Upper Extremity Movements Flashcards
Deltoid Movements
All fibers: abduct shoulder
Anterior fibers: flex, IR and horizontally adduct the shoulder
Posterior fibers: extend, ER, and horizontally abduct the shoulder
Deltoid o/i
O: lateral 1/3 of clavicle, acromion and spine of scapula
I: deltoid tuberosity
Trapezius movements
Upper fibers:
- Bilaterally extend head and neck
- Unilaterally: laterally flex to the SAME side, rotate to the OPPOSITE side, elevate and upwardly rotate the scapula
Middle Fibers: adduct and stabilize the scapula
Lower Fibers: depress and upwardly rotate the scapula
Trapezius o/i
O: external occipital protuberance, medial portion of superior nuchal line of the occiput, ligaments niche and SP of C7-T12
I: lateral 1/3 of clavicle, acromion and spine of scapula
Latissimus Dorsi movement
Extends, IR and adducts the shoulder
Latissimus dorsi o/i
O: inferior angle of scapula, SP of T6-12, ribs 8-12, thoracolumbar aponeurosis and posterior iliac crest
I: Intertuberuclar groove of the humerus
Teres Major movements
Extends, adducts and IR the shoulder
Teres Major o/i
O: inferior angle and lower 1/3 of lateral border of scapula
I: crest of the lesser tubercle of the humerus
Supraspinatus movements
Abducts the shoulder
Stabilizes the humeral head in the glenoid cavity
Supraspinatus o/i
O: supraspinatus fossa of the scapula
I: Greater tubercle
Infraspinatus movements
ER and abducts the shoulder
Stabilizes the humeral head
Infraspinatus o/i
O: Infraspinatus fossa
I: greater tubercle
Teres Minor movements
ER and adduct the shoulder
Stabilizes the humeral head
Teres minor o/i
O: upper 2/3 of lateral border of scapula
I: greater tubercle
Subscapularis movements
IR shoulder
Subscapularis o/i
O: subscapular fossa
I: lesser tubercle
Rhomboids movements
Adduct, elevate and downwardly rotate the scapula
Rhomboids o/i
Major O:SP T2-5
Major I: medial border of the scapula between scapula spine and inferior angle
Minor O: SP of C7-T1
Minor I: upper portion of the medial border of the scapula, across from spine of scapula
Levator scapula movements
Bilaterally: extends the neck
Unilaterally: laterally flexes neck and rotates to the same side; elevates and downwardly rotates scapula
Levator scapula o/i
O: TP of C1-4
I: medial border of scapula between superior angle and superior portion of spine of scapula
Serratus Anterior movements
With the origin fixed:
Abducts, upwardly rotates and depresses the scapula
Holds medial border of scapula against rib cage
With the scapula fixed: may act to elevate the thorax during forced inhalation
Serratus anterior o/i
O: external surfaces of ribs 1-9
I: anterior surface of medial border of scapula
Pectoralis Major movements
All fibers: adduct and IR the shoulder; assist to elevate the thorax during forced inhalation (with the arm fixed)
Upper fibers (clavicular portion): flex and horizontally adduct the shoulder
Lower fibers (sternocostal portion): extend the shoulder
Pectoralis major o/i
Clavicular portion O: medial half of clavicle
Sternocostal portion O: sternum and cartilage of ribs 1-6
I: crest of greater tubercle
Pectoralis Minor movements
Scapular depression, protraction and downward rotation
With the scapula fixed, assists to elevate the thorax during forced inhalation
Pectoralis minor o/i
O: ribs 3-5
I: Medial surface of coracoid process of the scapula
Biceps Brachii movements
Shoulder flexion
Elbow flexion
Supination
Biceps brachii o/i
Long head O: supraglenoid tubercle of scapula (tendon passes through the inter tubercular groove of the humerus)
Short head O: coracoid process of scapula
I: Radial tuberosity and aponeurosis of the biceps
Triceps movements
All: extend the elbow (humeroulnar joint)
