The radial head of FDS arises from the anterior radius and supplies the index and middle finger FDS slips. Its separate AIN innervation makes it the component tested in anterior interosseous nerve palsy assessment.
| Origin | Anterior oblique line of the radius (proximal third) |
|---|---|
| Insertion | Middle phalanges of index and middle fingers predominantly |
| Nerve Supply | Median nerve — AIN branch to the radial head (C7, C8, T1) |
| Blood Supply | Ulnar artery |
| Actions | Flexes the PIP joints of index and middle fingers; Assists wrist flexion |
|---|
AIN palsy denervates the radial head, producing weakness of middle and index PIP flexion. The AIN branch arises proximal to the humero-ulnar head, making radial head innervation the key localising finding in AIN syndrome.
Tested by isolated PIP flexion of index or middle finger with other fingers held in full extension.
AIN compression producing weakness of FDS radial head with impaired index and middle PIP flexion, managed conservatively or by decompression.
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