Anatomy: Muscles of the Upper Limb Flashcards
Which nerve supplies brachialis?
Musculocutanous nerve
Name the actions of palmaris longus
Flexion at the wrist
Name the extrinsic muscles of the shoulder
Trapezius, latissimus dorsi, levator scapulae, rhomboid major, rhomboid minor
Which nerve supplies triceps brachii?
Radial nerve
Name the muscle indicated by the arrow

Extensor carpi ulnaris
Which nerves supply the lumbricals?
Medial nerve (lateral 2), deep branch of ulnar nerve (medial 2)
Name the distal attachment of extensor carpi radialis longus
Dorsal aspect of base of 2nd metacarpal
Name the muscle indicated by the arrow

Extensor indicis
Name the actions of abductor pollicis brevis
Abducts the thumb, helps opposition of the thumb
Name the distal attachment of the dorsal interossei
Extensor expansions and proximal phalanx of each finger
Name the distal attachment of brachialis
Ulnar tuberosity
Which nerve supplies flexor pollicis longus?
Median nerve (anterior interosseous branch)
Which nerve supplies pronator teres?
Median nerve
Name the muscle indicated by the arrow

Abductor digiti minimi
Which nerve supplies abductor pollicis brevis?
Recurrent branch of median nerve
Name the proximal attachment of rhomboid minor
Spinous processes of C7-T1 vertebrae
Name the distal attachment of flexor carpi ulnaris
Pisiform carpal bone (metacarpals on ulnar side)
Name the distal attachment of abductor pollicis brevis
Lateral side of base of proximal phalynx of thumb
Which nerve supplies supinator?
Radial nerve (deep branch)
Name the actions of extensor carpi radialis longus
Extends and abducts the hand at the wrist joint; active during clenching
Name the muscle indicated by the arrow

Flexor pollicis brevis
Name the distal attachment of triceps brachii
The heads converge to form the triceps tendon and insert into the olecranon process of the ulna
Name the proximal attachment of teres minor
Posterior surface of the scapula, adjacent to its lateral border
Name the proximal attachment of extensor indicis
Posterior surface of distal 1/3 of ulna and interosseous membrane
Name the actions of flexor digitorum superficialis
Flexes the metacarpophalangeal joints and proximal interphalangeal joints at the 4 fingers, and flexes at the wrist
Which nerve supplies rhomboid major?
Dorsal scapular nerve
Which nerve supplies trapezius?
CN XI (accessory nerve)
Name the distal attachment of extensor pollicis longus
Dorsal aspect of base of distal phalynx of thumb
Which nerve supplies levator scapulae?
Dorsal scapular nerve
Name the proximal attachment of subscapularis
Subscapular fossa on the costal surface of the scapula
Which nerve supplies abductor digiti minimi?
Deep branch of ulnar nerve
Which nerve supplies all of the muscles of the anterior forearm except for the flexor carpi ulnaris and the medial part of flexor digitorum profundus?
Median nerve
Name the proximal attachment of flexor digitorum superficialis
Medial epicondyle of humerus, coronoid process of ulna and radial head
Name the muscle indicated by the arrow

Extensor carpi radialis brevis
Name the muscle indicated by the arrow

Flexor digitorum profundus
Name the actions of the middle fibres of trapezius
Retract the scapula
Name the muscle indicated by the arrow

Extensor digiti minimi
Name the distal attachment of levator scapulae
Medial border of the scapula
Name the actions of extensor digitorum
Extends medial four fingers at the MCP and IP joints
Name the deep hypothenar muscle
Opponens digiti minimi
Which nerve supplies opponens pollicis?
Recurrent branch of median nerve
Which nerve supplies deltoid?
Axillary nerve
Which nerve supplies flexor carpi radialis?
Median nerve
Which nerve supplies biceps brachii?
Musculocutanous nerve
Name the muscle of the posterior upper arm
Triceps brachii
Name the actions of rhomboid major
Retraction of the scapula and inferior rotation of glenoid fossa
Name the proximal attachment of supinator
Lateral epicondyle of humerus, radial collateral and annular ligaments, supinator fossa, crest of ulna
Name the distal attachment of flexor pollicis brevis
Lateral side of base of proximal phalynx of thumb
Name the distal attachment of deltoid
Deltoid tuberosity of the humerus
Name the muscle indicated by the arrow

