Module 4C: Appendicular upper Flashcards
What are the 3 different scapular movements?
- Elevation and depression
- Protraction and retraction
- adduction and abduction - Upward and Downward rotation
- upward counterclockwise
- downwards clockwise
What is the point of reference for rotation?
Glenoid cavity, pointing up = upwards, pointing down = downwards
How many muscles are in the shoulder girdle?
5
What are the 5 muscles in the shoulder girdle?
- Trapezius
- Levator Scapulae
- Rhomboid major and minor
- Serratus anterior
- Pectoralis minor
What is the Origin and Insertion of the Trapezius?
O: nuchal ligament, spines of the thoracic vertebrae, occipital bone
I: clavicle, acromion process, spine of scapula
upward rotation of the scapula, depression (shoulder shrugs)
What is the Origin and insertion of the Levator Scapulae?
O: C1-C4 transverse processes
I: superior angle of the scapula
*elevates medial border of the scapula- shoulder shrug with trapezius: downward rotation of the scapula
What is the Origin and insertion of the Rhomboid major and minor?
O: spinous processes of C7-T5
I: medial border of scapula
What is the order of the second two trunk muscles from superior to inferior?
SUPERIOR: levator scapula- Rhomboid minor- Rhomboid major
What is the Origin and insertion of the Serratus anterior?
O: lateral surface of ribs 1-9
I: medial border of scapula, anterior surface
What is another name for the serratus anterior muscle?
boxers muscle
What is the Origin and insertion of the Pectoralis minor?
O: outer surface of ribs 2-5
I: coracoid process of scapula
Action:
- weak shoulder protraction
Where is the serratus anterior found?
- just superficial to the ribs and intercostal muscles
- muscle starts depp and moves superficially
What is scapular winging?
a rare condition where there is insufficient serratus anterior strength, endurance or function causing pain, discomfort and a wing-like shape sticking out of the back
How many muscles are in the shoulder joint?
5
What are the 5 muscles of the shoulder joint?
- Deltoid Spinal (posterior head)
- Deltoid Acromial (lateral head)
- Deltoid Clavicular (anterior head)
- Pectoralis major
- Latissimus Dorsi
What is the OIA of the Deltoid Spinal?
O: spine of scapula
I: deltoid tuberosity of humerus
Action:
- extension of humerus
What is the OIA of the Deltoid Acromial?
O: acromion
I: deltoid tuberosity of humerus
Action:
- abduction of arm at shoulder
What is the OIA of the Deltoid Clavicular?
O: clavicle
I: deltoid tuberosity of humerus
Action:
- flexion of humerus
What is the OIA of the Pectoralis major?
O: medial clavicle, costal cartilage of ribs (1-6)
I: bicipital (intertubercular) groove of humerus
Action:
- flexion of arm at shoulder
- extension of a flexed arm
- horizontal flexion of arm
What is the OIA of the Latissium Dorsi?
O: posterior sacrum, lumbar vertebrae, lower thoracic vertebrae
I: bicipital (intertubercular) groove of humerus
Action:
- extension of arm at shoulder
How many muscles are a part of the rotator cuff?
4
What are the 4 rotator cuff muscles?
- Supraspinatus
- Infraspinatus
- Teres minor
- Subscapularis
What is the OIA of the Supraspinatus
O: supraspinous fossa of scapula
I: greater tubercle of the humerus
Action:
- provides strength and stability to the shoulder joint
- initiates arm abduction
What is the OIA of the Infraspinatus?
O: infraspinatus fossa of scapula
I: greater tubercle of the humerus
Action:
- provides strength to posterior component of the shoulder joint
What is the OIA of the Teres minor?
O: lateral border of scapula
I: greater tubercle of humerus, below infraspinatus
Action:
- provides posterior support to the shoulder joint
What is the OIA of the Subscapularis?
O: subscapular fossa of scapula
I: lesser tubercle of humerus
Action:
- provides posterior support to the shoulder capsule
How many muscles are there in the group of muscles that move the arm?
