Anatomy · Upper Limb Nerves, Brachial Plexus and Lesions

At which anatomical site is the posterior interosseous nerve most commonly entrapped?

  • A Cubital tunnel beneath the arcuate ligament
  • B Fibrous proximal edge of the supinator muscle (arcade of Frohse)
  • C Between the two heads of flexor carpi ulnaris
  • D Radial groove of the humerus
Correct answer: B. Fibrous proximal edge of the supinator muscle (arcade of Frohse)

Explanation

After winding around the lateral neck of the radius, the posterior interosseous nerve enters supinator through the arcade of Frohse, a fibrous arch on the superficial head of supinator, and this is the commonest entrapment site. The radial groove, the tempting distractor, is a site of radial nerve injury in humeral shaft fractures, but that involves the main trunk before the PIN is given off.

Reference: Gray's Anatomy for Students, 4th ed.

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