Upper Extremity Flashcards
Origin of trapezius
Medial 1/3 superior nuchal line, EOP, nuchal ligament, CP C7-T12
Insertion of trapezius
Spine of scapula, acromion process, lateral 1/3 of clavicle
Innervation of trapezius
Spinal accessory nerve
Actions of trapezius
Elevation, retraction, depression, superior rotation of scapula
Origin of lats
SP of T7-L5, thoracolumbar fascia, iliac crest
Insertion of lats
Intertubercular groove of the humerus (medial portion)
Innervation of lats
Thoracodorsal nerve
Actions of lats
Extension, medial rotation, adduction of humerus
Origin of levator scapula
TP C1-4
Insertion of levator scapula
Superior border of medial border of scapula
Innervation of levator scapula
Dorsal scapular
Actions of levator scapula
Elevate scapula
Origin of rhomboid minor
SP C7-T1
Insertion of rhomboid minor
Medial border of scapula (level of the spine)
Innervation of rhomboid minor
Dorsal scapular nerve
Actions of rhomboid minor
Retract scapula, rotate glenoid cavity inferior
Origin of rhomboid major
SP T2-T5
Insertion of rhomboid major
Medial border of scapula
Innervation of rhomboid major
Axillary nerve
Actions of rhomboid major
retracts and downwardly rotates pec girdle
Origin of deltoid
Spine of scapula, acromion process, lateral 1/3 of the clavicle
Insertion of deltoid
Deltoid tuberosity of the humerus
Innervation of deltoid
Axillary nerve
Actions of deltoid
Extension, abduction, flexion of humerus
Origin of supraspinatus
Supraspinous fossa of scapula
Insertion of supraspinatus
Superior facet of greater tubercle of humerus
Innervation of supraspinatus
Suprascapular nerve
Action of supraspinatus
Abduction of humerus
Origin of infraspinatus
Infraspinous fossa of scapula
Insertion of infraspinatus
Middle facet on greater tubercle of humerus
Innervation of infraspinatus
Suprascapular nerve
Action of infraspinatus
Lateral rotation of humerus
Origin of teres minor
Middle portion of lateral border of scapula
Insertion of teres minor
Inferior facet of greater tubercle of humerus
Innervation of teres minor
Axillary nerve
Action of teres minor
Lateral rotation of humerus
Origin of subscapularis
Subscapular fossa
Insertion of subscapularis
Lesser tubercle of humerus
Innervation of subscapularis
Upper and lower subscapular nerve
Action of subscapularis
Medial rotation of humerus (assists with adduction)
Origin of teres major
Dorsal surface of inferior angle of scapula
Insertion of teres major
Intertubercular groove of humerus (medial portion)
Innervation of teres major
Lower subscapular nerve
Action of teres major
Adducts and medially rotates arm
Origin of serratus anterior
External lateral surface of ribs 1-8
Insertion of serratus anterior
Anterior portion of medial border of scapula
Innervation of serratus anterior
Long thoracic nerve
Action of serratus anterior
Protraction of scapula, stabilizes scapula against thoracic wall
Origin of subclavius
Costal junction rib 1
Insertion of subclavius
Middle and distal portion of clavicle
Innervation of subclavius
Nerve to subclavius
Action of subclavius
Stabilize and depress clavicle
Origin of pec major
Clavicular head: Anterior surface medial 1/2 of clavicle,
Sternocostal head: Anteriolateral sternum and upper 6 ribs
Insertion of pec major
Intertubercular groove of humerus (lateral portion)
Innervation of pec major
Lateral pectoral nerve to clavicular head, medial pectoral head to sternocostal head
Action of pec major
Adduction and medial rotation of humerus, flexion of humerus
Origin of pec minor
Ribs 3, 4, 5 near costocartilage junction
Insertion of pec minor
Coracoid process of scapula
Innervation of pec minor
Medial pectoral nerve
Action of pec minor
Protraction and depression of scapula
Origin of coracobrachialis
Coracoid process
Insertion of coracobrachialis
Medial surface of humerus
Innervation of coracobrachialis
Musculocutaneous nerve
Action of coracobrachialis
Flexion and adduction of humerus
Origin of biceps brachii
Short head: coracoid process
Long head: supraglenoid tubercle of scapula
Insertion of biceps brachii
Radial tuberosity and bicipital aponeurosis
Innervation of biceps brachii
Musculocutaneous nerve
Action of biceps brachii
Flexes and supinates forearm
Origin of brachialis
Distal 1/2 anterior surface of the humerus
Insertion of brachialis
Coronoid process and tuberosity of ulna
Innervation of brachialis
Musculocutaneous nerve
Action of brachialis
