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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 brachioradialis is a muscle of the forearm that flexes the forearm at the elbow. [1] [2] It is also capable of both pronation and supination, depending on the position of the forearm. [2] It is attached to the distal styloid process of the radius by way of the brachioradialis tendon, and to the lateral supracondylar ridge of the humerus.
The extensor carpi radialis longus is one of the five main muscles that control movements at the wrist. [1] This muscle is quite long, starting on the lateral side of the humerus, and attaching to the base of the second metacarpal bone (metacarpal of the index finger).
Brachioradialis puts the forearm into a midpronated/supinated position from either full pronation or supination. For the foot, pronation will cause the sole of the foot to face more laterally than when standing in the anatomical position. Pronation of the foot is a compound movement that combines abduction, eversion, and dorsiflexion. Regarding ...
These three muscles act as flexors at the elbow joint. [5] The extensor carpi radialis brevis and longus are both weak flexors at the elbow joint. Brevis moves the arm from ulnar abduction to its mid-position and flexes dorsally. Longus is a weak pronator in the flexed arm and a supinator in the outstretched arm.
Pronator teres syndrome is one cause of wrist pain. It is a type of neurogenic pain. Patients with the pronator teres syndrome have numbness in median nerve distribution with repetitive pronation/supination of the forearm, not flexion and extension of the elbow
The supinator consists of two planes of fibers, between which passes the deep branch of the radial nerve.The two planes arise in common—the superficial one originating as tendons and the deeper by muscular fibers [2] —from the supinator crest of the ulna, the lateral epicondyle of the humerus, the radial collateral ligament, and the annular radial ligament.
The pain worsens when a person moves their wrist with force. This pain intensifies because the extensor carpi ulnaris has an injury near the elbow area and as a person moves their arm, the muscle contracts, thus causing it to move over the medial epicondyle of the humerus. As a result, this causes irritation to the already existing injury.
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