Subscapularis
Name the distal attachment of brachioradialis
Lateral surface of distal end of the radius, just before the radial styloid process
Name the muscle indicated by the arrow

Teres major
Which nerve supplies extensor carpi ulnaris?
Radial nerve (deep branch)
Which nerve supplies flexor digitorum superficialis
Median nerve
Name the muscle indicated by the arrow

Infraspinatus
Name the distal attachment of abductor digiti minimi
Medial side of base of proximal phalanx of 5th digit
Name the distal attachment of extensor indicis
Extensor expansion of 2nd digit
Which nerve supplies all of the deep extrinsic muscles of the shoulder?
Dorsal scapular nerve
Name the proximal attachment of pronator teres
Two origins, one from the medial epicondyle, and the other from the coronoid process of the ulna
What is the flexor retinaculum?
Thickening of the antebrachial fascia of the anterior forearm that arches over the carpal bones, covering them and forming the carpal tunnel

Name the deep muscle of the thenar eminence
Opponens pollicis
What are the actions of the superficial muscles of the posterior forearm?
Responsible for extension, abduction and adduction of the wrist, and extension of the fingers (apart from brachioradialis)
Name the actions of extensor indicis
Extends the index finger, helps extend hand at wrist
Name the muscle indicated by the arrow

Supraspinatus
Name the muscle indicated by the arrow

Flexor carpi radialis
Movement of biceps brachii within the intertubercular groove of the humerus can cause what pathology?
Biceps tendonitis
Name the proximal attachment of extensor digiti minimi
Lateral epicondyle of humerus (common extensor origin)
Name the distal attachment of the palmar interossei
Bases of proximal phalanges, extensor expansion and proximal phalanx of same finger
Which nerve supplies subscapularis?
Upper and lower subscapular nerves
What causes ‘painful arc syndrome’?
Impingement of supraspinatus tendon between the humerus and the acromion process
Name the distal attachment of pronator quadratus
Anterior surface of the radius
Name the proximal attachment of the long head of triceps brachii
Infraglenoid tubercle of the scapula
Name the superficial muscles of the thenar eminence
Abductor pollicis brevis, flexor pollicis brevis
Name the actions of the palmar interossei
Adducts the fingers at the MCP joint
Name the actions of latissimus dorsi
Extends, adducts, and medially rotates the upper limb
Name the distal attachment of rhomboid minor
Medial border of the scapula
Name the distal attachment of the lumbricals
Extensor expansion of the same digit
Name the proximal attachment of infraspinatus
Infraspinatus fossa of the scapula
Name the structure that separates cracobrachialis from the triceps
Medial intermuscular septae
Name the muscles indicated by the arrow

Palmar interssei
Name the proximal attachment of the lateral head of triceps brachii
Humerus (superior to radial groove)
Name the proximal attachment of the medial head of triceps brachii
Humerus (inferior to radial groove)
Name the muscle indicated by the arrow

Supinator
Name the distal attachment of extensor digiti minimi
Extensor expansions of 5th digit
Name the proximal attachment of abductor pollicis brevis
Flexor retinaculum and tubercles of scaphoid and trapezium
Name the proximal attachment of latissimus dorsi
Spinous processes of T7-T12, iliac crest, thoracolumbar fascia and the inferior 3 ribs
Name the muscle indicated by the arrow

Extensor pollicis longus
Name the muscle indicated by the arrow

Trapezius
Which nerve supplies teres major?
Lower subscapular nerve
Name the actions of flexor carpi radialis
Flexion and abduction at the wrist
How many lumbricals are there?
4 - 1 for each finger
Name the muscle indicated by the arrow

