Musculoskeletal anatomy Flashcards
What are the 7 superficial muscles of the back?
- trapezius
- latissimus dorsi
- levator scapulae
- rhomboid major
- rhomboid minor
- serratus posterior superior
- serratus posterior inferior
What are the actions of the trapezius?
Elevates & rotates scapula during abduction of arm
What is the innervation of the trapezius?
Motor from accessory, CNXI
What are the actions of the latissimus dorsi?
Extends, adducts & medially rotates upper limb
What is the innervation of the latissimus dorsi?
Thoracodorsal nerve
What are the actions of the levator scapulae?
Elevates scapula
What is the innervation of the levator scapulae?
Dorsal scapular nerve
What are the actions of the rhomboid major?
Retracts & rotates scapula
What is the innervation of the rhomboid major?
Dorsal scapular nerve
What are the actions of the rhomboid minor?
Retracts & rotates scapula
What is the innervation of the rhomboid minor?
Dorsal scapular nerve
What are the actions of the serratus posterior superior?
Elevates ribs 2-5
What is the innervation of the serratus posterior superior?
Intercostal nerves
What are the actions of the serratus posterior inferior?
Elevates ribs 9-12
What is the innervation of the serratus posterior inferior?
Intercostal nerves
What are the 4 rotator cuff muscles?
Supraspinatus
Infraspinatus
Subscapularis
Teres minor
What is the main role of the rotator cuff muscles?
Gives glenohumeral joint additional stability
Where do the rotator cuff muscles originate from & where do they attach to?
From scapula to humeral head
What are the actions of the supraspinatus?
Abducts are 0-15 degrees
What is the innervation of the supraspinatus?
Suprascapular
What are the actions of the infraspinatus?
Laterally rotates arm
What is the innervation of the infraspinatus?
Suprascapular
What are the actions of the subscapularis?
Medially rotates arm
What is the innervation of the subscapularis?
Upper & lower subscapular
What are the actions of the teres minor?
Laterally rotates arm
What is the innervation of the teres minor?
Axillary
What are the actions of the deltoid? (3)
Flexes arm at shoulder (anterior fibres)
Extends arm at shoulder (posterior fibres)
Abducts arm (middle fibres)
What is the innervation of the deltoid?
Axillary
What are the actions of the teres major?
Adducts at shoulder
Medially rotates arm
What is the innervation of the teres major?
Lower subscapular
What are the contents of the axilla? (4)
Axillary artery & vein
Brachial plexus
Biceps brachii & coracobrachialis
Axillary lymph nodes
What are the roots of the brachial plexus?
C5 C6 C7 C8 T1
What are the trunks of the brachial plexus?
Superior
Middle
Inferior
What are the divisions of the brachial plexus?
3 anterior
3 posterior
What are the cords of the brachial plexus?
Lateral
Posterior
Medial
What are the branches of the brachial plexus?
Musculocutaneous Axillary Median Radial Ulnar
What are the roots of the musculocutaneous branch?
C5, C6, C7
What are the roots of the axillary branch?
C5, C6
What are the roots of the median branch?
C6, C7, C8, T1
What are the roots of the radial branch?
C5, C6, C7, C8, T1
What are the roots of the ulnar branch?
C8, T1
What are the 3 muscles of the anterior arm?
Biceps brachii
Coracobrachialis
Brachialis
What are the actions of the biceps brachii?
Supination of forearm
Flexes arm at elbow & shoulder
What are the actions of the coracobrachialis?
Flexion of arm at shoulder
Weak adduction
What are the actions of the brachialis?
Flexion at elbow
What is the innervation of the muscles of the anterior arm?
Musculocutaneous
What is the arterial supply of the anterior arm?
Brachial artery
What is the muscle of the posterior arm?
Triceps brachii
What are the actions of the triceps brachii?
Extension of arm at elbow
What is the triceps brachii innervated by?
Radial nerve
What is the arterial supply of the triceps brachii?
Profunda bracii artery
What type of structural joint is the elbow?
Synovial
What type of functional joint is the elbow?
Hinge
What are the 2 articulations of the elbow joint?
