Muscles Flashcards
Pectoralis major
Origins:
Clavicular head- anterior surface of the medial clavicle
Sternocostal head- anterior surface of the sternum, superior six costal cartilages, aponeurosis of the external oblique muscle
Attachments:
Distal attachment of both heads is into the intertubercular sulcus of the humerus
Innervation:
Lateral and medial pectoral nerves
Function:
Adducts upper limb
Medially rotates upper limb
Clavicular head acts individually to flex the upper limb
Pectoralis minor
Origin:
3rd-5th ribs
Insertion:
Coracoid process of scapula
Function:
Stabilises scapula by drawing it anteroinferiorly against the thoracic wall
Innervation:
Medial pectoral nerve
Serratus anterior
Origin:
Lateral aspects of ribs 1-8
Attachment:
Costal surface of the medial border of the scapula
Function:
Rotates the scapula
Abduction above 90 degrees
Holds scapula against the rib cage
Innervation:
Long thoracic nerve
Subclavius
Origin:
Junction of 1st rib and its costal cartilage
Insertion:
Inferior surface of the middle third of the clavicle
Function:
Anchors and depresses clavicle
Provides some protection of neurovascular structures beneath it
Innervation:
Nerve to subclavius
What are the muscles of the pectoral region?
Pectoralis major
Pectoralis minor
Serratus anterior
Subclavius
Deltoid
Origin:
Scapula
Clavicle
Attachment:
Deltoid tuberosity on lateral surface of humerus
Innervation:
Axillary nerve
Actions:
Anterior fibres flex the arm at the shoulder
Posterior fibres extend the arm at the shoulder
Middle fibres are the major abductor of the arm, 15-90 degrees
Teres major
Origin:
Posterior surface of inferior angle of scapula
Attachment:
Intertubercular groove of humerus
Innervation:
Lower subscapular nerve
Actions:
Adducts at the shoulder
Medially rotates shoulder
Supraspinatus
Origin:
Supraspinous fossa of scapula
Attachment:
Greater tubercle of humerus
Innervation:
Suprascapular nerve
Actions:
Abducts the arm 0-15 degrees
Assists deltoid for 15-90 degrees
Infraspinatus
Origin:
Infraspinous fossa of scapula
Attachment:
Greater tubercle of humerus
Innervation:
Suprascapular nerve
Actions:
Laterally rotates arm
Subscapularis
Origin:
Subscapular fossa on costal surface of scapula
Attachment:
Lesser tubercle of humerus
Innervation:
Upper and lower subscapular nerves
Actions:
Medially rotates arm
Teres minor
Origin:
Posterior surface of scapula adjacent to its lateral border
Attachment:
Greater tubercle of humerus
Innervation:
Axillary nerve
Actions:
Laterally rotates the arm
What are the intrinsic muscles of the shoulder?
Deltoid Teres major Supraspinatus Infraspinatus Subscapularis Teres minor
What are the rotator cuff muscles?
Supraspinatus
Infraspinatus
Subscapularis
Teres minor
Trapezius
Origins:
Skull, nuchal ligament (ligament on neck) and spinous processes of C7-C112
Attachments:
Clavicle
Acromion
Scapula spine
Innervation:
Motor innervation- accessory nerve
Sensory innervation- C3 and C4 spinal nerves
Actions:
Upper fibres elevate the scapula and rotate it during abduction of the arm
Middle fibres retract the scapula
Lower fibres pull the scapula inferiorly
Latissimus Dorsi
Origins: Spinous processes of T6-T12 Iliac crest Thoracolumbar fascia Inferior three ribs
Attachment:
Fibres converge into a tendon that attaches to the intertubercular sulcus of the humerus
Innervation:
Thoracodorsal nerve
Actions:
Extension of upper limb
Adduction of upper limb
Medial rotation of upper limb
What are the superficial extrinsic muscles of the shoulder region?
Trapezius
Latissimus dorsi
Levator scapulae
Origin:
Transverse processes of C1-C4 vertebrae
Attachment:
Medial border of the scapula
Innervation:
Dorsal scapular nerve
Actions:
Elevates the scapula
Rhomboid major
Origin:
Spinous processes of T2-T5 vertebrae
Attachment:
Medial border of scapula between scapula spine and inferior angle
Innervation:
Dorsal scapula nerve
Actions:
Retracts and rotates the scapula
Rhomboid minor
Origin:
Spinous processes of C7-T1 vertebrae
Attachment:
Medial border of the scapula at the level of the spine of scapula
Innervation:
Dorsal scapula nerve
Actions:
Retracts and rotates the scapula
What are the deep extrinsic muscles of the shoulder region?
