MSK Upper Flashcards
Pectoralis major
no nerve
Adducts humerus (accessory muscle of breathing)
O: Clavicle and ribs 1-6
I: Upper humerus
Pectoralis minor
no nerve
Protracts scapula (accessory muscle of breathing)
O: Ribs 3-5
I: Scapula
Serratus anterior
no nerve
Protracts scapula (accessory muscle of breathing)
O: Ribs 1-8
I: Scapula
Trapezius
Accessory nerve - 11th CN
Upper: elevates scapula, Middle: retracts, Lower: depresses. Rotates the scapula
O: Skull, cervical and thoracic vertebrae
I: Clavicle and scapula
Latissumus dorsi
Thoracodorsal nerve
Extends scapula, adducts and medially rotates humerus
O: Lower thoracic vertebrae
I: Humerus - upper anterior
Levatator scapulae
Brachial Plexus
Elevates scapula
O: Upper cervical vertebrae
I: Scapula - medial border
Rhomboid major
Brachial Plexus
Retracts scapula
O: C7 and T1
I: Scapula - medial border
Rhomboid minor
Brachial Plexus
Retracts scapula
O: Thoracic vertebrae
I: Scapula - medial border
Deltoid
Axillary nerve
Abduction beyond 20°
O: Clavicle, acromion and spine of scapula
I: Deltoid tuberosity
Teres major
no nerve
Medial rotation and adduction of shoulder
O: Posterior surface and inferior lateral border of scapula
I: Anterior humerus
Supraspinatus
no nerve
First 20° of abduction
O: Supraspinous fossa
I: Greater tubercle - superior
Infraspinatus
no nerve
Lateral rotation
O: Infraspinous fossa
I: Greater tubercle - middle
Teres minor
Axillary nerve
Lateral rotation
O: Lateral border of scapula
I: Greater tubercle - inferior
Subscapularis
no nerve
Medial rotation
O: Subscapular fossa
I: Lesser tubercle
Triceps brachii
Radial nerve
Extends elbow
O: Long head - infraglenoid tubercle of the scapula, Medial head - posterior humerus (distal to radial groove), Lateral head - posterior humerus (proximal to radial groove)
I: Olecranon of ulna
Biceps brachii
Musculocutaneous nerve
Flexion and supination of the elbow, weak flexor shoulder joint
O: Short head - coracoid process, Long head - supraglenoid tubercle
I: Radial tuberosity
Brachialis
Musculocutaneous nerve
Flexes elbow
O: Distal anterior humerus
I: Ulna tuberosity
Coracobrachialis
Musculocutaneous nerve
Weak flexer of shoulder
O: Coracoid process
I: Medial aspect of middle humerus
Pronator teres
Median nerve
Pronation of wrist
O: Medial epicondyle
I: Lateral surface of radius
Flexor carpi radialis
Median nerve
Flexes and abducts the wrist
O: Medial epicondyle
I: 2nd metacarpal
Palamris longus
Median nerve
Flexes and abducts the wrist
O: Medial epicondyle
I: Fascia of the palm
Flexor carpi ulnaris
Ulnar nerve
Flexes and adducts the wrist
O: Medial epicondyle
I: 5th metacarpal
Flexor digitorum superficialis
Median nerve
Flexor of digits
O: Humerus, ulna and radius
I: 4 tendons, two slips of a tendon insert on either side of middle plalanx of digits 2-5
Flexor digitorum profundus
Lateral half: median nerve Medial half: ulnar nerve
Flexes the digits
O: Ulna, interosseous membrane
I: 4 tendons, palmar aspect of distal phalanx of digits 2-5
Flexor pollicis longus
Median nerve
Flexes the thumb
O:Radius, interosseous membrane
I: 1 tendon inserts on ditstal phalanx of thumb
Profunder quadratus
Median nerve
Pronates distal radioulnar joint
O: Ulna
I: Radius
