Quantitative Characterization of Cadaveric Pronator Muscles Using 3D Modeling

Abstract

The pronator muscles of the upper limb, pronator teres (PT) and pronator quadratus (PQ), work together to rotate the radius around the ulna along an axis parallel to the central bands of the interosseous membrane while stabilizing the involved joints. Anatomical variations that affect the rotational efficiency of the PT have been described. Previously, we have described an aberrant PQ with a possible flexor function, and also defined 4 types of anatomical variations in PQ, based on the number of bellies present, and whether it occurred unilaterally or bilaterally, suggesting that PQ is more variable than appreciated. The PT typically has 2 distinct heads of origin (ulnar and humeral) and inserts onto the lateral radius. However, several anatomical variations have been reported, including the number of heads, locations of origin and insertion points, anomalous fiber orientations, and the presence of fibrous bridges and/or arches. In the current study, we sought to determine if there are patterns of anatomical variations in the PT, and whether any such variations occurred in relationship to those of the PQ. Sixteen forearms from 8 embalmed cadavers (4F,4M ages 64–93, mean 82) were dissected, and the PT and PQ muscles observed for muscle shape, fascicle orientation, and attachment points. PT and PQ heads was described, and PT tendon length, width, and distance from the radial head and styloid process measured. Our data revealed that the PT existed as only a single muscle head (humeral), bilaterally, in 25% of the cadavers examined, while exhibiting the traditional two muscle heads (humeral, ulnar) bilaterally in 75% of cadavers. Interestingly, the PT variant with a single humeral head occurred in conjunction with Type II PQ muscles bilaterally (i.e., the presence of 2 muscle bellies). Of the six cadavers with both humeral and ulnar heads of PT, 33.3% had an occurred with Type I PQ (1 head, bilateral), 33.3% with Type II PQ (2 heads, unilateral), and 33.3% with Type III PQ (2–3 heads, bilaterally). Our data suggests that there may be a relationship between the patterns of anatomical variations between PT and PQ muscles, which may provide new insight into the biomechanical relationship between these 2 muscles. The inclusion of additional cadaveric specimens, as well as quantitative comparisons between PT and PQ muscles, including cross sectional area, volume, and line of action, will help to elucidate the potential relationship between PT and PQ muscles.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.