Proximal, Distal, Innervation, Action Flashcards
pectoralis major proximal attachment
medial clavicle, sternum, and superior ribs
pectoralis major distal attachment
greater tubercle of humerus
pectoralis major innervation
medial pectoral and lateral pectoral (C5, 6, 7, 8, T1)
pectoralis major action
FL, ADD, IR (from a fully FL position, it will be EX back)
pectoralis minor proximal attachment
ribs 3-5
pectoralis minor distal attachment
coracoid process of the scapula
pectoralis minor innervation
medial pectoral nerve (C8, T1)
pectoralis minor action
protraction, depression, rotate to depress
subclavius proximal attachment
1st rib
subclavius distal attachment
inferior surface of middle cllavicle
subclavius innervation
nerve to subclavius (C5, 6)
subclavius action
anchors and depresses clavicle, depresses scapula
serratus anterior proximal attachment
lateral superior ribs
serratus anterior distal attachment
medial border of the scapula
serratus anterior innervation
long thoracic nerve (C5, 6, 7)
serratus anterior action
protraction, depression, rotate to depress
trapezius proximal attachment
occipital protuberance, spinous processes of C7-T12
trapezius distal attachment
lateral clavicle, acromion, spine of scapula
trapezius innervation
cranial nerve XI
trapezius action
Scapula
Upper: elevation, retraction, rotate to elevate
Lower: depression, retraction, rotate to elevate
Neck
Both: EX
One side: ABD, ADD, rotation
latissumus dorsi proximal attachment
lower thoracic and lumbar vertebra, posterior pelvis
latissumus dorsi distal attachment
lesser tubercle
latissumus dorsi innervation
thoracodorsal (C6, 7, 8)
latissumus dorsi action
EX, ADD, IR
levator scapulae proximal attachment
upper cervical vertebrae
levator scapulae distal attachment
superior medial scapula
levator scapulae innervation
dorsal scapular (C3, 4, 5)
levator scapulae action
Scapula: elevation, retraction, rotate to depress Neck: Both: EX One side: ABD, ADD, rotation
rhomboids proximal attachment
lower cervical and upper thoracic vertebrae
rhomboids distal attachment
medial border of the scapulae
rhomboids innervation
dorsal scapular (C4, 5)
rhomboids action
retraction, elevation, rotate to depress
deltoid proximal attachment
Lateral clavicle, acromion, spine of scapula
deltoid distal attachment
Deltoid tuberosity of humerus
deltoid innervation
Axillary (C5,6)
deltoid action
Anterior: FL, IR
Middle: ABD
Posterior: EX, ER
(will ADD when inferior to the GH joint)
supraspinatus proximal attachment
Supraspinatus fossa of the scapula
supraspinatus distal attachment
Greater tubercle of the humerus
supraspinatus innervation
Suprascapular (C4,5,6)
supraspinatus action
Stabilizes the glenohumeral joint, ABD
infraspinatus proximal attachment
Infraspinatus fossa of the scapula
infraspinatus distal attachment
Greater tubercle of the humerus
infraspinatus innervation
Suprascapular (C5,6)
infraspinatus action
Stabilizes the glenohumeral joint, ER
teres minor proximal attachment
Lateral border of the scapula
teres minor distal attachment
Greater tubercle of the humerus
teres minor innervation
Axillary (C5,6)
teres minor action
Stabilizes the glenohumeral joint, ER
teres major proximal attachment
Inferior angle of the scapula
teres major distal attachment
Lesser tubercle of the humerus
teres major innervation
Lower subscapular (C5,6)
teres major action
ADD, IR
subscapularis proximal attachment
Subscapularis fossa of the scapula
subscapularis distal attachment
Lesser tubercle of the humerus
subscapularis innervation
Upper and lower subscapular (C5,6,7)
subscapularis action
Stabilizes the glenohumeral joint, IR
biceps brachii proximal attachment
Coracoid process of the scapula, supraglenoid tubercle of the scapula
biceps brachii distal attachment
Tuberosity of the radius and bicipital aponeurosis
biceps brachii innervation
Musculocutaneous (C5,6,7)
biceps brachii action
Radioulnar: supination
Elbow: FL
GH: FL, ABD
coracobrachialis proximal attachment
Coracoid process of the scapula
coracobrachialis distal attachment
Midshaft of humerus
