Unit 2 Flashcards
Trapezius origin
Medial third of superior nuchal line; external occipital protuberance; nuchal ligament; spinous processes of C7-T12 vertebrae
trapezius insertion
Lateral third of clavicle; acromion and spine of scapula
trapezius innervation
Spinal accessory nerve (CN XI) (motor fibers) and C3, C4 spinal nerves (pain and proprioceptive fibers
trapezius actions
Descending: elevates
Ascending: depresses
Middle/all parts together: retracts scapula
Descending and ascending: rotate glenoid cavity superiorly
rhomboid major origin
Spinous processes of T2-T5 vertebrae
rhomboid major insertion
Medial border of scapula from level of spine to inferior angle
rhomboid major innervation
Dorsal scapular nerve (C4, C5)
rhomboid major action
Retract scapula and rotate glenoid cavity inferiorly; fix scapula to thoracic wall
rhomboid minor origin
Nuchal ligament; spinous processes of C7 and T1 vertebrae
rhomboid minor insertion
Smooth triangular area at medial end of scapular spine
rhomboid minor innervation
dorsal scapular nerve C4 C5
rhomboid minor action
Retract scapula and rotate glenoid cavity inferiorly; fix scapula to thoracic wall
levator scapula origin
Posterior tubercles of transverse processes of C1-C4 vertebrae
levator scapulae insertion
Medial border of scapula superior to root of scapular spine
levator scapulae innervation
Dorsal scapular nerve (C4, C5) and cervical (C3, C4) nerves
levator scapulae action
Elevates scapula and rotates its glenoid cavity inferiorly by rotating scapula
supraspinatus origin
supraspinous fossa of scapula
supraspinatus insertion
superior facet of greater tubercle of humerus
supraspinatus innervation
suprascapular nerve C4, C5, C6
supraspinatus action
initiates and assists deltoid in abduction of arm; acts with rotator cuff muscles
infraspinatus origin
infraspinous fossa of scapula
infraspinatus insertion
middle facet of greater tubercle of humerus
infraspinatus innervation
Suprascapular nerve C5 C6
infraspinatus action
laterally rotates arm; acts with rotator cuff muscles
teres minor origin
middle part of lateral border of scapula
teres minor insertion
inferior facet of greater tubercle of humerus
teres minor innervation
axillary nerve C5 C6
teres minor action
laterally rotates arm; acts with rotator cuff muscles
teres major origin
posterior surface of inferior angle of scapula
teres major insertion
medial lip of intertubercular sulcus of humerus
teres major innervation
lower subscapular nerve C5 C6
teres major action
adducts and medially rotates arm
pectoralis major origin
Clavicular head: anterior surface of medial half of clavicle Sternocostal head: anterior surface of sternum, superior 6 costal cartilages, aponeurosis of external oblique muscle
pectoralis major insertion
lateral lip of intertubercular sulcus
pectoralis major innervation
lateral and medial pectoral nerves; clavicular head C5 C6, sternocostal head (C7, C8, T1)
pectoralis major action
adducts and medially rotates humerus; draws scapula anteriorly and inferiorly. Acting alone, clavicular head flexes humerus and sternocostal head extends it from flexed position
pectoralis minor origin
3rd to 5th ribs near their costal cartilages
pectoralis minor insertion
medial border and superior surface of coracoid process
pectoralis minor innervation
medial pectoral nerve C8 T1
pectoralis minor action
stabilizes scapula by drawing it inferiorly and anteriorly against the thoracic wall
serratus anterior origin
external surfaces of lateral parts of 1st through 8th ribs
serratus anterior insertion
anterior surface of medial border of scapula
serratus anterior innervation
long thoracic nerve C5 C6 C7
serratus anterior action
protracts scapula and holds it against thoracic wall, rotates scapula
deltoid origin
anterior lateral third of clavicle, middle: acromion, posterior: spine of scapula
deltoid insertion
deltoid tuberosity of humerus
deltoid innervation
axillary nerve C5 C6
deltoid action
Clavicular (anterior): flexes and medially rotates arm acromial (middle): abducts arm
spinal (posterior): extends and laterally rotates arm
subscapularis origin
subscapular fossa (most of anterior scapula)
subscapularis insertion
lesser tubercle of humerus
subscapularis innervation
upper and lower subscapularis nerves C5 C6 C7
subscapularis actions
medially rotates arm; as part of rotator cuff, helps hold head of humerus in glenoid cavity
subclavius origin
