Pronator quadratus muscle

Last updated
Pronator quadratus muscle
Pronator-quadratus.png
Anterior view of left forearm. Deep muscles. (Pronator quadratus visible at bottom-center right.)
Details
Origin Medial, anterior surface of the ulna
Insertion Lateral, anterior surface of the radius
Artery Anterior interosseous artery
Nerve Median nerve (anterior interosseous nerve)
Actions Pronates the forearm
Antagonist Supinator muscle
Identifiers
Latin musculus pronator quadratus
TA98 A04.6.02.038
TA2 2493
FMA 38453
Anatomical terms of muscle

Pronator quadratus is a square-shaped muscle on the distal forearm that acts to pronate (turn so the palm faces downwards) the hand.

Contents

Structure

Its fibres run perpendicular to the direction of the arm, running from the most distal quarter of the anterior ulna to the distal quarter of the radius. It has two heads: the superficial head originates from the anterior distal aspect of the diaphysis (shaft) of the ulna and inserts into the anterior distal diaphysis of the radius, as well as its anterior metaphysis. The deep head has the same origin, but inserts proximal to the ulnar notch. [1] It is the only muscle that attaches only to the ulna at one end and the radius at the other end. Arterial blood comes via the anterior interosseous artery.[ citation needed ]

Innervation

Pronator quadratus muscle is innervated by the anterior interosseous nerve, a branch of the median nerve. [2] [3]

Function

When pronator quadratus contracts, it pulls the lateral side of the radius towards the ulna, thus pronating the hand. Its deep fibers serve to keep the two bones in the forearm bound together. Moreover, this muscle can be absent in some humans, however, that does not affect the action of pronation very notably, as the pronator teres does the major role in that action.

Spinal tracts

The lateral corticospinal tract is responsible for the motor pathway of the pronator quadratus. This tract begins in the precentral gyrus of the motor cortex where a signal is transmitted from the upper motor nerve through the progression tracts of the internal capsule and through the cerebral peduncles of the midbrain. It decussates in the medulla and travels down the lateral corticospinal tract in the lateral column of the spinal cord. It then decussates in the spinal cord and synapses at the anterior horn to the lower motor neurons of the skeletal muscles. The cuneate fasciculus tract is responsible for the sensation of the pronator quadratus position and movement, deep touch, visceral pain, and vibration. This tract begins in the dorsal nerve root where the signal is transmitted through the dorsal horn and up the posterior column of the spinal cord. It synapses with an interneuron in the gracile nucleus. It then decussates in the medial lemniscus of the medulla, travels through the cuneate nucleus and through the medial lemniscus of the midbrain to synapse in the thalamus. It synapses with a third order neuron and transmits the signal to the postcentral gyrus of the somesthetic cortex. This could apply to any muscle in the upper limb and not specific to this muscle.

Additional images

Related Research Articles

<span class="mw-page-title-main">Medulla oblongata</span> Structure of the brain stem

The medulla oblongata or simply medulla is a long stem-like structure which makes up the lower part of the brainstem. It is anterior and partially inferior to the cerebellum. It is a cone-shaped neuronal mass responsible for autonomic (involuntary) functions, ranging from vomiting to sneezing. The medulla contains the cardiac, respiratory, vomiting and vasomotor centers, and therefore deals with the autonomic functions of breathing, heart rate and blood pressure as well as the sleep–wake cycle.

<span class="mw-page-title-main">Ulna</span> Medial bone from forearm

The ulna or ulnar bone is a long bone in the forearm stretching from the elbow to the wrist. It is on the same side of the forearm as the little finger, running parallel to the radius, the forearm's other long bone. Longer and thinner than the radius, the ulna is considered to be the smaller long bone of the lower arm. The corresponding bone in the lower leg is the fibula.

Articles related to anatomy include:

<span class="mw-page-title-main">Median nerve</span> Nerve of the upper limb

The median nerve is a nerve in humans and other animals in the upper limb. It is one of the five main nerves originating from the brachial plexus.

The motor system is the set of central and peripheral structures in the nervous system that support motor functions, i.e. movement. Peripheral structures may include skeletal muscles and neural connections with muscle tissues. Central structures include cerebral cortex, brainstem, spinal cord, pyramidal system including the upper motor neurons, extrapyramidal system, cerebellum, and the lower motor neurons in the brainstem and the spinal cord.

<span class="mw-page-title-main">Brainstem</span> Posterior part of the brain, adjoining and structurally continuous

The brainstem is the stalk-like part of the brain that interconnects the cerebrum and diencephalon with the spinal cord. In the human brain, the brainstem is composed of the midbrain, the pons, and the medulla oblongata. The midbrain is continuous with the thalamus of the diencephalon through the tentorial notch.

The forearm is the region of the upper limb between the elbow and the wrist. The term forearm is used in anatomy to distinguish it from the arm, a word which is used to describe the entire appendage of the upper limb, but which in anatomy, technically, means only the region of the upper arm, whereas the lower "arm" is called the forearm. It is homologous to the region of the leg that lies between the knee and the ankle joints, the crus.

<span class="mw-page-title-main">Trigeminal nerve</span> Cranial nerve responsible for the faces senses and motor functions

In neuroanatomy, the trigeminal nerve (lit. triplet nerve), also known as the fifth cranial nerve, cranial nerve V, or simply CN V, is a cranial nerve responsible for sensation in the face and motor functions such as biting and chewing; it is the most complex of the cranial nerves. Its name (trigeminal, from Latin tri- 'three', and -geminus 'twin') derives from each of the two nerves (one on each side of the pons) having three major branches: the ophthalmic nerve (V1), the maxillary nerve (V2), and the mandibular nerve (V3). The ophthalmic and maxillary nerves are purely sensory, whereas the mandibular nerve supplies motor as well as sensory (or "cutaneous") functions. Adding to the complexity of this nerve is that autonomic nerve fibers as well as special sensory fibers (taste) are contained within it.

