Muscles Of Upper Limb 2 Flashcards
Muscles of the shoulder region
Extrinsic – originate from the ____, and attach to the bones of the ____
Intrinsic – originate from the _____ and/or ____, and attach to the _____.
torso
shoulder
scapula
clavicle
humerus
Extrinsic and intrinsic mussels of the shoulder are the only Muscles that act on the shoulder
T/F
F
The extrinsic muscles of the shoulder are located in the _____, and are also known as the ______ muscles.
back
superficial back
There are ___ superficial extrinsic muscles and _____ deep extrinsic muscles
List them
two
Three
the trapezius and latissimus dorsi
Levator scapulae
Rhomboid major
Rhomboid minor
TRAPEZIUS
- (broad or narrow?), flat, ____ shaped muscle
- both sides together form a _____ shape
Broad
triangular
trapezoid
Trapezius
ORIGIN :
____ of the ____
______ ligament
___ vertebrae to ____ vertebrae
base; skull
nuchal
C7-T12
Trapezius
INSERTION:
____ border of _____
______ border of _____
_____ border of _____
______ space before _____
medial; acromion
superior; clavicle
inferior; scapular spine
triangular; scapular spine
Trapezius
ACTION:
upper and middle = ____
Middle and lower= _______
Lower= _______
elevation
adduction
depression
most superficial of all back muscles is the _____?
Latest back muscle is _____???
Trapezius
Latissimus dorsi
Trapezius
INNERVATION :
motor innervation is by ______
Proprioceptor fibers by ___ and ___ spinal nerves
accessory nerve (CN 11)
C3
C4
LATISSIMUS DORSI
ORIGIN:
______ fascia
_____ crest
spinous process ___ to ____
(Superior or inferior?) ____ ribs
Thoracolumbar
iliac
T6-T12
Inferior; 3
The most common cause of accessory nerve damage is ____ (i.e. due to a ______).
iatrogenic
medical procedure
To test the accessory nerve, ____ function can be assessed. This can be done by asking the patient to _____. Other clinical features of accessory nerve damage include muscle ____, partial paralysis of the _____, and an asymmetrical neckline.
trapezius
shrug his/her shoulders
wasting
sternocleidomastoid
LATISSIMUS DORSI
INSERTION
——- of ——-
intertubercular sulcus of humerus
LATISSIMUS DORSI
ACTION:
_____
_____ rotation
(Flexes or extends?)
adduction
internal
Extends
Lattisimus Dorsi
INNERVATION : _____ nerve
On the brachial plexus , anterior or posterior?
Which roots?
thoracodorsal
Posterior
C6,7,8
thoracodorsal nerve is aka???
______ nerve
Middle subscapular
LEVATOR SCAPULAE
ORIGIN :
_____ process of __ to __ vertebrae
transverse
Levator scapulae
INSERTION: ____ border of ____
medial
scapula
Levator scapulae
ACTION:
_____ scapula
elevates
Levator scapulae
INNERVATION :
_______ nerve
On the brachial plexus, anterior or posterior?
Which roots??
dorsal scapular
Posterior
C5
RHOMBOID MAJOR
-(above or below ?) rhomboid minor
Below
Rhomboid major
ORIGIN: spinous process of ___ to ___
RHOMBOID MINOR
ORIGIN:spinous process of __ to ___
T2-T5
C7-T1
Rhomboid major
INSERTION
between _____ and _____ of scapular
scapular spine and inferior angle
Rhomboid major
ACTION:
elevation or depression
adduction or abduction
elevation
adduction
Rhomboid major
INNERVATION : _____ nerve
dorsal scapular
RHOMBOID MINOR
INSERTION: ____ border of _____
medial
scapular spine
Rhomboid minor
ACTION:
elevation or depression
adduction or abduction
elevation
adduction
Rhomboid minor
INNERVATION : _______ nerve
dorsal scapular
The intrinsic muscles of the shoulder region also known as the _____ group
scapulohumeral
There are six muscles in the scapulohumeral group
List them
the deltoid
teres major
supraspinatus
infraspinatus
subscapularis
teres minor
The deltoid muscle is shaped like ______
an inverted triangle
DELTOID
ORIGIN:
______
______
clavicle
scapula
Deltoid
INSERTION :
______ on ____ side of humerus
deltoid tuberosity
lateral
Deltoid
ACTION:
anterior = (flexion or extension ?) and (medial or lateral ?) rotation
posterior= (flexion or extension ?) and (medial or lateral ?) rotation
middle= _____
Flexion; medial rotation
Extension; lateral rotation
raise the hand from 15 degrees
Deltoid
INNERVATION : ____ nerve
Of the brachial plexus, anterior or posterior?
Which roots
axillary
Posterior
C6,7,8
TERES MAJOR
-forms the ____ border of a gap/space that the ____ nerve and _______ artery use to reach the ____
inferior
axillary
post circumflex humeral
post scapula
Teres major
ORIGIN : ___ surface of ____ angle of scapula
posterior
inferior
Teres major
INSERTION : ____ lip of _____of humerus
medial
intertubercular sulcus
Teres major
ACTION :
adduction or abduction
medial or lateral rotation
Adduction
Medial rotation
Teres major
INNERVATION : _____ nerve
Of the brachial plexus, anterior or posterior?
