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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.
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; Early fatigue of the forearm muscles is seen with repetitive stressful motion, especially pronation; EMG may show only mildly reduced conduction velocities
Pronation is a normal, desirable, and necessary component of the gait cycle. [4] Pronation is the first half of the stance phase, whereas supination starts the propulsive phase as the heel begins to lift off the ground. [5] An illustration of pronation and supination of the foot from an anatomy textbook
In the forearm, this action is performed by pronator quadratus and pronator teres muscle. 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.
In anatomy, pronation is a rotational movement of the forearm (at the radioulnar joint) or foot (at the subtalar and talocalcaneonavicular joints). Pronation of the foot refers to how the body distributes weight as it cycles through the gait. During the gait cycle the foot can pronate in many different ways based on rearfoot and forefoot function.
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 biceps is a particularly powerful supinator of the forearm due to the distal attachment of the muscle at the radial tuberosity, on the opposite side of the bone from the supinator muscle. When flexed, the biceps effectively pulls the radius back into its neutral supinated position in concert with the supinator muscle. [14]: 346–347
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.