The Forearm

Anatomy And Movements

In the forearm are two bones, lying side by side. One is large at the wrist, forming two-thirds of the joint; the other is large at the elbow, where it also forms two-thirds of the joint. They are joined at their sides and move like a long piece of cardboard folded diagonally.

The one that is large at the elbow is the ulna. It forms a hinge joint and moves in the bending of the elbow. The other slides as the hinge moves. This second bone is the radius, or turning bone; it is large at the wrist and carries the wrist and hand.

Diagonally opposite the thumb, on the ulna, is a hump of bone which is the pivot for both the radius and also the thumb.

Muscles must lie above the joint they move, so that the muscles that bulge the forearm are mainly the flexors and extensors of the wrist and hand. Overlying them and reaching higher up on the arm are the pronators and supinators of the radius.

The flexors and pronators (flexor, to flex or bend; pronator, to turn face down, or prone) form the inner mass at the elbow, the extensors and supinators form the outer mass. Between them at the elbow lies the cubital fossa.

Both of these masses arise from the condyles of the humerus, or arm bone. These are the tips of the flattened lower end of that bone. From the inner condyle, which is always a landmark, arises the flexor-pronator group. This is a fat softly bulging mass which tapers to the wrist, but shows superficially the pronator teres (round), whose turning function requires it to lie diagonally across toward the thumb side.

The outer condyle is hidden by its muscular mass when the hand is turned out. This mass is the extensor-supinator group, which bulges higher up, and becomes tendinous half way down. It is dominated by the supinator longus, which rises a third of the way up the arm, widens as far as the elbow, tapers beyond, and loses itself half way down the forearm. In turning, this wedge follows the direction of the thumb, and overlies the condyle when the arm is straight with the forearm.

From the back view, the elbow is seen to have three knobs of bone; the two condyles above referred to, and between them the upper end of the ulna, forming the elbow proper, or olecranon. The latter is higher when the arm is straight and lower when it is flexed. The overlying muscular masses meet over half way down, so that the ulna forms a thin dagger of bone pointing to the little finger.

Masses

The masses of the forearm will be described in connection with those of the arm and shoulder.

The Arm

Anatomy

The bone of the upper arm is the humerus. The part facing the shoulder is rounded and enlarged to form the head, where it joins the shoulder blade. The lower end is flattened out sideways to give attachment to the ulna and radius, forming the condyles. The shaft itself is straight and nearly round, and is entirely covered with muscles except at the condyles.

On the flat front side of the condyles, reaching half way up the arm, is placed the broad, flat and short brachialis anticus muscle; and on top of that the thin, high and long biceps, reaching to the shoulder; its upper end flattened as it begins to divide into its two heads. One head passes to the inside of the bone and fastens to the coracoid process, under the shoulder; the other passes outside, grooving the head of the humerus, and attaching to the shoulder blade above the shoulder joint, under the deltoid or shoulder hood.

On the back, behind the flat surface made by the two condyles, arising from the central knob or olecranon, is the triceps (three-headed) muscle. Its outer head begins near the condyle, and occupies the outer and upper part of the back surface of the humerus. The inner head begins near the inner condyle and occupies the inner and lower portion of the bone. The middle head reaches diagonally in and up to the back of the shoulder blade. These all converge on the broad flat tendon from the olecranon, forming a wedge surrounded by two wings of muscle. The triceps also is overlaid by the deltoid above.

Between biceps and triceps are grooves. The inner condyle sinks into the inner groove below, and it is tilled out above by the coraco-brachialis muscle, entering the armpit.

The outer condyle sinks into the outer groove below, while midway of the arm the apex of the deltoid muscle sinks into it, overlying the upper ends of both biceps and triceps.

Bone of the Arm.

Bone of the Arm.

1 Humerus.

Bones of the Forearm:

2 Ulna (little finger side).

3 Radius (thumb side).

The Arm. Bones of the Upper Limb.

The Arm. Bones of the Upper Limb: Humerus - arm. Radius - forearm, thumb side. Ulna - forearm, little finger side.

Miscles of the Upper Limb, front view:

1 Coraco-brachialis.

2 Biceps.

3 Brachialis anticus.

4 Pronator radii teres.

5 Flexors, grouped.

6 Supinator longus.

Coraco-Brachialis

From coracoid process, to humerus, inner side, half way down.

Action

Draws forward, rotates outward, humerus.

Biceps

Long head from glenoid cavity (under acromion) through groove in head of humerus; short head from coracoid process; to radius.

Action

Depresses shoulder blade; flexes forearm; rotates radius outward.

The Arm. Supination and Pronation of the Forearm. front view.

The Arm. Supination and Pronation of the Forearm. front view.

1 Supinator longus.

2 Pronator radii teres.

3 Flexors, grouped.

Supinator Longus

From external condyloid ridge to end of radius.

Action

Supinates forearm.

Pronator Radii Teres

From internal condyle and ulna to radius, outer side, half way down.

Action

Pronates hand and flexes forearm.

Flexor group, page 92

The Arm. Masses of the Arm, Forearm and Wrist Wedging and Interlocking.

The Arm. Masses of the Arm, Forearm and Wrist Wedging and Interlocking.

The Arm. Muscles of the Arm, lateral view (thumb side toward the body).

The Arm. Muscles of the Arm, lateral view (thumb side toward the body).

1 Coraco-brachialis.

2 Biceps.

3 Brachialis anticus.

4 Supinator longus.

5 Extensor carpi radialis longior.

6 Pronator radii teres.

7 Flexors, grouped.

Brachialis Anticus

From front of humerus, lower half, to ulna.

Action

Flexes forearm.

Extensor Carpi Radialis Longior

From external condyloid ridge to base of index finger.

Action

Extends wrist.

The Arm. Turning of the Hand on the Forearm and the Forearm on the Arm.

The Arm. Turning of the Hand on the Forearm and the Forearm on the Arm.

The Arm. Muscles of the Upper Limb, outer view.

The Arm. Muscles of the Upper Limb, outer view.

1 Triceps.

2 Supinator longus.

3 Extensor carpi radialis longior.

4 Anconeus.

5 Extensors, grouped.

Anconeus

From back of external condyle to olecranon process and shaft of ulna. Action: Extends forearm.