anatomy of upper limb Flashcards

1
Q

What are the biceps muscles?

A

Long head and short head

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2
Q

What is the action, origin, insertion and innervation or the biceps muscles?

A

A: flexion / supination of the forearm
O: Long head = supraglenoid fossa
Short head = coracoid process
I: radial tuberosity
N: C5-C6 musculocutaneous nerve

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3
Q

What are the triceps muscles?

A

Long head
Lateral head
Medial head

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4
Q

What are the actions of the triceps muscles?

A

Long head: extension + abduction of glenohumeral joint

Lateral and medial for extension forearm

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5
Q

What are the origins, insertions and innervations of the triceps?

A

Origin:
Long head: infraglenoid tubercle
Lateral and medial head: posterior surface humerus and groove radial nerve

I: Common olecranon tendon

N: C6-C8 radial nerve

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6
Q

What is the action, origin insertion and innervation of corachobrachialis?

A

A: Shoulder flexion and transverse adduction
O: Coracoid process
I: medial aspect humerus (mid third)
N: C5-C7 musculocutaneous nerve

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7
Q

Which muscles create flexion of glenohumeral joint / shoulder flexion?

A

Biceps brachialis
Coracobrachialis
Anterior deltoids
Pec major

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8
Q

What is the action, origin, insertion and innervation of brachioradialis?

A

A: elbow flexion
O: lateral supracondylar ridge humerus
I: lateral distal radius
N: radial nerve (C5-C6)

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9
Q

What is the action, origin, insertion and innervation of supinator?

A

A: 90 degree elbow supination
O: lateral epicondyle of humerus
supinator crest and supinator fossa
I: Lateral posterior aspects of the proximal 1/3 radius
N: posterior interosseus nerve (C7 / C8)

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10
Q

What is the action, origin, insertion and innervation of pronator teres?

A

A: pronation proximal radioulnar joint and forearm flexion
O: medial supracondylar ridge humerus and medial aspect ulna coronoid process
I: Middle 1/3 of anterior radius onto tendon
N: medial nerve (C6/C7)

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11
Q

What is the action, origin, insertion and innervation of extensor carpi ulnaris

A

A: wrist extension and ulnar deviation
O: common extensor tendon
I: base metacarpal V
N: posterior interosseus nerve (radial nerve C7/C8)

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12
Q

What is the action, origin, insertion and innervation of flexor carpi ulnaris?

A

Flexes wrist and ulnar deviation
O: flexor tendon
I: metacarpal V (+ pisiform and hamate)
N: ulnar nerve (C7-T1)`

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13
Q

What is the action, origin, insertion and innervation of extensor carpi radialis longus?

A

A: wrist extension and radial deviation
O: common extensor tendon
I: base metacarpal II
N: radial nerve (C5-C8)

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14
Q

What is the action, origin, insertion and innervation of flexor carpi radialis?

A

A: flexes wrist and radial deviates
O: flexor tendon
I: base meta carpal II (radial side)
N: median nerve (C6/C7)

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15
Q

What is the action, origin, insertion and innervation of extensor digitorum

A

A: extends fingers
O: common extensor tendon
I: dorsal digital expansion, extensor hood
N: posterior interosseous (radial nerve C7/C8)

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16
Q

What is the action, origin, insertion and innervation of flexor digitorum superficialis

A

A flexes fingers (not distal phalanges)
O: common flexor tendon (medial epicondyle)
I: middle phalanges fingers
N: median nerve (C8+T1)

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17
Q

What is the action, origin, insertion and innervation of flexor pollicis brevis

A

thumb flexor
O: sup head = flexor retinaculum, tubercle trapezium
deep head = trapezoid and capitate bones
I: lat aspect base of proximal phalanx I
N: median nerve and ulnar nerve (sup and deep heads)

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18
Q

What is the action, origin, insertion and innervation of extensor pollicis brevis?

