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Questions and Answers
Which artery is NOT a direct branch of the brachial artery in the forearm?
Which artery is NOT a direct branch of the brachial artery in the forearm?
- Radial artery
- Ulnar artery
- Anterior interosseous artery (correct)
- Common interosseous artery
What region of the forearm is supplied by the posterior interosseous artery?
What region of the forearm is supplied by the posterior interosseous artery?
- Lateral compartment
- Posterior compartment (correct)
- Medial compartment
- Anterior compartment
Which nerve innervates the coracobrachialis muscle?
Which nerve innervates the coracobrachialis muscle?
- Axillary nerve
- Radial nerve
- Musculocutaneous nerve (correct)
- Ulnar nerve
If a patient has lost sensation on the lateral half of the palm, which nerve is most likely injured?
If a patient has lost sensation on the lateral half of the palm, which nerve is most likely injured?
Which muscle is innervated by the axillary nerve?
Which muscle is innervated by the axillary nerve?
Which nerve provides sensory innervation to the posterior forearm?
Which nerve provides sensory innervation to the posterior forearm?
Which of the following muscles is innervated by the ulnar nerve?
Which of the following muscles is innervated by the ulnar nerve?
Which nerve innervates most of the anterior forearm muscles?
Which nerve innervates most of the anterior forearm muscles?
What sensory region is associated with the musculocutaneous nerve?
What sensory region is associated with the musculocutaneous nerve?
A patient presents with an inability to extend their wrist and fingers. Which nerve is MOST likely affected?
A patient presents with an inability to extend their wrist and fingers. Which nerve is MOST likely affected?
Which muscle is innervated by the ulnar nerve in the superficial anterior compartment of the forearm?
Which muscle is innervated by the ulnar nerve in the superficial anterior compartment of the forearm?
What action would be MOST affected by damage to the median nerve in the deep anterior compartment of the forearm?
What action would be MOST affected by damage to the median nerve in the deep anterior compartment of the forearm?
Which of the following muscles is NOT located in the posterior compartment of the forearm?
Which of the following muscles is NOT located in the posterior compartment of the forearm?
A patient has difficulty tightening their palmar aponeurosis. Which muscle might be affected?
A patient has difficulty tightening their palmar aponeurosis. Which muscle might be affected?
Which of the following muscles in the posterior compartment of the forearm assists in flexing the forearm at the elbow?
Which of the following muscles in the posterior compartment of the forearm assists in flexing the forearm at the elbow?
Damage to the radial nerve at the elbow would MOST directly affect the function of which of the following muscles?
Damage to the radial nerve at the elbow would MOST directly affect the function of which of the following muscles?
If a patient is unable to pronate their forearm regardless of elbow angle, which muscle is MOST likely damaged?
If a patient is unable to pronate their forearm regardless of elbow angle, which muscle is MOST likely damaged?
Which of the following muscles inserts onto the styloid process of the radius?
Which of the following muscles inserts onto the styloid process of the radius?
Which of the following muscles is responsible for flexing the hand at the wrist and adducting the hand?
Which of the following muscles is responsible for flexing the hand at the wrist and adducting the hand?
Concerning arterial supply to the deep flexor muscles of the forearm, a compromise to the patency of the anterior interosseous artery at its origin would MOST significantly jeopardize perfusion to which structure?
Concerning arterial supply to the deep flexor muscles of the forearm, a compromise to the patency of the anterior interosseous artery at its origin would MOST significantly jeopardize perfusion to which structure?
Following a penetrating injury to the posterior forearm resulting in verifiable damage to the posterior interosseous nerve distal to the supinator muscle, which precise motor deficit is MOST likely observed?
Following a penetrating injury to the posterior forearm resulting in verifiable damage to the posterior interosseous nerve distal to the supinator muscle, which precise motor deficit is MOST likely observed?
In a complex reconstruction of the proximal forearm, a surgeon inadvertently severs a nerve subsequently confirmed to exclusively carry motor efferents to the brachialis muscle. Which functional deficit would be MOST anticipated postoperatively?
