Part 3: Appendicular musculature Flashcards
Major characteristics of the appendicular musculature
1) Innervation by spinal nerves forming plexuses (with exception of trapezius - CN XI spinal accessory nerve)
2) Attachments on axial & appendicular skeleton
3) Movements: muscle contractions cause a limb segment to move in a specific plane at a given joint
Limb muscles are organized into ______(each is innervated by ______)
compartments
a specific nerve branch of a plexus
Upper limbs are innervated by _____ except ____
by branches of the brachial plexus (levels C5 to T1 of spinal cord) except trapezius (CN XI – spinal accessory n.)
Fur major muscle groups crossing upper limb joints
Shoulder (pectoral girdle)
Arm
Forearm
Hand
Upper limb joints are designed for ____(rather than ____).
mobility
stability
Major functions of the upper limb musculature
1) Muscles positioning the pectoral girdle
2) Muscles moving the arm
3) Muscles moving the forearm & hand
4) Muscles moving the hand & digits
Label Muscles moving the pectoral girdle (shoulder)
1) Trapezius: Occipital & spinous processes to clavicle & scapular spine; elevator, retractor, & depressor of scapula
2) Levator scapulae: Transverse processes to superior vertebral border of scapula; Elevator of scapula
3) Rhomboids (major & minor): Spinous processes to vertebral border of scapula; Retractors of scapula
4) Serratus anterior: Ribs to vertebral border of scapula (anterior surface); Protractor of scapula
To move arm up, these muscles contract
Trapezius (lower) + Trapezius (upper)
Serratus anterior
Pectoralis minor attaches where? does what?
anteriorly to girdle
Depresses & protracts scapula; elevates ribs
To move arm down, these muscles contract
pectoralis minor (brings hand down)
levator scapulae (contract up)
rhomboids (contract up)
label muscles moving the arm
Pectoralis major: Ribs/sternum, clavicle to lateral side of intertubercular sulcus; Arm adductor, flexor & medial rotator
Deltoideus: Clavicle & scapular spine to deltoid tuberosity; Major arm abductor; arm flexor & medial
rotator (anterior part)
Subscapularis: Subscapular fossa to lesser tubercle; Medial arm rotator
label muscles moving the arm
Deltoideus: Clavicle & scapular spine to deltoid tuberosity; Major arm abductor; arm extensor & lateral rotator (posterior part)
Latissimus dorsi: Spinous processes, ribs, iliac crest to the intertubercular sulcus (middle); Powerful arm retractor; arm extensor, adductor & medial rotator
Teres major: Inferior angle of scapula to medial side of intertubercular sulcus; Arm extensor & medial rotator (assists latissimus dorsi)
label muscles moving the arm
Supraspinatus: Supraspinous fossa to greater tubercle;Arm abductor (assists deltoid)
Infraspinatus: Infraspinous fossa to greater tubercle;Lateral arm rotator
Teres minor: Axillary border to greater tubercle; Lateral arm rotator
Rotator cuff muscles
Supraspinatus
Infraspinatus
Teres minor
Subscapularis
Tendons of SITS muscles reinforce _____& hold the humeral head against _____
shoulder joint capsule
glenoid fossa (preventing dislocation of shoulder joint)
The only muscle NOT on the greater tubercle is the ______
anterior muscle (subscapularis muscle = lesser tubercle)
label muscles- the forearm at the elbow joint: flexors
Brachialis (deeper): Humeral shaft to coronoid process of ulna; Powerful forearm flexor (especially when pronated)
Brachioradialis: Above lateral epicondyle to styloid process of radius; Forearm flexor when half pronated
Biceps brachii (long & short heads): Scapula (above glenoid cavity & coracoid process) to radial tuberosity; Powerful forearm supinator; forearm flexor (especially strong when supinated); assists arm flexing
label muscles- the forearm at the elbow joint: extensor
Triceps brachi (long, lateral, medial heads): under glenoid cavity, superior shaft of humerus, inferior shaft of humerus (deepest head) to olecranon process; Forearm extensor (assists in arm extension), antagonist of all 3 flexors
Abduction of the wrist = ____
Adduction of the wrist = _____
All muscles attach at ____ for wrist joint
radial deviation
ulnar deviation
the carpals
anterior muscles at wrist joint
Flexor carpi radialis: Hand flexor & abductor
Palmaris longus: Weak hand flexor (not always present)
Flexor carpi ulnaris: Hand flexor & adductor
Flexor retinaculum: Strong fibrous band forming roof of carpal tunnel
anterior muscles at digits -intermediate layer
Flexor digitorum superficialis (FDS): Finger flexor (insert on middle phalanges of digits 2,3,4,5)