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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.
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).
Despite the bulk of the muscle body being visible from the anterior aspect of the forearm, the brachioradialis is a posterior compartment muscle and consequently is innervated by the radial nerve. [5] Of the muscles that receive innervation from the radial nerve, it is one of only four that receive input directly from the radial nerve.
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.
Madelung's Deformity is usually treated by treating the distal radial deformity. However, if patients have a positive ulnar variance and focal wrist pathology, it’s possible to treat with an isolated ulnar-shortening osteotomy. In these patients the radial deformity is not treated. [5] The ulna is approached from the subcutaneous border.
The mobile wad (or mobile wad of Henry) is a group of the following three muscles found in the lateral compartment of the forearm: [1] brachioradialis; extensor carpi radialis brevis; extensor carpi radialis longus; It is also sometimes known as the "wad of three", [2] "lateral compartment", [3] or "radial group" [4] of the forearm.