Anatomy - Upper Limb Muscles Flashcards
Kind of joint is sterno-clavicular
Synovial saddle
Kind of joint is acromioclavicular
Synovial plane
Deltoid - attachment
Origin - lateral third of clavicle, acromion and spine of scapula
Insertion - deltoid tuberosity on humerus
Deltoid - innervation
Axillary nerve
Deltoid
Anterior - flexion and medial rotation
Posterior - extension and lateral rotation
Middle - abduction
Teres major - attachments
Origin - posterior surface of inferior angle of scapula
Insertion - intertubercular groove of hymerus
Teres major - innervation
Lower subscapular nerve
Teres major - action
Adducts and extends shoulder
Medially rotates arm
What are the 4 rotary cuff muscles
Supraspinatus
Infraspinatus
Subscapularis
Teres minor
Supraspinatus - attachments
Origin - supraspinous fossa of scapula
Insertion - greater tubercle of humerus
Supraspinatus - innervation
Suprscapular nerve
Supraspinatus - actions
Abduction
Infraspinatus - attachments
Origin - infraspinous fossas
Insertion - greater tubercle of humerus
Infraspinatus - innervation
Suprascapular nerve
Infraspinatus - actions
Laterally rotates arm
Subscapularis - attachments
Origin - subscapular fossa
Insertion - lesser tubercle of humerus
Subscapularis - innervation
Upper and lower subscapular nerves
Subscapularis - actions
Medially rotates arm
Teres minor - attachments
Origin - posterior surface of scapula
Insertion - greater tubercle of humerus
Teres minor- innervation
Axillary nerve
Teres minor - actions
Laterally rotates arm
Trapezius - attachments
Origin - skull, spinous processes C7-T12
Insertion - clavicle, acromion and scapula spine
Trapezius - innervation
Accessory nerve
Trapezius - actions
Upper - elevates scapula
Middle - retracts scapula
Lower - depresses scapula
Latissimus dorsi - attachments
Origin - spinous processes T6-T12, thoracolumbar fascia, iliac crest and inferior 3 ribs
Insertion - intertubucular sulcus of humerus
Latissimus dorsi - innervation
Thoracodorsal nerve
Latissimus dorsi - actions
Extends, adducts and medially roates upper limb
Levator scapulae - attachments
Origin - transverse processes of C1-C4
Insertion - medial border of scapula
Levator scapulae - innervation
Dorsal scapular nerve
Levator scapulae - actions
Elevates scapula
Rhomboideus major - attachments
Origin - spinous processes T2-T5
Insertion - medial border of scapula
Rhomboideus major - innervation
Dorsal scapular nerve
Rhomboideus major - actions
Retracts and roates scapula
Rhomboideus minor - attachments
Origin - spinous processes of C7-T1
Insertion - medial border of scapula
Rhomboideus minor - innervation
Dorsal scapular nerve
Rhomboideus minor - actions
Retracts and rotates scapula
Bicep brachii - attachments
Long head origin - supraglenoid tubercle of scapula
Short head origin - coracoid process
Insertion of both - radial tuberosity and fascia of forearm via bicipital aponeurosis
Bicep brachii - innervation
Musculocutaneous nerve
Bicep brachii - actions
Supination of forearm
Flexion of shoulder
Flexion of elbow
Coracobrachialis - attachments
Origin - coracoid process of scapula
Insertion - medial side of humeral shaft
Coracobrachialis - innervation
Musculocutaneous nerve
Coracobrachialis - actions
Flexion of shoulder
Brachialis - attachments
Origin - medial and lateral humeral shaft
Insertion - ulnar tuberosity
Brachialis - innervation
Musculocutaneous nerve, with contribution from radial
Brachialis - actions
Flexion of elbow
Tricep brachi - attachments
Long head origin - infraglenoid tubercle
Lateral head origin - humerus superior to radial groove
Medial head origin - humerus, inferior to radial groove
Insertion - olecranon of ulna
Tricep brachii - innervation
Radial nerve
Tricep brachii - action
Extension of arm at elbw
Flexor carpi ulnaris - attachments
Origin - medial epicondyle
Insertion - pisiform carpal bone
Flexor carpi ulnaris - innervation
Ulnar nerve
Flexor carpi ulnaris - actions
Flexion and adduction of wrist
Palmaris longus - attachments
Origin - medial epicondyle
Insertion - flexor retinaculum of wrist
Palmaris longus - innervation
Median nerve
Palmaris longus - actions
Flexion of wrist
Flexor carpi radialis - attachments
Origin - medial epicondyle
Insertion - base of metacarpals II and III
Flexor carpi radialis - innervation
Median nerve
Flexor carpi radialis - actions
Flexion and abduction at wrist
Pronator teres - attachements
Origin - medial epicondyle and coronoid process of ulna
Insertion - mid shaft of radius
Pronator teres - innervation
Median nerve
Pronator teres - actions
Pronator of forearm
Flexor digitorum superficialis - attachments
Origin - medial epicondyle of humerus and from radius
Insertion - 4 tendons travel through carpal tunnel to middle phalanges of fingers
Flexor digitorum superficialis - innervation
Median nerve
Flexor digitorum superficialis - actions
Flexes metecarpophalangeal, proximal interphalangeal and wrist joints
Flexor digitorum profundus - attachments
Origin - ulnar and associated interosseous membrane
Insertion - splits into 4 tendons at wrist and attaches to distal phalanges of 4 fingers
Flexor digitorum profundus - innervation