In a complex reconstruction of the proximal forearm, a surgeon inadvertently severs a nerve subsequently confirmed to exclusively carry motor efferents to the brachialis muscle. Which functional deficit would be MOST anticipated postoperatively?
A patient presents with isolated sensory loss confined to the thenar eminence (excluding the fingertips) and sparing the central palm. Compression of which specific neural structure is MOST suspected?
A patient presents with isolated sensory loss confined to the thenar eminence (excluding the fingertips) and sparing the central palm. Compression of which specific neural structure is MOST suspected?
During a surgical exploration of the axilla, a lesion is identified affecting the nerve supply to teres minor, but surprisingly sparing the deltoid. Topographically, where is the MOST probable location of this isolated neural compromise?
During a surgical exploration of the axilla, a lesion is identified affecting the nerve supply to teres minor, but surprisingly sparing the deltoid. Topographically, where is the MOST probable location of this isolated neural compromise?
A patient reports paresthesia along the dorsal radial aspect of the hand AND weakness in thumb abduction in the plane of the palm. This constellation of findings MOST strongly implicates injury to which structure?
A patient reports paresthesia along the dorsal radial aspect of the hand AND weakness in thumb abduction in the plane of the palm. This constellation of findings MOST strongly implicates injury to which structure?
Surgical transection of the ulnar nerve at the wrist level would spare the motor function of which of the following muscles?
Surgical transection of the ulnar nerve at the wrist level would spare the motor function of which of the following muscles?
A patient exhibits selective paralysis of forearm pronation, coupled with impaired flexion of digits II and III at the distal interphalangeal joints and sensory loss at the median-innervated palm. Which anatomical structure is MOST likely compromised?
A patient exhibits selective paralysis of forearm pronation, coupled with impaired flexion of digits II and III at the distal interphalangeal joints and sensory loss at the median-innervated palm. Which anatomical structure is MOST likely compromised?
Following a high radial nerve injury proximal to the spiral groove, which compensatory mechanism would MOST likely contribute to a degree of wrist extension, albeit significantly weakened?
Following a high radial nerve injury proximal to the spiral groove, which compensatory mechanism would MOST likely contribute to a degree of wrist extension, albeit significantly weakened?
A patient presents with an inability to abduct the small finger against resistance, accompanied by sensory loss over the medial aspect of the hand. Which surgical intervention would MOST directly address the underlying pathology?
A patient presents with an inability to abduct the small finger against resistance, accompanied by sensory loss over the medial aspect of the hand. Which surgical intervention would MOST directly address the underlying pathology?
A surgeon is performing a delicate exploration of the cubital fossa and encounters a bifurcating nerve, one branch coursing deep to the pronator teres muscle's two heads, the other remaining superficial. Which nerve and its respective branches are most likely being observed?
A surgeon is performing a delicate exploration of the cubital fossa and encounters a bifurcating nerve, one branch coursing deep to the pronator teres muscle's two heads, the other remaining superficial. Which nerve and its respective branches are most likely being observed?
Following a penetrating injury to the distal forearm, a patient exhibits a selective loss of motor function: specifically impaired flexion of the distal interphalangeal joints of the 2nd and 3rd digits, but intact flexion of the 4th and 5th digits. Sensation is unaffected. Which specific neural structure is MOST likely compromised?
Following a penetrating injury to the distal forearm, a patient exhibits a selective loss of motor function: specifically impaired flexion of the distal interphalangeal joints of the 2nd and 3rd digits, but intact flexion of the 4th and 5th digits. Sensation is unaffected. Which specific neural structure is MOST likely compromised?
A high-performance cellist reports experiencing progressive weakness and diminished fine motor control in their left hand. Clinical examination reveals atrophy of the thenar eminence and impaired pronation, but normal wrist flexion and adduction. Nerve conduction studies indicate a lesion affecting a specific branch as it passes between the two heads of pronator teres. Which neural element is MOST implicated?
A high-performance cellist reports experiencing progressive weakness and diminished fine motor control in their left hand. Clinical examination reveals atrophy of the thenar eminence and impaired pronation, but normal wrist flexion and adduction. Nerve conduction studies indicate a lesion affecting a specific branch as it passes between the two heads of pronator teres. Which neural element is MOST implicated?
