Anterior interosseous nerve
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The anterior interosseous nerve (volar interosseous nerve) is a
branch of the median nerve that supplies the deep muscles on the
anterior of the forearm, except the ulnar (medial) half of the flexor
digitorum profundus. Its nerve roots come from C8 and T1.
Anterior interosseous nerve
Nerves of the left upper extremity. (Volar
interosseus labeled at center right.)
Deep palmar nerves. (Volar interosseous
labeled at center top.)
Details
From Median nerve
Identifiers
Latin nervus interosseus antebrachii
anterior
TA A14.2.03.034
FMA 44822
Anatomical terms of neuroanatomy
[edit on Wikidata]
It accompanies the anterior interosseous artery along the anterior of
the interosseous membrane of the forearm, in the interval between
the flexor pollicis longus and flexor digitorum profundus, supplying the
whole of the former and (most commonly) the radial half of the latter, and
ending below in the pronator quadratus and wrist joint.
Many texts, for simplicity's sake, consider this nerve part of the median
nerve.
Note that the median nerve supplies all flexor muscles of the forearm
except for the ulnar half of flexor digitorum profundus and the flexor carpi
ulnaris, which is a superficial muscle of the forearm.
InnervationEdit
The anterior interosseous nerve classically innervates 2.5 muscles:
which are deep muscles of the forearm
flexor pollicis longus
pronator quadratus
the radial (lateral) half of flexor digitorum profundus (inserting on the
second and third digits)
and the inferior radioulnar, wrist and carpal joints.
InjuryEdit
A branch of the median nerve, the anterior interosseous nerve (AIN) can
be affected by either direct penetrating injury or compression in a fashion
similar to carpal tunnel syndrome. The compression neuropathy is
referred to an Anterior Interosseous Syndrome. As might be expected, the
symptoms involve weakness in the muscle innervated by the AIN
including the flexor digitorum profundus muscle to the index (and
sometimes the middle) finger, the flexor pollicis longus muscle to the
thumb and the pronator quadratus of the distal forearm. As opposed to
carpal tunnel syndrome, the AIN has no sensory fibers and therefore no
numbness associated with the Anterior Interosseous Syndrome. Non-
surgical treatment consists of splinting, proximal tissue massage and anti-
inflammatory drugs. Surgical treatment consists of releasing the
compression on the nerve from surrounding structures. Pronator
Syndrome is similar, but involves both the AIN as well as the median
nerve proper.