Flexor digiti minimi
Which nerve supplies palmaris longus?
Median nerve
Name the muscle indicated by the arrow

Latissimus dorsi
Which nerve supplies extensor carpi radialis brevis?
Radial nerve (deep branch)
Name the intermediate muscles of the anterior compartment of the forearm
Flexor digitorum superficialis
Which nerve supplies the dorsal interossei?
Deep branch of ulnar nerve
Name the actions of abductor pollicis longus
Abducts the thumb and extends it at CMC joint
Name the actions of opponens pollicis
Opposes the thumb
Name the proximal attachment of deltoid
Lateral 1/3 of the clavicle, the acromion, and the spine of the scapula
Name the muscle indicated by the arrow

Infraspinatus
Name the actions of coracobrachialis
Flexion of the arm at the shoulder, weak adduction
Name the muscles of the upper arm
Biceps brachii, coracobrachialis, brachialis, triceps brachii
Name the superficial muscles of the anterior compartment of the forearm
Palmaris longus, pronator teres, flexor carpi radialis, flexor carpi ulnaris
Name the muscle indicated by the arrow

Rhomboid major
Name the actions of brachialis
Flexion at the elbow
Which nerve supplies flexor carpi ulnaris and the medial part of flexor digitorum profundus?
Ulnar nerve
Which nerve supplies flexor carpi ulnaris?
Flexion and adduction at the wrist
Name the rotator cuff muscles
Supraspinatus, infraspinatus, teres minor, subscapularis
Name the muscle indicated by the arrow

Deltoid
Name the distal attachment of supraspinatus
Greater tubercle of the humerus
Name the distal attachment of palmaris longus
Palmar aponeurosis
Name the distal attachment of extensor digitorum
Extensor expansions of medial 4 digits
Name the distal attachment of teres minor
Greater tubercle of the humerus
Name the proximal attachment of flexor pollicis brevis
Flexor retinaculum and tubercles of scaphoid and trapezium
Name the muscle indicated by the arrow

Levator scapulae
Name the distal attachment of extensor carpi radialis brevis
Dorsal aspect of base of 3rd metacarpal
Which arteries supply the posterior upper arm?
Profunda brachii artery and ulnar collateral artery
Name the muscles pictured in the diagram

Dorsal interossei
Name the actions of the dorsal interossei
Abducts the fingers at the MCP joint
Name the muscle indicated by the arrow

Brachialis
Name the actions of triceps brachii
Weak extension of the arm at the shoulder joint, and extension of the forearm at the elbow, resists dislocation of the humerus, especially during adduction
Name the distal attachment of teres major
Medial lip of the intertubecular groove of the humerus
Name the actions of flexor pollicis longus
Flexes the interphalangeal joint and metacarpophalangeal joint of the thumb
Name the proximal attachment of the palmar interossei
Medial or lateral surface of a metacarpal
Which vein drains the anterior compartment of the upper arm?
Brachial vein
Name the actions of extensor carpi radialis brevis
Extends and abducts the hand at the wrist joint
Which nerve supplies brachioradialis?
Radial nerve
Name the actions of supinator
Supinates the forearm, rotates radius to turn palm anteriorly or superiorly (if elbow is flexed)
Name the actions of teres minor
Stabilises head of humerus in glenoid, laterally rotates the arm
Name the actions of the lumbricals
Flex the MCP and extend the PIP joints
Pain felt in the area of the medial epicondyle (‘golfer’s elbow’) can be a result of tendonitis of which tendon?
Common flexor tendon
Which nerve supplies all of the muscles of the posterior forearm?
Radial nerve
Name the distal attachment of flexor digitorum profundus
Splits into four tendons at the wrist that pass through the carpal tunnel and attach to the distal phalanges of the four fingers
Name the muscle indicated by the arrow

Opponens pollicis
Which nerve supplies infraspinatus?
Suprascapular nerve
Name the distal attachment of rhomboid major
Medial border of the scapula
Which artery supplies the posterior compartment of the forearm?
Posterior interosseous artery (branch of the ulnar artery)
Name the muscle indicated by the arrow

