Anatomy Flashcards
Name 5 ligaments which stabilise the glenohumeral joint
- Transverse humeral ligament
- Coracohumeral ligament
- Superior glenohumeral ligament
- Middle glenohumeral ligament
- Inferior glenohumeral ligament
Name 3 ligaments which support the sternoclavicular joint
- Interclavicular ligament
- Anterior sternoclavicular ligament
- Costoclavicular ligament
Name 2 ligaments which support the acromioclavicular joint
- Acromioclavicular ligament
2. Coracoclavicular ligament (made of conoid ligament and trapezoid ligament)
Describe the walls of the axilla
Anterior: Pectoris major and pectoris minor, clavipectoral fascia
Lateral: intertubular sulcus
Medial: Thoracic wall, serrates anterior
Posterior: Subscapularis, latissmus dorsi, teres minor
Floor: armpit skin
Describe trapezius
Origin: superior nuchal line, ligamentum nuchae, C7-C12
Insertion: Spine of scapula, accordion, lateral 1/3 of clavicle
Actions:
superior 1/3rd –> scapula elevation
middle 1/3rd –> scapula retraction
inferior 1/3rd –> scapula depression
Describe Deltoid
Origin: Spine of scapula, lateral acromion and lateral 1/3rd of clavicle
Insertion: deltoid tuberosity of humerus
Actions:
anterior 1/3rd –> medial rotation, shoulder flexion
middle 1/3rd –> abduction
posterior 1/3rd –> adduction, lateral rotation
Innervation: axillary nerve
Describe levator scapulae
Origin: transverse processes of C1-C4
Insertion: Posterior medial border of scapula
Action: scapula elevation
Innervation: branches of anterior rami and dorsal scapula nerve
Describe Rhomboid major
Origin: Spinous process of T2-T5
Insertion: Medial border of scapula
Action: scapula elevation and retraction
Innervation: dorsal scapula nerve
Describe Rhomboid minor
Origin: Spinous process of C7-T1
Insertion: Medial border of scapula
Action: scapula elevation and retraction
Innervation: dorsal scapula nerve
Describe latissimus dorsi
Origin: Spinous processes of T6-L5, lower 3/4 ribs
Insertion: Intertubercular sulcus
Action: Adduction, medial rotation and extension
Innervation: Thoracodorsal nerve
Describe teres major
Origin: posterior surface of inferior angle of the scapula
Insertion: Intertubercular sulcus
Action: Medial rotation and extension
Innervation: Lower sub scapular nerve
Which 4 muscles make up the rotator cuff?
Teres minor
Supraspinatus
Infraspinatus
Subscapularis
Which muscle tendon is involved in impingement syndrome?
Supraspinatus
Describe supraspinatus
Origin: Supraspinatus fossa
Insertion: Greater tubercle of humerus
Action: Initiation of 15o of abduction
Innervation: Suprascapular nerve
Describe infraspinatus
Origin: Infraspinatus fossa
Insertion: Greater tubercle of humerus
Action: External rotation
Innervation: Suprascapular nerve
Describe teres minor
Origin: Posterior surface of scapula, just next to the lateral border
Insertion: Posterior surface of greater tubercle of humerus
Action: External rotation
Innervation: Axillary nerve
Which 2 muscles are innervated by the axillary nerve?
1) Deltoid
2) Teres minor
Name 3 muscles which insert on to the greater tubercle of the humerus
1) Supraspinatus
2) Infraspinatus
3) Teres minor (posterior side)
Describe subscapularis
Origin: Subscapular fossa
Insertion: Lesser tubercle of humerus
Action: Internal rotation
Innervation: Subscapular nerve
Describe triceps brachii
Origin:
long head: infraglenoid tubercle of the scapula
other heads: posterior humerus
Insertion: olecranon process of ulna
Action: Elbow extension, shoulder adduction and extension
Innervation: Radial nerve
Describe biceps brachii
Origin:
long head: supraglenoid tubercles
short head: tip of coronoid process
Insertion: radial tuberosity
Action: elbox flexion, supination, shoulder flexion
Innervation: musculocutaenous nerve
What injury is commonly associated with a fracture of the surgical neck of the humerus?
Axillary nerve damage
Which injury commonly causes axillary nerve damage?
Fracture of the surgical neck of the humerus
What clinical sign is associated with radial nerve damage?
Wrist drop
Which clinical sign is associated with ulnar nerve damage?
Ulnar claw
Which nerve is in association with the radial/spiral groove of the humerus?
Radial nerve
Which nerve is in association with the medial epicondyle of the humerus?
Ulnar nerve
When does the subclavian artery become the axillary artery?
The lateral border of the 1st rib
When does the axillary artery become the brachial artery?
Inferior border of teres minor
When does the brachial artery divide into the radial and ulnar artery?
Radial neck
Describe coracobrachialis
Origin: Apex of coronoid process
Insertion: medial humerus
Action: Shoulder flexion and adduction
Innervation: Musculocutaenous nerve
Describe brachialis
Origin: Anterior humerus
Insertion: Ulnar tuberosity
Action: Elbow flexion
Innervation: Musculocutaenous nerve
Descibre Pectoralis major
Origin:
Clavicular head: medial half of clavicle
Sternocostal head: sternum, first 7 costal cartilages, sternal end of 6th rib
Insertion: Intertubercular sulcus of humerus
Action: Shoulder flexion, adduction, medial rotation
Innervation: medial and lateral pectoral nerves
Describe pectoralis minor
Origin: Ribs 3-5
Insertion: Coronoid process
Action: Scapula protraction, pulls tip of shoulder down
Innervation: medial pectoral nerve
Describe subclavius
Origin: Rib 1
Insertion: Inferior surface of clavicle
Action: Pulls shoulder down and pulls clavicle medially
Innervation: Subclavius nerve
Describe serratus anterior
Origin: Lateral surface of ribs 1-9
Insertion: Costal surface of medial surface of scapula
Actions: Scapula protraction and retraction
Innervation: Long thoracic nerve
Name 4 structures which stabilise the elbow joint
- Joint capsule
- Radial collateral ligament
- Ulnar collateral ligament
- Annular ligament
Name 3 muscles which insert at the intertubercular sulcus of the humerus?