Long head: extends and adducts the shoulder
Triceps o/i
Long head O: infraglenoid tubercle
Lateral head O: posterior surface of proximal half of the humerus
Medial head O: posterior surface of distal half of the humerus
I: olecranon process of the ulna
Coracobrachialis movements
“armpit muscle”; deep to the pec major and ant deltoid and lies anterior to the axillary artery and brachial plexus
secondary flexor and adductor of the shoulder
Coracobrachialis o/i
O: coracoid process of the scapula
I: medial surface of mid humeral shaft
Brachialis movements
strong elbow flexor
lies deep to biceps brachii
Brachialis o/i
O: distal half of anterior surface of humerus
I: ulnar tuberosity and coronoid process
Brachioradialis movements
Flexes the elbow
Assists to pronate and supinate the forearm when these movements are resisted
Brachioradialis o/i
O: proximal 2/3 of the lateral supracondylar ridge of the humerus
I: styloid process of the radius
Extensor carpi radialis longus and brevis movements
Extend and abduct the wrist
Assist to flex the elbow
ECRL o/i
O: distal 1/3 of lateral supracondylar ridge of humerus
I: base of 2nd metacarpal
Radial nerve C6-7
ECRB o/i
O: common extensor tendon from the lateral epicondyle of humerus
I: base of 3rd metacarpal
Extensor carpi ulnaris movements
Extends and adducts the wrist
ECU o/i
O: common extensor tendon from the lateral epicondyle of the humerus
I: base of 5th metacarpal
Extensor digitorum movements
extends fingers 2-5 (MCP and IP joints)
Assists to extend the wrist
Extensor digitorum o/i
O: common extensor tendon from the lateral epicondyle of the humerus
I: bases of middle and distal phalanges of fingers 2-5
Anconeus movements
weak elbow extensor
Anconeus o/i
O: lateral epicondyle of humerus
I: olecranon process and posterior, proximal surface of ulna
Extensor Indicis movements
Extends and adducts the 2nd finger
May assist with wrist extension
Extensor Indicis o/i
O: posterior surface of distal shaft of ulna and interosseous membrane
I: tendon of the extensor digitorum at the level of the 2nd metacarpal
Flexor carpi radialis movements
Flexes and abducts the wrist
May help to flex the elbow
Flexor carpi radialis o/i
O: common flexor tendon from medial epicondyle
I: bases of 2nd and 3rd metacarpals
Palmaris Longus movements
Tense the palmar fascia
Flex the wrist
May assist to flex the elbow
Palmaris Longus o/i
O: Common flexor tendon from medial epicondyle
I: Flexor retinaculum and palmar aponeurosis
Flexor carpi ulnaris movements
Flex and adduct the wrist
Assist to flex the elbow
Flexor carpi ulnaris o/i
Humeral head O: common flexor tendon from medial epicondyle
Ulnar head O: posterior surface of proximal 2/3 ulna
I: pisiform, hook of the hamate and base of 5th metacarpal
Flexor digitorum superficialis movements
Flexes fingers 2-5 (MCP and proximal IPs)
Flexes the wrist
Flexor digitorum superficialis o/i
O: common flexor tendon, ulnar collateral ligament, coronoid process of ulna, interosseous membrane and proximal shaft of radius
I: sides of middle phalanages of fingers 2-5
Flexor digitorum profundis movements
Flexes fingers 2-5 (MCP and DIPs)
Assists to flex the wrist
Flexor digitorum profundis o/i
O: anterior and medial surfaces of proximal 3/4 of ulna
I: bases of distal phalanges, palmar surface of fingers 2-5
Pronator teres movements
Pronates the forearm
Assists to flex the elbow
Pronator teres o/i
O: common flexor tendon from medial epicondyle and coronoid process of the ulna
I: middle of lateral surface of the radius
Pronator Quadratus movements
Pronates the forearm
Pronator Quadratus o/i
O: medial, anterior surface of distal ulna
I: lateral, anterior surface of distal radius
Supinator movements