Flexor carpi ulnaris
Name the muscle indicated by the arrows

Flexor digitorum superficialis
Name the distal attachment of latissimus dorsi
Fibres converge into a tendon that attaches to the intertubular sulcus of the humerus
Name the distal attachment of extensor pollicis brevis
Dorsal aspect of base of distal phalynx of thumb
Name the muscles indicated by the arrow

Lumbricals
Name the deep muscles of the posterior forearm
Supinator, abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus, extensor indicis
Which artery supplies the anterior compartment of the upper arm?
Brachial artery
Name the proximal attachment of flexor carpi radialis
Medial epicondyle
Name the distal attachment of supinator
Lateral, posterior, and anterior surfaces of proximal third of radius
Name the proximal attachment of brachialis
Medial and lateral surfaces of the humeral shaft
Name the muscle indicated by the arrow

Subscapularis
Which nerve supplies coracobrachialis?
Musculocutanous nerve
Name the intrinsic muscles of the shoulder
Deltoid, teres major, rotator cuff muscles (supraspinatus, infraspinatus, teres minor, subscapularis)
Name the actions of teres major
Adducts and extends the shoulder, and medially rotates the arm
Name the proximal attachment of extensor pollicis longus
Posterior surface of middle 1/3 of ulna and interosseous membrane
Which nerve supplies extensor digitorum?
Radial nerve (deep branch)
Name the muscle indicated by the arrow

Extensor pollicis brevis
Name the muscle indicated by the arrow

Extensor digitorum
Name the muscle indicated by the arrow

Rhomboid minor
Which nerve supplies teres minor?
Axillary nerve
Name the actions of abductor digiti minimi
Abducts the 5th digit; assists in flexion of its proximal phalanx
Name the proximal attachment of opponens digiti minimi
Hook of hamate and flexor retinaculum
Name the muscle indicated by the arrow

Teres minor
Name the distal attachment of flexor carpi radialis
Base of metacarpals II and III (metacarpals on the radial side)
Name the actions of infraspinatus
Stabilises head of humerus in glenoid, laterally rotates the arm
Name the actions of flexor digiti minimi
Flexes proximal phalanx of 5th digit
Which nerve supplies all of the muscles in the anterior arm?
Musculocutanous nerve
Name the proximal attachment of the short head of biceps brachii
Coracoid process of the scapula
Name the muscle indicated by the arrow

Opponens digiti minimi
Name the superficial hypothenar muscles
Abductor digiti minimi, flexor digiti minimi
Name the distal attachment of opponens digiti minimi
Medial border of 5th metacarpal
Name the proximal attachment of levator scapulae
Transverse processes of the C1-C4 vertebrae
Name the proximal attachment of teres major
Inferior angle of the scapula
Name the proximal attachment of abductor digiti minimi
Pisiform
Name the proximal attachment of flexor digiti minimi
Hook of hamate and flexor retinaculum
Which nerve supplies rhomboid minor?
Dorsal scapular nerve
Name the actions of the upper fibres of trapezius
Elevate the scapula and rotates it during abduction of the arm
Which nerve supplies extensor pollicis longus?
Radial nerve (posterior interosseous branch)
Which nerve supplies extensor indicis?
Radial nerve (posterior interosseous branch)
Name the actions of brachioradialis
Flexion of the semi-promated forarm
Name the action of pronator teres
Pronation of the forearm
Name the actions of opponens digiti minimi
Draws 5th metacarpal anterior and rotates it, bringing 5th digit into opposition with thumb
Name the muscles of the anterior upper arm
Biceps brachii, coracobrachialis, brachialis
Name the proximal attachment of trapezius
The skull, nuchal ligament and the spinous processes of C7-T12
Name the distal attachment of flexor digiti minimi
Medial side of base of proximal phalanx of 5th digit
What travels within the radial groove?
The profunda brachii artery and the radial nerve
Name the actions of flexor pollicis brevis
Flexes the first MCP joint of the thumb
Name the shared origin of the superficial flexor muscles of the forearm
Common flexor tendon which attaches to the medial epicondyle of the humerus
Which nerve supplies latissimus dorsi?
Thoracodorsal nerve
Which nerve supplies flexor digiti minimi?
Deep branch of ulnar nerve
Name the muscle indicated by the arrow