- Latissimus dorsi
- Teres major
- Pectoralis major
Name the 3 trunks of the brachial plexus
Superior
Middle
Inferior
Name the 3 cords of the brachial plexus
Lateral
Middle
Medial
Describe pronator teres
Origin: medial epicondyle of humerus
Insertion: Midshaft radius
Action: Pronation
Innervation: Median nerve
Describe flexor carpi radialis
Origin: medial epicondyle of humerus
Insertion: Base of metacarpal 2 and 3
Action: Flexion and abduction
Innervation: Median nerve
Describe palmaris longus
Origin: Medial epicondyle of humerus
Insertion: Palmar aponeurosis
Describe flexor carpi ulnaris
Origin:
1) medial epicondyle of humerus
2) Olecranon and posterior border of ulna
Action: Flexion and abduction
Innervation: Ulnar nerve
Name 5 muscles which originate at the medial epicondyle of the humerus?
1) Pronator teres
2) Flexor carpi radialis
3) Palmaris longus
4) Flexor capri ulnaris
5) Flexor digitorum superficialis
Which muscles in the anterior compartment of the forearm are NOT innervated by the median nerve?
1) Flexor carpi ulnaris –> ulnar nerve
Describe flexor digitorum superficialis
Origin:
1) Medial epicondyle
2) Ulnar coronoid process
3) Oblique line of radius
Insertion: Palmar surface, phalanges 2-5
Action: Flexion of elbow, first and fingers
Innervation: Median nerve
Describe flexor pollicus longus
Origin: Anterior surface of radius and interosseous membrane
Insertion: base of 1st phalanx
Action: Flexion of wrist and thumb
Innervation: Median nerve
Describe flexor digitorum profundus
Origin: Proximal 3/4 anterior and medial ulnar and interosseous membrane
Insertion: Palmar surface of distal phalanges 2-5
Action: Flexion of wrist and fingers
Innervation: Lateral 2 innervated by median nerve, medial 2 innervated by ulnar nerve
Describe pronator quadratus
Origin: anterior surface of distal ulnar
Insertion: Anterior surface of distal radius
Action: prontation
Innervation: median nerve
Describe brachioradialis
Origin: lateral supracondylar ridge of humerus
Insertion: Lateral aspect of distal radius
Action: Flexion in mid-pronation, pronation and supination
Innervation: Radial nerve
Describe extensor carpi radialis longus
Origin: lateral supracondylar ridge of humerus
Insertion: Base of 2nd metacarpal
Action: Extension and abduction
Innervation: radial nerve
Describe extensor carpi radialis brevis
Origin: lateral epicondyle of humerus
Insertion: Base of 3rd metacarpal
Innervation: radial nerve
Describe extensor digitorum
Origin: Lateral epicondyle of humerus
Insertion: Dorsal digital expansions of digits 2-5
Action: Extension of wrist and fingers
Innervation: radial nerve
Describe extensor carpi ulnaris
Origin: lateral epicondyle and posterior ulna
Insertion: Base of 5th metacarpal
Action: Extension and abduction
Innervation: radial nerve
Describe extensor digiti minimi
Origin: lateral epicondyle
Insertion: Dorsal digital expansion of digit 5
Action: extension of 5th finger
Innervation: radial nerve
Describe supinator
Origin: Lateral epicondyle and ulnar supinator crest
Insertion: Proximal 1/3rd radius
Action: supination
Innervation: Radial nerve
Describe abductor pollicus longus
Origin: Middle 1/3rd radius, ulna and interosseous membrane
Insertion: Base of 1st metacarpal
Action: Thumb abduction
Innervation: Radial nerve
Describe extensor pollicus longus
Origin: Middle 1/3rd ulnar and interosseous membrane
Insertion: Base of distal 1st phalanx
Action: Thumb extension
Innervation: Radial nerve
Describe extensor pollicus brevis
Origin: Distal 1/2 radius and interosseous membrane
Insertion: Base of proximal 1st phalanx
Action: thumb extension
Innervation: radial nerve
Describe extensor indices
Origin: Distal 1/2 of ulna and interosseous membrane
Insertion: Dorsal digital expansion of digit 2
Action: extension of 2nd MCPJ, PIP and DIP
Innervation: radial nerve
Name muscles which originate at the lateral epicondyle/supracondylar ridge of the humerus (5, 2)
Lateral epicondyle:
1) Extensor carpi radialis brevis
2) Extensor digitorum
3) Extensor carpi ulnaris
4) Extensor digit minimi
5) Supinator
Lateral supracondylar ridge
1) Brachioradialis
2) Extensor carpi radialis longus
Name 4 structures carried in the carpal tunnel
1) 4 tendons of flexor digitorum superficialis
2) 4 tendons of flexor digitorum proudness
3) Flexor pollicus longus
4) Median nerve
Name the borders of the anatomical snuffbox
Lateral:
1) Abductor pollicus longus
2) Extensor pollicus brevis
Medial:
3) Extensor pollicus longus
Name two important vessels which pass through the anatomical snuffbox
1) Radial artery
2) Cephalic vein