4
What are the 4 muscles in the group of muscles that move the arm?
- Teres major
- Bicep Brachii
- Triceps Brachii
- Coracobrachialis
What is the OIA of the Teres major?
O: lateral border of scapula
I: bicipital groove of humerus
Action:
- extension of arm
What is the OIA of the Bicep Brachii?
O:
- Long head: supraglenoid tubercle of scapula
- Short head: Coracoid process of scapula
I: radial tuberosity
Action:
- elbow supination
- flexion of the shoulder
What is the OIA of the Triceps Brachii?
O:
- Long: infraglenoid tubercle of scapula
- Medial: posterior/medial aspect of the humerus
- Lateral: posterior/lateral aspect of humerus
I: olecranon process of ulna
Action:
- extension of elbow
- extension of arm at shoulder (Long head only)
What is the OIA of the Coracobrachialis?
O: coracoid process of scapula
I: media side of the shaft of humerus
Action:
- flexion of arm at the shoulder
How many muscles are a part of the elbow joint?
2
What are the 2 muscles that are a part of the elbow joint?
- Brachialis
- Brachioradialis
What is the OIA of the Brachialis?
O: anterior shaft of humerus
I: coronoid process of ulna, ulna tuberosity
What is the OIA of the Brachioradialis?
O: shaft of humerus just above lateral epicondyle
I: styloid process of radius
How many ANTERIOR superficial forearm muscles are there?
4
What are the 4 ANTERIOR superficial forearm muscles?
- Pronator teres
- Palmaris longus
- Flexor carpi radialis
- Flexor carpi ulnaris
What is the OIA of the pronator teres?
O: medial epicondyle of the humerus
I: lateral surface of radius
Action:
- pronates forearm
What is the OIA of the Palmaris longus?
O: medial epicondyle of the humerus
I: palmer oponeurosis
What is the OIA of the Flexor carpi radialis?
O: medial epicondyle of the humerus
I: base of the 2nd and 3rd metacarpals
Action:
- abduct wrist
What is the OIA of the Flexor carpi ulnaris?
O: medial epicondyle of the humerus, the upper part of the ulna
I: pisiform, the base of the 5th metacarpal
Action:
abduct wrist
How many ANTERIOR intermediate forearm muscles are there?
1
Name the intermediate forearm muscles
flexor digitorum superficialis (FDS)
How many ANTERIOR deep forearm muscles are there?
3
What are the 3 ANTERIOR deep forearm muscles?
- Flexor digitorum profundus
- Flexor pollicis longus
- Pronator quadratus
What is the OIA of the flexor digitorum profundus?
O: upper anterior ulna, interosseous membrane
I: distal phalanges (digits 2-5)
Action:
- flexion of distal “IP” joints
- flexion of MCP” joints
What is the OIA of the Flexor pollicis longus?
O: anterior shaft of radius, interosseous membrane
I: distal phalanges of thumb
Action:
- Flexion of IP, CMC, MCP
What is the OIA of the Pronator quadratus?
O: distal ulna
I: distal radius
Action:
- forearm pronation
How many POSTERIOR superficial forearm muscles are there?
4
What are the 4 POSTERIOR superficial forearm muscles?
- Extensor carpi radialis longus
- Extensor carpi radialis brevis
- Extensor digitorum
- Extensor carpi ulnaris
What is the OIA of the Extensor carpi radialis longus?
O: above lateral epicondyle of humerus
I: base of the second metacarpals
Action:
- abducts wrist
What is the OIA of the Extensor carpi radialis brevis?
O: lateral epicondyle of humerus
I: base of third metacarpals
Action:
- abducts wrist
What is the OIA of the Extensor digitorum?
O: lateral epicondyle of humerus
I: distal phalanx of D2-D5 via extensor expansion
Action:
- extension of finger
- extension of D2-D5
What is the OIA of the Extensor carpi ulnaris?