Flexion of forearm
Origin of triceps brachii
Long head: Infraglenoid tubercle
Lateral head: Posterior humerus
Medial head: Posterior humerus
Insertion of triceps brachii
Olecranon process of ulna
Innervation of triceps brachii
Radial nerve
Action of triceps brachii
Extension of forearm
Origin of anconeus
Lateral epicondyle of humerus
Insertion of anconeus
Olecranon of ulna and superior portion of ulna
Innervation of anconeus
Radial nerve
Action of anconeus
Extension of forearm
Origin of brachioradialis
Lateral portion of distal humerus
Insertion of brachioradialis
Styloid process and distal 1/3 of radius
Innervation of brachioradialis
Radial nerve
Action of brachioradialis
Flexion of forearm
Origin of pronator teres
Medial epicondyle of humerus and coronoid process of ulna
Insertion of pronator teres
Lateral surface of radius
Innervation of pronator teres
Median nerve
Action of pronator teres
Pronation and flexion of forearm
Origin of flexor carpi radialis
Medial epicondyle of humerus
Insertion of flexor carpi radialis
Base of second metacarpal
Innervation of flexor carpi radialis
Median nerve
Action of flexor carpi radialis
Flexes wrist and abducts wrist (radial deviation)
Origin of palmaris longus
Medial epicondyle of humerus
Insertion of palmaris longus
Flexor retinaculum and palmar aponeurosis
Innervation of palmaris longus
Median nerve
Action of palmaris longus
Flexes wrist
Origin of flexor carpi ulnaris
Humeral head: Medial epicondyle
Ulnar head: Olecranon, posterior ulna
Insertion of flexor carpi ulnaris
Pisiform, hook of hamate, fifth metacarpal
Innervation of flexor carpi ulnaris
Ulnar nerve
Action of flexor carpi ulnaris
Flexion and adduction of wrist (ulnar deviation)
Origin of flexor digitorum superficialis
Humeroulnar head: Medial epicondyle of humerus, coronoid process of ulna
Radial head: Anteriosuperior radius
Insertion of flexor digitorum superficialis
Middle phalanges of digits 1-4
Innervation of flexor digitorum superficialis
Median nerve
Action of flexor digitorum superficialis
Flexes phalanges at proximal interphalangeal joints, flexes metacarpophalangeal joints (assists with wrist flexion)
Origin of flexor digitorum profundus
Proximal 3/4 anterior ulna and interosseous membrane
Insertion of flexor digitorum profundus
Base of distal phalanges 1-4
Innervation of flexor digitorum profundus
Medial portion: Ulnar nerve
Lateral portion: Median nerve
Action of flexor digitorum profundus
Flexes distal phalanges at interphalangeal joints 1-4, flexes metacarpophalangeal joints
Origin of flexor pollicis longus
Anterior surface of radius and interosseous membrane
Insertion of flexor pollicis longus
Base of distal phalanx of pollex
Innervation of flexor pollicis longus
Median nerve
Action of flexor pollicis longus
Flexes phalanges of pollex
Origin of pronator quadratus
Distal 1/4 of anterior surface of ulna
Insertion of pronator quadratus
Distal 1/4 of anterior surface of radius
Innervation of pronator quadratus
Median nerve
Action of pronator quadratus
Pronates forearm
Origin of extensor carpi radialus longus
Lateral supracondylar ridge of humerus
Insertion of extensor carpi radialus longus
Base of second metacarpal
Innervation of extensor carpi radialus longus
Deep radial nerve
Action of extensor carpi radialus longus
Extension of wrist, abduction of wrist (radial deviation)
Origin of extensor carpi radialis brevis
Lateral epicondyle of humerus
Insertion of extensor carpi radialis brevis
Base of third metacarpal
Innervation of extensor carpi radialis brevis
Deep radial nerve
Action of extensor carpi radialis brevis
Extension of wrist, abduction of wrist (radial deviation)
Origin of extensor digitorum
Lateral epicondyle of humerus
Insertion of extensor digitorum
Extensor expansions of digits 2-5
Innervation of extensor digitorum
Posterior interosseous nerve branch of Deep Radial nerve
Action of extensor digitorum
Extension of 4 digits at interphalangeal joints, metacarpophalangeal joints, extension of wrist
Origin of extensor digiti minimi
Lateral epicondyle of humerus
Insertion of extensor digiti minimi
Base of middle phalanx fifth digit
Innervation of extensor digiti minimi
Posterior interosseous nerve branch of Deep Radial nerve
Action of extensor digiti minimi
Extends fifth digit at interphalangeal joints and metacarpophalangeal joints
Origin of extensor carpi ulnaris
