Muscles of the arm Flashcards
What are the two superficial extrinsic muscles of the shoulder?
Trapezius and latissimus dorsi
What are the ORIGINS of the TRAPEZIUS?
Skull, nuchal ligament and spinous processes of C7-T12
What are the ATTACHMENTS of the TRAPEZIUS?
Clavicle, acromion and spine of the scapula
What is the INNERVATION of the TRAPEZIUS?
Motor innervation - accessory nerve
It also receives proprioceptor fibres from C3 and C4 spinal nerves
What are the ACTIONS of the TRAPEZIUS?
The upper fibres elevate and rotate the scapula during abduction of the arm
The middle fibres retract the scapula
The lower fibres pull the scapula inferiorly
What are the ORIGINS of the LATISSIMUS DORSI?
The spinous processes of T7-T12, the iliac crest, thoracolumbar fascia and the inferior three ribs
What are the ATTACHMENTS of the LATISSIMUS DORSI?
The fibres converge into a tendon that attaches to the intertubercular sulcus of the humerus
What is the INNERVATION of the LATISSIMUS DORSI?
Thoracodorsal nerve
What are the ACTIONS of the LATISSIMUS DORSI?
Extends, adducts and medially rotates the upper limb.
What are the three deep extrinsic muscles of the shoulder?
The levator scapulae, and the two rhomboids (major and minor)
What are the ORIGINS of the LEVATOR SCAPULAE?
The transverse processes of the C1-C4 vertebrae
What are the ATTACHMENTS of the LEVATOR SCAPULAE?
Medial border of the scapula
What is the INNERVATION of the LEVATOR SCAPULAE?
The dorsal scapular nerve
What are the ACTIONS of the LEVATOR SCAPULAE?
Elevates the scapula
What are the ORIGINS of the RHOMBOID MAJOR?
The spinous processes of T2-T5 vertebrae
What are the ATTACHMENTS of the RHOMBOID MAJOR?
the medial border of the scapula, between the scapula spine and inferior angle
What is the INNERVATION of the RHOMBOID MAJOR?
Dorsal scapular nerve.
What are the ACTIONS of the RHOMBOID MAJOR?
Retracts and rotates the scapula
What are the ORIGINS of the RHOMBOID MINOR?
The spinous processes of C7-T1 vertebrae
What are the ATTACHMENTS of the RHOMBOID MINOR?
The medial border of the scapula, at the level of the spine of scapula.
What is the INNERVATION of the RHOMBOID MINOR?
Dorsal scapular nerve
What are the ACTIONS of the RHOMBOID MINOR?
Retracts and rotates the scapula
What does EXTRINSIC muscle of the shoulder mean?
The muscles originate from the torso and attach to bones of the shoulder (clavicle, scapula or humerus)
What does INTRINSIC muscle of the shoulder mean?
The muscles originate from the scapula and/or clavicle and attach to the humerus
What are the six intrinsic muscles of the shoulder?
the deltoid, teres major, and the four rotator cuff muscles (supraspinatus, infraspinatus, subscapularis and teres minor)
What are the ORIGINS of the DELTOID?
the scapula and clavicle
What are the ATTACHMENTS of the DELTOID?
the deltoid tuberosity on the lateral surface of the humerus
What is the INNERVATION of the DELTOID?
The axillary nerve
What are the ACTIONS of the DELTOID?
Anterior fibres – flexion and medial rotation.
Posterior fibres – extension and lateral rotation.
Middle fibres – the major abductor of the arm (takes over from the supraspinatus, which abducts the first 15 degrees).
What are the ORIGINS of the TERES MAJOR?
the posterior surface of the inferior angle of the scapula
What are the ATTACHMENTS of the TERES MAJOR?
the medial lip of the intertubercular groove of the humerus
What is the INNERVATION of the TERES MAJOR?
Lower subscapular nerve
What are the ACTIONS of the TERES MAJOR?
Adducts at the shoulder and medially rotates the arm
What are the four muscles that make up the rotator cuff?
Teres minor, supraspinatus, subscapularis and infraspinatus.
What are the ORIGINS of the SUPRASPINATUS?
the supraspinous fossa of the scapula
What are the ATTACHMENTS of the SUPRASPINATUS?
greater tubercle of the humerus
What is the INNERVATION of the SUPRASPINATUS?
Suprascapular nerve
What are the ACTIONS of the SUPRASPINATUS?
Abducts the arm 0-15deg, and assists deltoid for 15-90deg
What are the ORIGINS of the INFRASPINATUS?
the infraspinous fossa of the scapula
What are the ATTACHMENTS of the INFRASPINATUS?
the greater tubercle of the humerus
What is the INNERVATION of the INFRASPINATUS?
suprascapular nerve
What are the ACTIONS of the INFRASPINATUS?