Pronator teres
Which nerve supplies supraspinatus?
Suprascapular nerve
Name the proximal attachment of extensor digitorum
Lateral epicondyle of humerus (common extensor origin)
How would you elicit the biceps deep tendon reflex?
Place examiners thumb on the biceps tendon (within the cubital fossa) and then strike briskly the thumb with a tendon hammer
Name the actions of subscapularis
Stabilises head of humerus in glenoid, medially rotates the arm (principle internal rotator)
Name the distal attachment of extensor carpi ulnaris
Dorsal aspect of base of 5th metacarpal
Name the proximal attachment of brachioradialis
2/3rds of supracondylar ridge of humerus
Name the distal attachment of subscapularis
Lesser tubercle of the humerus
Name the superficial muscles of the posterior forearm
Brachioradialis, extensor carpi radialis longus, extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi, extensor carpi ulnas
Which nerves supply flexor digitorum profundus?
Medial half innervated by ulnar nerve, lateral half innervated by anterior interosseous branch of the median nerve
Name the muscle indicated by the arrow

Teres minor
Which nerve supplies the palmar interossei?
Deep branch of ulnar nerve
Name the actions of rhomboid minor
Retraction of the scapula and inferior rotation of glenoid fossa
Name the actions of extensor pollicis longus
Extends all joints of the thumb - CMC, MCP, IPJ
Which nerve supplies opponens digiti minimi?
Deep branch of ulnar nerve
Name the proximal attachment of abductor pollicis longus
Posterior surface of proximal halves of ulna, radius and interosseous membrane
Name the proximal attachment of opponens pollicis
Flexor retinaculum and tubercles of scaphoid and trapezium
Name the proximal attachment of extensor pollicis brevis
Posterior surface of distal 1/3 of radius and interosseous membrane
Name the shared origin of the superficial extensor muscles of the forearm
Common extensor tendon which attaches to the lateral epicondyle of the humerus
Name the proximal attachment of pronator quadratus
Anterior surface of the ulna
Which nerve supplies extensor carpi radialis longus?
Radial nerve
Name the actions of levator scapulae
Elevation of the scapula and inferior rotation of gleniod fossa
Name the muscle indicated by the arrow

Brachioradialis
Why is it important that the muscle fibres of the rotator cuff muscles are oriented horizontally or obliquely?
Means the muscles hold the head of the humerus in the glenoid fossa of the scapula in all positions of the joint
Name the deep muscles of the anterior compartment of the forearm
Flexor digitorum profundus, flexor pollicis longus, pronator quadratus
Name the actions of the middle fibres of deltoid
Major abductor of the arm (taking over from supraspinatus beyond 15°)
Name the actions of supraspinatus
Stabilises head of humerus in glenoid, abducts arm 0-15°
Name the proximal attachment of flexor carpi ulnaris
Medial epicondyle with the other superficial flexors, also has a long origin from the ulna
Name the proximal attachment of the lumbricals
Tendons of flexor digitorum profundus
Name the distal attachment of infraspinatus
Greater tubercle of the humerus
Name the proximal attachment of extensor carpi radialis brevis
Lateral epicondyle of humerus (common extensor origin)
Name the actions of extensor pollicis brevis
Extends at the MCP and CMC joints of the thumb
Why can the thenar eminence be affected by carpal tunnel syndrome?
Innervated by the median nerve
Name the actions of the lower fibres of trapezius
Pull scapula inferiorly
Name the muscle indicated by the arrow

