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Arm, Elbow, Forearm

Arm, Elbow, Forearm. Two Compartments of Arm. Arm = Shoulder to elbow; aka Brachium Anterior = flexors Innervated by Musculocutaneous Nerve Blood supply by brachial aa Posterior =extensors Innervated by Radial Nerve Blood supply by brachial profunda aa. Muscles of the Anterior Compartment.

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Arm, Elbow, Forearm

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  1. Arm, Elbow, Forearm

  2. Two Compartments of Arm • Arm = Shoulder to elbow; aka Brachium • Anterior = flexors • Innervated by Musculocutaneous Nerve • Blood supply by brachial aa • Posterior =extensors • Innervated by Radial Nerve • Blood supply by brachial profunda aa

  3. Muscles of the Anterior Compartment • Coracobrachialis • Biceps brachii • Brachialis

  4. Anterior Muscles

  5. Anterior muscles

  6. Nerves

  7. Muscles of the Posterior Compartment • Triceps brachii • Long head • Lateral head • Medial head • Anconeus

  8. Posterior Muscles

  9. Anconeus

  10. Posterior Nerve

  11. Regional Blood Supply • Brachial • Brachial Profunda • Superior Ulnar Collateral • Inferior Ulnar Collateral • Radial Collateral • Middle Collateral

  12. Blood Supply

  13. Blood Supply

  14. Veins

  15. Elbow Complex • Humero-Ulnar Joint – flexion/extension • Olecranon Process and Olecranon Fossa (post.) • Trochlea and Trochlear Notch (ant.) • Joint Capsule ant. and post. • Ulnar (Medial) collateral • Radial (Lateral) collateral • Anular • Lateral Ulnar collateral – See Interactive Hand • Carrying angle

  16. Elbow Complex

  17. Elbow Complex

  18. Elbow Complex

  19. Elbow Complex

  20. Elbow Complex

  21. Elbow Complex

  22. Elbow complex

  23. Elbow Complex

  24. Elbow Complex • Humero-radial • Head of radius with capitulum of humerus • Accessory motion • Not a direct articulation

  25. Radio-Ulnar Joints – Supination and Pronation • Superior • Head of Radius in radial notch • Anular ligament • Inferior • Head of Ulna in ulnar notch • Anterior and Posterior radio-ulnar ligaments • Interosseous Membrane

  26. R-U Joints

  27. R-U Joints

  28. Supination and Pronation

  29. Cubital Fossa

  30. Cubital Fossa

  31. Cubital Fossa

  32. Cubital Fossa

  33. Forearm AKA Antebrachium – Two Compartments • Anterior = ventral • Flexors • All but 1 1/2 mm are innervated by median (or a branch called the anterior interosseous nerve), the other 1 1/2 innervated by the ulnar • Three layers – superficial, intermediate and deep • Most have 1 Point of origin on the medial epicondyle - CFT

  34. Forearm • Posterior = dorsal • Extensors • Innervated by the radial nerve (or one of two branches called either posterior interosseous nerve or deep radial) • Three layers = superficial, intermediate and deep • Most have 1 point of origin on the lateral epicondyle - CET

  35. Anterior Surface • Superficial • P.Teres • Flexor Carpi Radialis • Flexor Carpi Ulnaris • Palmaris Longus

  36. Superficial Muscles

  37. Anterior Surface • Intermediate • Flexor Digitorum Superficialis

  38. Intermediate Layer -Origin

  39. Intermediate Layer - Insertion

  40. Anterior Surface • Deep Layer • Flexor digitorum profundus (anterior interosseous branch of median nerve • Flexor pollicus longus • Pronator quadratus (ant. Interosseous)

  41. Deep Layer - Origins

  42. Deep Layer - Insertions

  43. Compare Insertions

  44. Compare Insertions

  45. Nerves of Anterior Forearm

  46. Anterior Surface • Transverse Carpal Ligament AKA Flexor Retinaculum • Guyen’s Canal • Carpal Tunnel Syndrome

  47. TCL

  48. TCL – Median N.

  49. Guyens’ Tunnel – Ulnar N.

  50. Posterior Surface • Superficial • Brachioradialis • Extensor Carpi Radialis Longus • Extensor Carpi Radialis Brevis • Extensor Carpi Ulnaris

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