During a complex surgical reconstruction involving the distal radius and ulna, meticulous dissection is required to identify and protect key neurovascular structures. Which of the following neurovascular bundles, defined by their anatomical relationship to forearm muscles, is MOST vulnerable during volar plate fixation of a distal radius fracture?
During a complex surgical reconstruction involving the distal radius and ulna, meticulous dissection is required to identify and protect key neurovascular structures. Which of the following neurovascular bundles, defined by their anatomical relationship to forearm muscles, is MOST vulnerable during volar plate fixation of a distal radius fracture?
A patient presents with paralysis of the extensor carpi ulnaris, extensor digiti minimi, and the ulnar portion of the extensor digitorum. Sensation is intact. Electrophysiological studies reveal a lesion affecting a nerve as it courses around the radial head. Which of the following is the MOST likely diagnosis?
A patient presents with paralysis of the extensor carpi ulnaris, extensor digiti minimi, and the ulnar portion of the extensor digitorum. Sensation is intact. Electrophysiological studies reveal a lesion affecting a nerve as it courses around the radial head. Which of the following is the MOST likely diagnosis?
A highly skilled pianist develops an insidious onset of pain and weakness in their forearm, specifically noting difficulty with rapid, alternating pronation and supination movements. On examination, resisted pronation is weak with the elbow flexed at 90 degrees. There is no sensory loss. Imaging reveals no structural abnormalities. Where is the MOST likely site of pathology?
A highly skilled pianist develops an insidious onset of pain and weakness in their forearm, specifically noting difficulty with rapid, alternating pronation and supination movements. On examination, resisted pronation is weak with the elbow flexed at 90 degrees. There is no sensory loss. Imaging reveals no structural abnormalities. Where is the MOST likely site of pathology?
A researcher is investigating the biomechanics of wrist stabilization during forceful gripping. They selectively paralyze specific forearm muscles to assess their individual contributions. If the flexor carpi ulnaris is completely inhibited, what specific compensatory adaptation would MOST likely be observed to maintain grip strength and wrist stability?
A researcher is investigating the biomechanics of wrist stabilization during forceful gripping. They selectively paralyze specific forearm muscles to assess their individual contributions. If the flexor carpi ulnaris is completely inhibited, what specific compensatory adaptation would MOST likely be observed to maintain grip strength and wrist stability?
A patient presents with impaired thumb abduction in the plane of the palm alongside weakened wrist extension, but normal thumb extension. Which of the following represents the MOST likely lesion involving the deep posterior compartment muscles of the forearm?
A patient presents with impaired thumb abduction in the plane of the palm alongside weakened wrist extension, but normal thumb extension. Which of the following represents the MOST likely lesion involving the deep posterior compartment muscles of the forearm?
In a study investigating the comparative effectiveness of surgical approaches for decompressing the radial nerve in patients with recalcitrant radial tunnel syndrome, one approach involves releasing the arcade of Frohse. What anatomical structure is directly released by this procedure?
In a study investigating the comparative effectiveness of surgical approaches for decompressing the radial nerve in patients with recalcitrant radial tunnel syndrome, one approach involves releasing the arcade of Frohse. What anatomical structure is directly released by this procedure?
A research team is developing a novel prosthetic hand controlled by electromyographic (EMG) signals from spared forearm muscles following a high median nerve injury at the elbow. Which combination of muscles would be the MOST effective for generating proportional control of both wrist flexion/extension and pronation/supination?
A research team is developing a novel prosthetic hand controlled by electromyographic (EMG) signals from spared forearm muscles following a high median nerve injury at the elbow. Which combination of muscles would be the MOST effective for generating proportional control of both wrist flexion/extension and pronation/supination?
Flashcards
Musculocutaneous nerve
Musculocutaneous nerve
Innervates the anterior arm muscles.
Radial nerve
Radial nerve
Innervates the posterior arm muscles.
Median nerve
Median nerve
Innervates most of the anterior forearm muscles.
