Файл: Atlas of musculoskeletal ultrasound anatomy. By M Bradley and P O\'Donnell, 2002.pdf

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Distal forearm

(Figures 90 and 91)

Movement of the fingers helps to distinguish the median nerve from flexor tendons. It can also be followed proximally to the elbow, and no muscle belly appears. Its appearances are otherwise similar to a tendon.

Notes

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Posterior forearm

(Figures 92–95)

The superficial muscle group arises from the lateral supracondylar ridge of the humerus, and includes brachioradialis and extensor carpi radialis longus.

The posterior muscle group arises from the common extensor origin, and comprises extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi and extensor carpi ulnaris.

The deep muscle group includes supinator, abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus and extensor indicis.

Notes

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ultrasound musculoskeletal anatomy

FIG. 94

Flexor digitorum profundus

Ulna

Medial

FIG. 95

80

TS panorama, probe transverse on posterior forearm

Extensor pollicis longus

Radius

Lateral

TS panorama, posterior aspect of forearm

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Wrist

Anterior

Carpal tunnel

(Figures 96–101)

The roof of the tunnel is formed by the flexor retinaculum, which is attached on the radial side to the tuberosity of the scaphoid and ridge of the trapezium, and on the ulnar side to the pisiform and hook of the hamate. The carpal bones form the floor.

From lateral to medial, the major contents are: flexor carpi radialis, flexor pollicis longus (deep to median nerve), flexor digitorum superficialis and profundus. Palmaris longus, if present, passes superficial to the retinaculum.

The ulnar nerve lies on the retinaculum alongside the pisiform, medial to the ulnar artery. Both are covered by a superficial part of the retinaculum, forming Guyon’s canal.

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Posterior

Anatomical snuffbox

(Figures 102–107)

Proximally, the snuffbox is demarcated by the radial styloid, and distally by the base of the thumb metacarpal. Its radial boundary is formed by two tendons (extensor pollicis brevis and abductor pollicis longus) and on the ulnar aspect by extensor pollicis longus. The floor of the snuffbox is formed by the scaphoid proximally and the trapezium distally. It contains the radial artery and cephalic vein.

Notes