junction of first rib and costal cartilage
subclavius insertion
inferior surface of middle third of clavicle
subclavius innervation
nerve to subclavius C5 C6
subclavius action
anchors and depresses clavicle
coracobrachialis origin
tip of coracoid process of scapula
coracobrachialis insertion
middle third of medial surface of humerus
coracobrachialis innervation
musculotaneous nerve C5 C6 C7
coracobrachialis action
helps flex and adduct arm; resists dislocation of the shoulder
biceps brachii origin
short head: tip of coracoid process of scapula
long head: supraglenoid tubercle of scapula
biceps brachii insertion
tuberosity of radius and fascia of forearm via bicipital aponeurosis
biceps brachii innervation
musculotaneous nerve C5 C6 C7
biceps brachii action
supinates forearm and when supine flexes forearm; short head resists dislocation of the shoulder
brachialis origin
distal half of anterior surface of humerus
brachialis insertion
coronoid process and tuberosity of the ulna
brachialis innervation
musculotaneous C5 C6 radial nerve C5 C7
brachialis action
flexes forearm in all positions
brachioradialis origin
proximal two thirds of supra-epicondylar ridge of humerus
brachioradialis insertion
lateral surface of distal end of radius proximal to styloid process
brachioradialis innervation
radial nerve C5 C6 C7
brachioradialis action
relatively weak flexion of the forearm; maximal when forearm is in mid-pronated position
triceps brachii origin
long head: infraglenoid tubercle of scapula
lateral head: posterior to surface of humerus, superior to radial groove
medial head: posterior surface of humerus, inferior to radial groove
triceps brachii insertion
proximal end of olecranon of ulna and fascia of forearm
triceps brachii innervation
radial nerve C6 C7 C8
triceps brachii action
chief extensor of the forearm; long head resists dislocation of the humerus; especially important during adduction
pronator teres origin
Ulnar head: coronoid process humeral head: medial epicondyle of humerus (common flexor origin)
pronator teres insertion
middle of convexity of lateral surface of radius
pronator teres innervation
median nerve C6 C7
pronator teres action
pronates and flexes forearm (at elbow)
palmaris longus origin
medial epicondyle of humerus (common flexor origin)
palmaris longus insertion
distal half of flexor retinaculum and apex of palmar aponeurosis
palmaris longus innervation
median nerve C7 C8
palmaris longus action
flexes hand (at wrist) and tenses palmar aponeurosis
flexor carpi ulnaris origin
humeral head: medial epicondyle of humerus (common flexor origin) ulnar head: olecranon and posterior border of ulna (via aponeurosis)
FCU insertion
pisiform, hook of hamate, 5th metacarpal
FCU innervation
ulnar nerve C8 T1
FCU action
flexes and adducts hand (at wrist)
flexor carpi radialis origin
medial epicondyle of humerus (common flexor origin)
FCR insertion
base of 2nd metacarpal
FCR innervation
Median nerve C6 C7
FCR action
flexes and abducts hand at wrist
flexor digitorum superficialis origin
humeral head: medial epicondyle (common flexor origin and coronoid process) radial head: superior half of anterior border
FDS insertion
shafts of middle phalanges of medial four digits
FDS innervation
median nerve C7 C8 T1
FDS action
flexes middle phalanges at PIP’s of middle four digits; acting more strongly, it also flexes proximal phalanges at MCP’s
Flexor digitorum profundus origin
proximal 3/4 of medial and anterior surfaces of ulna and interosseous membrane
FDP insertion
medial part: bases of distal phalanges of 4th and 5th digits
Lateral part: bases of distal phalanges of 2nd and 3rd digits
FDP innervation
medial part*: ulnar nerve C8 T1 lateral part: anterior interosseous nerve, from median nerve C8 T1
FDP action
medial part: flexes distal phalanges 4 and 5 at DIP joints
lateral part: flexes distal phalanges 2 and 3 at DIP joints
Flexor pollicis longus origin
anterior surface of radius and adjacent interosseous membrane
FPL insertion
base of distal phalanx of thumb
FPL innervation
anterior interosseous nerve C8 T1
FPL action
flexes phalanges of 1st digit
pronator quadratus origin
distal quarter of anterior surface of ulna
pronator quadratus insertion
distal quarter of anterior surface of RADIUS
pronator quadratus innervation
anterior interosseous nerve C8 T1
pronator quadratus action
pronates forearm; deep fibers bind radius and ulna together