O: lateral epicondyle of humerus
I: base of fifth metacarpal
Action:
- adducts wrist
How many POSTERIOR deep forearm muscles are there?
6
What are the 6 POSTERIOR deep forearm muscles?
- Spinator
- Anconeus
- Abductor pollicis longus
- Extensor pollicis longus
- Extensor pollicis brevis
- Extensor Indicis
What is the OIA of the supinator?
O: CEO, posterior radial notch of ulna
I: anterolateral radius, distal to radial tuberosity
Action:
- forearm supination
What is the OIA of the Anconeus?
O: CEO
I: Olecranon
What is the OIA of the Abductor pollicis longus?
O: posterior surface of radius and ulna, interosseous membrane
I: First metacarpal
Action:
- thumb abduction
What is the OIA of the Extensor pollicis longus?
O: posterior surface of ulna, interosseous membrane
I: distal phalanx of thumb
Action:
- MCL/IP extension of thumb
What is the OIA of the Extensor pollicis brevis?
O: posterior surface of the radius, interosseous membrane
I: proximal phalanx of thumb
Action:
- MCP extension of thumb
What is the OIA of the Extensor Indicis?
O: posterior surface of ulna, interosseous membrane
I: distal phalanx of digit 2 via extensor expansion
Action:
- IP extension 2nd digit
How many intrinsic muscles are there in the hand?
5
What are the 5 intrinsic muscles in the hand?
- Thenar muscles group
- hypothenar muscle group
- Interossei- Palmer pictured
- Interossei- Dorsal pictured
- Lumbrical
What does the Thenar muscles group do?
- allows the thumb to oppose other digits
- provides supplemental flexion/abduction of thumb
Which 3 muscles are part of the Hypothenar muscles group do?
- opponens digiti minimi
- abductor digiti minimi
- flexor digiti minimi brevis
Which 3 muscles are part of the Thenar muscles group do?
- opponens pollicis
- abductor pollicis brevis
- flexor pollicis brevis
What does the Hypothenar muscles group do?
- contributes to the movement of the little finger
- important for graspi objects
What is the OIA of the interossei- Palmer pictured?
O: shaft of metacarpal
I: extensor expansion
Action:
- adduction/abduction of digits
What is the OIA of the interossei-Dorsal pictured?
O: shaft of metacarpal
I: extensor expansion
Action:
- adduction/abduction of digits
What is the OIA of the Lumbrical?
O: tendon of flexor digitorum profundus
I: extensor expansion
(digits 2-5)
Action:
- flexion at MCP
- extension at IP (digits 2-5)
Which 3 muscles cause lateral rotation of the humerus
- deltoid spinal
- infraspinatus
- teres major
Which 2 muscles cause ABduction of the humerus
- deltoid spinal
- deltoid clavicular
Which 4 muscles cause ADDuction of the humerus?
- pectoralis major
- lattisium dorsi
- teres minor
- subscapularis
Which 5 muscles cause medial rotation of the humerus?
- deltoid clavicular
- lattisum dorsi
- pectoralis minor
- subscapularis
- teres major
Which 7 muscles cause elbow flexion?
- biceps brachii
- brachialis
- brachioradialis
- pronator teres
- palmaris longus
- flexor carpi radialis
- flexor carpi ulnaris
Which 5 muscles cause wrist flexion?
- flexor digitorum profoundus
- flexor pollicis longus
- palmaris longus
- flexor carpi radialis
- flexor carpi ulnaris
Which 7 muscles cause wrist extension?
- extensor carpi radialis longus
- extensor carpi radialis brevis
- extensor digitorum
- extensor carpi ulnairs
- extensor pollicis longus
- extensor pollicis brevis
- abductor pollicis longus
Which 8 muscles cause extension of the elbow?
- supinator
- anconeus
- extensor carpi radialis longus
- extensor carpi radialis brevis
- extensor digitorum
- extensor carpi ulnairs
- olecranon
- extensor indicis