Trochlear notch of ulna & trochlea of humerus
Head of radius & capitulum of humerus
What are bursa?
Membranous sacs filled with synovial fluid
Act to cushion moving parts of joint
Where are the collateral ligaments of the elbow?
Medially & laterally
What are the 4 superficial muscles of the anterior forearm?
Flexor carpi ulnaris
Palmaris longus
Flexor carpi radialis
Pronator teres
Where do the superficial muscles of the anterior forearm originate from?
Common tendon from medial epicondyle of humerus
What are the actions of the flexor carpi ulnaris?
Flexion & adduction at wrist
What are the actions of the palmaris longus?
Flexion at wrist
What are the actions of the flexor carpi radialis?
Flexion & abduction at wrist
What are the actions of the pronator teres?
Pronation of forearm
What are the innervations of the muscles of the anterior forearm?
All but flexor carpi ulnaris & medial half of flexor digitorum profundus (ulnar nerve) innervated by median nerve
What is the muscle in the intermediate compartment of the anterior forearm?
Flexor digitorum superficialis
What are the actions of the flexor digitorum superficialis
Flexes MCP & proximal IP joints of 4 fingers
Flexes wrist
What are the 3 deep muscles of the anterior forearm?
Flexor digitorum profundus
Flexor pollicis longus
Pronator quadratus
What are the actions of the flexor digitorum profundus?
Flex distal IP & MCP joints
Flexes at wrist
What are the actions of the flexor pollicis longus?
Flexes IP & MCP joints of thumb
What are the actions of the pronator quadratus?
Pronates forearm
What are the 7 superficial muscles of the posterior forearm?
Brachioradialis Extensor carpi longus Extensor carpi brevis Extensor digitorum Extensor digiti minimi Extensor carpi ulnaris Anconeus
What are the actions of the brachioradialis?
Flexes at elbow
What are the actions of the extensor carpi radialis longus & brevis?
Extends & abducts wrist
What are the actions of the extensor digitorum?
Extends medial 4 fingers at MCP & IP jionts
What are the actions of the extensor digiti minimi?
Extends little finger
What are the actions of the extensor carpi ulnaris?
Extension & adduction of wrist
What are the actions of the anconeus?
Extends & stabilise elbow joint
Abducts ulna during protonation
What are the 5 deep muscles of the posterior forearm?
Supinator Abductor pollicus longus Extensor pollicus brevis Extensor pollicus longus Extensor indicis proprius
What are the actions of the supinator?
Supinates forearm
What are the actions of the abductor pollicus longus?
Abducts thumb
What are the actions of the extensor pollicus brevis
Extends at MCP & CM joins of thumb
What are the actions of the extensor pollicus longus?
Extents at MCP, CM & IP joints of thumb
What are the actions of the extensor inidicis proprius?
Extends index finger
What is the innervation of the muscles in the posterior forearm?
Radial
What pass between the two heads of the flexor digitorum superficialis?
Median & ulnar nerves
What are the extrinsic muscles of the hand?
Located in forearm
Crude movements & forceful grip
Where are the thenar muscles located?
Base of thumb
What are the thenar muscles innervated by?
Median nerve
What are the 3 thenar muscles?
Opponens pollicis
Abductor pollicis brevis
Flexor pollicis brevis
What are the actions of the opponens pollicis?
Opposes thumb by medially rotating & flexing MC
What are the actions of the abductor pollicis brevis?
Abducts thumb
What are the actions of the flexor pollicis brevis?
Flexes MCP joint of thumb
Where are the hypothenar muscles located?
Medial side of palm
What are the 3 hypothenar muscles?
Opponens digiti minimi
Abductor digiti minimi
Flexor digiti minimi brevis
What are the actions of the opponens digiti minimi?
Rotates 5th MC towards palm
Opposition
What are the actions of the abductor digiti minimi?
Abducts finger 5
What are the actions of the flexor digiti minimi brevis?
Flexes MCP joint at finger 5
What are the hypothenar muscles innervated by?
Ulnar nerve
What are the actions of the lumbricals?