Levator scapulae
Rhomboid minor
Rhomboid major
Biceps brachii
Origin:
Long head originates from supraglenoid tubercle of scapula
Short head originates from coracoid process of scapula
Insertions:
Both heads insert dismally into the radial tuberosity and the fascia of the forearm via the bicipital aponeurosis
Innervation:
Musculocutaneous nerve
Coracobrachialis
Origin:
Coracoid process of the scapula
Attachment:
Medial side of the humeral shaft at the level of the deltoid tuberosity
Function:
Flexion of the arm at the shoulder, weak adduction
Innervation:
Musculocutaneous nerve
Brachialis
Origin:
Medial and lateral surfaces of the humeral shaft
Insertion:
Ulna tuberosity distal to the elbow joint
Function:
Flexion at the elbow
Innervation:
Musculocutaneous nerve with contributions from the radial nerve
Triceps brachii
Origin:
Long head originates from the infra glenoid tubercle
Lateral head originates from the humerus superior to the radial groove
Medial head originates from the humerus inferior to the radial groove
Attachment:
Heads converge onto one tendon and insert at the olecranon of the ulna
Function:
Extension of the arm at the elbow
Innervation:
Radial nerve
What are the muscles in the anterior compartment of the upper arm?
Biceps brachii
Brachialis
Coracobrachialis
What is the muscle in the posterior compartment of the upper arm?
Triceps brachii
Pronator teres
Origins:
Medial epicondyle
Coronoid process of ulna
Attachment:
Mid-shaft of radius
Action:
Pronation of the forearm
Innervation:
Median nerve
Flexor carpi radialis
Origin:
Medial epicondyle
Attachment:
Base of metacarpals II and III
Actions:
Flexion
Abduction at the wrist
Innervation:
Median nerve
Palmaris longus
Origin:
Medial epicondyle
Attachment:
Flexor retinaculum of the wrist
Actions:
Flexion at the wrist
Innervation:
Median nerve
Flexor carpi ulnaris
Origin:
Medial epicondyle
Ulna
Attachment:
Pisiform carpal bone
Actions:
Flexion
Adduction at the wrist
Innervation:
Ulnar nerve
What are the superficial muscles of the forearm, lateral to medial?
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
Flexor digitorum superficialis
Origins:
Medial epicondyle of humerus
Radius
Attachments:
Muscle splits into four tendons at the wrist which travel through the carpal tunnel and attach to the middle phalanges of the four fingers
Actions:
Flexes the metacarpophalangeal joints and proximal interphalangeal joints at the four fingers
Flexes the wrist
Innervation:
Median nerve
What is the intermediate muscle in the anterior forearm?
Flexor digitorum superficialis
Flexor digitorum profundus
Origin:
Ulna
Interosseous membrane
Attachments:
Splits into four tendons that pass through the carpal tunnel and attach to distal phalanges of the four fingers
Actions:
Only muscle that can flex the distal interphalangeal joints
Flexes metacarpophalangeal joints
Flexes wrist
Innervation: Medial half (acts on little and ring fingers) - ulnar nerve Lateral half (acts on middle and index fingers) - median nerve
Flexor pollicis longus
Origin:
Anterior surface of the radius
Surrounding interosseous membrane
Attachment:
Base of the distal phalanx of the thumb
Actions:
Flexes at the interphalangeal joint
Flexes metacarpophalangeal joint of the thumb
Innervation:
Median nerve
Pronator quadratus
Origin:
Anterior surface of ulna
Attachment:
Anterior surface of radius
Actions:
Pronator forearm
Innervation:
Median nerve
What are the deep muscles of the anterior forearm?
Flexor digitorum profundus
Flexor pollicis longus
Pronator quadratus
Brachioradialis
Origin:
Proximal aspect of the lateral supracondylar ridge of the humerus
Attachment:
Distal end of the radius just before the radial styloid process
Actions:
Flexes at the elbow
Innervation:
Radial nerve
Extensor carpi radialis
Origin:
Supracondylar ridge
Attachment:
Metacarpal bones I and III
Actions:
Abducts the wrist
Innervation:
Radial nerve
Extensor carpi radialis brevis
Origin:
Lateral epicondyle
Attachments:
Metacarpal bones I and III
Actions:
Extends wrist
Abducts wrist
Innervation:
Radial nerve
Extensor digitorum
Origin:
Lateral epicondyle
Attachment:
Tendon splits into four and inserts into the extensor hood of each finger
Actions:
Extends medial three fingers at the metcarpophalangeal joints and interphalangeal joints
Innervation:
Radial nerve
Extensor digiti minimi
Origin:
Lateral epicondyle
Attachment:
With the extensor digitorum tendon, attaches into the extensor hood of the little finger
Actions:
Extends the little finger
Contributes to extension at the wrist
Innervation:
Radial nerve
Extensor carpi ulnaris
Origin:
Lateral epicondyle of the humerus
Attachment:
Base of metacarpal V
Actions:
Extension of wrist
Adduction of wrist
Innervation:
Radial nerve
Anconeus
Origin:
Lateral epicondyle
Attachment:
Posterior and lateral part of the olecranon
Actions:
Extends elbow joint
Stabilises elbow joint
Abducts ulna during pronation of the forearm
Innervation:
Radial nerve
Supinator
Origins:
Lateral epicondyle of humerus
Posterior surface of ulna
Insertion:
Posterior surface of radius
Actions:
Supinate forearm
Innervation:
Radial nerve
Abductor pollicis longus
Origin:
Interosseous membrane and adjacent posterior surfaces of radius and ulna
Attachments:
Lateral side of base of metacarpal I
Actions:
Abducts the thumb
Innervation:
Radial nerve