Lateral epicondyle of humerus, posterior border of ulna
Insertion of extensor carpi ulnaris
Base of fifth metacarpal
Innervation of extensor carpi ulnaris
Posterior interosseous nerve branch of Deep Radial nerve
Action of extensor carpi ulnaris
Extension and adduction of wrist
Origin of supinator
Lateral epicondyle of humerus, crest of ulna
Insertion of supinator
Proximal 1/3 of radius
Innervation of supinator
Deep Radial nerve
Action of supinator
Supination of forearm
Origin of abductor pollicis longus
Posterior surfaces of radius and ulna, interosseous membrane
Insertion of abductor pollicis longus
Base of first metacarpal
Innervation of abductor pollicis longus
Posterior interosseous nerve branch of Deep Radial nerve
Action of abductor pollicis longus
Abducts thumb at carpometacarpal joint
Origin of extensor pollicis brevis
Posterior surface of radius and interosseous membrane
Insertion of extensor pollicis brevis
Base of proximal phalanx of the pollex
Innervation of extensor pollicis brevis
Posterior interosseous nerve branch of Deep Radial nerve
Action of extensor pollicis brevis
Extends proximal phalanx at carpometacarpal joint
Origin of extensor pollicis longus
Posterior surface middle 1/3 ulna and interosseous membrane
Insertion of extensor pollicis longus
Base of distal phalanx of pollex
Innervation of extensor pollicis longus
Posterior interosseous nerve branch of deep radial nerve
Action of extensor pollicis longus
Extends distal phalanx at metacarpophalangeal ad interphalangeal joints
Origin of extensor indicis
Posterior surface of ulna and interosseous membrane
Insertion of extensor indicis
Extensor expansion of second digit
Innervation of extensor indicis
Posterior interosseous nerve branch of deep radial nerve
Action of extensor indicis
Extends second digit and assists with extension of wrist
Origin of abductor pollicis brevis
Flexor retinaculum, tubercles of scaphoid and trapezius
Insertion of abductor pollicis brevis
Proximal phalanx of thumb
Innervation of abductor pollicis brevis
Recurrent branch of median nerve
Action of abductor pollicis brevis
Abduction of thumb
Origin of flexor pollicis brevis
Flexor retinaculum, tubercles of scaphoid and trapezium
Insertion of flexor pollicis brevis
Proximal phalanx of the thumb
Innervation of flexor pollicis brevis
Recurrent branch of median nerve
Action of flexor pollicis brevis
Flexes thumb
Origin of oponens pollicis
Flexor retinaculum, tubercles of scaphoid and trapezium
Insertion of oponens pollicis
Lateral side of first metacarpal
Innervation of oponens pollicis
Recurrent branch of median nerve
Action of oponens pollicis
Draws first metacarpal medially to oppose thumb
Origin of adductor pollicis
Oblique head: bases of 2nd and 3rd metacarpals
Transverse head: 3rd metacarpal
Insertion of adductor pollicis
Medial side of proximal phalanx of thumb
Innervation of adductor pollicis
Deep branch of ulnar nerve
Action of adductor pollicis
Abduct thumb towards midline of hand
Origin of abductor digiti minimi
Pisiform
Insertion of abductor digiti minimi
Medial side proximal phalanx of 5th digit
Innervation of abductor digiti minimi
Deep branch of ulnar nerve
Action of abductor digiti minimi
Abducts 5th digit
Origin of flexor digiti minimi
Hook of hamate and flexor retinaculum
Insertion of flexor digiti minimi
Medial side of proximal phalanx of 5th digit
Innervation of flexor digiti minimi
Deep branch of ulnar nerve
Action of flexor digiti minimi
Flexes proximal phalanx of 5th digit
Origin of oponens digiti minimi
Hook of hamate and flexor retinaculum
Insertion of oponens digiti minimi
Medial border of 5th metacarpal
Innervation of oponens digiti minimi
Deep branch of ulnar nerve
Action of oponens digiti minimi
Draws 5th metacarpal anterior and medial towards midline of the hand
Origin of dorsal interossei
Adjacent sides of metacarpals
Insertion of dorsal interossei
Extensor expansions and bases of proximal phalanges of digits 2-4
Innervation of dorsal interossei
Deep branch of ulnar nerve
Action of dorsal interossei
Abducts digits from midline of hand, extension of interphalangeal joints
Origin of palmer interossei
Palmer surface of metacarpals 2, 4, 5
Insertion of palmer interossei
Extensor expansion at bases of proximal phalanges 2, 4, 5
Innervation of palmer interossei
Deep branch of ulnar nerve
Action of palmer interossei
Adduct digits towards midline of hand