Professional Documents
Culture Documents
Supination
• Supination is when the bones of
forearm are parallel
• Palm of hand is facing anteriorly
• Supination with the elbow flexed is
a more powerful movement than
pronation
MOB TCD
Pronation
• Radius crosses the ulnar
• Palm of the hand is facing posteriorly
• Radial styloid is more distal than ulnar
styloid
• The axis of rotation passes through the
middle of the head of the radius to the
base of the styloid process of the ulna
MOB TCD
Interosseous Membrane
• Syndesmosis
• Fibres pass mainly
downwards and
medially
• Radius to ulna
• Extends origins of
muscles
• Pierced by anterior
interosseous artery
• Transmits force
from radius to ulna
MOB TCD
Interosseous Membrane
MOB TCD
Supinator
• Supinator has two heads of origin
• The superficial head arises from
the lateral epicondyle of the
humerus, the lateral ligament of
the elbow and the annular
ligament
• The deep head arises from the
supinator crest and supinator
fossa of the ulna
MOB TCD
Supinator
• Supinator is inserted into the
upper third of the outer surface of
the radius
• When the elbow is extended
• The supinator muscle supinates
the forearm i.e. it rotates the
radius to turn the palm anteriorly
• Supplied by the posterior
interosseous nerve C6,7, which
passes between the two heads
MOB TCD
Pronator Teres
Pronator Teres
Pronator Quadratus
• Arises from the anterior aspect of the
distal portion of the ulna
• Inserted into the distal aspect of the radius
• It is a pronator of the forearm
• Supplied by the anterior interosseous
branch of the median nerve
• The pronator quadratus is the prime mover
in pronation
• Pronator teres contracts when further
speed or strength is required
MOB TCD
Brachioradialis
• Arises from the upper third of the lateral
supracondylar line of the humerus
• Inserted into the distal aspect of the radius
• Radial nerve C5,6
• Flexor of elbow
• In the mid position it can initiate, either
pronation or supination
• It is used, for example, in the back cast
when fly-fishing
MOB TCD
Radial Epiphysis
• Slipped radial epiphysis
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