Supinates the forearm
Supinator o/i
O: lateral epicondyle, radial collateral ligament, anular ligament and supinator crest of the ulna
I: anterior, lateral surface of proximal 1/3 of radial shaft
Abductor pollicis longus movements
Abducts and extends the thumb
Radially deviates the wrist
Abductor pollicis longus o/i
O: posterior surface of radius and ulna and interosseous membrane
I: base of 1st metacarpal
Extensor Pollicis Longus and brevis movements
Extends the thumb (CMC, MCP and IP)
Abducts the wrist
Extensor Pollicis o/i
O: posterior surface of ulna and interosseous membrane
I: base of distal phalanx of thumb
Extensor Pollicis brevis o/i
O: posterior surface of radius and interosseous membrane
I: base of proximal phalanx of thumb
Flexor pollicis longus movements
Flex the thumb (CMC, MCP, IP)
Assists to flex the wrist
Flexor pollicis longus o/i
O: anterior surface of radius and interosseous membrane
I: base of distal phalanx of thumb
Abductor pollicis brevis movements
abducts the thumb (CMC and MCP)
Assists in opposition
Abductor pollicis brevis o/i
O: flexor retinaculum, trapezium and scaphoid tubercles
I: base of proximal phalanx of thumb
Flexor pollicis brevis movements
Flexes the thumb (CMC and MCP)
Assists in opposition
Flexor pollicis brevis o/i
Superficial head O: flexor retinaculum
Deep head O: trapezium, trapezoid and capitate
I: base of proximal phalanx of thumb
Opponens pollicis movements
Opposition of the thumb at the CMC
Opponens pollicis o/i
O: flexor retinaculum and tubercle of the trapezium
I: entire length of 1st metacarpal bone, radial surface
Adductor pollicis movements
Adducts the thumb (CMC and MCP)
Assists to flex the thumb (MCP)
Adductor pollicis o/i
O: capitate, 2nd and 3rd metacarpals
I: base of proximal phalanx of thumb
Abductor digiti minimi movements
abduct 5th digit (MCP)
Assists in opposition of the 5th finger
Abductor digiti minimi o/i
O: pisiform and tendon of FCU
I: base of proximal phalanx of 5th finger, ulnar surface
Flexor digiti minimi brevis movements
Flexes the 5th finger (MCP)
Assists in opposition of the 5th finger
Flexor digiti minimi brevis o/i
O: hook of the hamate and flexor retinaculum
I: base of proximal phalanx of 5th finger, palmar surface
Opponens digiti minimi movements
Opposition of 5th finger at the CMC
Opponens digiti minimi o/i
O: hook of hamate and flexor retinaculum
I: shaft of 5th metacarpal, ulnar surface
Lumbricals of the hand movements
Flexes fingers 2-5 at MCPs
Extension of proximal and distal IPs
Lumbricals of the hand o/i
O: surfaces of the FDP tendons
1st- from radial side of index finger (unipennate)
2nd- from radial side of middle finger (unipennate)
3rd- from contiguous sides of middle and ring fingers (bipennate)
4th- from contiguous sides of ring and little fingers (bipennate)
I: extensor aponeurosis on dorsal surface of phalanges (passes on the radial side of each digit and inserts into the distal wing of the extensor expansion)
Palmar interossei (unipennate) movements
Adducts fingers 2, 4, 5 towards the 3rd finger
Assists to flex the thumb, 2nd, 4th and 5th fingers at the MCPs
Asssists to extend the thumb, 2nd, 4th and 5th fingers at the IPs
Palmar interossei (unipennate) o/i
O: base of 1st, 2nd, 4th and 5th metacarpals
I: base of the proximal phalanx of the related finger and the extensor aponeurosis
Dorsal interossei (bipennate) movements
Abducts the 2nd, 3rd and 4th fingers at the MCPs
Assists to flex 2nd, 3rd and 4th fingers at the MCP
Assists to extend the 2nd, 3rd and 4th fingers at the IP
Dorsal interossei (bipennate) o/i
O: adjacent sides of all metacarpals
I: base of the proximal phalanx of the 2nd, 3rd and 4th fingers and the extensor aponeurosis