Cubital Fossa and Anterior Forearm

Muscle first layer Pronator teres Flexor carpi radialis Palmaris longus Flexor carpi ulnaris Flexor digitorum superficialis

Innervation Median Nerve Median Nerve Median Nerve Ulnar Nerve Median Nerve Lateral parts: Median Nerve (anterior interosseous branch), Medial part: ulnar nerve Anterior interosseous nerve from Median Nerve Anterior interosseous nerve from Median Nerve Radial nerve

Function Pronates and flexes forearm (at elbow) flexes and abducts hand (at wrist) Flexes hand (at wrist) and tenses palmar aponeurosis Flexes and adducts hand (at wrist) Flexes proximal interphalangeal joints of middle four digits, also flexes proximal phalanges at metacarpophalangeal joints Flexes distal interphalangeal joints of digits, 2,3,4,5; assists with wrist flexion

third layer

second layer

Flexor digitorum profundus

Flexor pollicis longus Pronator quadratus Brachioradialis

flexes phalanges of 1st digit (thumb) pronates forearm; deep fibers bind radius and ulna together weak flexion of forearm, maximal when forearm is midpronated position

te d in th e ex te ns or (p os ter ior ) co m pa rt m en t an d is th us su pp lie d by th e ra di al ne rv e

Cubital Fossa and Anterior Forearm - Arteries

Cubital Fossa and Anterior Forearm: Nerves

Cubital Fossa Boundaries Superiorly: imaginary line connecting medial and lateral epicondyles Medially: Pronator teres Laterally: Brachioradialis Contents Brachial, radial, ulnar artery Accompanying veins Biceps brachii tendon Median nerve Radial nerve (superficial + deep branches)

Affected structure Lateral Epicondyle

Clinical correlate Tennis elbow/lateral epicondylitis: results from repetitive use of superficial extensor muscles. Pain in lateral epicondyle, radiating down posterior surface of forearm. Golfer's elbow/medial epicondylitis Median nerve injury/palsy near cubital fossa results in hand of benediction

Medial Epicondyle

Median nerve