MUSCLES OF THE POSTERIOR COMPARTMENT OF FOREARM OBJECTIVES At the end of lecture,students will be able to: Learn concept of the muscles of posterior compartment of forearm Understand nerve supply of these muscles Idea of actions of the muscles of posterior compartment of forearm. muscles forming this compartment: Superficial group: Anconeus. Extensor digiti minimi. Extensor carpi ulnaris Extensor digitorium Extenser carpi radialis brevis. Deep group: Supenator. Extenser carpi radialis longus. Abductor pollicis longus. Extensor pollicis longus. Extensor pollicis brevis Extensor indices BRACHIORADIALIS Origin: Upper two third of supracondylar ridge. Insertion: Styloid process of radius. Action: flexion at elbow joint. Nerve supply: Radial nerve EXTENSER CARPI RADIALIS LONGUS Origin: Lower third of the lateral supra- condylar ridge of humerus. Insertion: base of second metacarpal Action: Extensor and abductor of wrist Nerve supply: Radial nerve COMMON EXTENSOR ORIGIN Arise from smooth area in front of the lateral epicondyle of humerus. This fused tendon gives rise to: Extensor carpi radialis brevis. Extensor digitorium. Extensor digiti minimi. Extensor carpi ulnaris. EXTENSOR CARPI RADIALIS BREVIS Origin: common extensor origin. Insertion: Base of third metacarpal. Nerve supply: Radial nerve Action: W rist extensor EXTENSOR DIGITORIUM Origin: common extensor origin Insertion: middle and distal phalanges of medial four fingers. Action: Extensor of the wrist, metacarpophalangeal joint and interphalangeal joints. Nerve supply: Radial nerve EXTENSOR DIGITI MINIMI Origin: common extensor origin Insertion: extensor expansion of distal phalanx of little finger. Action: Assists extensor digitorum with extension of wrist and little finger. Nerve supply: Radial nerve. EXTENSOR CARPI ULNARIS Origin: Arises from the common extensor origin. Insertion: into the base of 5th metacarpal. Nerve supply: Radial nerve. Action: Extend and adduct hand at wrist joint. ANCONEUS Origin: posterior surface of lateral epicondyle of humerus. Insertion: lateral side of olecronon and adjacent shaft of the ulna. Nerve supply: Radial nerve. Action: extends elbow joint SUPINATOR Origin: lateral epicondyle of humerus and annular ligament of superior radioulnar joint. Insertion:Neck and shaft of radius. Action:Supination of forearm. Nerve supply: Radial nerve ABDUCTOR POLLICIS LONGUS Origin: Shaft of radius and ulna. Insertion: base of first metacarpal. Action: abduct and extend thumb. Nerve supply: Radial nerve. EXTENSOR POLLICIS BREVIS Origin: Shaft of radius and interosseus membrane. Insertion: base of proximal phalanx of thumb. Nerve supply:Radial nerve. Action:extends MCP joints of thumb. EXTENSOR POLLICIS LONGUS Origin: shaft of ulna and interosseus membrane. Insertion: into the base of distal phalanx of thumb. Action: extends distal phalynx of thumb. Nerve supply: Radial nerve. EXTENSOR INDICIS Origin: Shaft of ulna and interosseus membrane. Insertion: extensor expansion of index finger. Action: Extends MCP joint of index finger. Nerve supply: Radial nerve ANATOMICAL SNUFFBOX Anatomical snuffbox lies between extensor pollicis longus tendon on ulnar side and tendons of extensor pollicis brevis and abductor pollicis longus on radial side. EXTENSOR RETINACULUM A band like thickening in the deep fascia of forearm. About 2.5 cm wide. Passes obliquely across the extensor surface of wrist. Medially attached to pisiform and hook of hamate bones. Laterally attached to scaphoid trapezium. Extensor carpal tunnel is divided in to six compartments by fibrous septa passing to bones of forearm. Starting from lateral side. First compartment: tendons of abductor pollicis longus and extensor pollicis brevis pass. Second compartment: extensor longus and brevis tendons. Third compartment: tendon of extensor pollicis longus. Fourth compartment: extensor digitorium and indicis tendon. Fifth compartment: tendon of extensor digiti minimi. Sixth compartment: tendon of extensor carpi ulnaris. Word of thanks to following great authors of Books of Anatomy: The reading material is taken from , Last’s Anatomy, Gray’s anatomy, Keith L Moore’s Anatomy, Clinical Anatomy by Richard S Snell and Atlas of human anatomy by Frank H Netter with thanks. The end MUSCLES OF THE POSTERIOR