Arm Flashcards
2 joints of shoulder + 2 additional joints giving movement
- scapulothoracic ( pseudojoint)
- glenohumeral (true joint)
- sternoclavicular
- acromioclavicular
6 movements of scap-throacic joint
- elevate
- depress
- retract
- protract
- up rotation (glenoid)
- down rotation
Origin, insertion, action, nerve of serratus ant.
Origin- ribs 1-9
Insert - vertbral scapula
Action - protract and up rotate scapula
Nerve - long thoracic
Origin, insertion, action, nerve of pec major
Origin- sternal and clavicular heads
Insert - intertubecular groove of humerus
Action - adduct, med rotate, flex arm
Nerve - med and lateral pectoral
Origin, insertion, action, nerve of pec minor
Origin- ribs 3-5
Insert - coracoid process
Action - protract and down rotate scapula
Nerve - med pectoral
Origin, insertion, action, nerve of trapezius
Origin- occipital bone and spinous process of C7-T12
Insert - spine of scapula, clavicle and acromion
Action - elevate or depress (depends on fibers) retract scapula
Nerve - CN11
Origin, insertion, action, nerve of latisimus dorsi
Origin- spinous process of T7-L5, illiac crest
Insert - intertubecular groove of humerus
Action - adducts, extends, med. rotates arm
Nerve - throaco-dorsal
position of rhomboid major and minor
minor on top
Origin, insertion, action, nerve of rhomboids
Origin- spinous process of C7-T5
Insert - vertebral border of scapula
Action - elevate, retract, down rotate scapula
Nerve - dorsal scapular
Origin, insertion, action, nerve of levator scapula
Origin- trans process of C1-3
Insert - vert angle of scapula
Action - elevates scapula
Nerve - dorso-scapular
2 movements of sternoclavicular joint
glides ant-post and sup-inf
ligaments of sternoclavicular joint (3)
ant. and post. sternoclavicular
interclavicular
movement of acromioclavicular joint
allows full shoulder elevation
intrinsic and extrinisic ligaments of acromioclavicular joint
intrinsic - acromioclavicular
extrinsic - coracoclavicular
movement of glenohumeral
all directions - circumduction
feature deepening glenoid fossa
glenoid labrum
intrinsic ligaments of glenohumeral joint
sup., med., inf. glenohumeral
extrinsic ligaments of glenohumeral joint
coracoacromial, and coracoclavicular
5 muscles of rotator cuff
- supraspinatus
- infraspinatus
- teres minor
- subscapularis
- teres major
Origin, insertion, action, nerve of supraspinatus
Origin- supraspinous fossa
Insert - greater tuberosity
Action - abduction, lateral rotation
Nerve - suprascapular
Origin, insertion, action, nerve of infraspinatus
Origin- infraspinous fossa
Insert - greater tuberosity
Action - lateral rotation
Nerve - suprascapular
Origin, insertion, action, nerve of teres minor
Origin- lateral border of scapula
Insert - greater tuberosity
Action - lateral rotation
Nerve - axillary
Origin, insertion, action, nerve of subscapularis
Origin- subscapular fossa
Insert - lesser tuberosity
Action - medial rotation
Nerve - upper and lower subscapular
Origin, insertion, action, nerve of teres major
Origin- inf. scapula
Insert - intertuberosity groove
Action - extends, adducts, lateral rotates arm
Nerve - lower subscapular
Anterior rami of brachial plexus
C5-T1
Origin, insertion, action, nerve of deltoid
Origin- clavicle, spine of scapula
Insert - deltoid tuberosity
Action - abduction, flexion and extension
Nerve - axillary
Borders of axilla
medial: rib and serattus ant.
lat: intertubecular sulcus
ant: pec maj and min
post: scapula and muscles
Terminal branches of BPlex (5)
- median
- radial
- ulnar
- axillary
- musculocutaneous
3 BPlex cords
medial, lateral, post.
