O's and I's Upper Extremity Part 2 Flashcards
Flexor Digitorum Superficialis Origin
- Humeral-Ulnar Head: Medial Epicondyle via the Common Flexor Tendon
- Radial Head: Oblique Line of Radius
Flexor Digitorum Superficialis Insertion
Splits to both sides of the base of each Middle Phalanx of the 4 Fingers
Flexor Digitorum Superficialis Action
- Flexes the Proximal and Middle IP Joints
2. Flexes the Wrist if Fingers are Extended
Flexor Digitorum Superficialis Nerve
Median
Flexor Digitorum Profundus Origin
Anterior and Medial Surface of Proximal 3/4 Ulna
Flexor Digitorum Profundus Insertion
Distal Phalanx of Medial 4 Digits (through FDS tunnel)
Flexor Digitorum Profundus Action
- Flexes the Distal IP Joints and in so doing Flexes the Proximal and Middle IP Joints
- Flexes the Wrist if Fingers are Extended
Flexor Digitorum Profundus Nerve
Medial Portion: Ulnar
Lateral Portion: Median
Flexor Pollicis Longus Origin
Middle of Anterior Radius and Interosseus Membrane (sometime as high as the Coronoid Process of Ulna)
Flexor Pollicis Longus Insertion
Palmar Aspect of Base of the Distal Phalanx of Thumb
Flexor Pollicis Longus Action
- Flexes the Distal Phalanx of Thumb
2. Flexes the other joints to the Wrist (MCP, CMC)
Flexor Pollicis Longus Nerve
Median
Pronator Quadratus Origin
Distal 1/4 Anteromedial Surface of Ulna
Pronator Quadratus Insertion
Distal 1/4 Anterolateral Surface of Radius
Pronator Quadratus Action
Pronates the Forearm and Hand
Pronator Quadratus Nerve
Median
Brachioradialis Origin
Lateral Supracondylar Ridge of Humerus
Brachioradialis Insertion
- Styloid Process of Radius
2. Lateral Side of Distal 1/3 of Radius
Brachioradialis Action
- Flexes the Elbow
- Pronates the Forearm when Supinated
- Supinates the Forearm when Pronated
Brachioradialis Nerve
Radial
Extensor Carpi Radialis Longus Origin
Lower Lateral Supracondylar Ridge (below Brachioradialis)
Extensor Carpi Radialis Longus Insertion
Base of 2nd Metacarpal (dorsum)
Extensor Carpi Radialis Longus Action
- Extends the Wrist
- Radially Deviates Wrist
- Weakly Flexes the Elbow
- Weakly Supinates the Forearm
Extensor Carpi Radialis Longus Nerve
Radial
Extensor Carpi Radialis Brevis Origin
Lateral Epicondyle via the Common Extensor Tendon
Extensor Carpi Radialis Brevis Insertion
Base of 3rd Metacarpal (dorsum)
Extensor Carpi Radialis Brevis Action
- Extends Wrist
2. Radially Deviates Wrist
Extensor Carpi Radialis Brevis Nerve
Radial
Extensor Carpi Ulnaris Origin
Lateral Epicondyle via the Common Extensor Tendon
Extensor Carpi Ulnaris Insertion
Medial Side of Base of the 5th Metacarpal
Extensor Carpi Ulnaris Action
- Extends Wrist
2. Ulnarly Deviates Wrist
Extensor Carpi Ulnaris Nerve
Radial
Extensor Digitorum Origin
Lateral Epicondyle via the Common Extensor Tendon
Extensor Digitorum Insertion
Base of Middle Phalanx of the Four Fingers (central band) and Base of Distal Phalanx (lateral bands)
Extensor Digitorum Action
- Extends 4 Medial Digits
- Extends Wrist (if fingers are flexed)
- Abducts the Digits (during extension)
Extensor Digitorum Nerve
Radial
Extensor Digiti Minimi Origin
- Lateral Epicondyle via the Common Extensor Tendon
2. Ulnar Aspect of Extensor Digitorum
Extensor Digiti Minimi Insertion
Base of Middle Phalanx of the 5th Finger (central band) and Base of Distal Phalanx (lateral bands)
Extensor Digiti Minimi Action
- Extends the 5th Digit
2. Abducts the 5th Digit
Extensor Digiti Minimi Nerve
Radial
Extensor Indicis Origin
- Posterior Surface of Ulna
2. Interosseus Membrane
Extensor Indicis Insertion
Base of Middle and Distal Phalanx of Index Finger
Extensor Indicis Action
- Extends 2nd Digit
- Adducts 2nd Digit
- Assists to Extend the Wrist
- Stabilizes McP Joint for Flexion of IP solely
Extensor Indicis Nerve
Radial
Supinator Origin
- Lateral Epicondyle
- Supinator Crest
- Radial Collateral and Annular Ligament
Supinator Insertion
Proximal and Anterolateral Surface of Radius
Supinator Action
Supinates the Forearm
Supinator Nerve
Radial
Extensor Pollicis Longus Origin
- Posterior Surface of Ulna
2. Interosseus Membrane
Extensor Pollicis Longus Insertion
Distal Phalanx of Thumb
Extensor Pollicis Longus Action
- Extends Distal Phalanx of Thumb
- Extends Proximal Phalanx of Thumb
