CH 12 Flashcards
Appendicular muscles
Moving the ____________ is the same as moving the arm or the humerus
glenohumeral joint
Muscles that move the arm
- Pectoralis major
- Latissimus major
- Deltoid
- Subscapularis
- Supraspinatus
- Infraspinatus
- Teres major
- Teres minor
- Coracobrachialis
The glenohumeral joint is crossed by ____ muscles
11
__________ and __________ are the primary attachments of the arm to the trunk
Pectoralis major and latissimus major
Latissimus major
- Broad, triangular located on the inferior back
- Inferior to the trapezius
- AKA swimmer’s muscle since many of its actions are required for certain swimming strokes
- Agonist of arm extension
- Attached to humerus and thoracic vertebrae, iliac
Pectoralis major
- Large, thick, fan-shaped
- Covers the superior part of the thorax
- Agonist of arm flexion
- Attached to clavicle, sternum, humerus
Deltoid
- Thick
- Forms the rounded contour of the shoulder
- Anterior fibers: flex and medially rotate arm
- Middle fibers: agonist of arm abduction
- Posterior fibers: extend and laterally rotate arm
- Attaches to clavicle, scapula, and humerus
Rotator cuff muscles
Provide strength and stability to glenohumeral joint
What are the rotator cuff muscles?
Subscapularis, supraspinatus, infraspinatus, and teres minor
Subscapularis
- Anteriorly deep to pectoralis minor and coracobrachialis
- Posteriorly deep to infraspinatus and supraspinatus
- Winding up to pitch a ball, medially rotates
- Attached to scapula and humerus
Supraspinatus
- Deep to deltoid
- Executes the pitch, abducts arm
- Attached to scapula and humerus
Infraspinatus
- Adducts and laterally rotates arm
- Attached to scapula and humerus
Supraspinatus
- Abducts arm
- Attached to scapula and humerus
Teres major
Teres = round
- Posterior arm muscle
- Larger and inferior to the teres minor
- Works synergistically with the latissimus dorsi to extend, adduct, and medially rotate the arm
- Extends, adducts, and medially rotates the arm
- Attaches to the scapula and humerus
Teres minor
- Smaller and superior to the teres major
- Deep to the infraspinatus
- Adducts and laterally rotates the arm
- Attaches to the scapula and humerus
Coracobrachialis
- Works synergistically with the pectoralis major to flex and abduct the arm
- Attaches to the scapula and humerus
- Deep to deltoid and biceps
Muscles that move the forearm
- Triceps brachii (long, medial, lateral head)
- Anconeus
- Biceps brachii (long and short head)
- Brachialis
- Brachioradiolis
Triceps brachii
- Large, three-headed muscle on the posterior surface of the arm
- Primary extensor of the forearm
- Attached to ulna
- Long head: attached to the scapula
- Medial and lateral head: attached to humerus
- Long head is medial, the longest
- Lateral head is lateral
- Medial head is anterior
Which head of the triceps brachii also extends and abducts the arm?
long
Anchoneus
- Small
- Weak elbow extensor
- Extends forearm
- Attached to ulna and humerus
Biceps brachii
- Large, two-headed muscle
- Flexes forearm, powerful supinator of forearm
- Attached to radius
- Long head and short head: attached to scapula
- Medial long head
- Lateral short head
Brachialis
- Deep to the biceps brachii
- Primary flexor of the forearm
- Attached to the humerus and ulna
Brachioradialis
- Flexes forearm
- Attached to the humerus and radius
Muscles which move the hands or fingers
- Pronator teres
- Flexor carpi radialis
- Palmaris longus
- Flexor carpi ulnaris
- Flexor digitorum superficialis
- Flexor pollicis longus
- Extensor carpi radialis longus
- Extensor carpi radialis brevis
- Extensor digitorum
- Extensor carpi ulnaris
- Supinator
- Abductor pollicis longus
- Extensor pollicis brevis
- Extensor pollicis longus
Which muscle(s) compose the superficial layer of the anterior forearm?