A

A: extends thumb
O: posterior surface distal 1/3 radius and interosseus membrane
I: proximal phallanx
N: posterior interosseus membrane
C7 + C8

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19
Q

What is the action, origin, insertion and innervation of flexor digiti minimi

A

A: little finger flexor
O: hook of hamate, flexor retinaculum
I: base of phalanx of digit V
N: ulnar nerve C8-T1

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20
Q

What is the action, origin, insertion and innervation of brachialis

A

A: elbow flexor
O: anterior aspect of distal 1/2 of humerus
I: coronoid process of ulna tuberosity
N: musculocutaneous nerve (C5-C7)

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21
Q

What is the action, origin, insertion and innervation of teres major

A

A: adduction GH joint, medial + lateral rotation
O: posterior aspect anterior angle scapula
I: crest lesser tuberosity
N: lower subscapular nerve (C5-C7)

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22
Q

What is the action, origin, insertion and innervation of teres minor

A

Transverse abduction, lateral rotation - part of rotator cuff
O: posterior aspect scapular (superior 1/2)
I: greater tuberosity
N: axillary nerve C5 + C6

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23
Q

What is the action, origin, insertion and innervation of the rhomboids

A

A: scapular retraction
O: Minor: nuchal ligament + C7-T1
Major: Spine T2-T5
I: medial border scapular adjacent to spine
N: dorsal scapular C5

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24
Q

What is the action, origin, insertion and innervation of the pectoralis major?

A

A: shoulder depression (drags down) and arm adduction, internal rotation, flexion shoulder
O: anterior aspect clavicle, external costal head, manubrium, body sternum, costal cartilage, true ribs, external aponeurosis
I: crest of greater tubercle humerus
N: lateral pectoral nerve and medial pectoral nerve C5-T1

