slideshow: forearm extensors

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Extensors of the forearm

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Page 1: Slideshow: Forearm Extensors

Extensors of the forearm

Page 2: Slideshow: Forearm Extensors

The forearm is the region of the upper limb between the elbow joint proximally and wrist joint distally

Forearm Extensors

Page 3: Slideshow: Forearm Extensors

The forearm is the region of the upper limb between the elbow joint proximally and wrist joint distally

Elbow Joint

Forearm Extensors

Page 4: Slideshow: Forearm Extensors

The forearm is the region of the upper limb between the elbow joint proximally and wrist joint distally

Elbow JointWrist Joint

Forearm Extensors

Page 5: Slideshow: Forearm Extensors

The forearm is the region of the upper limb between the elbow joint proximally and wrist joint distally

Elbow JointWrist Joint

Forearm

Forearm Extensors

Page 6: Slideshow: Forearm Extensors

There are two long bones in the forearm

Forearm Extensors

Page 7: Slideshow: Forearm Extensors

There are two long bones in the forearm

Radius lies Laterally

Forearm Extensors

Page 8: Slideshow: Forearm Extensors

There are two long bones in the forearm

Radius

Ulna lies Medially

Forearm Extensors

Page 9: Slideshow: Forearm Extensors

The forearm is divided into 2 compartments by the Interosseous membrane and the Deep Fascia

Interosseous membrane

Forearm Extensors

Page 10: Slideshow: Forearm Extensors

The forearm is divided into 2 compartments by the Interosseous membrane and the Deep Fascia

Anterior Compartment or Flexor Compartment contain;• Superficial Flexors• Deep Flexors

Forearm Extensors

Page 11: Slideshow: Forearm Extensors

The forearm is divided into 4 compartments by the Interosseous membrane and the Deep Fascia

Anterior Compartment or Flexor Compartment contain;• Superficial Flexors• Deep Flexors

Posterior Compartment or Extensor Compartment contain;• Extensors• Mobile Wad of Three

Forearm Extensors

Page 12: Slideshow: Forearm Extensors

There are 2 groups of extensors;

• Superficial Extensor Compartment

• Deep Extensor compartment

Forearm Extensors

Page 13: Slideshow: Forearm Extensors

There are

• 7 muscles in the superficial group

• 5 muscles in the deep group

Forearm Extensors

Page 14: Slideshow: Forearm Extensors

Superficial Extensors

Forearm Extensors

Page 15: Slideshow: Forearm Extensors

Superficial Extensors

1.Brachioradialis

Forearm Extensors

Page 16: Slideshow: Forearm Extensors

Superficial Extensors

1.Brachioradialis

2.Extensor Carpi Radialis Longus

Forearm Extensors

Page 17: Slideshow: Forearm Extensors

Superficial Extensors

1.Brachioradialis

2.Extensor Carpi Radialis Longus

3.Extensor Carpi Radialis Brevis

Forearm Extensors

Page 18: Slideshow: Forearm Extensors

Superficial Extensors

1.Brachioradialis

2.Extensor Carpi Radialis Longus

3.Extensor Carpi Radialis Brevis

Collectively these muscles are also called

‘The Mobile Wad of Three’

