Upper Extremity Muscles Flashcards
supraspinatus prox attch
medial 2/3 of supraspinous fossa & fascia
pectoralis major distal attach
lateral lip of intertubercular groove of humerus
pectoralis major axn
clavicular head: flexion, adduction of humerus
sternal: adduct and internal rotation of humerus
Pectoralis Major prox attach
clavicular head—ant surface of med 1/2 of clavicle
sternocostal head— ant surface of sternum & first 6 costal cartilages & aponeurosis of external oblique
Pectoralis Minor prox attach
ant surface of ext surface of ribs 3-5 (near costal cartilages)
Subclavius prox attach
junction of first rib and costal cartilage
Serratus Anterior prox attach
external surfaces of upper 8 ribs
Rhomboid Major prox attach
spines and supraspinous ligaments of TV2-5
Rhomboid Minor prox attach
lower portion of ligamentum nuchae, CV7 and TV1 spines
Levator Scapulae prox attach
posterior tubercles of trans. Processes of CV1-CV4
Subscapularis prox attach
subscap fossa
supraspinatus distal attach
superior facet of greater tubercle of humerus (blends with capsule)
supraspinatus axn
abduction (esp. in empty can)
holds head in of humerus in glenoid
supraspinatus innervation
suprascapular n. C4,5,6
infraspinatus prox attach
medial 2/3 of infraspinous fossa, lower surface scapular spine
infraspinatus distal attach
middle facet of greater tubercle of humerus (blends with capsule)
infraspinatus axn
ER of humerus
holds head of humerus in glenoid
infraspinatus innervation
suprascapular C5,6
teres minor prox attach
from lateral margin of infraspinous fossa
teres minor distal attach
lowest facet on greater tubercle of humerus and area just distal
teres minor axn
ER of humerus
holds head of humerus in glenoid
teres minor innervation
axillary (C5,6)
teres major prox attach
dorsal surface of scap near inferior angle
teres major distal attach
medial lip of humeral inter tubercular groove (posterior to lat dorsi tendon)
teres major axn
ext, adduction, IR of humerus
teres major innervation
lower subscapular (C5,6)
trapezius prox attach
upper: ligamentum nuchae, superior nuchal line, & ext protuberance of occipital bone
middle: CV7 spine, TV1,2 spinous processes
lower: supraspinous ligaments of all thoracic vertebrae
trapezius distal attach
upper: lateral 1/3 of clavicle
middle: middle acromion and spine of scapula
lower: tubercle of crest of scapula
trapezius axn
upper: upward rotation w/ lower, elevation, retract/add scapula
middle: retract and adduct scap
lower: upward rotation with upper, depression, retract and adduct scap
trapezius innervation
cranial nerve XI (spinal accessory; motor)
C3,4 ventral rami (proprioception and pain)
pectoralis major innervation
medial (C8,T1) and lateral pectoral (C5,6,7)
pectoralis minor distal attach
upper surface of coracoid process
pectoralis minor axn
stabilize scap, brings it inferiority and anteriorly against thoracic wall, depresses tip of shoulder
pectoralis minor innervation
medial (C8, T1) and lateral pectoral (C5,6,7)
subclavius distal attach
inferior surface of middle 1/3 of clavicle
subclavius axn
anchors clavicle, depresses it
subclavius innervation
n. To subclavius (C5,6; off superior trunk***)
serratus anterior distal attach
costal surface of scapula at superior angle, medial border, inferior angle
serratus anterior axn
protraction, abd, upward rotation of scap; stabilizes against thorax (for delt on humerus)
serratus anterior innervation
Long thoracic (C5,6,7 ***directly off ventral rami
rhomboid major distal attach
medial border of scap at and below spine
rhomboid major axn
retract/adduct scap, downward rotation of scap, elevation
rhomboid major innervation
dorsal scapular (C4,C5; directly off ventral rami)
rhomboid minor distal attach
med border of scap at root of spine
rhomboid minor axn
retract and add. Scap, downward rotation, elevation
rhomboid minor innervation
dorsal scapular (C4,5; directly off ventral rami)
levator scapulae distal attach
medial border of scap at and above spine
levator scapulae axn
elevate scap, downward rotation
levator scapulae innervation
C3,4; C5 from dorsal scapular (directly off ventral rami)
subscapularis distal attach
lesser tubercle of humerus & crest; ant aspect of GH capsule
subscapularis axn
internal rot of humerus, stabilizes humerus head w/ Supra and infraspinatus and teres minor (rotator cuff stabilizers)
subscapularis innervation
upper and lower subscap (C5,6,7–POSTERIOR CORD)
deltoid prox attach
anterior: lateral 1/3 of clavicle, anterior surface
middle: lateral aspect of acromion
posterior: inferior lip of crest of spine of scapula
deltoid distal attach
deltoid tuberosity of humerus
deltoid axn
ant: abd, flex, IR humerus
middle, abd humerus
posterior: ext, ER, abd humerus
deltoid innervation
axillary n. C5,6
latissimus dorsi prox attach
thoracolumbar fascia, spinous process TV6-12, inferior 3-4 ribs, iliac crest
latissimus dorsi distal attach
floor of intertubercular groove of humerus
latissimus dorsi axn
ext, add, IR humerus
latissimus dorsi innervation
thoracodorsal n. C6,7,8
coracobrachialis prox attach
apex of coracoid process
coracobrachialis distal attach
middle 1/3 humerus
coracobrachialis axn
flexion, add of humerus
coracobrachialis innervation
musculocutaneous n. C5,6,7
biceps brachii prox attach
short head: coracoid process
long head: supraglenoid tubercle of scap
biceps brachii distal attach
radial tuberosity and fascia of forearm via bicipital aponeurosis
biceps brachii axn
long: weak shld flexion, weak abd when ER
both: elbow flexion, forearm supination
biceps brachii innervation
musculocutaneous n. (C5,6)
brachialis prox attach
distal half of humerus, anterior
brachialis distal attach
ulnar tuberosity and anterior aspect of coranoid process of ulna
brachialis axn
elbow flexion regardless of position
brachialis innervation
musculocutaneous (C5,6)
triceps brachii prox attach
long: infraglenoid tubercle of scap
lat: posterior surface of humerus, superior to radial groove
medial head: posterior surface of humerus, inferior to radial groove
triceps brachii distal attach
proximal end of olecranon and fascia of forearm
triceps brachii axn
elbow ext
long: also steadies head of abducted humerus
triceps brachii innervation
radial n. C6,7,8
anconeus prox attach
lateral epicondyle of humerus
anconeus distal attach
olecranon process of ulna
anconeus axn
assists in elbow extension
anconeus innervation
radial n (C7,8,T1)
brachioradialis prox attach
prox 2/3 of lateral supracondylar ridge of humerus
brachioradialis distal attach
lateral surface of distal end of radius
brachioradialis axn
elbow flexion (most effective mid pronation)
brachioradialis innervation
radial n. C5,6,7
supinator prox attach
lateral epicondyle of humerus, radial collateral and annular ligaments, supinator fossa & crest of ulna
supinator distal attach
lateral, posterior, and anterior surfaces of proximal 1/3 of radius
supinator axn
supinates forearm
supinator innervation
deep branch of radial n. (C7,8)