Which roots
lower subscapular
Posterior
C6,7,8
SUPRASPINATUS
ORIGIN: _______
INSERTION : ______
ACTION: _______
supraspinatus fossa
greater tubercle
abducts the arm 0-15 degrees
Supraspinatus
INNERVATION : _____ nerve
In the brachial plexus, anterior or posterior?
Which roots
suprascapular
Anterior
C5,6
INFRASPINATUS
ORIGIN: ______ fossa
INSERTION : ____ tubercle
ACTION: _______ the arm
INNERVATION : ______ nerve
infraspinatus
greater
laterally rotates the arm
suprascapular
SUBSCAPULARIS
ORIGIN: _____ fossa
INSERTION : _____ tubercle
ACTION:: ______ the arm
subscapularis
lesser
medially rotates
Subscapularis
INNERVATION : _____ and ______ nerve
In brachial plexus, anterior or posterior?
Which roots
upper and lower subscapular
Posterior
C6,7,8
TERES MINOR
ORIGIN:
(Anterior or posterior?) scapula,beside its ____ border
INSERTION : ______ tubercle
ACTION: ______ the arm
INNERVATION : _____ nerve
Posterior
lateral
greater
laterally rotates
axillary
Rotator Cuff Tendonitis
Rotator cuff tendonitis refers to inflammation of the _____ of the rotator cuff muscles. This usually occurs secondary to _____ of the ____ joint.
The muscle most commonly affected is the _____. During abduction, it ‘rubs’ against the ______. Over time, this causes inflammation and ____ changes in the tendon itself.
tendons
repetitive use
shoulder
supraspinatus
coraco-acromial arch
degenerative
Conservative treatment of rotator cuff tendonitis involves rest, _____, and ____. In more severe cases, _____ and _____ can be considered.
analgesia
physiotherapy
steroid injections and surgery
Muscles acting on the hand can be divided into two groups: _____ and _____ muscles.
extrinsic and intrinsic
The extrinsic muscles of the hand are located in the anterior and posterior compartments of the _____. They control ____ movements and produce a _____ grip.
The intrinsic muscles of the hand are located ______. They are responsible for the ____ motor functions of the hand.
forearm
crude; forceful
within the hand itself
fine
The thenar muscles are ____ in number and are (short or tall?) muscles located at the ____ of the thumb.
The muscle bellies produce a bulge, known as the _____. They are responsible for the ____ movements of the thumb.
three
Short
base
thenar eminence
fine
The _____ nerve innervates all the thenar muscles.
Of the brachial plexus, anterior or posterior?
Which roots
median
Anterior
C5-T1
List the thenar muscles
THENAR
- opponens pollicis
- abductor policis brevis
- flexor policis brevis
HYPOTHENAR
- _____ digiti minimi
- _____ digiti minimi
- _____ digiti minimi brevis
-responsible for ____ eminence at the ___ of the pinky
opponens
abductor
flexor
hypothenar
base
The hypothenar is innervated by
_____ nerve(____ branch)
Of the brachial plexus , anterior or posterior?
Which roots
ulnar
deep
Anterior
C7,8, T1
LUMBRUCALES
- _ in number
-they link ___ tendon to ____ tendon
4
extensor; flexor
Each lumbrical is associated with ______
a finger
Action of lumbricales
_____ at MP, _____ at IP
Flex
Extend
INNERVATION of lumbricales
The lateral two lumbricals (of the___ and ____ fingers) are innervated by the ____ nerve.
The medial two lumbricals (of the ___ and ____ fingers) are innervated by the _____ nerve.
index and middle
median
little and ring
ulnar
INTEROSSEI
- _ dorsal
- _ palmar
-both innervated by ____ nerve(deep branch)
4
3
ulnar
Each dorsal interossei originates from the _____ and ____ surfaces of the ______ .
They attach into the ____ and ____ of each finger.
lateral and medial
metacarpals
extensor hood
proximal phalanx
Dorsal interossei
Actions:
_____ the fingers at the ____ joint.
Abduct
MCP
Palmar Interossei
These are located (anteriorly or posteriorly ?) on the hand
anteriorly
Each palmar interossei originates from a ____ or ___ surface of a ____, and attaches into the ____ and ____ of same finger.
medial or lateral
metacarpal
extensor hood and proximal phalanx
Palmar interossei
Actions: ____ the fingers at the ____ joint.
Adducts
MCP
PALMARIS BREVIS
- small or large
- thin or large muscle
- found very (deep or superficially?) in the subcutaneous tissue of the ____ eminence.
- _____ nerve( ____ branch)
Small
Thin
superficially
hypothenar
ulnar
superficial
ADDUCTOR POLICIS
- small or large
- ______ shaped
- ___ heads
- _____ of the thumb
- ____ nerve(_____ branch)
large
triangular
2
adductor
Ulnar
Deep
____ artery passes (anteriorly or posteriorly ?) through the ___ between the 2 heads of the adductor policies, forming the ______
radial
anteriorly
space
deep palmar arch