SO_cyprus_Posterior Aspect of Forearm_2014

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POSTERIOR (EXTENSOR)

ASPECT OF FOREARM

Prof. Dr. Selda Önderoğlu

Structures from superficial to deep

• Skin

• Superficial fascia- superficial vessels and nerves

Skin innervation-mainly by the posterior cut. n. of forearm( radial nerve)

.

Deep fascia ( extensor retinaculum)

.

Muscles

SKIN INNERVATION

Superficial veins:

Beginning of the

Cephalic and basilic veins

Deep fascia

mm. On the post.aspect of forearm

Two groups:

A- Superficial

B- deep

Muscles-SUPERFICIAL GROUP

1Brachioradialis m.

2-Extensor carpi radialis longus

3-Extensor carpi radialis brevis

4-Extensor carpi ulnaris

5-Extensor digitorum

6-Extensor digiti minimi

7-Anconeus (?)

Muscles-DEEP GROUP

1-Supinator ( pierced by radial n.)

2-Abductor pollicis longus

3-Extensor pollicis longus

4-Extensor pollicis brevis

5-Extensor indicis (/ext.indicis proprius)

BRACHIORADIALIS MUSCLE

• The most superficial muscle.

• Forms the lateral border of the cubital fossa.

• Or :supracondylar ridge+lat.intermuscular septum

• Ins

:lateral side of radius (above styloid process)

• n.

: radial nerve (itself!)

• F.

: flexor of forearm(flexes better when forearm is pronated)

EXTENSOR

CARPI RADIALIS LONGUS or: supracondylar ridge ins:second metacarpal bone

N: radial nerve ( itself !)

F:extention of forearm and hand

COMMON EXTENSOR TENDON

• Lateral epicondyle of humerus

The extensor mm. Also orginate from:

• Radial collateral lig. Of elbow joint

• intermuscular septa.

• N.: all the muscles except the brachioradialis and ext. carpi rad. Longus are innervated by the deep branch of the radial nerve ( posterior interosseus nerve)

Muscles originating from the common extensor tendon

• Extensor carpi radialis brevis m.

ins: 3rd metacarpal bone

• Extensor digitorum m. ins:dorsal digital expansion

• Extensor digiti minimi m.( ext. Quinti proprius m.) ins:dorsal digital expansion

• Extensor carpi ulnaris m.

ins: 5th metacarpal bone

Anconeus m.

At the back of elbow joint

Helps the extension of forearm

DORSAL DIGITAL EXPANSION

(EXTENSOR EXPANSION)

• Small aponeurosis which covers the dorsum of the phalanges except the thumb.

• Triangular in shape.

• Base: covers the dorsal aspect of the metacarpophalangeal joint.

• then divides into 3 slips:

• Intermediate slip: attach to the base of second phalanx

• 2 lateral slips: unite and attach to the base of the distal phalanx.

muscles Attaching to the dorsal digital expansion

• Extensor digitorum m

.,(superf.m.of forearm)

• Extensor digiti minimi m.

(superf.m.of forearm)

• Extensor indicis proprius m.

(deep m. Of forearm)

• interossei mm.( hand

)

• Lumbrical mm.( hand

)

INSERTIONS!

• Base of first metacarpal bone

: abductor pollicis longus m.

• Base of second metacarpal bone

: extensor carpi radialis longus m.

• Base of third metacarpal bone

: extensor carpi radialis brevis m.

• Base of fifth metacarpal bone

:extensor carpi ulnaris m.

Muscles-DEEP GROUP

• Supinator ( pierced by radial n.)

• Abductor pollicis longus

• Extensor pollicis longus

• Extensor pollicis brevis

• Extensor indicis proprius

Supinator m.:

Or: lat.epicondyle and supinator crest of ulna ins: ant,lat,and post aspect of radius n.: deep br. Of radial n

F:supination of forearm and hand

Deep group of extensors

• O: from radius,ulna and interosseus membrane according to its position (medial or lateral)

• I: abd.poll.longus:1st metacarpal bone ext.poll.brevis:prox. Phalanx of thumb

Ext. indicis: dors.digital expansion functions: ??

Deep branch of radial n.

(post.interooseus nerve)

Pierces the supinator m.

Posterior interooseus artery

Gives the blood supply to the extensor aspect of forearm

Courses together with the post.inteross. N.

ANATOMICAL SNUFF BOX

When the thumb is extended.

Bounded

laterally : abductor pollicis longus tendon

Extensor pollicis brevis tendon

- medialy : Extensor pollicis longus tendon.

within :

Radial a.

Scaphoid bone

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