7.2 - Forearm N

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5.

Nerves of the Forearm

TABLE 6.13. NERVES OF FOREARM


Nerve

Origin

Course in Forearm

Median

By union of lateral root of


median nerve (C6 and C7, from
lateral cord of brachial plexus)
with medial root (C8 and T1)
from medial cord)

Enters cubital fossa medial to brachial artery;


exits by passing between heads of pronator teres;
descends in fascial plane between flexors
digitorum superficialis and profundus; runs deep
to palmaris longus tendon as it approaches flexor
retinaculum to traverse carpal tunnel

Anterior
interosseous

Median nerve in distal part of


cubital fossa

Descends on anterior aspect of interosseous


membrane with artery of same name, between
FDP and FPL, to pass deep to pronator quadratus

Palmar cutaneous
branch of median
nerve

Median nerve of middle to distal


forearm, proximal to flexor
retinaculum

Passes superficial to flexor reticulum to reach


skin of central palm

Ulnar

Larger terminal branch of medial


cord of brachial plexus (C8 and
T1, often receives fibers from
C7)

Enters forearm by passing between heads of


flexor carpi ulnaris, after passing posterior to
medial epicondyle of humerus; descends forearm
between FCU and FDP; becomes superficial in
distal forearm

Palmar cutaneous
branch of ulnar
nerve

Ulnar nerve near middle of


forearm

Descends anterior to ulnar artery; perforates deep


fascia in distal forearm; runs in subcutaneous
tissue to palmar skin medial to axis of 4th digit

Dorsal cutaneous
branch of ulnar
nerve

Ulnar nerve in distal half of


forearm

Passes posteroinferiorly between ulna and flexor


carpi ulnaris; enters subcutaneous tissue to supply
skin of dorsum medial to axis of 4th digit

Radial

Larger terminal branch of


posterior cord of brachial plexus
(C5-T1)

Enters cubital fossa between brachioradialis and


brachialis; anterior to lateral epicondyle divides
into terminal superficial and deep branches

Posterior cutaneous
nerve of forearm

Radial nerve, as it traverses radial Perforates lateral head of triceps; descends along
groove of posterior humerus
lateral side of arm and posterior aspect of forearm
to wrist

Superficial branch
of radial nerve

Sensory terminal branch of radial


nerve, in cubital fossa

Descends between pronator teres and


brachioradialis, emerging from latter to arborize
over anatomical snuff box and supply skin of
dorsum lateral to axis of 4th digit

Deep branch of
radial/posterior
interosseous nerve

Motor terminal branch of radial


nerve, in cubital fossa

Deep branch exits cubital fossa winding around


neck of radius, penetrating and supplying
supinator; emerges in posterior compartment of
forearm as posterior interosseous; descends on
membrane with artery of same name

Lateral cutaneous
nerve of forearm

Continuation of
musculocutaneous nerve distal to
muscular branches

Emerges lateral to biceps brachii on brachialis,


running initially with cephalic vein; descends
along lateral border of forearm to wrist

Medial cutaneous
nerve of forearm

Medial cord of brachial plexus,


receiving C8 and T1 fibers

Perforates deep fascia of arm with basilic vein


proximal to cubital fossa; descends medial aspect
of forearm in subcutaneous tissue to wrist

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