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Posterior Forearm_ Dorsal Hand_ Metacarpophalangeal and ...

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12/8/2011
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Posterior Forearm and Dorsal

Hand



pp. 744- 750, 757- 793

Topics

Extensor Muscles of the Forearm

Radial Nerve

Dorsal Hand

Metacarpophalangeal Joint

Interphalangeal Joint

Extensor Muscles of the Forearm

Extend or abduct/ adduct hand at

wrist joint

– Extensor carpi radialis longus

Lateral supracondylar ridge

Dorsal aspect base of 2nd

metacarpal

Radial nerve

– C6 myotome

Extension/ abduction

– Extensor carpi radialis brevis

Lateral epicondyle of the humerus

Dorsal aspect of base of 3rd

metacarpal

Deep radial nerve

Extension/ abduction

– Extensor carpi ulnaris

Lateral epicondyle of the humerus

– Posterior surface of the

olecranon process

Dorsal aspect of 5th metacarpal

Posterior interosseous nerve

Extensor Muscles of the Forearm

Extend Digits II- V

– Extensor digitorum

Lateral epicondyle of the humerus

Extensor expansions of digits II- V

Posterior interosseous nerve

Extend hand and digits II- V

– Extensor indicis

Posterior surface of the ulna and

interosseous membrane

Extensor expansion of digit II

Posterior interosseous nerve/

– C8 myotome

Extends index finger

– Extensor digiti minimi

Lateral epicondyle of the humerus

Extensor expansion of digit V

Posterior interosseous nerve

Extends digit V

Extensor Muscles of the Forearm

Extend or abduct Digit I

– “Outcropping” muscles

– Abductor pollicis longus

Posterior proximal radius, ulna and

interosseous membrane

Base of 1st metacarpal

Posterior interosseous nerve

Abduct and extend thumb

– Extensor pollicis longus

Posterior surface of middle 1/3 of ulna

and interosseous membrane

Dorsal aspect distal phalanx digit I

Posterior interosseous nerve

Extend digit I

– Extensor pollicis brevis

Posterior surface of distal 1/3 of radius

and interosseous membrane

Dorosal aspect base of proximal

phalanx of thumb

Posterior interosseous nerve

Extend proximal phalanx of digit I

Extensor Muscles of Forearm

Brachioradialis

– Proximal 2/3 of lateral

supracondylar line

– Lateral surface of distal end of the

radius

– Radial nerve

C6 myotome

– Flexion of forearm in midprone

position

Supinator

– Lateral epicondyle of humerus,

radial collateral and annular

ligaments; supinator fossa, crest

of ulna

– Proximal 1/3 of radius

– Deep radial nerve

C8 myotome

– Supinates forearm

Radial Nerve in the Posterior

Forearm

Radial Nerve

– Brachioradialis

– Extensor carpi radialis longus

Superficial Radial Nerve

– Sensory to dorsum of hand

Deep Radial Nerve

– Extensor carpi radialis brevis

– Supinator

Posterior Interosseous Nerve

– Continuation of Deep Radial Nerve

– All Remaining Muscles of the Posterior Compartnment

Dorsal Hand

Extensor retinaculum

Synovial tendon

sheaths

Extensor Expansion

Lateral Hand



Anatomical snuffbox

Radial artery



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