Coracobrachialis
Name the actions of flexor digitorum profundus
Flexes the distal interphalangeal joints of the fingers, also flexes at metacarpophalangeal joints and at the wrist
Which nerve supplies flexor pollicis brevis?
Recurrent branch of median nerve
Name the proximal attachment of flexor digitorum profundus
Ulna and associated interosseous membrane
Name the distal attachment of flexor digitorum superficialis
Splits into four tendons at the wrist, which travel through the carpal tunnel, and attaches to the middle phalanges of the four fingers
Name the distal attachment of coracobrachialis
Medial side of the humeral shaft
Name the distal attachment of trapezius
The clavicle, acromion, and the scapula spine
Which nerve supplies extensor digiti minimi?
Radial nerve (deep branch)
Name the proximal attachment of extensor carpi ulnaris
Lateral epicondyle of humerus (common extensor origin)
Name the actions of extensor digiti minim
Extends the little finger and MCP and IP joints
Name the actions of flexor carpi ulnaris
Ulnar nerve
Name the distal attachment of abductor pollicis longus
Dorsal aspect of base of 1st metacarpal
Which nerve supplies abductor pollicis longus?
Radial nerve (posterior interosseous branch)
Name the muscle indicated by the arrow

Pronator quadratus
Name the muscle indicated by the arrows

Triceps brachii
Name the muscle indicated by the arrow

Extensor carpi radialis longus
Name the actions of pronator quadratus
Pronates the forearm
Name the distal attachment of opponens pollicis
Lateral side of 1st metacarpal
Which vein drains the posterior upper arm?
Profunda brachii vein
Name the actions of biceps brachii
Supination of the forearm, flexion of the arm at the elbow and at the shoulder
Name the proximal attachment of coracobrachialis
Coracoid process of the scapula
Name the distal attachment of pronator teres
Mid-shaft of the radius
Name the muscle indicated by the arrow

Abductor pollicis longus
Which nerve supplies pronator quadratus?
Median nerve (anterior interosseous branch)
Name the muscle indicated by the arrow

Palmaris longus
Name the muscle indicated by the arrow

Supraspinatus
Name the superficial extrinsic muscles of the shoulder
Trapezius, latissimus dorsi
Name the proximal attachment of rhomboid major
Spinous processes of T2-T5 vertebrae
Which fingers does the lateral half of flexor digitorum profundus act on?
Middle and index fingers
Name the proximal attachment of flexor pollicis longus
Anterior surface of the radius and surrounding interosseous membrane
Name the proximal attachment of extensor carpi radialis longus
Lateral supracondylar ridge of humerus
Name the proximal attachment of the dorsal interossei
Lateral and medial surfaces of metacarpals
Name the proximal attachment of palmaris longus
Medial epicondyle
Pain felt in the area of the lateral epicondyle (‘tennis elbow’) can be a result of tendonitis of which tendon?
Common extensor tendon
Name the actions of the posterior fibres of deltoid
Extension and lateral rotation at shoulder
Which fingers does the medial half of flexor digitorum profundus act on?
Little and ring fingers
Name the distal attachment of flexor pollicis longus
Base of the distal phalanx of the thumb
Name the actions of extensor carpi ulnaris
Extension and adduction of hand at wrist joint (also active during fist clenching)
Name the muscle indicated by the arrow

Flexor pollicis longus
What is the extensor reticulum?
Thickened part of the antebrachial fascia that holds the tendons of the extensor muscles in place. as they cross the wrist

Name the muscle indicated by the arrow

Abductor pollicis brevis
Which nerve supplies extensor pollicis brevis?
Radial nerve (posterior interosseous branch)
Name the actions of the anterior fibres of deltoid
Flexion and medial rotation at shoulder
Name the proximal attachment of the long head of biceps brachii
Supraglenoid tubercle of the scapula
Name the deep extrinsic muscles of the shoulder
Levator scapulae, rhomboid major, rhomboid minor
Name the muscle indicated by the arrows

Biceps brachii
Name the proximal attachment of supraspinatus
Supraspinatus fossa of the scapula