3 trunks of BPlex
sup., middle, inf
Motor innervation of musculocutaneous
ANT upper arm
Motor innervation of median nerve
Ant forearm (except FCU and 1/2 FDP), thumb, lat. half of lumbricals
Motor innervation of ulnar
!/2 FDP, hypothenar, thumb adductor, medial lumbricals
motor innervation of radial nerve
all post. muscles of upper and lower arm
motor innervation of axillary
teres min, deltoid
path of blood to arm
brachiocephalic>subclavian>axillary>brachial>radial or ulnar>palmar arches
3 parts of axillary
1 - subclavian to pec min
2 - under pec min
3 - pec min to teres maj
branches off axillary 1
superior thoracic
branches off axillary 2
thoracoacromial
branches off axillary 3
circumflex and supscapular
2 superficial veins and their sides
- cephalic - lat
2. basilic - med
type and movement of humero-ulnar joint
hinge joint - flex/extend
type and movement of radio-ulnar joint
pivot joint - allows supination
type and movement of humero-radial joint
no load- pivots around
carrying angle
angle b/w ulna and vert - more in women
3 ligaments of elbow and movement restricted
- medial collateral - valgus
- lateral collateral - varus
- anular - keeps radius in place
3 muscles of anterior arm
biceps, brachialis, coracobrachialis
Origin, insertion, action, nerve of biceps
Origin- long head - superior glenoid, short - coracoid
Insert - radial tuberosity
Action - flexion and supination of elbow, flex shoulder
Nerve - musculocutaneous
Origin, insertion, action, nerve of coracobrachialis
Origin- coracoid process
Insert - humerous
Action - shoulder flexion
Nerve - musculocutaneous
Origin, insertion, action, nerve of brachialis
Origin- humerous
Insert - ulna
Action - flexion of elbow
Nerve - musculocutaneous
muscles of post arm
triceps
Origin, insertion, action, nerve of triceps
Origin- inf. glenoid (long head) humerus (others)
Insert - ulna
Action - extension of elbow
Nerve - radial
borders of cubital fossa
sup: line b/w condyles
lat: pronator teres
med: brachioradialis
Content of cubital fossa lat to med
TAN- biceps tendon, brachial art., medial N
contact points of radius and ulna (2)
sup - radial head with radial notch of ulna
inf - ulnar head with ulnar notch of radius
6 hand joints
- distal interphlangeal
- proximal interphalangeal
- metacarpophalangeal
- carpometacarpal
- midcarpal
- radiocarpal
8 carpal bones
scaphoid, lunate, triquetrum, pisiform, hamate, capitate, trapezoid, trapezium
joint type of carpometacarpals and movement permitted
planar - gliding movements
joint type of interphalageal and movement permitted
hinge - flex/extend
joint type of metacarpophalangeal and movement permitted
condyloid - flex/extend, abd/add
reference line for finger abductiond
3rd finger
2 muscle compartments of forearm
- anterior - flexor/pronator
2. post. - ext./supinator
4 muscles of layer 1 of ant. compartment
- pronator teres
- flexor carpi radialis
- palmaris longus
- flexor carpi ulnaris
Origin, insertion, action, nerve of pronator teres
Origin- medial epicondyle
Insert - radius
Action - pronate
Nerve - median
Origin, insertion, action, nerve of flexor carpi radialis
Origin- medial epicondyle
Insert - 2nd metacarpal
Action - flex and abd hand
Nerve - median
Origin, insertion, action, nerve of palmaris longus
Origin- medial epicondyle
Insert - palmar fascia
Action - flex and add hand
Nerve - median
Origin, insertion, action, nerve of flexor carpi ulnaris
Origin- medial epicondyle
Insert - pisiform and hamate
Action - flex hand (weak)
Nerve - ulnar
Muscle of layer 2 of ant. forearm
flexor digitorum superficialis
Origin, insertion, action, nerve of flexor digitorum superficialis
Origin- medial epicondyle
Insert - 4 middle phalanges
Action - flex PIP and MCP flex wrist (weak)
Nerve - median
2 muscles of layer 3 of ant. forearm
