Upper extremity Flashcards
Triceps brachii
PA: Long head: infragelnoid tubericle of the scapula
Lateral head: posterior surface of humerus, superior to radial groove
medial head: posterior surface of the humerus, inferior to radial groove
DA: proximal end of olecranon process and fascia of forearm
NI: radial nerve
MS: chief extensor of the forearm; long head steadies head of abducted humerus, long head also involved in shoulder extension
brachialis
PA: distal half of anterior surface of humerus
DA: coronoid process and tuberosity of ulna
NI: musculocutaneous nerve
MA: major flexor of forearm- flexes forearm in all positions
pectoralis major
PA: clavicular head: anterior surface of medial half of clavicle
sternocostal head: anterior surface of sternum, superior 6 costal cartilage and aponerarosis of external oblique muscle
DA: lateral lip of intertubercular groove of humerus
NI: lateral and medial pectoral nerves
MA: adducts and medially rotates humerus; draws scapula anteriourly and inferiorly; acting alone CH flexes humerus, SCH extends humerus especially from a flexed shoulder position
Latissimus dorsi
PA: spinus process of inferior 6 ribs (7-12), thoracis vertebrae, thoraco lumbar fascia, iliac crest and inferior 3 or 4 ribs
DA: floor of intertubercular groove of humerus
NI: thoracodorsal nerve
MA: extends adducs and medially rotates humerus; raises body towards arm during climbing
Oppones digiti minimi
PA: hook of hamate and flexor retinaculum
DA: medial border of 5th metacarpal
NI: deep branch of ulnar nerve
MA: draws 5th metacarpal anteriorly and rotates it, brining it into opposition w/ thumb
Adductor pollicics
PA: oblique head: bases of 2nd and third metacarpals, capitate and adjacent carpals
transverse head: anterior surface of body of 3rd metacarpal
DA: medial side of base of proximal phalanx of thumb
NI: deep branch of ulnar nerve
MA: adducts thumb towards middle digit
Subclavius
PA: junction of 1st rib and its costal cartilage
DA: inferior surface of middle 1/3 of clavicle
NI: nerve to subclavius
MA: anchors and depresses clavicle
Serratus anterior
PA: external surface of medial border of scapula
DA: anterior surface of medial border of scapula
sup: near superior angle
NI:long thoracic nerve
MA: protracts scapula and holds it against thoracic wall; aides in upward rotation of scapula
anconeus
PA: lateral epicondyle of humerus
DA: lateral surface of olecranon and superior part of posterior surface of ulna
NI: radial nerve
MA: assist triceps in extending forearm; stabilize elbow joint; abducts ulna during pronation
abductor pollicis brevis
PA: flexor retinaculum and tubercles of scaphoid and trapezium
DA: lateral side of base pf phalanx of the thumb
NI: recurrent branch of median nerve
MA: abducts thumb and assist with opposition
opponenes pollicis
PA: flexor retinaculum and tubercles of scaphoid and trapezium
DA: lateral side of 1st metacarpal
NI: recurrent branch of median nerve
MA: draws first metacarpal bone laterally to oppose thumb toward center of palm and rotates it medially
flexor pollicis brevis
PA: flexor retinaculum and tubercles of scaphoid and trapezium
DA: lateral sid of base of phalanx of thumb
NI: recurrent branch of median nerve
MA: flexes thumb
adductor digiti minimi
PA: pisiorm
DA: medial side of base of proximal phalanx of 5th digit
NI: deep branch of ulnar nerve
MA: abducts 5th digit
flexor digiti minimi brevis
PA: hook of hamate and flexor retinaculum
DA: medial side of base of proximal phalanx of 5th digit
NI: deep branch of ulnar nerve
MA: flexes proximal phalanx of 5th digit
flexor carpi radialis
PA: medial epicondyle of humerus
DA: base of second metacarpal
NI: median nerve
MA: flexes and abducts hand (radial deviation)
pronator teres
PA: medial epicondyle of humerus and coronoid process of ulna
DA: middle lateral surface of radius
NI: median nerve
MA: pronates and flexes forearm at elbow
Palmar interosseous muscles
PA: palmar surfaces of 2nd 4th and 5th metacarpals
DA: extensor expansions of digits and bases of proximal phalanges of digits 2, 4, 5
NI: deep branch of ulnar nerve
MA: adducts digits toward axial line and assists lumbricles in flexing MCP joints and extending IP joints
Lumbricles
PA: medial 3 tendons of flexor digitorum profundus
DA: lateral sides of extensor expansions of digits 4 and 5
NI: deep branch of ulnar nerve
MA: flexes digits at MCP joints and extends at IP joints
Biceps Brachii
PA: Long head: supraglenoid tubercle of scapula
short head: tip of coracoid process of scapula
DA: tuberosity of radius and fascia of forearm via bicipital aponeurosis
NI: musculocutaneous nerve
MA: supinates forearm and when supinated aides in flexing the forearm
flexor pollicis longus
PA: anterior surface of radius and adjacent interosseus membrane
DA: base of distal phalanx of thumb
NI: anterior interosseus nerve from median nerve
MA: flexes phalanges of 1st digit at MCP and IP