Pronator Teres: Humeral and Ulnar heads (Median nerve passes between heads)
Flexor compartment of the forearm: Superficial layer Attachments: Proximal: Humeral head: medial epicondyle of humerus Ulnar head: coronoid process of ulna Distal: lateral mid-shaft of radius Action: pronate forearm (also; stabilize + flex elbow) PERIPHERAL NERVE + spinal cord level of origin: median nerve: C6,7,8, T1 Spinal segments: C6,7
Flexor carpi radialis (FCR)
Flexor compartment of the forearm: Superficial layer Attachments: Proximal: medial epicondyle of humerus Distal: base of 2nd metacarpal Action: flex + RD wrist jt. (also; stabilize + flex elbow) PERIPHERAL NERVE + spinal cord level of origin: median nerve: C6,7,8, T1 Spinal segments: C6,7
Palmaris longus (frequently absent)
Flexor compartment of the forearm: Superficial layer Attachments: Proximal: medial epicondyle of humerus Distal: palmar aponeurosis Action: flex wrist (tense palmar fascia for grasp) (also; stabilize + flex elbow) PERIPHERAL NERVE + spinal cord level of origin: median nerve: C6,7,8, T1 Spinal segments: C7,8
Flexor carpi ulnaris (FCU): Humeral and Ulnar heads (Ulnar nerve passes between the heads)
Flexor compartment of the forearm: Superficial layer Attachments: Proximal: Humeral head: medial epicondyle of humerus Ulnar head: olecranon process of ulna Distal: Humeral head: hook of hamate Ulnar head: base of 5th metacarpal Action: flex + UD wrist jt. (also; stabilize + flex elbow) PERIPHERAL NERVE + spinal cord level of origin: ulnar nerve: C8, T1 Spinal segment: C8
Flexor digitorum superficialis (FDS): Humeral-Ulnar and Radial heads
Flexor compartment of the forearm: Intermediate layer Attachments: Proximal: Humeral-Ulnar head: medial epicondyle of humerus + coronoid process of ulna Radial head: proximal radius Distal: shaft of MIDDLE phalanx of digits 2-5 (note the split tendon) Action: flex PIP jt. of digits 2-5 (assist in MP flex + wrist flex) PERIPHERAL NERVE + spinal cord level of origin: median nerve: C6-T1 Spinal segments: C7, 8, T1
Flexor digitorum profundus (FDP)
Flexor compartment of the forearm: Deep layer Attachments: Proximal: ulna (anteromedial shaft + interosseous membrane) Distal: base of DISTAL phalanx of digits 2-5 Action: flex DIP of digits 2-5. Assist flex of PIP, MP, and wrist PERIPHERAL NERVE + spinal cord level of origin: median nerve to digits 2 + 3. Ulnar nerve to digits 4 + 5 Spinal segments: C8, T1
Flexor pollicis longus (FPL)
Flexor compartment of the forearm: Deep layer Attachments: Proximal: radius (anterior shaft + interosseous membrane) Distal: base of DISTAL phalanx of thumb Action: Flex IP of thumb. Assist flex of MP, CM PERIPHERAL NERVE + spinal cord level of origin: median nerve: C6, 7, 8, T1 Spinal segments: C8, T1
Pronator quadratus
Flexor compartment of the forearm: Deep layer Attachments: Proximal: distal ulna (anterior) Distal: distal radius (anterior) Action: pronate forearm PERIPHERAL NERVE + spinal cord level of origin: median nerve: C6, 7, 8, T1 Spinal segments: C8, T1
Extensor carpi radialis longus (ECRL)
Extensor compartment of the forearm: Superficial layer Attachments: Proximal: lateral supracondylar ridge of humerus Distal: base of 2nd metacarpal Action: extend + RD wrist (synergist with FCR to get pure RD) PERIPHERAL NERVE + spinal cord level of origin: radial nerve: C5-T1 Spinal segments: C6,7
Extensor carpi radialis brevis (ECRB)
Extensor compartment of the forearm: Superficial layer Attachments: Proximal: lateral epicondyle of humerus Distal: base of 3rd metacarpal Action: extend wrist (more central to axis to get pure extension) PERIPHERAL NERVE + spinal cord level of origin: radial nerve: C5-T1 Spinal segments: C6,7
Extensor digitorum (ED) (sometimes includes the term ‘communis’ – EDC)
Extensor compartment of the forearm: Superficial layer Attachments: Proximal: lateral epicondyle of humerus Distal: dorsal apparatus of digits 2-5 Action: extend MP jt. 2-5 (synergist to extend PIP + DIP + assist wrist extension) PERIPHERAL NERVE + spinal cord level of origin: radial nerve: C5-T1 Spinal segments: C6,7,8
Extensor digiti minimi (EDM)
Extensor compartment of the forearm: Superficial layer Attachments: Proximal: lateral epicondyle of humerus Distal: dorsal apparatus of digit 5 Action: extend MP jt. of 5 (synergist to extend PIP + DIP) PERIPHERAL NERVE + spinal cord level of origin: radial nerve: C5-T1 Spinal segments: C7,8
Extensor carpi ulnaris (ECU)
Extensor compartment of the forearm: Superficial layer Attachments: Proximal: lateral epicondyle of humerus + posterior ulna Distal: base of 5th metacarpal Action: extend + UD wrist (synergist with FCU to get pure UD) PERIPHERAL NERVE + spinal cord level of origin: radial nerve: C5-T1 Spinal segments: C7,8
Supinator: This muscle wraps around lateral elbow from post. to ant.
Extensor compartment of the forearm: Deep layer Attachments: Proximal: lateral epicondyle of humerus + supinator fossa of ulna Distal: proximal shaft of radius (in area of radial tuberosity) Action: supinate forearm (proximal RU jt.) PERIPHERAL NERVE + spinal cord level of origin: radial nerve: C5-T1 Spinal segments: C6
Abductor pollicis longus (APL)
Extensor compartment of the forearm: Deep layer Attachments: Proximal: radius + ulna, interosseous membrane Distal: base of 1st metacarpal Action: ABduct + extend CM jt of thumb PERIPHERAL NERVE + spinal cord level of origin: radial nerve: C5-T1 Spinal segments: C7,8
Extensor pollicis brevis (EPB)
Extensor compartment of the forearm: Deep layer Attachments: Proximal: radius, interosseous membrane Distal: base of PROXIMAL phalanx of thumb Action: extend MP jt. of thumb (assist extension of CM jt.) PERIPHERAL NERVE + spinal cord level of origin: radial nerve: C5-T1 Spinal segments: C7,8
Extensor pollicis longus (EPL)
Extensor compartment of the forearm: Deep layer Attachments: Proximal: ulna, interosseous membrane Distal: base of DISTAL phalanx of thumb Action: extend IP jt. of thumb (assist extension of MP + CM jts.) PERIPHERAL NERVE + spinal cord level of origin: radial nerve: C5-T1 Spinal segments: C7,8
Extensor indicis (EI)
Extensor compartment of the forearm: Deep layer Attachments: Proximal: ulna, interosseous membrane Distal: dorsal apparatus of index finger Action: extend MP jt. of index finger (synergist to extend PIP + DIP jts.) PERIPHERAL NERVE + spinal cord level of origin: radial nerve: C5-T1 Spinal segments: C7,8