- flexor digitorum profundus
2. flexor pollicus longus
Origin, insertion, action, nerve of flexor digitorum profundus
Origin- ulna
Insert - distal 2-5 phalanges
Action - flex DIP, flex wrist (weak)
Nerve - 1/2 median, 1/2 ulnar
Origin, insertion, action, nerve of flexor pollicus longus
Origin- radius
Insert - distal thumb
Action - flex thumb,
Nerve - median
muscle of layer 4 of ant. compartment
pronator quadratus
Origin, insertion, action, nerve of pronator quadratus
Origin- ulna
Insert - radius
Action - pronates
Nerve - median
2 arteries of forarm
- radial
2. ulnar>common interosseous
4 compartments of hand and function
- hypothenar - intrinsic muscles - controls little finger
- thenar - intrinsic muscles for thumb
- interossus - intrinsic muscles for fingers
- central - long tendons of fingers
content of carpal tunnel
4 FDS tendons
4 FDP tendons
1 FPL tendon
median nerve
thenar muscles (3)
- flexor pollicis brevis
- abductor pollicic brevis
- opponens pollicis
hypothenar muscles (3)
- flexor digiti minimi
- abductor digiti minimi
- opponens digiti minimi
2 ligaments of digital sheaths
- annular - cover tendons
2. cruciate - close joint spaces
Origin, insertion, action, nerve of lumbricals
Origin- FDP tendon
Insert - proximal phalages of 4 fingers
Action - flexes MCP and ext IPs
Nerve - lateral-median, medial-ulnar
2 interossei muscles and #
- palmar (3)
2. dorsal (4)
Origin, insertion, action, nerve of palmar interossus
Origin- metacarpal
Insert - phalanges
Action - adduct (PAD)
Nerve - ?
Origin, insertion, action, nerve of dorsal interossus
Origin- metacarpal
Insert - phalanges
Action - abduct (DAB)
Nerve - ?
Muscles of post. compartment from lateral epicondyle of humerous (6)
- brachioradialis
- extensor digitorum
- extensor digiti minimi
- ext. carpi ulnaris
- ext. carpi radialis longus
- ext. carpi radialis brevis
Origin, insertion, action, nerve of brachioradialis
Origin- lateral epicondyle of humerous
Insert - distal end of radius
Action - elbow flex in mid-pronation
Nerve - radial
Origin, insertion, action, nerve of extensor digitorum
Origin- lateral epicondyle of humerous
Insert - 4 fingers
Action - finger and wrist extension
Nerve - radial
Origin, insertion, action, nerve of extensor digiti minimi
Origin- lateral epicondyle of humerous
Insert - extensor expansion of minimi
Action - finger extension
Nerve - radial
Origin, insertion, action, nerve of ext. carpi ulnaris
Origin- lateral epicondyle of humerous
Insert - base of 5th metacarpal
Action - wrist ext. and add.
Nerve - radial
Origin, insertion, action, nerve of ext. carpi radialis longus
Origin- lateral epicondyle of humerous
Insert - base of 2nd metacarpal
Action - wrist ext. and abd.
Nerve - radial
Origin, insertion, action, nerve of ext. carpi radialis brevis
Origin- lateral epicondyle of humerous
Insert - base of 3rd metacarpal
Action - wrist ext. and abd.
Nerve - radial
5 outcropping muscles of post. arm
- abductor pollicis longus
- ext. pollicis longus
- ext. pollicis brevis
- supinator
- extensor inidicis
Origin, insertion, action, nerve of abductor pollicis longus
Origin- ulna and radius
Insert - base of 1st metacarpal
Action - abd. thumb
Nerve - radial
Origin, insertion, action, nerve of ext. pollicis longus
Origin- ulna
Insert - distal phalanx of thumb
Action - thumb ext
Nerve - radial
Origin, insertion, action, nerve of ext. pollicis brevis
Origin- radius
Insert - prox phalanx of thumb
Action - thumb ext
Nerve - radial
Origin, insertion, action, nerve of supinator
Origin- ulna
Insert - radius
Action - supinates
Nerve - radial
Origin, insertion, action, nerve of extensor inidicis
Origin- ulna
Insert - 1st finger
Action - 1st finger ext
Nerve - radial
borders of snuff box
EPL, APL, EPB
significance of snuff box
floor is scaphoid