coracobrachialis innervation
Musculocutaneous (C5,6,7)
coracobrachialis action
GH: FL, ADD, IR
triceps brachii proximal attachment
Infraglenoid tubercle of the scapula, posterior humerus superior to the radial groove, posterior humerus inferior to radial groove
triceps brachii distal attachment
Olecranon of ulna
triceps brachii innervation
Radial (C6,7,8)
triceps brachii action
Elbow EX
GH: EX, resists dislocation
anconeus proximal attachment
Lateral epicondyle of humerus
anconeus distal attachment
Lateral olecranon
anconeus innervation
Radial (C8, T1)
anconeus action
Assists triceps in EX, stabilizes elbow
pronator teres proximal attachment
Medial epicondyle of humerus, coronoid process of ulna
pronator teres distal attachment
Middle of radius
pronator teres innervation
Median (C6,7)
pronator teres action
Radioulnar: pronation
Elbow: FL
flexor carpi radialis proximal attachment
Medial epicondyle of humerus
flexor carpi radialis distal attachment
Base of 2nd metacarpal
flexor carpi radialis innervation
Median (C6,7)
flexor carpi radialis action
Elbow: FL
Wrist: FL, ABD
palmaris longus proximal attachment
Medial epicondyle of humerus
palmaris longus distal attachment
Palmar aponeurosis
palmaris longus innervation
Median (C7,8)
palmaris longus action
Elbow: FL
Wrist: FL, palmar aponeurosis
flexor carpi ulnaris proximal attachment
Medial epicondyle of humerus
flexor carpi ulnaris distal attachment
Pisiform, hook of hamate, 5th metacarpal
flexor carpi ulnaris innervation
Ulnar (C7,8)
flexor carpi ulnaris action
Elbow: FL
Wrist: FL, ADD
flexor digitorum superficialis proximal attachment
Medial epicondyle of humerus, ulna and proximal radius
flexor digitorum superficialis distal attachment
Middle phalanges of digits 2-5
flexor digitorum superficialis innervation
Median (C7,8, T1)
flexor digitorum superficialis action
Elbow: FL
PIP: FL (digits 2-5)
MCP: FL (digits 2-5)
Wrist: FL
flexor digitorum profundus proximal attachment
Proximal ulna and interosseous membrane
flexor digitorum profundus distal attachment
Distal phalanges of digits 2-5
flexor digitorum profundus innervation
Median (C8, T1), Ulnar (C8, T1)
flexor digitorum profundus action
Wrist: Fl
DIP: FL (digits 2-5)
MCP: FL (digits 2-5)
Flexor pollicus longus proximal attachment
Radius and interosseous membrane
Flexor pollicus longus distal attachment
Distal phalanx of 1st digit
Flexor pollicus longus innervation
Median (C8, T1)
Flexor pollicus longus action
Wrist: FL, ABD
Carpometacarpal: FL (1st digit)
MCP: FL (1st digit)
IP: FL (1st digit)
Pronator quadratus proximal attachment
Distal ulna
Pronator quadratus distal attachment
Distal radius
Pronator quadratus innervation
Median (C8, T1)
Pronator quadratus action
Radioulnar: pronation
Brachioradialis proximal attachment
Supracondylar ridge of humerus
Brachioradialis distal attachment
Radial styloid process
Brachioradialis innervation
Radial (C5,6,7)
Brachioradialis action
Radioulnar: supination
Elbow: FL
Extensor carpi radialis longus proximal attachment
Lateral supraepicondylar ridge of humerus
Extensor carpi radialis longus distal attachment
Dorsal base of 2nd metacarpal
Extensor carpi radialis longus innervation
Radial (C6,7)
Extensor carpi radialis longus action
Elbow: EX
Wrist: EX, ABD
Extensor carpi radialis brevis proximal attachment
Lateral epicondyle of humerus
Extensor carpi radialis brevis distal attachment
Dorsal base of 3rd metacarpal
Extensor carpi radialis brevis innervation
Radial (C7,8)
Extensor carpi radialis brevis action
Elbow: EX
Wrist: EX, ABD
Extensor digitorum proximal attachment
Lateral epicondyle of humerus
Extensor digitorum distal attachment
Extensor expansions of digits 2-5
Extensor digitorum innervation
Radial (C7,8)
Extensor digitorum action
Elbow: EX
Wrist: EX
MCP: EX (Digits 2-5)
Extensor digiti minimi proximal attachment
Lateral epicondyle of humerus
Extensor digiti minimi distal attachment
Extensor expansion of 5th digit
Extensor digiti minimi innervation
Radial (C7,8)
Extensor digiti minimi action
Elbow: EX
Wrist: EX, ADD