Ulnar nerve
Ulnar nerve
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Pronator teres
Pronator teres
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Flexor carpi radialis
Flexor carpi radialis
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Palmaris longus
Palmaris longus
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Flexor carpi ulnaris
Flexor carpi ulnaris
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Extensor digitorum
Extensor digitorum
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Supinator
Supinator
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Common interosseous artery
Common interosseous artery
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Anterior interosseous artery
Anterior interosseous artery
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Posterior interosseous artery
Posterior interosseous artery
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Axillary nerve
Axillary nerve
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Deltoid innervation
Deltoid innervation
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Radial artery
Radial artery
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Posterior arm nerve
Posterior arm nerve
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Styloid process of radius
Styloid process of radius
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Olecranon
Olecranon
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Anterior forearm compartment
Anterior forearm compartment
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Pronator quadratus
Pronator quadratus
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Posterior forearm compartment
Posterior forearm compartment
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Abductor pollicis longus
Abductor pollicis longus
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Extensor carpi radialis longus & brevis
Extensor carpi radialis longus & brevis
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Extensor digiti minimi
Extensor digiti minimi
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Brachioradialis
Brachioradialis
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Brachial artery
Brachial artery
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Musculocutaneous Nerve: Function
Musculocutaneous Nerve: Function
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Axillary Nerve: Function
Axillary Nerve: Function
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Radial Nerve: Function
Radial Nerve: Function
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Median Nerve: Function
Median Nerve: Function
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Ulnar Nerve: Function
Ulnar Nerve: Function
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Anterior interosseous artery function
Anterior interosseous artery function
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Posterior interosseous artery function
Posterior interosseous artery function
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Flexor Carpi Ulnaris: Action
Flexor Carpi Ulnaris: Action
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Study Notes
- The upper limb includes the forearm
Arteries of the Anterior Forearm
- The brachial artery splits into the radial and ulnar arteries in the anterior forearm
- The radial artery is one of the main arteries of the forearm
- The ulnar artery one of the main arteries of the forearm
- The common interosseous artery is also located in the anterior forearm
- The anterior interosseous artery supplies the deep flexor muscles of the forearm
Arteries of the Posterior Forearm
- The ulna is a bone in the posterior forearm alongside the radius
- The radius is a bone in the posterior forearm alongside the ulna
- The interosseous membrane connects the ulna and radius
- The common interosseous artery is located in the posterior forearm
- The posterior interosseous artery supplies the extensor muscles of the forearm
Terminal Branches of Brachial Plexus
- The musculocutaneous nerve branches from the brachial plexus
- The median nerve branches from the brachial plexus
- The ulnar nerve branches from the brachial plexus
- The axillary nerve branches from the brachial plexus
- The radial nerve branches from the brachial plexus
Musculocutaneous Nerve
- The musculocutaneous nerve controls motor function for the anterior arm muscles e.g. coracobrachialis, biceps brachii, brachialis
- The musculocutaneous nerve controls sensory function in the lateral forearm
Axillary Nerve
- The axillary nerve controls motor function for the deltoid and teres minor
- The axillary nerve controls sensory function for the deltoid
Radial Nerve
- The radial nerve controls motor function for posterior arm and forearm muscles
- The radial nerve controls sensory function for the posterior & inferolateral arm, posterior forearm, and the lateral half of the dorsum of hand
Median Nerve
- The median nerve controls motor function for most anterior forearm muscles
- The median nerve controls sensory function for the lateral half of the palm of hand
Ulnar Nerve