Flex at MCP joint
Extend at IP joints
Where do the lumbricals originate from & where do they insert?
From tendon of flexor digitorum profundus
To extensor hood
What is the innervation of the lumbricals?
Medial two by ulnar
Lateral two by median
Which lumbricals are bipennate?
Medial 2
What does bipennate me?
Central tendon towards which fibres converge on either side
How many palmer & how many dorsal interossei are there?
3 palmar
4 dorsal
What is the action of the dorsal interosseis?
Abducts fingers at MCP joint
DAB
What is the action of the palmar interosseis?
Adducts fingers at MCP joint
PAD
What is the innervation of the interosseis?
Ulnar nerve
What are the actions of the palmaris brevis?
Wrinkles skin of hypothenar eminence
Deepens curvature of hand
What are the actions of the adductor pollicis?
Adductor of thumb
What are the innervations of the muscles of the hand?
All ulnar apart from:
Lateral 2 lumbricals
Thenar muscles
How do the tendons of the flexor digitorum superficialis & profundus relate?
FDS splits into 2 & inserts on either side of middle phalanx
P passes underneath to inserts on distal phalynx
What are the 3 borders of the anatomical snuffbox?
Tendons of:
extensor pollicis longus
extensor pollicis brevis
abductor pollicis longus
When do the subclavian arteries become the axillary arteries?
When they enter the axilla
When does the axillary artery become the brachial artery?
At the level of teres major
What 3 arteries arise from the axillary artery at the level of the humeral surgical neck?
Posterior circumflex humeral artery
Anterior circumflex humeral artery
Subscapular artery
How does the brachial artery terminate?
By bifurcating into the radial & ulnar arteries
Which artery supplies the posterior aspect of the forearm?
Radius
Which artery supplies the anterior aspect of the forearm?
Ulnar
What do the radial and ulnar arteries anastomose in the hand to form?
Superficial palmar arch
Deep palmar arch
What does this anastomosing of the hand allow?
Hand to be perfused when grasping/applying pressure
What arteries supply the fingers?
Common digital arteries
What are the 2 superficial veins of the upper limb?
Basilic
Cephalic
What are vena comitantes?
Veins that are assisted in their return by the pulsations of arteries
What is the main vein used for venipuncture?
Median cubital vein
What is the cubital fossa?
Depression on anterior surface of elbow joint
What are the 3 main contents of the cubital fossa?
Radial & median nerves
Biceps tendon
Brachial artery
What are the articulations of the wrist joint between?
Scaphoid
Lunate
Triquetrum
Radial bone
What are the 8 carpal bones?
Scaphoid Lunate Triquetrum Pisiform Trapezium Trapezoid Capitate Hamate
What are the 3 bones of the pelvic bone?
Ilium
Pubis
Ischium
What is the obturator foramen bound by?
Pubic rami
Pubic body
Ischial rami
Ischial body
What are the 4 superficial muscles of the gluteal region?
Gluteus maximus
Gluteus medius
Gluteus minimis
Tensor fascia lata
What are the actions of the gluteus maximus
Main extensor of thigh
Assists with lateral rotation
What is the innervation of the gluteus maximus?
Inferior gluteal nerve (L5-S2)
What are the actions of the gluteus medius?
Abducts & medially rotates lower limb
Secures pelvis during locomotion
What is the innervation of the gluteus medius?
Superior gluteal nerve
What are the actions of the gluteus minimis?
Abducts & medially rotates lower limb
Secures pelvis
What is the innervation of the gluteus minimis?
Superior gluteal nerve
What are the actions of the tensor fascia lata?
Assists in abduction & medial rotation
Supports gait
What is the innervation of the tensor fascia lata?
Superior gluteal nerve
What are the actions of the piriformis?
Lateral roation & abduction
What are the 4 muscles in the anterior compartment of the thigh?
Iliopsoas
Quadriceps femoris (x4)
Sartorius
Pectineus
What are the muscles in the anterior compartment of the thigh innervated by?
Femoral nerve
What are the actions of the iliopsoas?
