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Updated: Aug 8, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
Moment arms of forearm rotators
Anne K Bremer1, Gontran R Sennwald, Philippe Favre
1Laboratory for Orthopaedic Research, Department of Orthopaedics, Balgrist, University of Zurich, Forchstrasse 340, 8008 Zurich, Switzerland.
Forearm supinator muscles peak in moment arm between 40-50 degrees pronation, varying with elbow flexion. Pronators peak near neutral, with brachioradialis aiding return to neutral.
Area of Science:
- Biomechanics
- Human Anatomy
- Musculoskeletal System
Background:
- Forearm rotation has been studied for over a century.
- Previous research often focused on limited muscles and specific positions.
- This study investigates forearm rotator muscles across the full range of motion and elbow angles.
Purpose of the Study:
- To determine the moment arms of muscles contributing to forearm pronation and supination.
- To analyze these moment arms at three different elbow flexion angles.
- To examine muscle function throughout the entire range of forearm rotation.
Main Methods:
- Derived muscle moment arms from tendon excursions using a radioulnar complex epoxy model.
- Validated findings on a fresh cadaver specimen.
- Measured moment arms across various elbow flexion angles and forearm rotation positions.
Main Results:
- Supinator muscles showed peak moment arms between 40-50 degrees pronation, influenced by elbow position.
- The biceps brachii demonstrated the greatest dependency on elbow flexion for its moment arm.
- Pronator muscles achieved maximum moment arm near the neutral position, with minimal dependence on elbow flexion.
- Brachioradialis facilitated movement towards the neutral forearm position.
Conclusions:
- Findings are valuable for planning rotator muscle transplantation and understanding functional deficits.
- Provides insights into physical therapy for forearm rotator muscle deficiencies.
- Reconstruction of anatomical arrangements is recommended for functional restoration after injury.
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