Laterally rotates the arm.
What are the ORIGINS of the SUBSCAPULARIS?
the subscapular fossa, on the costal surface of the scapula
What are the ATTACHMENTS of the SUBSCAPULARIS?
the lesser tubercle of the humerus
What is the INNERVATION of the SUBSCAPULARIS?
Upper and lower subscapular nerves.
What are the ACTIONS of the SUBSCAPULARIS?
Medially rotates the arm
What are the ORIGINS of the TERES MINOR?
the posterior surface of the scapula, adjacent to its lateral border
What are the ATTACHMENTS of the TERES MINOR?
the greater tubercle of the humerus
What is the INNERVATION of the TERES MINOR?
Axillary nerve
What are the ACTIONS of the TERES MINOR?
Laterally rotates the arm
What are the muscles of the upper arm?
Three in the anterior compartment - the biceps brachii, brachialis, coracobrachialis
One in the posterior compartment - triceps brachii
What are the ORIGINS of the BICEPS BRACHII?
Long head originates from the supraglenoid tubercle of the scapula, and the short head originates from the coracoid process of the scapula
What are the ATTACHMENTS of the BICEPS BRACHII?
Both heads insert distally into the radial tuberosity and the fascia of the forearm via the bicipital aponeurosis
What is the INNERVATION of the BICEPS BRACHII?
Musculocutaneous nerve
What are the ACTIONS of the BICEPS BRACHII?
Supination of the forearm. It also flexes the arm at the elbow and at the shoulder
What are the ORIGINS of the CORACOBRACHIALIS?
the coracoid process of the scapula
What are the ATTACHMENTS of the CORACOBRACHIALIS?
the medial side of the humeral shaft, at the level of the deltoid tubercle
What is the INNERVATION of the CORACOBRACHIALIS?
Musculocutaneous nerve
What are the ACTIONS of the CORACOBRACHIALIS?
Flexion of the arm at the shoulder, and weak adduction
What are the ORIGINS of the BRACHIALIS?
the medial and lateral surfaces of the humeral shaft
What are the ATTACHMENTS of the BRACHIALIS?
the ulna tuberosity, just distal to the elbow joint
What is the INNERVATION of the BRACHIALIS?
Musculocutaneous nerve, with contributions from the radial nerve
What are the ACTIONS of the BRACHIALIS?
Flexion at the elbow
What are the ORIGINS of the TRICEPS BRACHII?
Long head – originates from the infraglenoid tubercle.
Lateral head – originates from the humerus, superior to the radial groove.
Medial head – originates from the humerus, inferior to the radial groove
What are the ATTACHMENTS of the TRICEPS BRACHII?
the heads converge onto one tendon and insert into the olecranon of the ulna
What is the INNERVATION of the TRICEPS BRACHII?
Radial nerve
What are the ACTIONS of the TRICEPS BRACHII?
Extension of the arm at the elbow
what are the compartments of the forearm?
anterior and posterior
What are the categories of muscles in the anterior compartment?
superficial, intermediate and deep
What are the general functions of the anterior compartment of the forearm?
flexion at the wrist and fingers, and pronation
What are the superior muscles of the anterior compartment of the forearm?
flexor carpi ulnaris, palmaris longus, flexor carpi radialis and pronator teres
What are the ORIGINS of the FLEXOR CARPI ULNARIS?
the medial epicondyle with the other superficial flexors, and the ulna
What are the ATTACHMENTS of the FLEXOR CARPI ULNARIS?
passes into the wrist, and attaches to the pisiform carpal bone
What is the INNERVATION of the FLEXOR CARPI ULNARIS?
ulnar nerve
What are the ACTIONS of the FLEXOR CARPI ULNARIS?
Flexion and adduction at the wrist.
What are the ORIGINS of the PALMARIS LONGUS?
medial epicondyle
What are the ATTACHMENTS of the PALMARIS LONGUS?
the flexor retinaculum of the wrist
What is the INNERVATION of the PALMARIS LONGUS?
Median nerve
What are the ACTIONS of the PALMARIS LONGUS?
Flexion at the wrist
What are the ORIGINS of the FLEXOR CARPI RADIALIS?
medial epicondyle
What are the ATTACHMENTS of the FLEXOR CARPI RADIALIS?
the base of metacarpals II and III
What is the INNERVATION of the FLEXOR CARPI RADIALIS?
Median nerve
What are the ACTIONS of the FLEXOR CARPI RADIALIS?
Flexion and abduction at the wrist