Forearm Extensors

Page 19: Slideshow: Forearm Extensors

Superficial Extensors

1.Brachioradialis

2.Extensor Carpi Radialis Longus

3.Extensor Carpi Radialis Brevis

4.Extensor Digitorum

Forearm Extensors

Page 20: Slideshow: Forearm Extensors

Superficial Extensors

1.Brachioradialis

2.Extensor Carpi Radialis Longus

3.Extensor Carpi Radialis Brevis

4.Extensor Digitorum

5.Extensor Digiti Minimi

Forearm Extensors

Page 21: Slideshow: Forearm Extensors

Superficial Extensors

1.Brachioradialis

2.Extensor Carpi Radialis Longus

3.Extensor Carpi Radialis Brevis

4.Extensor Digitorum

5.Extensor Digiti Minimi

1.Extensor Carpi Ulnaris

Forearm Extensors

Page 22: Slideshow: Forearm Extensors

Superficial Extensors

1.Brachioradialis

2.Extensor Carpi Radialis Longus

3.Extensor Carpi Radialis Brevis

4.Extensor Digitorum

5.Extensor Digiti Minimi

1.Extensor Carpi Ulnaris

1.Anconeus

Forearm Extensors

Page 23: Slideshow: Forearm Extensors

Superficial Extensors

1.Brachioradialis

2.Extensor Carpi Radialis Longus

3.Extensor Carpi Radialis Brevis

4.Extensor Digitorum

5.Extensor Digiti Minimi

1.Extensor Carpi Ulnaris

1.Anconeus

Forearm Extensors

Page 24: Slideshow: Forearm Extensors

Deep Extensors

1.Abductor Pollicis Longus

Forearm Extensors

Page 25: Slideshow: Forearm Extensors

Deep Extensors

1.Abductor Pollicis Longus

2.Extensor Pollicis Longus

Forearm Extensors

Page 26: Slideshow: Forearm Extensors

Deep Extensors

1.Abductor Pollicis Longus

2.Extensor Pollicis Longus

3.Extensor Pollicis Brevis

Forearm Extensors

Page 27: Slideshow: Forearm Extensors

Deep Extensors

1.Abductor Pollicis Longus

2.Extensor Pollicis Longus

3.Extensor Pollicis Brevis

4.Extensor Indicis

Forearm Extensors

Page 28: Slideshow: Forearm Extensors

Deep Extensors

1.Abductor Pollicis Longus

2.Extensor Pollicis Longus

3.Extensor Pollicis Brevis

4.Extensor Indicis

5.Supinator

Forearm Extensors

Page 29: Slideshow: Forearm Extensors

Tendons at the wrist

Page 30: Slideshow: Forearm Extensors

1

2345

6

RadiusUlna

There are 6 compartments on the dorsal aspect of the wrist

Forearm Extensors

Page 31: Slideshow: Forearm Extensors

First Compartment

1. Abductor Pollicis Longus

2. Extensor Pollicis Brevis

1RadiusUlna

RadiusUlna

Forearm Extensors

Page 32: Slideshow: Forearm Extensors

Second Compartment

1. Extensor Carpi Radialis Longus

2. Extensor Carpi Radialis Brevis

RadiusUlna

2

Forearm Extensors

Page 33: Slideshow: Forearm Extensors

Third Compartment

Extensor Pollicis Longus

RadiusUlna

3

Forearm Extensors

Page 34: Slideshow: Forearm Extensors

Fourth Compartment

1. Extensor Indicis

2. Extensor Digitorum

RadiusUlna

4

Forearm Extensors

Page 35: Slideshow: Forearm Extensors

Fifth Compartment

Extensor Digiti Minimi

RadiusUlna

5

Forearm Extensors

Page 36: Slideshow: Forearm Extensors

Sixth Compartment

Extensor Carpi Ulnaris

RadiusUlna

6

Forearm Extensors

Page 37: Slideshow: Forearm Extensors

1. Abductor Pollicis Longus1. Extensor Pollicis Brevis

2. Extensor Carpi Radialis Longus2. Extensor Carpi Radialis Brevis

3. Extensor Pollicis Longus

4. Extensor Indicis4. Extensor Digitorum

5. Extensor Digiti Minimi

6. Extensor Carpi Ulnaris

Forearm Extensors

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6RadiusUln

a

Page 38: Slideshow: Forearm Extensors

Nerves

Page 39: Slideshow: Forearm Extensors

Brachioradialis Extensor Carpi Radialis Longus

Anconeus are supplied by the

Radial Nerve

Forearm Extensors

Page 40: Slideshow: Forearm Extensors

All the other extensor muscles are supplied by the

Posterior Interosseous Nerve

deep branch of the Radial Nerve

Forearm Extensors

Page 41: Slideshow: Forearm Extensors

Summary of Muscles

Page 42: Slideshow: Forearm Extensors

Posterior Forearm

BrachioradialisOrigin Proximal 2/3 of lateral

supracondylar ridge of humerus

Insertion Lateral surface of distal end of radius (base of styloid process)

Action Flexes forearmNerve Supply Radial nerve (C5, C6 and C7)