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25
What is the action, origin, insertion and innervation of pectoralis minor
A: retraction scapular and shoulder depression O: anterior end 3rd - 5th ribs I: coracoid process N: medial pectoralis nerve C8-T1
26
What is the action, origin, insertion and innervation of serratus anterior?
A: protraction scapula O: 1st-9th ribs I: medial scapula border N: long thoracic nerve (C5-C7)
27
What is the action, origin, insertion and innervation of supraspinatus?
A: a rotator cuff shoulder abduction + stabilisation in fossa O: supraspinatus fossa I: greater tuberosity humerus N: Subclavian nerve and suprascapular nerve C5 + C6
28
What is the action, origin, insertion and innervation of infraspinatus?
A: lateral rotation and horizontal abduction shoulder (rotator cuff) O: infraspinatus fossa I: greater tuberosity N: Subclavian nerve and suprascapular nerve C5 + C6
29
What is the action, origin, insertion and innervation of anterior deltoids?
A: transverse shoulder adduction, shoulder flexion, medial rotation O: last 1/3 clavicle I: humeral tuberosity N: axillary nerve C5 + C6
30
What is the action, origin, insertion and innervation of middle deltoid?
A: abduction of glenohumeral joint O: acromion scapula I: deltoid tuberosity of humerus N: axillary nerve C5 + C6
31
What is the action, origin, insertion and innervation of posterior deltoid?
A: transverse abduction, ext glenohumeral O: spine of scapula I: deltoid tubercle N: axillary nerve C5 + C6
32
What is the action, origin, insertion and innervation of latissimus dorsi?
A: adduction of GH joint, arm extension, internal shoulder rotation O: L1-L5, T7-T12, ribs 9-12, inferior angle scapula I: intertubercular sulcus of humerus N: Middle subscapular nerve (C5-T1)
33
What is the action, origin, insertion and innervation of subscapularis?
A: medial rotator - rotator cuff O: subscapular fossa - crosses in front of GHJ I: lesser tuberosity N: upper subscapular nerve and lower subscapular (C5 - T1)
34
What is the action, origin, insertion and innervation of descending trapezius?
A: shoulder elevation and retraction scapula and clavicle O: occipital bone (eternal portuburence and nuchal ligament) I: posterior aspect of the clavicle and acromium N: accessory nerve
34
What is the action, origin, insertion and innervation of the transverse trapezius fibres
A; retraction, adduction scapular with clavicle and shoulder elevation O: spinal prosthesis C7-T4 I: Acromium of scapula and 1/2 spine of scapula N: anterior of spinal nerve C3-C4
35
What is the action, origin, insertion and innervation of ascending trapezius?
A: retraction and depression scapula / shoulder O: spinal T5-T12 I: radial 1/2 of spine scapula N: anterior rami of spinal nerve C3-C4
36
What is the action, origin, insertion and innervation of levator scapulae
A: assists with scapula elevation O: transverse prosthesis I: superior angle of scapula N: anterior rami of C3 and C4 + dorsal scapular nerve C3
37
What is the action, origin, insertion and innervation of subclavius
A: stabilises GHJ O: costal end 1st rib and 1st costal cartilage I: inferior of scapula onto subclavian groove N: subclavian nerve (C5+C6)
38
What are the components of the shoulder girdle?
Scapula Clavicle Sternum
39
What are the joints of the shoulder?
Sternoclavicular joint (SCJ) Acromioclavicular joint (ACJ) Glenohumeral joint (GJ / GHJ) As well as the scapulothoracic articulation and subacromial articulation
40
Which muscles how to create shoulder elevation from the scapula?
Descending and transverse trapezius Levator scapula
41
Which muscles help to retract the scapula?
All trapezius muscles Latissimus dorsi Rhomboid major Rhomboid minor
42
Which muscles create shoulder / scapula depression?
ascending trapezius, transverse trapezius, pectoralis minor, pectoralis major, latissimus dorsi
43
Which muscles protract the scapula?
Pectoralis minor Serratus anterior
44
Which muscles allow upward scapula rotation?
Upper trapezius Serratus anterior Lower trapezius
45
Which muscles create downward scapula rotation?
Levator scapula Rhomboid Pectoralis minor
46
What boney landmarks are around the glenoid fossa?
infraglenoid tuberosity / tubercle Supraglenoid tuberosity
47
What landmarks are on the humerus?
Greater tuberosity Lesser tuberosity Neck of humerus Middle of humerus groove for lateral nerve
48
What are bony landmarks around the elbow?
Radial tuberosity Olecranon
49
Which muscles create GJ abduction?
Supraspinatus Middle portion of deltoid Can abduct to 120 degree
50
Which muscles create GJ adduction?
Latissimus dorsi Pectoralis major Teres major
51
Which muscles create horizontal adduction
anterior portion deltoid coracobracialis
52
Which muscles create horizontal abduction?
posterior deltoid teres minor
53
Which muscles create GHJ flexion?
Anterior deltoid Pectoralis major Biceps Coracobrachialis
54
Which muscles create GJ extension?
Latissimus dorsi Posterior deltoid Triceps
55
Which muscles create internal rotation of the GHJ?
Latissimus dorsi Teres major Subscapularis Pectoralis major Anterior deltoid
56
Which muscles create external rotation of the GHJ?
Teres minor Infraspinatus Posterior deltoid
57
Which muscles create elbow flexion?
Biceps bracchi Brachialis Brachioradialis
58
Which muscles create elbow extension?
Triceps Anconeus
59
Which muscles create pronation?
Pronator quadratus Pronator teres
60
Which muscles create supination?
Biceps brachii Supinator
61
What are the deep forearm flexors?
Flexor pollicis longus Flexor digitorum profundus
62
What are the intermediate forearm flexors?
Flexor digitorum superficialis
63
What are the superficial forearm flexors?
Flexor carpi radialis Flexor carpi ulnaris palmaris longus
64
What are the superficial forearm extensors?
Extensor carpi radialis longus Extensor carpi radialis brevis Extensor digitorum Extensor digiti minimi extensor carpi ulnaris
65
What are the deep forearm extensors?
Extensor indicis Extensor pollicis longus Extensor pollicis brevis Abductor pollicis longus
66
What are the lumbricals?
Link flexor and extensor tendons of hands Creates shapes Straight fingers with flexion