The Pronator Teres Reflex Unknown and Underrated

Author(s):  
Randall L. Braddom
Keyword(s):  
Author(s):  
Łukasz Olewnik ◽  
Bartłomiej Szewczyk ◽  
Nicol Zielinska ◽  
Dariusz Grzelecki ◽  
Michał Polguj

AbstractThe coexistence of different muscular-neurovascular variations is of significant clinical importance. A male cadaver, 76 years old at death, was subjected to routine anatomical dissection; the procedure was performed for research and teaching purposes at the Department of Anatomical Dissection and Donation, Medical University of Lodz. The right forearm and hand were dissected using standard techniques according to a strictly specified protocol. The presence accessory head of the flexor pollicis longus may potentially compress the anterior interosseous nerve. The present case report describes a rare variant of the ulnar head of the pronator teres, characterized by two independent bands (i.e., two proximal attachments). The main band originates from the coronoid process and the second originates from the tendon of the biceps brachii. This type of attachment could potentially affect the compression of the ulnar artery running between the two bands. Additionally, the accessory head of the flexor pollicis longus was observed, which started on the medial epicondyle; its coexistence with a high division median nerve creates a potential pressure site on the anterior interesosseous nerve.


2004 ◽  
Vol 29 (3) ◽  
pp. 257-262 ◽  
Author(s):  
H. E. J. VEEGER ◽  
M. KREULEN ◽  
M. J. C. SMEULDERS

We simulated pronator teres rerouting using a three-dimensional biomechanical model of the arm. Simulations comprised the evaluation of changes in muscle length and the moment arm of pronator teres with changes in forearm axial rotation and elbow flexion. The rerouting of Pronator Teres was simulated by defining a path for it through the interosseous membrane with re-attachment to its original insertion. However the effect of moving the insertion to new positions, 2 cm below and above, the original position was also assessed. The effect on total internal rotation and external rotation capacity was determined by calculating the potential moments for pronator teres, supinator, pronator quadratus, biceps brachii and brachioradialis. Pronator teres was found to be a weak internal rotator in extreme pronation, but a strong internal rotator in neutral rotation and in supination. After rerouting pronator teres was only a strong external rotator in full pronation and not at other forearm positions, where the effect of rerouting was comparable to a release procedure.


2016 ◽  
Vol 14 (1) ◽  
pp. 49-50
Author(s):  
Vivek Sathe ◽  
Rishi Pokhrel

During dissection in middle-aged male cadaver, an aberrant radial artery was noticed in the left arm. The artery was taking origin from the upper part of the brachial artery i.e. at a point when axillary artery leaves the axilla and becomes brachial artery.Course of the aberrant vessel was studied in the arm and the forearm. In the upper part of arm the vessel took origin on the lateral side of brachial plexus trunks and traveled to the lateral region of the cubital fossa travelling lateral to the biceps brachii and deep to skin, superficial and deep fascia. In the lower part of the arm i.e. just above the cubital fossa, aberrant vessel was lateral and entered the forearm deep to the pronator teres. Throughout its course the vessel laid superficial to forearm muscles, it was covered by the skin superficial and deep fascia. At the wrist its position was normal i.e. against anterior border of the radius.


2015 ◽  
Vol 35 (3) ◽  
pp. 97
Author(s):  
Chandni Gupta ◽  
KantharajNaik Seva ◽  
SnehaGuruprasad Kalthur ◽  
AntonySylvan D′souza

Pain medicine ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 44-51
Author(s):  
Oleksandr Lemeshov ◽  
Iurii Chyrka

Relevance. Tunnel neuropathy – a damage of the peripheral nervous system that are common and range from 8 to 52 % of all diseases of the nervous system. Objective. To show the main features of the diagnosis and treatment of various tunnel neuropathy.Materials and Methods. Considerable experience of effective surgical treatment of tunnel neuropathies. 481 operations were performed during 2014–2019. The experience is described and structured.Results. The most common tunnel neuropathy of the upper extremity: carpal tunnel syndrome, pronator teres syndrome, cubital tunnel syndrome, Guyon's canal syndrome, radial neuropathy, thoracic outlet syndrome. Lower extremity: tarsal tunnel syndrome, Bernhardt – Roth syndrome, neuropathy of the peroneal nerve and its superficial branch. From 6.7 % to 78 % of patients with tunnel neuropathies, double crush syndrome occurs – nerve compression at two levels, which is more common in patients with diabetes mellitus. Such diseases are diagnosed clinically and instrumentally – electromyography, ultrasound, MRI. All the above pathologies are effectively treated surgically, which aims at decompression of the affected nerve. An important factor in complex treatment is early rehabilitation and physiotherapy procedures.Conclusions. Tunnel neuropathy is a common pathology that is effectively treated surgically. Diseases should be timely diagnosed to prevent severe and irreversible changes.


2013 ◽  
Author(s):  
Joachim Feger ◽  
Saeed Hosn
Keyword(s):  

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