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The supinator consists of two planes of fibers, between which passes the deep branch of the radial nerve.The two planes arise in common—the superficial one originating as tendons and the deeper by muscular fibers [2] —from the supinator crest of the ulna, the lateral epicondyle of the humerus, the radial collateral ligament, and the annular radial ligament.
Arcade of Frohse, sometimes called the supinator arch, [1] is the most superior part of the superficial layer of the supinator muscle, and is a fibrous arch over the posterior interosseous nerve. The arcade of Frohse is a site of interosseous posterior nerve entrapment, [ 2 ] and is believed to play a role in causing progressive paralysis of ...
The common extensor tendon is the major attachment point for extensor muscles of the forearm. This enables finger extension and aids in forearm supination. Clinical significance
The biceps is a particularly powerful supinator of the forearm due to the distal attachment of the muscle at the radial tuberosity, on the opposite side of the bone from the supinator muscle. When flexed, the biceps effectively pulls the radius back into its neutral supinated position in concert with the supinator muscle. [14]: 346–347
These three muscles act as flexors at the elbow joint. [5] The extensor carpi radialis brevis and longus are both weak flexors at the elbow joint. Brevis moves the arm from ulnar abduction to its mid-position and flexes dorsally. Longus is a weak pronator in the flexed arm and a supinator in the outstretched arm.
The posterior interosseous nerve supplies all the muscles of the posterior compartment of the forearm, except anconeus muscle, brachioradialis muscle, and extensor carpi radialis longus muscle. In other words, it supplies the following muscles: Extensor carpi radialis brevis muscle — deep branch of radial nerve; Extensor digitorum muscle
Electromyography test shows slight neural damage at the biceps and the brachialis muscles with slower motor and sensory conduction over the Erb's point. [ 8 ] In indirect trauma, violent abduction and retroposition of the shoulder can stretch the nerve and result tension of the coracobrachialis with musculocutaneous nerve lesion.
The ligament is strong and well defined, yet its flexibility permits the slightly oval head of the radius to rotate freely during pronation and supination. [ 4 ] [ 5 ] The head of the radius is wider than the bone's neck, and, because the annular ligament embraces both, the radial head is "trapped" inside the ligament which thus acts to prevent ...