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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 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.
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 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 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
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 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
One of the three muscles of the radial forearm group, it initially lies beside the brachioradialis, but becomes mostly tendon early on. Passing between the brachioradialis and the extensor carpi radialis brevis , this tendon continues into the second tendon compartment together with the latter muscle.