Upper Extremity Anatomy Flashcards
Brachial Plexus - Supraclavicular parts
A. Ventral rami C5-T1
B. Trunks
1. upper: C5-C6
2. middle: C7 3. lower: C8-T1
Brachial Plexus - Deep to clavicle
A. Divisions—from each trunk
1. anterior—supplies flexors of upper extremity 2. posterior—supplies extensors of upper extremity
Brachial Plexus - Infraclavicular parts
A. Cords—named in relation to axillary artery
1. lateral—upper and middle trunk anterior divisions
2. medial—lower trunk anterior division 3. posterior—all 3 trunks posterior divisions
B. Terminal branches
Brachial Plexus - Infraclavicular parts - Terminal branches
Lateral cord
- Musculocutaneous n. supplies flexor compartment of arm
2. Median n. contribution—flexor compartment of forearm, thenar mm, lumbricals 1 & 2
Brachial Plexus - Infraclavicular parts - Terminal branches
Medial cord
- Ulnar n. supplies flexor carpi ulnaris, FDP tendons 3&4, rest of intrinsic hand mm
- Median n. contribution—flexor compartment of forearm, thenar mm, lumbricals 1 & 2
Brachial Plexus - Infraclavicular parts - Terminal branches
Posterior cord
- Axillary n. supplies deltoid m. and teres minor m.
2. Radial n. supplies all extensors of arm and forearm
Superficial back muscles controlling the pectoral girdle
- Trapezius
- Latissimus dorsi
- Levator scapulae
- Rhomboid major
- Rhomboid minor
Trapezius - superior, middle, & inferior fibers
ORIGIN: external occipital protuberance, superior nuchal line,
ligamentum nuchae, spinous processes of C7-T12
INSERTION: lat. 1/3 clavicle, acromion, spine of scapula
INERVATION: CN XI (spinal accessory n)
ACTION:
Latissimus dorsi
ORIGIN: spinous processes of T7-T12, thoracolumbar fascia,iliac crest, ribs 9-12
INSERTION: floor of intertubercular groove of humerus
INNERVATION: thoracodorsal n. (C6, C7, C8)
ACTION:
Levator scapulae
ORIGIN: posterior tubercles of transverse processes of C1-C4
INSERTION: medial border of scapula
INNERVATION: dorsal scapular n. (C5)
ACTION:
Rhomboid major
ORIGIN: spinous processes of T2-T5
INSERTION: medial border of scapula (below spine of scapula)
INNERVATION: dorsal scapular n. (C5)
ACTION:
Rhomboid minor
ORIGIN: spinous processes of C7 & T1, and nuchal ligament
INSERTION: medial border of scapula (above spine of scapula)
INNERVATION: dorsal scapular n. (C5)
ACTION:
Anterior chest muscles controlling the pectoral girdle/upper extremity
- Pectoralis major
- Pectoralis minor
- Serratus anterior
Pectoralis major - clavicular head
ORIGIN: anterior medial 1/2 of clavicle
INSERTION: intertubercular groove (lateral lip)
INNERVATION: medial and lateral pectoral nn (C5-T1)
ACTION:
Pectoralis major - sternocostal head
ORIGIN: sternum, costal cartilages 1-6, ext. abd. oblique apon
INSERTION: intertubercular groove (lateral lip)
INNERVATION: medial and lateral pectoral nn (C5-T1)
ACTION:
Pectoralis minor
ORIGIN: ribs 3-5
INSERTION: coracoid process
INNERVATION: medial pectoral n. (C8-T1)
ACTION:
Serratus anterior
ORIGIN: external lateral surfaces of ribs 1-8
INSERTION: medial anterior border of scapula
INNERVATION: long thoracic n. (C 5, C6, C7)
ACTION:
Rotator cuff muscles
- Supraspinatus
- Infraspinatus
- Teres minor
- Subscapularis
Supraspinatus
ORIGIN: supraspinous fossa of scapula
INSERTION: greater tubercle of humerus
INNERVATION: suprascapular n. (C5)
ACTION:
Infraspinatus
ORIGIN: infraspinous fossa of scapula
INSERTION: greater tubercle of humerus
INNERVATION: suprascapular n. (C5-C6)
ACTION:
Teres minor
ORIGIN: middle part of lateral border of scapula
INSERTION: greater tubercle of humerus
INNERVATION: axillary n. (C5-C6)
ACTION:
Subscapularis
ORIGIN: subscapular fossa
INSERTION: lesser tubercle of humerus
INNERVATION: upper and lower subscapular nn (C5, C6, C7)
ACTION:
Other muscles controlling the glenohumeral joint
- Deltoid
2. Teres major
Deltoid - anterior, middle & posterior pts
ORIGIN: lateral 1/3 clavicle, acromion, and spine of scapula
INSERTION: deltoid tuberosity of humerus
INNERVATION: axillary n. (C5-C6)
ACTION:
Teres major
ORIGIN: inferior angle of scapula, dorsal surface
INSERTION: intertubercular groove (medial lip)
INNERVATION: lower subscapular n (C6)
ACTION:
Anterior Arm Compartment
- Biceps brachii
- Brachialis
- Coracobrachialis