphalangeal joints. Which of the following muscles is MOST likely affected?

<p>Flexor digitorum profundus (D)</p> Signup and view all the answers

A surgeon is repairing a ruptured flexor digitorum superficialis tendon. Which of the following anatomical facts is MOST critical to consider during the repair?

<p>The tendon passes through the carpal tunnel in a 2x2 stacked formation. (B)</p> Signup and view all the answers

Pronation of the forearm is achieved by two muscles in the antebrachium. Which of the following statements accurately describes their roles?

<p>The pronator quadratus is the primary pronator, assisted by the pronator teres, especially against resistance. (A)</p> Signup and view all the answers

A patient presents with thenar atrophy and sensory loss in the distribution of the median nerve in the hand. At the wrist, compression of the median nerve is suspected. Which of the following structures contributes to this compression?

<p>Flexor retinaculum (A)</p> Signup and view all the answers

Lateral epicondylitis, or tennis elbow, is caused by inflammation at the lateral epicondyle due to repetitive forceful extension. Which group of muscles is primarily involved in this condition?

<p>Muscles originating from the lateral epicondyle and supracondylar ridge (D)</p> Signup and view all the answers

During an anatomy lab, a student is asked to identify the muscle whose tendon passes through the carpal tunnel and inserts on the distal phalanx of the thumb. Which muscle is the student MOST likely identifying?

<p>Flexor pollicis longus (C)</p> Signup and view all the answers

Which of the following best describes the location of the ulna relative to the radius?

<p>The ulna lies medial to the radius and is larger proximally. (A)</p> Signup and view all the answers

A patient is diagnosed with medial epicondylitis. Which of the following activities would MOST likely exacerbate their pain?

<p>Throwing a baseball (A)</p> Signup and view all the answers

Which of the following muscles is NOT located in the anterior compartment of the forearm?

<p>Brachioradialis (A)</p> Signup and view all the answers

A patient is unable to flex their wrist and adduct it. Which nerve is most likely damaged?

<p>Ulnar nerve (B)</p> Signup and view all the answers

Which of the following statements is true of the flexor digitorum profundus and flexor digitorum superficialis?

<p>The flexor digitorum superficialis flexes the PIP joints, while the flexor digitorum prefundus flexes the DIP joints (A)</p> Signup and view all the answers

Flashcards

Antebrachium

The forearm, extending from elbow to wrist.

Forearm Bones

Radius and ulna, connected by an interosseous membrane.

Interosseous Membrane

Tough connective tissue joining the radius and ulna, allowing pronation and supination.

Pronation

Turning the palm downward (posteriorly).

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Supination

Turning the palm upward (anteriorly).

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Ulnar Nerve Compression

Compression of the ulnar nerve due to prolonged pressure, causing tingling along cutaneous branches in the hand. Can lead to hand weakness.

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Radial Nerve Entry

Enters forearm anterior to lateral epicondyle, between brachioradialis and extensor carpi radialis longus muscles.

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Superficial Branch (Radial Nerve)

Sensory branch of the radial nerve that provides cutaneous sensory information from the dorsolateral surface of the hand.

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Supinator Syndrome

Compression of the deep branch of the radial nerve by the supinator muscle, leading to weakness in extensor muscles and 'drop-wrist'. No pain or paresthesia.

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Lateral Antebrachial Cutaneous Nerve

A continuation of the musculocutaneous nerve, providing cutaneous sensation.

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Trochlear notch

A deep concave surface on the ulna that articulates with the trochlea of the humerus at the elbow joint.

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Radial head

A smooth, round structure on the radius that articulates with the ulna at the radial notch, allowing pronation and supination.

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Annular ligament

A strong band of connective tissue that holds the radial head in place, ensuring correct rotation for pronation/supination.

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Flexor Retinaculum

A structure that holds muscles crossing the wrist joint to prevent bowstringing of tendons during flexion.

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Synovial sheath

Long, cylindrical structure that reduces friction between a tendon and its surrounding tissues, allowing for smooth movement.

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Flexor Carpi Ulnaris

The most medial muscle of the superficial anterior compartment of the forearm, responsible for wrist flexion and ulnar deviation.

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Palmaris Longus

A vestigial muscle in the superficial anterior compartment of the forearm that tenses the palmar aponeurosis.

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Flexor Carpi Radialis

The radial counterpart to flexor carpi ulnaris, responsible for wrist flexion and radial deviation.

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Pronator Teres

A round muscle in the superficial anterior compartment of the forearm that pronates the forearm.

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Flexor Digitorum Superficialis

A muscle in the intermediate anterior compartment that flexes all joints up to the proximal interphalangeal joints of digits 2-5.

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Flexor Digitorum Profundus

A muscle in the deep anterior compartment that flexes all hinge joints of the wrist and hand, inserting on the distal phalanges of digits 2-5.

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Flexor Pollicis Longus

A muscle in the deep anterior compartment that contributes to flexion of the wrist and all joints of the thumb (1st digit).

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Pronator Quadratus

A square-shaped muscle in the deep anterior compartment that is the principle pronator of the forearm.

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Extensor Retinaculum

Connective tissue that holds tendons crossing the posterior aspect of the wrist in place, forming 6 distinct compartments.

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Lateral Epicondylitis

Inflammation of the periosteum over the lateral epicondyle due to repetitive forceful extension, often called tennis elbow.

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Brachioradialis

Posterior compartment muscle that flexes the elbow.

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Extensor Carpi Radialis Longus

Extends and radially deviates the wrist; inserts on the base of the 2nd metacarpal.

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Extensor Carpi Radialis Brevis

Extends and radially deviates the wrist; inserts on the base of the 3rd metacarpal.

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Extensor Digitorum

Extends digits 2-5; tendons linked, causing digits to function as a group.

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Extensor Digiti Minimi

Contributes to extension of the 5th digit.

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Extensor Carpi Ulnaris

Extends and ulnarly deviates the wrist; inserts on the base of the 5th metacarpal.

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Extensor Indicis

Generates isolated extension of the 2nd digit.

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Extensor Pollicis Longus

Extends wrist, MCP joint, and interphalangeal joint of the thumb; has a sharp angle after crossing the extensor retinaculum.

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Extensor Pollicis Brevis

Extends wrist and MCP joint of the thumb; attaches to the proximal phalanx of the thumb.

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Abductor Pollicis Longus

Abducts the 1st digit (thumb).

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Radial & Ulnar Arteries

Divides off the brachial artery in the cubital fossa to supply blood to the lateral and medial portions of the antebrachium.

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Articular Branches (Median Nerve)

Supplies elbow joint with sensory fibers for touch, pain, and proprioception.

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Anterior Interosseus Nerve

Supplies the deep compartment of muscles in the antebrachium.

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Pronator Syndrome

May compress the median nerve, causing pain and weakness. Results often in ulnar deviation during wrist flexion.

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