Posterior interosseous nerve

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Posterior interosseous nerve
Gray420.png
The supinator. (Deep branch of radial nerve labeled at upper right and lower right. Dorsal interosseous is this nerve after passing the supinator, at lower right.)
Details
From Deep branch of the radial nerve
Innervates
Identifiers
Latin nervus interosseus antebrachii posterior
TA98 A14.2.03.055
TA2 6437
FMA 77559
Anatomical terms of neuroanatomy

The posterior interosseous nerve (or dorsal interosseous nerve/deep radial nerve) is a nerve in the forearm. It is the continuation of the deep branch of the radial nerve, after this has crossed the supinator muscle. It is considerably diminished in size compared to the deep branch of the radial nerve. The nerve fibers originate from cervical segments C7 and C8 in the spinal column.

Contents

Structure

Course

It descends along the interosseous membrane, anterior to the extensor pollicis longus muscle, to the back of the carpus, where it presents a gangliform enlargement from which filaments are distributed to the ligaments and articulations of the carpus.

Supply

The posterior interosseous nerve supplies all the muscles of the posterior compartment of the forearm, except anconeus muscle, brachioradialis muscle, and extensor carpi radialis longus muscle. In other words, it supplies the following muscles:

The posterior interosseous nerve provides proprioception to the joint capsule of the distal radioulnar articulation, but not pain sensation. [1]

Clinical significance

The posterior interosseous nerve may be entrapped at the arcade of Frohse, which is part of the supinator muscle. This nerve can be injured in Monteggia fracture due to dislocation of the proximal head of radius bone.

Posterior interosseous neuropathy is purely a motor syndrome resulting in finger drop due to no extension of IP joints and radial wrist deviation on extension.

See also

Related Research Articles

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The carpal bones are the eight small bones that make up the wrist that connects the hand to the forearm. The term "carpus" is derived from the Latin carpus and the Greek καρπός (karpós), meaning "wrist". In human anatomy, the main role of the wrist is to facilitate effective positioning of the hand and powerful use of the extensors and flexors of the forearm, and the mobility of individual carpal bones increase the freedom of movements at the wrist.

<span class="mw-page-title-main">Radial nerve</span> Nerve in the human body that supplies the posterior portion of the upper limb

The radial nerve is a nerve in the human body that supplies the posterior portion of the upper limb. It innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial compartment of the forearm and the associated joints and overlying skin.

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<span class="mw-page-title-main">Wrist</span> Part of the arm between the lower arm and the hand

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The extensor carpi radialis longus is one of the five main muscles that control movements at the wrist. This muscle is quite long, starting on the lateral side of the humerus, and attaching to the base of the second metacarpal bone.

In human anatomy, extensor carpi radialis brevis is a muscle in the forearm that acts to extend and abduct the wrist. It is shorter and thicker than its namesake extensor carpi radialis longus which can be found above the proximal end of the extensor carpi radialis brevis.

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The radius or radial bone is one of the two large bones of the forearm, the other being the ulna. It extends from the lateral side of the elbow to the thumb side of the wrist and runs parallel to the ulna. The ulna is usually slightly longer than the radius, but the radius is thicker. Therefore the radius is considered to be the larger of the two. It is a long bone, prism-shaped and slightly curved longitudinally.

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In human anatomy, the supinator is a broad muscle in the posterior compartment of the forearm, curved around the upper third of the radius. Its function is to supinate the forearm.

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The deep fibular nerve begins at the bifurcation of the common fibular nerve between the fibula and upper part of the fibularis longus, passes infero-medially, deep to the extensor digitorum longus, to the anterior surface of the interosseous membrane, and comes into relation with the anterior tibial artery above the middle of the leg; it then descends with the artery to the front of the ankle-joint, where it divides into a lateral and a medial terminal branch.

The posterior compartment of the forearm contains twelve muscles which primarily extend the wrist and digits. It is separated from the anterior compartment by the interosseous membrane between the radius and ulna.

<span class="mw-page-title-main">Cervical spinal nerve 8</span> Spinal nerve of the cervical segment

The cervical spinal nerve 8 (C8) is a spinal nerve of the cervical segment.

<span class="mw-page-title-main">Extrinsic extensor muscles of the hand</span>

The extrinsic extensor muscles of the hand are located in the back of the forearm and have long tendons connecting them to bones in the hand, where they exert their action. Extrinsic denotes their location outside the hand. Extensor denotes their action which is to extend, or open flat, joints in the hand. They include the extensor carpi radialis longus (ECRL), extensor carpi radialis brevis (ECRB), extensor digitorum (ED), extensor digiti minimi (EDM), extensor carpi ulnaris (ECU), abductor pollicis longus (APL), extensor pollicis brevis (EPB), extensor pollicis longus (EPL), and extensor indicis (EI).

<span class="mw-page-title-main">Muscles of the thumb</span>

The muscles of the thumb are nine skeletal muscles located in the hand and forearm. The muscles allow for flexion, extension, adduction, abduction and opposition of the thumb. The muscles acting on the thumb can be divided into two groups: The extrinsic hand muscles, with their muscle bellies located in the forearm, and the intrinsic hand muscles, with their muscles bellies located in the hand proper.

References

PD-icon.svgThis article incorporates text in the public domain from page 944 of the 20th edition of Gray's Anatomy (1918).

  1. Slutsky, David J. (2006). "Chapter 4 - A Practical Approach to Nerve Grafting in the Upper Extremity". Peripheral Nerve Surgery - Practical Applications in the Upper Extremity. Elsevier, Churchill Livingstone. pp. 61–80. doi:10.1016/B978-0-443-06667-2.50009-5. ISBN   978-0-443-06667-2.