- The ulnar nerve controls motor function for the medial anterior forearm muscles, including the flexor carpi ulnaris, and the medial half of flexor digitorum profundus
- The ulnar nerve controls sensory function for the medial half of the dorsum & palm of hand
Nerves of the Forearm (Motor)
- The axillary nerve controls the deltoid
- The musculocutaneous nerve controls the anterior arm
- The radial nerve controls the posterior arm
- The anterior forearm is mainly controlled by the median nerve, and medially by the ulnar nerve
Cutaneous Innervation (Dermatomes)
- The end of the branch of the axillary nerve provides cutaneous innervation
- The radial nerve provides cutaneous innervation
- The lateral antebrachial cutaneous nerve provides cutaneous innervation from the end of the musculocutaneous nerve
- The median nerve provides cutaneous innervation to a portion of the hand
- The ulnar nerve provides cutaneous innervation to a portion of the hand
Radius
- The radius is a bone in the forearm that contains a head
- Features of the radius include the radial tuberosity (attachment of biceps brachii), shaft (diaphysis), ulnar notch, and styloid process
Ulna
- The ulna is a bone in the forearm that contains a trochlear notch
- Features of the ulna include the radial notch, ulnar tuberosity, olecranon (elbow), shaft (diaphysis), and styloid process
Forearm Muscle Compartments
- The forearm consists of the posterior compartment, superficial anterior compartment, and deep anterior compartment
- The radius is the lateral bone of the forearm
- The ulna is the medial bone of the forearm
Anterior Compartment
- The main action of the anterior compartment is to cause flexion of the wrist and fingers
- This compartment is located medially
Superficial Anterior Compartment
- The muscles found in the superficial anterior compartment include the pronator teres, flexor carpi radialis, palmaris longus, flexor carpi ulnaris, and flexor digitorum superficialis
- The pronator teres attaches to the radius
- The flexor carpi radialis attaches to MC2
- The palmaris longus attaches to the palmar aponeurosis
- The flexor carpi ulnaris attaches to MC5
- The flexor digitorum superficialis attaches to the middle phalanges of the 2nd to 5th digits
- These muscles are innervated by the median nerve, except for the flexor carpi ulnaris which is innervated by the ulnar nerve
- The pronator teres pronates the forearm and helps flex the elbow
- The flexor carpi radialis flexes and abducts hand at the wrist
- The palmaris longus tightens the palmar aponeurosis
- The flexor carpi ulnaris flexes and adducts hand at the wrist
- The flexor digitorum superficialis flexes phalanges of digital fingers (not thumb)
Deep Anterior Compartment
- The muscles found in the deep anterior compartment include the flexor digitorum profundus, flexor pollicis longus, and pronator quadratus
- The flexor digitorum profundus is innervated by the median and ulnar nerves
- The flexor pollicis longus and pronator quadratus are innervated by the median nerve
- The flexor digitorum profundus flexes phalanges of digital fingers (not thumb)
- The flexor pollicis longus flexes pollex (thumb)
- The pronator quadratus pronates the forearm
Posterior Compartment
- The main action of the posterior compartment is to cause extension of the wrist and fingers
- This compartment is located laterally
Muscles of the Posterior Compartment
- Muscles in posterior compartment include the extensor carpi ulnaris which attaches to MC5, the extensor digitorum which attaches to the 2nd to 5th digits, and the extensor digiti minimi, which attaches to the 5th digit
- All muscles are innervated by the radial nerve
- The extensor digitorum extends the phalanges of the digital fingers (2nd to 5th)
- The extensor carpi ulnaris extends and adducts hand atthe wrist
- The extensor digiti minimi extends the phalanges of the pinky
- Muscles in posterior compartment include the extensor carpi radialis longus which attaches to MC2 and the extensor carpi radialis brevis which attaches to MC3
- Muscles in posterior compartment include the brachioradialis which attaches to styloid process of the radius
Deep Posterior Compartment
- Muscles in the deep posterior compartment include the supinator (to radius), abductor pollicis longus, extensor pollicis longus, extensor pollicis brevis, and extensor indicis
- All muscles are innervated by the radial nerve
- The supinator supinates the forearm
- The abductor pollicis longus abducts phalanges of pollex (thumb)
- The extensor pollicis longus & brevis extends phalanges of the pollex (thumb)
- The extensor inidicis extends phalanges of index finger
- The brachioradialis helps flex forearm at the elbow
- The extensor carpi radialis longus & brevis extends and abducts hand at the wrist
Tendons and Ligaments
- The tendons of the forearm can easily be palpated in the wrist
- The extensor and flexor retinaculum hold the tendons in place at the wrist
- Tendon sheaths also surround the tendons in the posterior and anterior hand
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Description
Test your knowledge of forearm anatomy. Questions cover arteries, nerve innervation, and muscle function. Review key concepts for medical and anatomy students.