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ANTERIOR ANTEBRACHIUM Muscles Common function: Wrist and digital flexion. Common origin: Medial epicondyle of humerus. Muscles Superficial (from superior-inferior and lateral-medial): [Brachioradialis] Pronator teres Flexor carpi radialis Palmaris longus Flexor carpi ulnaris Intermediate Muscle Group Flexor digitorum superficialis: To middle phalanx of digits II through V. Deep Muscle Group Ulnar head of pronator teres. Flexor digitorum profundus. Flexor pollicis longus. To distal phalanx of thumb. From radius and interosseous membrane. Pronator quadratus. Radial Artery Smallest terminal branch of brachial artery. Proximally lies deep to brachioradialis. Distally becomes superficial between brachioradialis and flexor carpi radialis. Ulnar Artery Middle third of forearm: Joined by ulnar nerve. Lies under flexor carpi ulnaris. Distal third of forearm: Superficial and lateral to tendon of flexor carpi ulnaris. Adjacent and lateral to ulnar nerve. Ulnar Artery Branches Anterior ulnar recurrent (to inferior ulnar collateral) Posterior ulnar recurrent (to superior ulnar collateral) Common interosseous: Anterior interosseous Posterior interosseous Median Nerve Supplies all other muscles in the anterior compartment not supplied by the ulnar nerve. Functional neurological level = C7 Gives off anterior interosseous nerve. Median Nerve Route Crosses anterior cubital fossa medial to brachial artery. Passes between the two heads of the pronator teres. Travels between the flexor digitorum superficialis and flexor digitorum profundus. Ulnar Nerve To: Flexor carpi ulnaris Half of flexor digitorum profundus Ulnar Nerve Route From posterior compartment of brachium Through sulcus in medial epicondyle Into antebrachium between two heads of flexor carpi ulnaris Extends between flexor carpi ulnaris and flexor digitorum profundus. Relationships Ulnar artery to ulnar nerve, flexor carpi ulnaris, pisiform, Guyon’s canal. Median nerve to flexor digitorum superficialis and transverse carpal ligament. Superficial palmar branch of median nerve to transverse carpal ligament. Relationships Radial artery to superficial branch of radial nerve and brachioradialis. Anterior interosseous nerve and artery to pronator quadratus.