Medial half (acts on little and ring fingers) by ulnar
Lateral half (middle and index fingers) by anterior interosseous branch of median nerve
Flexor digitorum profundus - actions
Flexion of distal interphalangeal joints, metacarpophalangeal joints and wrist
Flexor pollicis longus - attachments
Origin - anterior surface radius
Insertion - distal phalanx of thumb
Flexor pollicis longus - innervation
Median nerve (anterior interosseous branch)
Flexor pollicis longus - actions
Flexion of interphalangeal joint and metacarpophalangeal joint of thumb
Pronator quadratus - attachment
Origin - anterior surface of ulna
Insertion - anterior surface of radius
Pronator quadratus - innervation
Median nerve (anterior interosseous branch)
Pronator quadratus - actions
Pronation of forearm
Brachioradialis - attachments
Origin - proximal aspect of lateral supracondyler ridge of humerus
Insertion - distal end of radius just before styloid process
Brachioradialis - innervation
Radial nerve
Brachioradialis - actions
Flexion of elbow
Extensor carpi radialis longus and brevis - attachments
ECRL origin - supracondylar ridge
ECRB - lateral epicondyle
Insertion - metacarpal bones II and III
Extensor carpi radialis longus and brevis - innervation
Radial nerve
Extensor carpi radialis longus and brevis - actions
Extends and abducts wrist
Extebsir digitorum communis - attachments
Origin - lateral epicondyle
Insertion - splits into 4 tendons, inserts into extensor hood each finger
Extensor digitorum communis - innervation
Radial nerve (deep branch)
Extensor digitorum communis - actions
Extends medial 4 fingers at MCP and IP joints
Extensor digiti minimi - attachments
Origin - lateral epicondyle of humerus
Insertion - with the extensor digitorum tendon into extensor hood of little finger
Extensor digiti minimi - innervation
Radial nerve (deep branch)
Extensor digiti minimi - actions
Extension of little finger, contributes to extension of wrist
Extensor carpi ulnaris - attachments
Origin - lateral epicondyle
Insertion - base of metacarpal V
Extensor carpi ulnaris - innervation
Radial nerve (deep branch)
Extensor carpi ulnaris - actions
Extension and adduction of wrist
Anconeus - attachments
Origin - lateral epicondyle
Insertion - olecranon
Anconeus - innervation
Radial nerve
Anconeus - actions
Extension of elbow
Abducts the ulna during pronation of forearm
Supinator - attachments
Origin - lateral epicondyle of humerus, posteiror surface of ulna
Insertion - posterior surface of radius
Supinator - action
Supination of forearm
Supinator - innervation
Radial nerve (deep branch)
Abductor pollicis longus - attachments
Origin - interosseous membrane and adjacent surfaces of ulna and radius
Insertion - lateral side of metacarpal I
Abductor pollicis longus - innervation
Radial nerve (posterior interosseous branch)
Abductor pollicis longus - actions
Abduction of thumb
Extensor pollicis brevis - attachments
Origin - posterior surface of radius
Insertion - proximal phalanx of thumb
Extensor pollicis brevis - innervation
Radial nerve (posterior interosseous branch)
Extensor pollicis brevis - actions
Extension of MCP and CMC joints of thumb
Extensor pollicis longus - attachments
Origin - posterior surface of ulna
Insertion - distal phalanx of thumb
Extensor pollicis longus - innervation
Radial nerve (posterior interosseous branch)
Extensor pollicis longus - actions
Extends all joints of thumb
What are the thenar muscles?
Opponens pollicis
Abductor pollicis brevis
Flexor pollicis brevis
Opponents pollicis - actions
Opposes the thumb by medially rotating and flexing the metacarpal on trapezium
Opponens pollicis - innervation
Median nerve
Abductor pollicis brevis - innervation
Median nerve
Abductor pollicis brevis - actions
Abducts thumb
Flexor pollicis brevis - innervation
Median nerve, deep head by ulnar nerve
Flexor pollicis brevis - actions
Flexion of MCP of thumb
What are the hypothenar muscles?
Opponens digiti minimi
Abductor digiti minimi
Flexor digiti minimi
Opponens digiti minimi - innervation
Ulnar nerve
Opponens digiti minimi - actions
Opposition of little finger by roating metacarpal of little finger towards palm
Abductor digiti minimi - innervation
Ulnar nerve
Abductor digiti minimi - actions
Abduction of little finger
Flexor digiti minimi brevis - innervation
Ulnar nerve
Flexor digiti minimi brevis - actions
Flexes the MCP joint of little finger
Lumbricals - attachment
Origin - tendon of flexor digitorum profundus
Insertion - pass dorsally and laterally around each finger and insert onto extensor hood
Lumbricals action - flexion of MCP joint and extension of IP joint of each digit
Lumbricals - innervation
Lateral (index and middle finger) - median nerve
Medial - (ring and little finger) - ulnar nerve
Dorsal interossei - innervation
Ulnar nerve
Dorsal interossei - action
Abduction of fingers at MCP joint
Palmar interossei - innervation
Ulnar nerve
Palmar interossei - actions
Adduction of fingers at MCP joint
Palmaris brevis - innervation
Ulnar nerve
Palmaris brevis - actions
Wrinkles skin of hypothenar eminence to improve grip
Adductor pollicis - innervation
Ulnar nerve
Adductor pollicis - actions
Adductor of thumb