slideshow: forearm deep flexors

37
The Forearm Deep Flexor Compartment

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Page 1: Slideshow: Forearm Deep Flexors

The Forearm

Deep Flexor Compartment

Page 2: Slideshow: Forearm Deep Flexors

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

Deep Forearm Flexors

Page 3: Slideshow: Forearm Deep Flexors

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

Elbow Joint

Deep Forearm Flexors

Page 4: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

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

Elbow JointWrist Joint

Page 5: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

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

Elbow JointWrist Joint

Forearm

Page 6: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

There are two long bones in the forearm

Page 7: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

There are two long bones in the forearm

Radius lies Laterally

Page 8: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

There are two long bones in the forearm

Radius

Ulna lies Medially

Page 9: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

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

Interosseous membrane

Page 10: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

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

Anterior Compartment contains the • Superficial Flexors• Deep Flexors

Page 11: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

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

Anterior Compartment contains the • Superficial Flexors• Deep Flexors

Posterior Compartment contains the • Extensors• Mobile Wad of Three

Page 12: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

There are

3 Deep Flexors

Page 13: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Deep Flexors

1.Flexor Digitorum Profundus

2.Flexor Poliicis Longus

3.Pronator Quadratus

Page 14: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Deep Flexors

1.Flexor Digitorum Profundus

2.Flexor Poliicis Longus

3.Pronator Quadratus

In contrast to the superficial flexors,

all of these muscles arise distal to the elbow joint and

hence do not cause movement at the elbow joint

Page 15: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Deep Flexors

1.Flexor Digitorum Profundus

Arises from the proximal ¾ of the Ulna and the Interosseous Membrane

It inserts via slender tendons onto the distal phalanges of the fingers

It flexes the Distal Interphalangeal Joints (DIPJ)

Page 16: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Deep Flexors

2. Flexor Pollicis Longus

Arises from the Radius and the Interosseous Membrane

It inserts onto the distal phalanx of the thumb

It flexes the thumb Interphalangeal Joint (IPJ)

Page 17: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Deep Flexors

3. Pronator Quadratus

Arises from the Distal ¼ of Ulna

It inserts onto Distal ¼ of Radius

It pronates the forearm

Page 18: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Cross section through middle of forearm

Page 19: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Page 20: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Page 21: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral

Page 22: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral Medial

Page 23: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral MedialSubcutaneous Fat

Page 24: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral Medial

Page 25: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral Medial

Ulna

Page 26: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral Medial

Ulna

Page 27: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral Medial

UlnaRadius

Page 28: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral Medial

UlnaRadius

Page 29: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral Medial

UlnaRadius

Extensor Compartment

Page 30: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral Medial

UlnaRadius

Extensor Compartment

Mobile Wad

Page 31: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral Medial

UlnaRadius

Extensor Compartment

Deep FlexorMobile

Wad

Superficial Flexors

Deep Flexor

Page 32: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral Medial

UlnaRadius

Extensor Compartment

Flexor Digitorum Profundus

Mobile Wad

Superficial Flexors

Deep Flexor

Page 33: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

Anterior or Volar Surface

Posterior or Dorsal Surface

Lateral Medial

UlnaRadius

Extensor Compartment

Mobile Wad

Superficial Flexors

Flexor Pollicis Longus Flexor Digitorum Profundus

Page 34: Slideshow: Forearm Deep Flexors

Deep Forearm Flexors

All Deep Flexors

1.Flexor Digitorum Profundus

2.Flexor Pollicis Longus

3.Pronator Quadratus

Supplied by the Anterior Interosseous Nerve(a branch of the Median Nerve)

EXCEPTLateral half of FDP which is supplied by Ulnar Nerve

Page 35: Slideshow: Forearm Deep Flexors

Anterior Forearm

Flexor Digitorum Profundus

Origin Proximal 3/4 of medial and anterior surfaces of ulna and interosseous membrane

Insertion Base of the distal phalanges of digits 2 - 5

Action Flexes distal phalanges at distal interphalangeal joints of medial four digits; assists with flexion of hand

Nerve Supply Medial part: ulnar nerve; Lateral part: anterior interosseous branch of median nerve (C8 and T1)

Blood Supply Ulnar and anterior interosseous arteries

Page 36: Slideshow: Forearm Deep Flexors

Anterior Forearm

Flexor Pollicis LongusOrigin Anterior surface of radius

and adjacent interosseous membrane

Insertion Base of distal phalanx of thumb

Action Flexes interphalangeal joint of 1st digit (thumb)

Nerve Supply Anterior interosseous nerve from median nerve (C8 and T1)

Blood Supply Anterior interosseous artery

Page 37: Slideshow: Forearm Deep Flexors

Pronator QuadratusOrigin Distal 1/4 of anterior

surface of ulnaInsertion Distal 1/4 of anterior

surface of radiusAction Pronates forearmNerve Supply Anterior interosseous nerve

from median nerve (C8 and T1

Blood Supply Anterior interosseous artery

Anterior Forearm