Human Anatomy Vol 1

(mdmrcog) #1
Radial nerve
To brachioradialis
To extensor carpi
radialis longus
Superficial
terminal branch
To extensor carpi
radialis brevis
Short branches to:

Long lateral
branch to:

Extensor digitorum
Extensor digiti
mrntmt
Extensor carpi
ulnaris
Long medial branch to:
Abductor
pollicis longus

Extensor
pollicis brevis

Extensor polllcis
longus
Extensor indicis

Pseudoganglion

Termination of
nerve behind
wrist joint
Fig. 9.61 : Branches of the posterior interosseous nerve

c. After emerging from the supinator, the nerve
gives three short branches to:
i. The extensor digitorum.
ii. The extensor digiti minimi.
iii. The extensor carpi ulnaris.
It also gives two long branches.
i. A lateral branch supplies the abductor pollicis
longus and the extensor pollicis brevis.
ii. A medial branch supplies the extensor pollicis
longus and the extensor indicis.
B. Articulnr branches
Articular branches are given to:
i. The wrist joint.
ii. The distal radioulnar joint.
iii. Intercarpal and intermetacarpal joints.
C. Sensory branches
Sensory branches are given to the interosseous
membrane, the radius and the ulna.


POSTERIOR INTEROSSEOUS ARTERY
Coulse

Posterior interosseous artery is the smaller terminal
branch of the common interosseous, given off in the
cubital fossa. It enters the back of the forearm and lies
in between the muscles there.
It terminates by anastomosing with the anterior
interosseous artery.


FOREARM AND HAND

Relotions
1 It is the smaller terminal branch of the common
interosseous artery in the cubital fossa.
2 It enters the back of the forearm by passing between
the oblique cord and the upper margin of the
interosseous membrane (Fig. 9.60).
3 It appears on the back of the forearm in the interval
between the supinator and the abductor pollicis
longus and thereafter accompanies the posterior
interosseous nerve. At the lower border of the
extensor indicis, the artery becomes markedly
reduced and ends by anastomosing with the anterior
interosseous artery which reaches the posterior
compartment by piercing the interosseous
membrane at the upper border of the pronator
quadratus. Thus in its lower one-fourth, the back of
the forearm is supplied by the anterior interosseous
artery.
4 The posterior interosseous artery gives off an
interosseous recurrent branch which runs upwards
and takes part in the anastomosis on the back of the
lateral epicondyle of the humerus (see Fig. 8.10).

Mnemonics

Deep branch

To supinator

Anterior forearm muscles: Superficial group
'/Pretti Found Pamela for Fight"
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
Flexor digitorum superficialis
lnterossei muscles: Actions of dorsal vs. palmar
in hand "PAd and DAb'
The Palmar Adduct and the Dorsal Abduct.


  • Use your hand to dab with a pad.
    Median nerve: Hand muscles innervated "The
    LOAF muscles"
    Lumbricals 1 and 2
    Opponens pollicis
    Abductor pollicis brevis
    Flexor pollicis brevis


Median nerve exits the cubital fossa by passing
between two heads of pronator teres while ulnar
artery passes deep to both the heads of pronator
teres.

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