Blood Supply Radial recurrent artery

Page 43: Slideshow: Forearm Extensors

Extensor Carpi Radialis Longus

Origin Lateral supracondylar ridge of humerus

Insertion Base of 2nd metacarpal

Action Extends and abducts hand at wrist joint

Nerve Supply Radial nerve (C6 and C7)

Blood Supply Radial artery

Posterior Forearm

Page 44: Slideshow: Forearm Extensors

Posterior Forearm

Extensor Carpi Radialis Brevis

Origin Lateral supracondylar ridge of humerus

Insertion Base of 3rd metacarpal

Action Extends and abducts hand at wrist joint

Nerve Supply Deep branch of radial nerve (C7 and C8)

Blood Supply Radial artery

Page 45: Slideshow: Forearm Extensors

Posterior Forearm

Extensor DigitorumOrigin Common extensor origin on

lateral epicondyle of humerusInsertion Extensor expansions of medial

four digits (not thumb)Action Extends medial four digits at

metacarpophalangeal joints; Extends hand at wrist joint

Nerve Supply Posterior interosseous nerve (deep branch of radial nerve C7, C8)

Blood Supply Interosseous recurrent and posterior interosseous arteries

Page 46: Slideshow: Forearm Extensors

Posterior Forearm

Extensor Digiti MinimiOrigin Common extensor origin on

lateral epicondyle of humerusInsertion Extensor expansion of little

fingerAction Extends 5th digit at

metacarpophalangeal and interphalangeal joints

Nerve Supply Posterior interosseous nerve (deep branch of radial nerve C7, C8)

Blood Supply Interosseous recurrent artery

Page 47: Slideshow: Forearm Extensors

Posterior Forearm

Extensor Carpi UlnarisOrigin Common extensor origin on

lateral epicondyle of humerusInsertion Base of 5th metacarpal

Action Extends and adducts hand at wrist joint

Nerve Supply Posterior interosseous nerve, (deep branch of radial nerve C7, C8)

Blood Supply Ulnar artery

Page 48: Slideshow: Forearm Extensors

Posterior Forearm

AnconeusOrigin Lateral epicondyle of humerus

Insertion Posterior olecranon process of the ulna

Action Extends the elbow joint

Nerve Supply Radial nerve (C7, C8)

Blood Supply Posterior interosseous artery

Page 49: Slideshow: Forearm Extensors

Posterior Forearm

Abductor Pollicis LongusOrigin Posterior surfaces of ulna,

radius and interosseous membrane

Insertion Base of 1st metacarpal

Action Abducts thumb, extends thumb at carpometacarpal joint

Nerve Supply Posterior interosseous nerve (deep branch of radial nerve C7, C8)

Blood Supply Posterior interosseous artery

Page 50: Slideshow: Forearm Extensors

Posterior Forearm

Extensor Pollicis LongusOrigin Posterior surface of middle 1/3

of ulna and interosseous membrane

Insertion Base of distal phalanx of thumb

Action Extends distal phalanx of thumb at carpometacarpal and interphalangeal joints

Nerve Supply Posterior interosseous nerve (deep branch of radial nerve C7, C8)

Blood Supply Posterior interosseous artery

Page 51: Slideshow: Forearm Extensors

Posterior Forearm

Extensor Pollicis BrevisOrigin Posterior surfaces of radius

and interosseous membraneInsertion Base of proximal phalanx of

thumbAction Extends proximal phalanx of

thumb at carpometacarpal joint

Nerve Supply Posterior interosseous nerve (deep branch of radial nerve C7, C8)

Blood Supply Posterior interosseous artery

Page 52: Slideshow: Forearm Extensors

Posterior Forearm

Extensor IndicisOrigin Posterior surface of ulna and

interosseous membraneInsertion Extensor expansion of index

fingerAction Extends 2nd digit and helps to

extend handNerve Supply Posterior interosseous nerve

continuation deep branch radial nerve (C7, C8)

Blood Supply Posterior interosseous artery

Page 53: Slideshow: Forearm Extensors

Posterior Forearm

SupinatorOrigin Lateral epicondyle of humerus,

radial collateral and annular ligaments, supinator fossa and crest of ulna

Insertion Lateral, posterior and anterior surfaces of proximal 1/3 of radius

Action Supinates forearm

Nerve Supply Deep branch of radial nerve (C5 and C6)

Blood Supply Recurrent interosseous artery