<span class="mw-page-title-main">Radius (bone)</span> One of the two long bones of the forearm

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 longer than the radius, but the radius is thicker. The radius is a long bone, prism-shaped and slightly curved longitudinally.

<span class="mw-page-title-main">Pyramidal tracts</span> The corticobulbar tract and the corticospinal tract

The pyramidal tracts include both the corticobulbar tract and the corticospinal tract. These are aggregations of efferent nerve fibers from the upper motor neurons that travel from the cerebral cortex and terminate either in the brainstem (corticobulbar) or spinal cord (corticospinal) and are involved in the control of motor functions of the body.

<span class="mw-page-title-main">Spinothalamic tract</span> Sensory pathway from the skin to the thalamus

The spinothalamic tract is a part of the anterolateral system or the ventrolateral system, a sensory pathway to the thalamus. From the ventral posterolateral nucleus in the thalamus, sensory information is relayed upward to the somatosensory cortex of the postcentral gyrus.

<span class="mw-page-title-main">Corticobulbar tract</span> Motor pathway in the brain connecting the motor cortex to the medullary pyramids

In neuroanatomy, the corticobulbartract is a two-neuron white matter motor pathway connecting the motor cortex in the cerebral cortex to the medullary pyramids, which are part of the brainstem's medulla oblongata region, and are primarily involved in carrying the motor function of the non-oculomotor cranial nerves. The corticobulbar tract is one of the pyramidal tracts, the other being the corticospinal tract.

<span class="mw-page-title-main">Upper motor neuron</span> Neurons in the brain that carry signals to lower motor neurons

Upper motor neurons (UMNs) is a term introduced by William Gowers in 1886. They are found in the cerebral cortex and brainstem and carry information down to activate interneurons and lower motor neurons, which in turn directly signal muscles to contract or relax. UMNs represent the major origin point for voluntary somatic movement.

The flexor pollicis longus is a muscle in the forearm and hand that flexes the thumb. It lies in the same plane as the flexor digitorum profundus. This muscle is unique to humans, being either rudimentary or absent in other primates. A meta-analysis indicated accessory flexor pollicis longus is present in around 48% of the population.

The pronator teres is a muscle that, along with the pronator quadratus, serves to pronate the forearm. It has two origins, at the medial humeral supracondylar ridge and the ulnar tuberosity, and inserts near the middle of the radius.

<span class="mw-page-title-main">Lateral corticospinal tract</span>

The lateral corticospinal tract is the largest part of the corticospinal tract. It extends throughout the entire length of the spinal cord, and on transverse section appears as an oval area in front of the posterior column and medial to the posterior spinocerebellar tract.

<span class="mw-page-title-main">Anterior corticospinal tract</span>

The anterior corticospinal tract is a small bundle of descending fibers that connect the cerebral cortex to the spinal cord. Descending tracts are pathways by which motor signals are sent from upper motor neurons in the brain to lower motor neurons which then directly innervate muscle to produce movement. The anterior corticospinal tract is usually small, varying inversely in size with the lateral corticospinal tract, which is the main part of the corticospinal tract.

<span class="mw-page-title-main">Medullary pyramids (brainstem)</span> White matter structures within the brainstems medulla oblongata

In neuroanatomy, the medullary pyramids are paired white matter structures of the brainstem's medulla oblongata that contain motor fibers of the corticospinal and corticobulbar tracts – known together as the pyramidal tracts. The lower limit of the pyramids is marked when the fibers cross (decussate).

<span class="mw-page-title-main">Spinal cord</span> Long, tubular central nervous system structure in the vertebral column

The spinal cord is a long, thin, tubular structure made up of nervous tissue that extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone) of vertebrate animals. The center of the spinal cord is hollow and contains a structure called the central canal, which contains cerebrospinal fluid. The spinal cord is also covered by meninges and enclosed by the neural arches. Together, the brain and spinal cord make up the central nervous system.

<span class="mw-page-title-main">Corticospinal tract</span> Pyramidal white matter motor pathway

The corticospinal tract is a white matter motor pathway starting at the cerebral cortex that terminates on lower motor neurons and interneurons in the spinal cord, controlling movements of the limbs and trunk. There are more than one million neurons in the corticospinal tract, and they become myelinated usually in the first two years of life.

References

  1. Doyle, James R.; Botte, Michael J. (2003). Surgical Anatomy of the Hand and Upper Extremity. Lippincott Williams & Wilkins. pp. 129–130. ISBN   0397517254 . Retrieved 1 December 2016.
  2. Tubbs, R. Shane; Goodrich, Dylan; Watanabe, Koichi; Loukas, Marios (2015-01-01), Tubbs, R. Shane; Rizk, Elias; Shoja, Mohammadali M.; Loukas, Marios (eds.), "Chapter 43 - Anatomic Landmarks for Selected Nerves of the Head, Neck, and Upper and Lower Limbs", Nerves and Nerve Injuries, San Diego: Academic Press, pp. 575–588, ISBN   978-0-12-410390-0 , retrieved 2021-01-08
  3. Leung, Dora (2003-01-01), "Median Nerves and Neuropathy", in Aminoff, Michael J.; Daroff, Robert B. (eds.), Encyclopedia of the Neurological Sciences, New York: Academic Press, pp. 49–54, ISBN   978-0-12-226870-0 , retrieved 2021-01-08