MCP: EX (5th digit)
Extensor carpi ulnaris proximal attachment
Lateral epicondyle of humerus
Extensor carpi ulnaris distal attachment
Dorsal base of 5th metacarpal
Extensor carpi ulnaris innervation
Radial (C7,8)
Extensor carpi ulnaris action
Elbow: EX
Wrist: EX, ADD
Supinator proximal attachment
Lateral epicondyle of humerus and proximal ulna
Supinator distal attachment
Radial shaft
Supinator innervation
Radial (C7,8)
Supinator action
Radioulnar supination
Extensor indicis proximal attachment
Posterior ulna and interosseous membrane
Extensor indicis distal attachment
Extensor expansion of 2nd
Extensor indicis innervation
Radial (C7,8)
Extensor indicis action
MCP: EX (2nd digit)
Wrist: EX, ABD
Abductor pollicis longus proximal attachment
Posterior ulna and interosseous membrane
Abductor pollicis longus distal attachment
Lateral base of 1st metacarpal
Abductor pollicis longus innervation
Radial (C7,8)
Abductor pollicis longus action
Thumb: ABD
Wrist: EX, ABD
Extensor pollicis longus proximal attachment
Posterior ulna and interosseous membrane
Extensor pollicis longus distal attachment
Base of distal phalanx of thumb
Extensor pollicis longus innervation
Radial (C7,8)
Extensor pollicis longus action
Thumb: EX
Wrist: EX, ABD
Extensor pollicis brevis proximal attachment
Posterior radius and interosseous membrane
Extensor pollicis brevis distal attachment
Dorsal proximal phalanx of thumb
Extensor pollicis brevis innervation
Radial (C7,8)
Extensor pollicis brevis action
Thumb: EX
Wrist: EX, ABD
Opponen pollicis proximal attachment
Flexor retinaculum and lateral carpals
Opponen pollicis distal attachment
Lateral 1st metacarpal
Opponen pollicis innervation
Median (C8, T1)
Opponen pollicis action
Opposition of thumb
Abductor pollicis brevis proximal attachment
Flexor retinaculum and lateral carpals
Abductor pollicis brevis distal attachment
Lateral base of proximal phalanx of thumb
Abductor pollicis brevis innervation
Median (C8,T1)
Abductor pollicis brevis action
ABD thumb
Flexor pollicis brevis proximal attachment
Flexor retinaculum and lateral carpals
Flexor pollicis brevis distal attachment
Lateral base of proximal phalanx of thumb
Flexor pollicis brevis innervation
Median (C8, T1), Ulnar (C8, T1)
Flexor pollicis brevis action
Thumb: FL, ADD
Adductor pollicis proximal attachment
Base of 2nd and 3rd metacarpals, shaft of 3rd metacarpal and adjacent carpals
Adductor pollicis distal attachment
Medial side of proximal phalanx of thumb
Adductor pollicis innervation
Ulnar (C8, T1)
Adductor pollicis action
ADD thumb
Abductor digiti minimi proximal attachment
Pisiform
Abductor digiti minimi distal attachment
Proximal phalanx of digit 5
Abductor digiti minimi innervation
Ulnar (C8, T1)
Abductor digiti minimi action
ABD of 5th digit, FL at PIP
Flexor digiti minimi brevis proximal attachment
Hook of hamate and flexor retinaculum
Flexor digiti minimi brevis distal attachment
Proximal phalanx of digit 5
Flexor digiti minimi brevis innervation
Ulnar (C8, T1)
Flexor digiti minimi brevis action
FL at PIP (5th digit)
Opponens digiti proximal attachment
Hook of hamate and flexor retinaculum
Opponens digiti distal attachment
5th metacarpal
Opponens digiti innervation
Ulnar (C8, T1)
Opponens digiti action
Opposes 5th digit
Lumbricals proximal attachment
Tendons of flexor digitorum profundus
Lumbricals distal attachment
Lateral extensor expansions of digits 2-5
Lumbricals innervation
Median (C8, T1), Ulnar (C8, T1)
Lumbricals action
MCP: FL
PIP: EX
DIP: EX
Dorsal interossei 1st- 4th proximal attachment
Metacarpals
Dorsal interossei 1st- 4th distal attachment
Extensor expansions of 2nd-4th digits
Dorsal interossei 1st- 4th innervation
Ulnar (C8, T1)
Dorsal interossei 1st- 4th action
Digits 2-4: ABD
MCP: FL
PIP: EX
DIP: EX
Palmar interossei 1st- 3rd proximal attachment
Metacarpals
Palmar interossei 1st- 3rd distal attachment
Extensor expansions of 2nd, 4th and 5th digits
Palmar interossei 1st- 3rd innervation
Ulnar (C8, T1)
Palmar interossei 1st- 3rd action
2nd, 4th, 5th digits: ADD
MCP: FL
PIP: EX
DIP: EX