Flexor pollicis brevis
Median nerve (reaccurant)
Flexes thumb
O: Carpal bones
I: Proximal phalanx
Abductor pollicis brevis
Median nerve (reaccurant)
Abducts thumb
O: Carpal bones
I: Proximal phalanx, laterally
Opponens pollicis
Median nerve (reaccurant)
Opposes thumb
O: Carpal bones
I: 1st metacarpal
Adductor pollicis
Ulnar nerve
Adducts thumb
O: 3rd metacarpal
I: Proximal phalanx
Flexor digiti minimi
Ulnar nerve (deep)
Flexes little finger
O: Carpal bones
I: Proximal phalanx
Abductor digiti minimi
Ulnar nerve (deep)
Abducts little finger
O: Carpal bones
I: Proximal phalanx
Opponens digiti minimi
Ulnar nerve (deep)
Opposes little finger
O: Carpal bones
I: 5th metacarpal
Lumbricals (4 total, digits 2-5)
Lateral (2,3): median nerve, Medial (4,5): ulnar nerve
Flex MCP joints and extend IP joints
O: Arise from FDP tendons, travel on lateral aspects of digits 2-5
I: Dorsal aspects of digits 2-5
1st palmar interosseous
Ulnar nerve (deep)
Adducts fingers
O: Medial side of 2nd metacarpal
I: Medial aspect of 2nd proximal phalanx
2nd palmar interosseous
Ulnar nerve (deep)
Adducts fingers
O: Lateral side of 4th metacarpal
I: Lateral aspect of 4th proximal phalanx
3rd palmar interosseous
Ulnar nerve (deep)
Adducts fingers
O: Lateral side of 5th metacarpal
I: Lateral aspect of 5th proximal phalanx
1st dorsal interosseous
Ulnar nerve (deep)
Abducts fingers
O: Medial side 1st metacarpal and lateral side 2nd metacarpal
I: Lateral aspect of 2nd proximal phalanx
2nd dorsal interosseous
Ulnar nerve (deep)
Abducts fingers
O: Medial side 2nd metacarpal and lateral side 3rd metacarpal
I: Lateral aspect of 3rd proximal phalanx
3rd dorsal interosseous
Ulnar nerve (deep)
Abducts fingers
O: Medial side 3rd metacarpal and lateral side 4th metacarpal
I: Medial aspect of 3rd proximal phalanx
4th dorsal interosseous
Ulnar nerve (deep)
Abducts fingers
O: Medial side 4th metacarpal and lateral side 5th metacarpal
I: Medial aspect of 4th proximal phalanx
Brachioradialis
Radial nerve
Weak flexor of elbow
O: Humerus, proximal to lateral epicondyle
I: Distal radius
Extensor carpi radialis longus
Radial nerve
Extends and abducts the wrist
O: Lateral epicondyle of humerus
I: 2nd metacarpal
Extensor carpi radialis brevis
Radial nerve
Extends and abducts the wrist
O: Lateral epicondyle of humerus
I: 3rd metacarpal
Extensor digitorum
Radial nerve
Extends the digit
O: Lateral epicondyle of humerus
I: 4 tendons insert into dorsal aspects of the fingers (2-5)
Extensor digit minimi
Radial nerve
Extends the little finger
O: Lateral epicondyle of humerus
I: Dorsum of little finger
Extensor carpi ulnaris
Radial nerve
Extends and adducts the wrist
O: Lateral epicondyle of humerus
I: 5th metacarpal
Supinator
Radial nerve
Supinates forearm and hand
O: Humerus
I: Radius
Abductor pollicis longus
Radial nerve
Abducts the thumb
O: Radius, ulna, interosseous membrane
I: 1st metacarpal
Extensor pollicis brevis
Radial nerve
Extends the thumb
O: Radius, interosseous membrane
I: Proximal phalanx
Extensor pollicis longus
Radial nerve
Extends the thumb
O: Ulna, interosseous membrane
I: Distal phalanx
Extensor indicis
Radial nerve
Extension of index
O: Ulna, interosseous membrane
I: Dorsum of index finger