COMPARTMENT OF FOREARM OBJECTIVES At the end of lecture,students will be able to: Learn concept of the muscles of posterior compartment of forearm Understand nerve supply of these muscles Idea of actions of the muscles of posterior compartment of forearm. muscles forming this compartment: Superficial group: Anconeus. Extensor digiti minimi. Extensor carpi ulnaris Extensor digitorium Extenser carpi radialis brevis. Deep group: Supenator. Extenser carpi radialis longus. Abductor pollicis longus. Extensor pollicis longus. Extensor pollicis brevis Extensor indices BRACHIORADIALIS Origin: Upper two third of supracondylar ridge. Insertion: Styloid process of radius. • Action: flexion at elbow joint. Nerve supply: Radial nerve EXTENSER CARPI RADIALIS LONGUS Origin: Lower third of the lateral supra-condylar ridge of humerus. Insertion: base of second metacarpal Action: Extensor and abductor of wrist Nerve supply: adial nerve COMMON EXTENSOR ORIGIN Arise from smooth area in front of the lateral epicondyle of humerus. This fused tendon gives rise to: Extensor carpi radialis brevis. Extensor digitorium. Extensor digiti minimi. Extensor carpi ulnaris. EXTENSOR CARPI RADIALIS BREVIS Origin: common extensor origin. Insertion: Base of third metacarpal. Nerve supply: Radial nerve Action: W rist extensor EXTENSOR DIGITORIUM Origin: common extensor origin Insertion: middle and distal phalanges of medial four fingers. Action: Extensor of the wrist, metacarpophalangeal joint and interphalangeal joints. Nerve supply: Radial nerve EXTENSOR DIGITI MINIMI Origin: common extensor origin Insertion: extensor expansion of distal phalanx of little finger. Action: Assists extensor digitorum with extension of wrist and little finger. Nerve supply: Radial nerve. EXTENSOR CARPI ULNARIS Origin: Arises from the common extensor origin. Insertion:into the base of 5th metacarpal. Nerve supply: Radial nerve. Action: Extend and adduct hand at wrist joint. ANCONEUS Origin: posterior surface of lateral epicondyle of humerus. Insertion: lateral side of olecronon and adjacent shaft of the ulna. Nerve supply: Radial nerve. Action: extends elbow joint SUPINATOR Origin: lateral epicondyle of humerus and annular ligament of superior radioulnar joint. Insertion: Neck and shaft of radius. Action: Supination of forearm. Nerve supply: Radial nerve ABDUCTOR POLLICIS LONGUS Origin: Shaft of radius and ulna. Insertion: base of first metacarpal. Action: abduct and extend thumb. Nerve supply: Radial nerve. EXTENSOR POLLICIS BREVIS Origin: Shaft of radius and interosseus membrane. Insertion: base of proximal phalanx of thumb. Nerve supply: Radial nerve. Action: extends MCP joints of thumb. EXTENSOR POLLICIS LONGUS Origin: shaft of ulna and interosseus membrane. Insertion: into the base of distal phalanx of thumb. Action: extends distal phalynx of thumb. Nerve supply: Radial nerve. EXTENSOR INDICIS Origin: Shaft of ulna and interosseus membrane. Insertion: extensor expansion of index finger. Action: Extends MCP joint of index finger. Nerve supply: Radial nerve ANATOMICAL SNUFFBOX Anatomical snuffbox lies between extensor pollicis longus tendon on ulnar side and tendons of extensor pollicis brevis and abductor pollicis longus on radial side. EXTENSOR RETINACULUM A band like thickening in the deep fascia of forearm. About 2.5 cm wide. Passes obliquely across the extensor surface of wrist. Medially attached to pisiform and hook of hamate bones. Laterally attached to scaphoid trapezium. Extensor carpal tunnel is divided in to six compartments by fibrous septa passing to bones of forearm. Starting from lateral side. First compartment: tendons of abductor pollicis longus and extensor pollicis brevis pass. Second compartment: extensor longus and brevis tendons. Third compartment: tendon of extensor pollicis longus. Fourth compartment: extensor digitorium and indicis tendon. Fifth compartment: tendon of extensor digiti minimi. Sixth compartment: tendon of extensor carpi ulnaris. Word of thanks to following great authors of Books of Anatomy: The reading material is taken from , Last’s Anatomy, Gray’s anatomy, Keith L Moore’s Anatomy, Clinical Anatomy by Richard S Snell and Atlas of human anatomy by Frank H Netter with thanks. 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