Forearm

Source: Wikipedia, the free encyclopedia.
Forearm
The forearm is highlighted in magenta
Details
Identifiers
Latinantebrachium
MeSHD005542
TA98A01.1.00.024
TA2146
FMA9663
Anatomical terminology

The forearm is the region of the

elbow and the wrist.[1] The term forearm is used in anatomy to distinguish it from the arm, a word which is used to describe the entire appendage of the upper limb, but which in anatomy, technically, means only the region of the upper arm, whereas the lower "arm" is called the forearm. It is homologous to the region of the leg that lies between the knee and the ankle joints, the crus
.

The forearm contains two long bones, the radius and the ulna,[2] forming the two radioulnar joints. The interosseous membrane connects these bones. Ultimately, the forearm is covered by skin, the anterior surface usually being less hairy than the posterior surface.

The forearm contains many muscles, including the flexors and extensors of the

supinators that turn the hand to face down or upwards, respectively. In cross-section, the forearm can be divided into two fascial compartments. The posterior compartment contains the extensors of the hands, which are supplied by the radial nerve. The anterior compartment contains the flexors and is mainly supplied by the median nerve. The flexor muscles are more massive than the extensors because they work against gravity and act as anti-gravity muscles. The ulnar nerve also runs the length of the forearm.[3]

The radial and ulnar arteries and their branches supply the blood to the forearm. These usually run on the anterior face of the radius and ulna down the whole forearm. The main superficial veins of the forearm are the cephalic, median antebrachial and the basilic vein. These veins can be used for cannularisation or venipuncture, although the cubital fossa is a preferred site for getting blood.

Structure

Bones and joints

The bones of the forearm are the radius (located on the lateral side) and the ulna (located on the medial side)

Bones of forearm, radius on left and ulna on the right
Bones of forearm, radius on left and ulna on the right

Radius

Proximally, the head of the radius articulates with the

articulation between the radius and the ulna at the elbow is known as the proximal radioulnar joint
.

Distally, it articulates with the ulna again at the

wrist joint by articulating with the scaphoid at its lateral aspect and with the lunate
at its medial aspect.

Ulna

Proximally, the

trochlea of the humerus and the radial notch articulates with the head of the radius at the elbow.[4]

Distally it forms part of the distal radioulnar joint and also articulates with the wrist.[5]

Muscles

Compartment Level Muscle E/I Nerve
Anterior superficial
flexor carpi radialis
E median
Anterior superficial
palmaris longus
E median
Anterior superficial
flexor carpi ulnaris
E ulnar
Anterior superficial
pronator teres
I median
Anterior superficial (or intermediate)
flexor digitorum superficialis (sublimis)
E median
Anterior deep
flexor digitorum profundus
E ulnar + median
Anterior deep
flexor pollicis longus
E median
Anterior deep
pronator quadratus
I median
Posterior (see below) brachioradialis I radial
Posterior superficial
extensor carpi radialis longus
E radial
Posterior superficial
extensor carpi radialis brevis
E radial
Posterior intermediate
extensor digitorum (communis)
E radial
Posterior intermediate
extensor digiti minimi (proprius)
E radial
Posterior superficial
extensor carpi ulnaris
E radial
Posterior deep
abductor pollicis longus
E radial
Posterior deep
extensor pollicis brevis
E radial
Posterior deep
extensor pollicis longus
E radial
Posterior deep
extensor indicis (proprius)
E radial
Posterior deep
supinator
I radial
Posterior deep
anconeus
I radial
  • "E/I" refers to "extrinsic" or "intrinsic". The intrinsic muscles of the forearm act on the forearm, meaning, across the elbow joint and the
    supination
    ), whereas the extrinsic muscles act upon the hand and wrist. In most cases, the extrinsic anterior muscles are flexors, while the extrinsic posterior muscles are extensors.
  • The brachioradialis, flexor of the forearm, is unusual in that it is located in the
    posterior compartment
    , but it is actually in the anterior portion of the forearm.
  • The
    posterior compartment of the arm.[6]

Nerves

See separate nerve articles for details on divisions proximal to the elbow and distal to the wrist; see Brachial plexus for the origins of the median, radial and ulnar nerves.

Vessels

Veins of the forearm and hand

Other structures

Function

The forearm can be brought closer to the upper arm (

supinated) due to movement at the elbow and the distal radioulnar joint.[5]

Clinical significance

Midshaft fracture of the radius and ulna

A

radius fracture
), or both radioulnar fracture.

For treatment of children with torus fractures of the forearm splinting appears to work better than casting.[7] Genetically determined disorders like hereditary multiple exostoses can lead to hand and forearm deformities. Hereditary multiple exostoses is due growth disturbance of the epiphyses of the radius and ulna, the two bones of the forearm.[8]

Additional images

See also

  • Forearm flexors

References

  1. .
  2. ^ "Forearm". The Lecturio Medical Concept Library. Retrieved 2021-06-22.
  3. ^ Mitchell, Brittney; Whited, Lacey (2020-08-15). "Anatomy, Shoulder and Upper Limb, Forearm Muscles". National Center for Biotechnology Information, U.S. National Library of Medicine. StatPearls Publishing LLC. Retrieved 22 June 2021.
  4. ^ "Structure of The Forearm". The Lecturio Medical Concept Library. Retrieved 2021-06-22.
  5. ^
    OCLC 920806541.{{cite book}}: CS1 maint: location missing publisher (link
    )
  6. ^ "Dissector Answers — Axilla & Arm". The University of Michigan. Archived from the original on 3 January 2008. Retrieved 2008-01-17.
  7. S2CID 25796224
    .
  8. .