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Supinator always acts together with biceps, except when the elbow joint is extended. [7] It is the most active muscle in forearm supination during unresisted supination, while biceps becomes increasingly active with heavy loading. [8] Supination strength decreases by 64% if supinator is disabled by, for example, injury. [9]
The theory is that the radial nerve becomes irritated and/or inflamed from friction caused by compression by muscles in the forearm. [1]Some speculate that radial tunnel syndrome is a type of repetitive strain injury (RSI), but there is no detectable pathophysiology and even the existence of this disorder is questioned.
The brachioradialis is a muscle of the forearm that flexes the forearm at the elbow. [1] [2] It is also capable of both pronation and supination, depending on the position of the forearm. [2] It is attached to the distal styloid process of the radius by way of the brachioradialis tendon, and to the lateral supracondylar ridge of the humerus.
The brachioradialis reflex (also known as supinator reflex) is observed during a neurological exam by striking the brachioradialis tendon (at its insertion at the base of the wrist into the radial styloid process (radial side of wrist around 4 inches proximal to base of thumb)) directly with a reflex hammer when the patient's arm is relaxing.
The supinator and the anconeus are the two extensor muscles in the posterior compartment of the forearm that do not pass through wrist extensor compartments. [ 3 ] The first compartment locating the most radial is occupied by the extensor pollicis brevis and the abductor pollicis longus to insert to the thumb.
During the exam of the arm, wrist, and hand, the doctor will look for: difficulty straightening the arm at the elbow; trouble turning the arm outward; difficulty lifting the wrist; muscle loss or atrophy in the forearm; weakness of the wrist and/or fingers. [7] In addition, tests may need to be conducted to confirm the doctors findings.
In the forearm, this action is performed by pronator quadratus and pronator teres muscle. Brachioradialis puts the forearm into a midpronated/supinated position from either full pronation or supination. For the foot, pronation will cause the sole of the foot to face more laterally than when standing in the anatomical position.
Muscles of the posterior forearm. All the labelled muscles (that is, all the visible muscles except the ones on the dorsal hand and one at top left) are innervated by the radial nerve, and represent all muscles innervated by the radial nerve except for the supinator. Muscular branches of the radial nerve: Triceps brachii; Anconeus; Brachioradialis