Human Anatomy Vol 1

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Medial half of

flexor digitorum

profundus

Nerve passing

behind medial

intermuscular

septum

Nerve passing

behind medial

epicondyle

Flexor carpi

ulnaris

Palmar

cutaneous

branch

Deep terminal

branch

Dorsal cutaneous

branch

Superficial

terminal branch

Digital branches

Fig. 11.7: Course of ulnar nerve

lnlheForcarm

Ulnar nerve is marked by joining the following two

points.

. A point on the back of the base of the medial
epicondyle of the humerus (Fig. 11.7).
. The second point lateral to the pisiform bone.
In the lower two-thirds of the forearm, the ulnar
nerve lies medial to the ulnar artery (Fig. 11.3).

ln the Hond

Ulnar nerve lies superficial to the medial part of flexor

retinaculum and medial to ulnar vessels where it

divides into superficial and deep branches. The

superficial branch supplies medial one and half

digits including their nail beds (Fig. 11.7). The deep

branch passes backwards between pisiform and hook

of hamate to lie in the concavity of the deep palmar

arch (Fig. 11.3).

Shoulder Joinl

The anterior margin of the glenoid cavity corresponds

to the lower half of the shoulder joint. It is marked by a

line 3 cm long drawn downwards from a point just

lateral to the tip of the coracoid process. The line is

slightly concave laterally.

EIbow Joint

The joint line is situated 2 cm below the line joining the

two epicondyles, and slopes downwards andmedially.

This slope is responsible for the carrying angle.

Wrist Joinl

The joint line is concave downwards, and is marked by

joining the styloid processes of the radius and ulna.

Flexol Relinoculum

Flexor retinaculum is marked by joining the following

four points.

i. Pisiform bone.

ii. Tubercle of the scaphoid bone.

iii. Hook of the hamate bone (Fig. 11.8).

iv. Crest of the trapezium.

The upper border is obtained by joining the first and

second points, and the lower border by joining the third

and fourth points. The upper border is concave

upwards, and the lower border is concave downwards

(see Figs 9.1,5 and 9.1.6).

Hook of hamate

Pisiform

Styloid process

of ulna

Flexor retinaculum

Crest of trapezium

Tubercle of scaphoid

Styloid process

of radius

Fig. 11.8: Flexor retinaculum

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