extensor carpi radialis longus origin
lateral supra-epicondylar ridge of humerus
ECRL insertion
dorsal aspect of base of 2nd metacarpal
ECRL innervation
radial nerve C6 C7
ECRL action
extend and abduct hand at the wrist joint; ECRL active during fist clenching
Extensor carpi radialis brevis origin
lateral epicondyle of humerus (common extensor origin)
ECRB insertion
dorsal aspect of base of 3rd metacarpal
ECRB innervation
*deep branch of radial nerve C7 C8
ECRB action
extend and abduct hand at the wrist joint
Extensor digitorum origin
Lateral epicondyle of the humerus
Extensor digitorum insertion
Extensor expansions of medial four digits
Extensor digitorum nerve
Deep radial C7 C8
Extensor digitorum action
Extends medial four digits primarily at MCPs and secondarily at IP joints
extensor digiti minimi origin
lateral epicondyle of the humerus
extensor digit minimi insertion
extensor expansion of 5th digit
extensor digiti minimi nerve
deep radial C7 C8
extensor digiti minimi action
extends the 5th digit primarily at the MCP, secondarily at the IP
extensor carpi ulnaris origin
lateral epicondyle of humerus; posterior border of ulna via shared aponeurosis
ECU insertion
dorsal aspect of base of 5th metacarpal
ECU innervation
deep radial C7 C8
ECU action
extends and adducts hand at wrist joint (also active during fist clenching)
Supinator origin
lateral epicondyle of humerus; radial collateral and annular ligaments; supinator fossa; crest of ulna
supinator insertion
lateral, posterior and anterior surfaces of proximal third of radius
supinator nerve
deep radial C7 C8
supinator action
Supinates forearm; rotates radius to turn palm anteriorly or superiorly (if elbow is flexed)
Abductor pollicis longus origin
posterior surface of proximal halves of ulna, radius and interosseous membrane
Abductor pollicis longus insertion
base of 1st metacarpal
Abductor pollicis longus nerve
POSTERIOR interosseous C7 C8
Abductor pollicis longus action
abducts thumb and extends it at the carpometacarpal joint
Extensor pollicis longus origin
posterior surface of middle third of ulna and interosseous membrane
Extensor pollicis longus insertion
dorsal aspect of base of distal phalanx of thumb
Extensor pollicis longus nerve
posterior interosseous C7 C8
Extensor pollicis longus action
ALL: extends distal phalanx of thumb at IP joint; extends MCP and carpometacarpal joints
Extensor pollicis brevis origin
posterior surface of distal third of radius*** and interosseous membrane
Extensor pollicis brevis insertion
dorsal aspect of proximal phalanx of thumb
Extensor pollicis brevis nerve
posterior interosseous C7 C*
Extensor pollicis brevis action
extends proximal phalanx of the thumb at MCP; extends carpometacarpal joint
Extensor indicis origin
posterior surface of distal third of ulna and interosseous membrane
Extensor indicis insertion
Extensor expansion of 2nd digit
Extensor indicis nerve
posterior interosseous C7 C8
Extensor indicis action
extends the 2nd digit for independent expansion; helps to extend hand and wrist
abductor pollicis brevis nerve
recurrent branch of median nerve C8 T1
abductor pollicis brevis action
abducts thumb, helps oppose it
flexor pollicis brevis nerve
SUPERFICIAL: recurrent branch of median nerve C8 T1
DEEP: deep ulnar C8 T1
flexor pollicis brevis action
flexes thumb
opponens pollicis nerve
recurrent branch of median nerve C8 T1
opponens pollicis action
to oppose thumb: draws 1st metacarpal medially to center of palm and rotates it medially
adductor pollicis nerve
deep ulnar C8 T1
adductor pollicis action
adducts thumb toward lateral border of the palm
abductor digiti minimi nerve
deep ulnar C8 T1
abductor digiti minimi action
abducts 5th digit; assists in flexion of proximal phalanx
flexor digiti minimi brevis nerve
deep ulnar C8 T1
flexor digiti minimi brevis action
flexes proximal phalanx of 5th digit
opponens digiti minimi nerve
deep ulnar C8 T1
opponens digiti minimi action
draws 5th metacarpal anterior and rotates it, bringing 5th digit in opposition with thumb
Dorsal interossei nerve
deep ulnar C8 T1
Dorsal interossei action
abduction 2nd to 4th digits from axial line; act with lumbricals in flexing MCP joints and extending IP joints
palmar interossei nerve
deep ulnar C8 T1
palmar interossei action
adduct 2, 4 and 5 digits TOWARD axial line; assist with lumbricals for MCP flexion and IP extension; extensor expansions of 2-4