Supinator

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Supinator
Supinator.gif
System: Muscle
Function: Supination of the forearm
Origin: Supinator crest and supinator fossa of the ulna, lateral epicondyle of humerus, radial collateral ligament of the elbow, annular ligament
Branches:
Insertion: Anterior, lateral and posterior surfaces of neck and shaft of radius
Arterial supply:
Venous drainage:
Lymphatic drainage:
Innervation: Posterior interosseous nerve (C5, C6)
Vertebral levels:
Search for Supinator in Gray's.

Supinator is a broad muscle that acts as the major supinator of the forearm.

Contents

Shape

Supinator is broad and curves deeply around the proximal third of the radius. It consists of two heads, which form two sheets of fibres with different origins and insertions. The posterior interosseous nerve lies between the two heads.

Humeral (superficial) head

Originating from tendinous fibres from the lateral epicondyle of the humerus, radial collateral ligament and annular ligament, the superficial humeral head of supinator surrounds the upper part of the radius, inserting into the lateral edge of the radial tuberosity and oblique line of the radius, as far distal as the insertion of pronator teres.

Ulnar (deep) head

Originating from muscular attachments to the supinator crest and supinator fossa of the ulna, the deep ulnar head of supinator form a 'sling' around the neck of radius above the tuberosity, attaching to the posteromedial surface and inserting into the posterior and lateral surfaces of radius.

Actions

Joints Affected

Origin

Humeral head:

Ulnar head:

  • Supinator fossa of ulna
  • Supinator crest of ulna

Insertion

Humeral head:

  • Lateral edge of radial tuberosity
  • Oblique line of radius
  • Anterior neck and shaft of radius

Ulnar head:

  • Lateral and medial neck and shaft of radius

Nerve Supply

Relations

Clinical Relevance

Variations

  • The two heads are not always distinguishable at origin or insertion, often arising from or inserting into the same areas. The feature of two layers of fibres remains largely constant.
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