Muscle Breakdown: Pronator Quadratus

Table of Contents

    What Is the Pronator Quadratus Muscle

    The Pronator Quadratus is a small yet mighty muscle that helps us to perform many functions in everyday life! For instance, when we turn our wrists down to type or write, it is the Pronator Quadratus that is being activated. We can remember the shape of the Pronator Quadratus muscle because of a helpful hint right in its name, the Pronator Quadratus is a quadrilateral muscle and is thin and flat.

    Where Is the Pronator Quadratus

    The Pronator Quadratus belongs to the deep group of forearm flexors. This muscle is located in the anterior forearm, just above the wrist where you can see your arteries and veins. Since the Pronator Quadratus is a deep muscle, this means that there are other muscles in the forearm that lie on top of it.

    These muscles can be referred to as the superficial forearm flexors, which consist of the Pronator Teres, Flexor Carpi Radialis, Flexor Carpi Ulnaris, Palmaris Longus and Flexor Digitorum Superficialis.

    Pronator Quadratus Origin

    The Pronator Quadratus originates from the distal anterior surface of the Ulna.

    Pronator Quadratus Insertion

    The Pronator Quadratus inserts into the distal anterior surface of the Radius.

    Pronator Quadratus Innervation

    The Anterior Interosseous Nerve provides innervation to the Pronator Quadratus.

    Pronator Quadratus Nerve

    The Anterior Interosseous Nerve innervates the Pronator Quadratus. The Anterior Interosseous Nerve is a branch of the Median Nerve.

    Pronator Quadratus Function

    The primary function of the Pronator Quadratus is to produce pronation of the forearm. Pronation occurs when the palm is turned downwards to face the floor. A secondary function of the Pronator Quadratus is to bind the Ulna and the Radius together, especially during weight bearing activities. This provides protection to the distal radioulnar joint.

    Pronator Quadratus Action

    There are many actions that require pronation! Some of these movements include,

    1. Throwing a ball

    2. Shooting a basketball

    3. Turning a screwdriver

    4. Painting

    5. Turning a key

    6. Eating

    Pronator Quadratus Injury

    There are many ways to injure the Pronator Quadratus. In fact, it can be as simple as lifting a heavy bag when the arm is too far away from the body. Most injuries to the Pronator Quadratus are a result of overextending the muscle. Treatment of Pronator Quadratus injuries is generally conservative, consisting of the use of a wrist splint, ice, rest and anti-inflammatory. 

    Pronator Quadratus Pain

    The Pronator Quadratus has a few referred pain patterns. This means that pain can manifest itself in other areas of the forearm than where the muscle is located. It has been found that Pronator Quadratus pain can spread down the medial forearm up to the medial epicondyle and down to the fifth digit of the hand. In some cases, the pain can spread to the third and fourth digits.

    Pronator Quadratus Exercises

    To increase strength in the Pronator Quadratus, begin in a seated position where your forearm is supported. Hold a weighted object in the active hand such as a dumbbell or hammer. Slowly begin to move the wrist through supination and pronation. This will help to strengthen the muscles that are involved in both pronation and supination. Remember to go through this movement slowly!

    Pronator Quadratus Stretch

    We can stretch the Pronator Quadratus by resting the forearm on a table. Your palm will be facing upwards. Using your free hand to grasp the thumb from below and slowly rotate the wrist outwards until you can feel tension. Hold for 5-10 seconds and repeat.


    Stephanie Zaban (R. Kin & MPK)

    Stephanie graduated from the University of Western Ontario with an Honours Specialization BA in Kinesiology. In addition, she accomplished a Master of Professional Kinesiology, (MPK) from the University of Toronto.

    Stephanie Zaban is a Registered Kinesiologist from the College of Kinesiologists of Ontario.

    https://www.yourhousefitness.com/personal-trainers/stephanie-zaban
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    Muscle Breakdown: Supinator