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Radial deviation of the wrist is caused by lack of support to the carpus, radial deviation may be reinforced if forearm muscles are functioning poorly or have abnormal insertions. [3] Although radial longitudinal deficiency is often bilateral, the extent of involvement is most often asymmetric. [1]
The brachioradialis reflex (also known as supinator reflex) is observed during a neurological exam by striking the brachioradialis tendon (at its insertion at the base of the wrist into the radial styloid process (radial side of wrist around 4 inches (102 mm) proximal to base of thumb)) directly with a reflex hammer when the patient's arm is relaxing.
The extensor carpi radialis longus is a wrist extensor that is innervated by the radial nerve, [2] [3] from spinal roots C6 and C7. [4] All other major extensor muscles in the superficial layer of the posterior compartment (the extensor digitorum , extensor carpi radialis brevis , extensor carpi ulnaris , and extensor digiti minimi ) are ...
This muscle originates from the medial epicondyle of the humerus as part of the common flexor tendon. It runs just laterally of flexor digitorum superficialis and inserts on the anterior aspect of the base of the second metacarpal , and has small slips to both the third metacarpal and trapezium tuberosity.
Wrist drop is a medical condition in which the wrist and the fingers cannot extend at the metacarpophalangeal joints. The wrist remains partially flexed due to an opposing action of flexor muscles of the forearm. As a result, the extensor muscles in the posterior compartment remain paralyzed.
Half of nonosteoporotic patients will develop post-traumatic arthritis, specifically limited radial deviation and wrist flexion. This arthritis can worsen over time. [6] Displaced fractures of the ulnar styloid base associated with a distal radius fracture result in instability of the DRUJ and resulting loss of forearm rotation. [citation needed]
Thus, every movement at the wrist is the work of a group of muscles; because the four primary wrist muscles (FCR, FCU, ECR, and ECU) are attached to the four corners of the wrist, they also produce a secondary movement (i.e. ulnar or radial deviation).
Their muscle fibers end at the upper third and the mid forearm respectively, continuing as flat tendons along the lateral border of the radius, beneath the APL and EPB. They then pass beneath the extensor retinaculum and dorsal carpal ligament , where they lie in a groove on the back of the radius, immediately behind the styloid process , and ...