Brachial Plexus and Upper Limb Muscles Flashcards
pectoralis major proximal attachment
clavicular head: anterior surface of medial half of clavicle
sternocostal head: anterior surface of sternum, superior 6 costal cartilages, aponeurosis of external oblique muscle
pec major distal attachment
lateral lip of intertubercular sulcus
pec major innervation
lateral and medial pectoral nerves
clavicular head: (C5, C6)
sternocostal head: (C7, C8, T1)
pec major main action
adduction and medial rotation of humerus
clavicular head flexes humerus
sternocostal head extends it from flexed position
pec minor proximal attachment
3rd-5th ribs near costal cartilage
pec minor distal attachment
coracoid process
pec minor innervation
medial pectoral nerve (C8, T1)
pec minor muscle action
stabilize scapula
subclavius proximal attachment
junction of 1st rib near costal cartilage
subclavius distal attachment
inferior surface of middle 1/3rd of clavicle
subclavius innervation
nerve to subclavius (C5, C6)
subclavius muscle action
anchors and depresses clavicle
serratus anterior proximal attachment
external surfaces of 1st to 8th ribs
serratus anterior distal attachment
medial border of scapula
serratus anterior innervation
long thoracic nerve (C5, C6, C7)
serratus anterior muscle action
protract scapula
trapezius proximal attachment
superior nuchal line, external occipital protuberance, nuchal ligament, spinous process C7-T12
trapezius distal attachment
lateral 1/3rd of clavicle, acromion, spine of scapula
trapezius innervation
spinal accessory nerve CN XI, C3, C4 spinal nerve
latissimus dorsi proximal attachment
spinous processes T6-T12, thoracolumbar fascia, iliac crest, inferior 3-4 ribs
lat distal attachment
floor of intertubercular sulcus
lat innervation
thoracodorsal nerve, middle subscapular nerve (C6, C7, C8)
lat muscle action
extend, adduct, medial rotation of humerus, climbing
levator scap proximal attachment
transverse process C1-C4
levator scap distal attachment
medial border of scap, superior to spine of scap
levator scap innervation
dorsal scapular nerve (C4, C5) and cervical nerves (C3,C4)
levator scap action
elevate scapula
rhomboid major proximal attachment
T2-T5 spinous process
rhomboid minor proximal attachment
C7-T1 spinous process, nuchal ligament
rhomboid major distal attachment
medial border of scap from spine to inferior angle
rhomboid minor distal attachment
medial end of scapular spine
rhomboid major and minor innervation
dorsal scapular nerve (C4, C5)
rhomboid muscle action
retract scap
deltoid proximal attachment
lateral 1/3rd of clavicle, acromion and spine of scapula
deltoid distal attachment
deltoid tuberosity
deltoid innervation
axillary (C5, C6)
deltoid muscle action
anterior: flex and medial rotation
middle: abduction
posterior: extend and lateral rotation
supraspinatus proximal attachment
supraspinous fossa
supraspinatus distal attachment
superior facet of greater tubercle
supraspinatus innervation
suprascapular nerve (C4, C5, C6)
supraspinatus muscle action
initiate abduction, rotator cuff
infraspinatus proximal attachment
infraspinous fossa
infraspinatus distal attachment
middle facet of greater tubercle
infraspinatus innervation
suprascapular nerve (C5, C6)
infraspinatus muscle action
lateral rotation, rotator cuff
teres minor proximal attachment
middle part of lateral border of scap
teres minor distal attachment
inferior facet of greater tubercle
teres minor innervation
axillary nerve (C5, C6)
teres minor muscle action
lateral rotation, rotator cuff
teres major proximal attachment
inferior angle of scap
teres major distal attachment
medial lip of intertubercular sulcus
teres major innervation
lower subscapular nerve (C5, C6)
subscapularis proximal attachment
subscapular fossa
subscapularis distal attachment
lesser tubercle
subscapularis innervation
upper and lower subscapular nerve (C5, C6, C7)
subscap muscle action
medial rotation, rotator cuff
quadrangular space borders
right two fingers over left index finger under left middle finger left middle: teres minor left index: teres major right middle: humerus right index: long head triceps
structures passing through quadrangular space
axillary nerve
posterior circumflex humeral artery and vein
coracobrachialis proximal attachment
coracoid process
coracobrachialis distal attachment
middle 1/3rd of medial surface of humerus
coracobrachialis innervation
musculocutaneous (C5, C6, C7)
coracobrachialis muscle action
flex and adduct arm
biceps long head proximal attachment
supraglenoid tubercle
biceps long head distal attachment
radial tuberosity
biceps long head and short head innervation
musculocutaneous nerve (C5, C6, C7)
biceps long head muscle action
supinates forearm, flexes forearm when supinated
biceps short head proximal attachment
coracoid process
biceps short head distal attachment
radial tuberosity
triceps long head proximal attachment
infraglenoid tubercle
triceps long head, medial and lateral head distal attachment
olecranon
triceps long head, medial head, lateral head innervation
radial nerve (C6, C7, C8)
triceps action
chief extensor of forearm
triceps medial head proximal attachment
humerus below radial groove
triceps lateral head proximal attachment
humerus above radial groove
anconeus proximal attachment
lateral epicondyle
anconeus distal attachment
olecranon
anconeus innervation
radial nerve (C7, C8, T1)
anconeus muscle action
aids triceps in extension, stabilize elbow
triangular space borders
superior border: teres minor
inferior border: teres major
lateral border: long head of triceps
what structure goes through triangular space
scapular circumflex artery
triangular interval borders
superior border: teres major
medial border: lateral border of triceps
lateral border: medial head of triceps
what structure goes through triangular interval
radial artery
profunda brachii artery
brachialis proximal attachment
distal half of anterior surface of humerus
brachialis distal attachment
coronoid process and ulnar tuberosity
brachialis innervation
musculocutaneous nerve (C5, C6) radial nerve (C5, C7)
borders of cubital fossa
superior: imaginary line between medial and lateral epicondyles
medial: lateral boundary of pronator teres
lateral: medial border of brachioradialis
what structures go through carpal tunnel
median nerve
tendons of flexor digitorum superficialis and profundus
tendon of flexor pollicis longus
mallet/ baseball finger injury
tear in terminal slip @ DIP joint
distal interphalangeal joint is flexed
boutonniere’s deformity
tear in middle slip @ PIP joint
distal interphalangeal joint is hyperextended
musculocutaneous nerve roots
C5, C6, C7
axillary nerve roots
C5, C6
radial nerve roots
C5, C6, C7, C8, T1
median nerve roots
C6, C7, C8, T1
ulnar nerve roots
C8, T1