Flexes lower limb at hip
Assists in lateral rotation at hip joint
What are the 4 quadriceps femoris muscles?
Vastus lateralis
Vastus intermedius
Vastus medialis
Rectus femoris
What do the quadriceps femoris muscles attach to distally?
Patella via patella tendon
What do the vastus muscles of the quadriceps femurs do?
Extend knee joint
Stabilise patella
What does the rectus femoris do?
Flexes leg at hip joint
Extend knee joint
What are the actions of the sartorious?
Flexor, abductor, lateral rotator at hip joint
Flexor at knee
What are the actions of the pectineus
Adduction & flexion at hip joint
What does the femoral triangle contain?
NAVEL Femoral nerve Artery Vein Empty space Lymphoid canal
What is the iliotibial tract?
A lateral extension of thickened fascia attached to the fascia late
Acts to stabilise knee joint & aids in abduction of thigh at hip
What are the 3 posterior muscles of the thigh?
Biceps femoris
Semitendinosus
Semimembranosus
What is the innervation to the 3 posterior muscles of the thigh?
Sciatic nerve
L4-S3
Tibial for all but short head of biceps femoris
What are the actions of the biceps femoris?
Flexion at knee
Extends leg at hip
Laterally rotates at hip & knee
What are the actions of the semitendinosus?
Flexion at knee
Extension at hip
Medially rotates at hip & knee
What are the actions of the semimembranous?
Flexion at knee
Extension at hip
Medially rotates hip & knee
What are the 5 muscles of the medial compartment of the thigh?
Adductor magnus
Adductor longus
Adductor brevis
Obturator externus
What are the muscles of the medial compartment of the thigh innervated by?
Obturator
What is the arterial supply of the medial compartmental thigh muscles?
Obturator artery
What are the actions of the adductor magnus?
Adducts thigh
Adductor flexes
Hamstring extends thigh
What are the actions of the adductor longus?
Adduction & medial rotation of thigh
What are the actions of the adductor brevis?
Adduction of thigh
What are the actions of the obturator externus?
Laterally rotates thigh
What are the actions of the gracilis?
Adduction of thigh
Flexion at knee
What are the 4 muscles of the anterior leg?
Tibialis anterior
Extensor digitorum longus
Extensor hallucis longus
Fibularis tertius
What are the muscles in the anterior leg innervated by?
Deep peroneal nerve
L4-L5
What is the arterial supply of the muscles in the anterior leg?
Anterior tibial artery
What are the actions of the tibialis anterior?
Dorsiflexion & inversion
What are the actions of the extensor digitorum longus?
Extension of lateral 4 toes
Dorsiflexion
What are the actions of the extensor hallucis longus?
Eversion
Dorsiflexion
What are the 2 muscles of the lateral leg?
Fibularis longus
Fibularis brevis
What are the muscles of the lateral leg innervated by?
Superficial peroneal
L4-S1
What are the actions of the fibrularis longus?
Eversion
Planterflexion
Supports arches
What are the actions of the fibularis brevis?
Eversion
What are the 3 superficial muscles of the posterior leg?
Gastrocnemius
Plantaris
Soleus
What is the innervation of the muscles of the posterior leg?
Tibial
What do the superficial muscles of the posterior leg insert into?
Calcaneus of foot via calcaneal tendon
What are the actions of the gastrocnemius?
Plantarflexor
Knee flexor
What are the actions of the plantaris?
Plantarflexor
Knee flexor
What are the actions of the soleus?
Plantarflexor
What are the 4 deep muscles of the posterior leg?
Popliteus
Tibialis posterior
Flexor digitorum longus
Flexor hallucis
What are the actions of the popliteus?
Laterally rotates femur
What are the actions of the tibialis posterior?
Inverts
Plantarflexes
What are the actions of the flexor digitorum longus?
Flexes lateral 4 toes
What are the actions of the flexor hallucis longus
Flexes great toe
What is the popliteal fossa?
Anatomical hole found behind knee joint
What type of functional joint is the hip joint?
Ball & socket
What type of structural joint is the hip joint?
Synovial
What deepens the acetabulum?
Acetabular labrum