Pronator teres, flexor carpi radialis, palmaris longus, flexor carpi ulnaris
Pronator teres
- Rotate the radius across the anterior surface of the ulna to protonate the forearm
- Superficial
- Attaches to the humerus, ulna, and radius
Flexor carpi radialis
- Extends diagonally across the anterior surface of the forearm
- Flexes the wrist and abducts (radial deviation) the hand
- Superficial
- Attaches to the humerus and metacarpals
Palmaris longus
- Narrow
- Absent in about 10% of individuals
- Weak wrist flexor
- Superficial
- Attaches to the humerus, flexor retinaculum, and palmar aponeurosis
Flexor carpi ulnaris
- Anteromedial side of forearm
- Flexes wrist and adducts (ulnar deviation) hand
- Superficial
- Attaches to the radius, ulna, pisiform, hamate, and metacarpal V
Which muscle(s) compose the intermediate layer of the forearm?
Flexor digitorum superficialis
Flexor digitorum superficialis
- Flexes wrist, 2nd to 5th MP joints, PIP joints
- Attaches to the humerus, ulna, and middle phalanges of fingers 2-5
The flexor digitorum superficialis splits into _________________
4 tendons that attach to middle phalanges of fingers 2-5
What is a PIP joint?
Proximal interphalangeal joint
What is a MP joint?
Metacarpophalangeal joint
Which muscles compose the deep layer of the anterior forearm?
lateral: Flexor pollicis longus
medial: Flexor digitorum profundus
Flexor pollicis longus
- Flexes the MP and IP joint of thumb
- Attaches to radius, distal phalanx of the thumb, interosseus membrane
What is an IP joint?
Interphalangeal joint
Flexor digitorum profundus
- Flexes wrist, 2nd-5th MP joints, PIP and DIP joints
What is a DIP joint?
Distal interphalangeal joint
Which muscle(s) compose the superficial layer of the posterior forearm?
- Extensor carpi radialis longus (most lateral)
- Extensor carpi radialis brevis
- Extensor digitorum
- Extensor carpi ulnaris (most medial)
Extensor carpi radialis longus
- Long, tapered
- Medial to the brachioradialis
- Extends wrists, abducts hand
- Attaches to humerus, base of metacarpal II
Extensor carpi radialis brevis
- Works synergistically with the extensor carpi radialis longus to extend the wrist and abduct the hand
- Attaches to the humerus, base of metacarpal III
Extensor digitorum
- Splits into 4 tendons
- Attaches to the humerus, distal and middle phalanges of fingers 2-5
- Extends the wrist, MP, DIP, PIP joints of fingers 2-5
Extensor carpi ulnaris
- Extends the wrist, adducts the hand
- Attaches to the radius, ulna, and base of metacarpal V
What are the muscle(s) that compose the deep layer of the posterior forearm?
(lateral)
- Supinator
- Abductor pollicis longus
- Extensor pollicis brevis
- Extensor pollicis longus
(medial)
Supinator
- Posterior forearm
- Works synergistically with biceps brachii to supinate the forearm
- Attaches to the humerus, radius, ulna
Abductor pollicis brevis
- Abducts the thumb, weakly extends the wrist
- Attaches to 1st metacarpal, radius, ulna
Extensor pollicis brevis
- Extends the MP joints of the thumb, extends wrist weakly
- Attached to the radius, proximal phalanx of thumb
Extensor pollicis longus
- Extends MP and IP joints of the thumb, extends wrist weakly
- Attached to the radius, distal phalanx of thumb
Summary of muscle actions at the elbow or forearm
- Flexion
- Extension
- Protonation
- Supination
Muscles that allow for extension at the forearm
- Triceps brachii (agonist)
- (Anconeus)
*parentheses = slight effect
Muscles that allow for extension of the forearm
- Brachialis (agonist)
- Bicep brachii (synergist)
- Brachioradialis (synergist)
Muscles that allow for protonation at the forearm
Pronator teres
Muscles that allow for supination of the forearm
- Biceps brachii (agonist)
- Supinator (synergist)
Muscle actions at the glenohumeral joint/arm
- Abduction
- Adduction
- Flexion
- Extension
- Lateral rotation
- Medial rotation