- Assists to Extend the Wrist if Fingers are Flexed
Extensor Pollicis Longus Nerve
Radial
Extensor Pollicis Brevis Origin
- Posterior Surface of Radius (below Abductor Pollicis Longus)
- Interosseus Membrane
Extensor Pollicis Brevis Insertion
Base of Proximal Phalanx of Thumb
Extensor Pollicis Brevis Action
- Extends Proximal Phalanx and 1st Metacarpal of the Thumb
2. Radially Deviates Wrist
Extensor Pollicis Brevis Nerve
Radial
Abductor Pollicis Longus Origin
- Posterior Surface of Ulna and Radius
2. Interosseus Membrane
Abductor Pollicis Longus Insertion
Lateral Aspect of Base of 1st Metacarpal
Abductor Pollicis Longus Action
- Abducts 1st Metacarpal
- Assists to Extend and Rotate Thumb
- Radially Deviates Wrist
- Flexes Wrist
Abductor Pollicis Longus Nerve
Radial
Abductor Digiti Minimi Origin
Pisiform and Tendon of Flexor Carpi Ulnaris
Abductor Digiti Minimi Insertion
Medial Base of Proximal Phalanx of 5th Finger
Abductor Digiti Minimi Action
- Abducts the 5th Digit
2. Assists to Flex the 5th Digit
Abductor Digiti Minimi Nerve
Ulnar
Flexor Digiti Minimi Brevis Origin
Hamulus of Hamate and Transverse Carpal Ligament
Flexor Digiti Minimi Brevis Insertion
Ulnar Side of Base of Proximal Phalanx of 5th Finger
Flexor Digiti Minimi Brevis Action
Flexes 5th Digit
Flexor Digiti Minimi Brevis Nerve
Ulnar
Opponens Digiti Minimi Origin
Hamulus of Hamate and Flexor Retinaculum
Opponens Digiti Minimi Insertion
Ulnar Side of 5th Metacarpal
Opponens Digiti Minimi Action
- Opposes 5th Digit with the Thumb
2. Assists to “Cup the Palm”
Opponens Digiti Minimi Nerve
Ulnar
Palmar Interossei Origin
1st: Ulnar Side of Palmar Surface of Base of 1st Metacarpal
2nd: Ulnar Side of 2nd Metacarpal Bone
3rd: Radial Side of 4th Metacarpal
4th: Radial Side of 5th Metacarpal
Palmar Interossei Insertion
1st: Sesamoid Bone on Ulnar Side of Base of Proximal Phalanx of Thumb
2nd: Ulnar Side of Proximal Phalanx of 2nd Finger
3rd: Radial Side of Proximal Phalanx of 4th Finger
4th: Radial Side of Proximal Phalanx of 5th Finger
Palmar Interossei Action
- Adducts the Fingers
2. Flexes Fingers at the McP while the IP Joints are Extended
Palmar Interossei Nerve
Ulnar
Dorsal Interossei Origin
By Two Heads from Adjacent Sides of Metacarpal Bones
Dorsal Interossei Insertion
1st: Radial Side of Proximal Phalanx of 2nd Finger
2nd: Radial Side of Proximal Phalanx of 3rd Finger
3rd: Ulnar Side of Proximal Phalanx of 3rd Finger
4th: Ulnar Side of Proximal Phalanx of 4th Finger
Dorsal Interossei Action
- Abducts the Fingers
2. Flexes Fingers at the McP while IP Joints are Extended
Dorsal Interossei Nerve
Ulnar
Lumbricals Origin
Tendons of Flexor Digitorum Profundus (2-5)
Lumbricals Insertion
Tendons of Extensor Digitorum Communis (extensor expansion)
Lumbricals Action
- Flexes the Knuckles (McP joints)
2. Extends IP joints
Lumbricals Nerve
1 & 2: Median
3 & 4: Ulnar
Abductor Pollicis Brevis Origin
Trapezium, Scaphoid Tuberosity and Transcerse Carpal Ligament
Abductor Pollicis Brevis Insertion
Radial Side of Proximal Phalanx of Thumb
Abductor Pollicis Brevis Action
- Abducts Thumb
- Participates to Flex Thumb
- If attached to Extensor Pollicis Longus, it might assist to Extend the Thumb
Abductor Pollicis Brevis Nerve
Median
Flexor Pollicis Brevis Origin
Trapezium and Transverse Carpal Ligament
Flexor Pollicis Brevis Insertion
Radial Side of Proximal Phalanx of Thumb
Flexor Pollicis Brevis Action
Flexes the Thumb
Flexor Pollicis Brevis Nerve
Median
Opponens Pollicis Origin
Trapezium and Transverse Carpal Ligament
Opponens Pollicis Insertion
Whole Length of the Lateral Border of the 1st Metacarpal
Opponens Pollicis Action
Opposes the Thumb to the Fingers
Opponens Pollicis Nerve
Median
Adductor Pollicis Origin
- Transverse Head: 3rd Metacarpal
2. Oblique Head: Capitate, Bases of 2nd and 3rd Metacarpals, Trapezium and Trapezoid
Adductor Pollicis Insertion
Ulnar Side of Proximal Phalanx of Thumb
Adductor Pollicis Action
Adducts the Thumb
Adductor Pollicis Nerve
Ulnar
Palmaris Brevis Origin
Ulnar Side of Transverse Carpal Ligament and Palmar Fascia
Palmaris Brevis Insertion
Skin on Ulnar Border of Palm
Palmaris Brevis Action
Tenses the Skin on the Ulnar Side of the Palm
Palmaris Brevis Nerve
Ulnar