Upper Limb Flashcards
Rhomboids
ACTION: stabilization, retraction, elevation, internal rotation of scapula
NERVE: Dorsal Scapula (C5)
ARTERY: Dorsal Scapula Artery
Levator Scapula
ACTION: flex head and neck laterally
NERVE: Dorsal Scapula (C5)
ARTERY: Transverse/ascending cervical artery
Dorsal Scapular Nerve
(C5)
innervates rhomboids and levator scapulae
Infraspinatus
ACTION: external rotation
NERVE: Suprascap (C5-6)
ARTERY: circumflex scapular artery, suprascapulary artery
Surpaspinatus
ACTION: elevate scapula, abduct arm
NERVE: Suprascap (C5-6)
ARTERY: suprascap a.
Pectoralis Major
ACTION: adduct, int rot, flex arm
NERVE: Lateral Pectoral Nerve (C5-7); Med Pect Nerve (C8-T1)
ARTERY: thoracoacromial artery
Suprascapular Nerve
Upper branch, C5-6
Innervates Infraspinatus and Supraspinatus
Musculocutaneous Nerve
(C5-7) innervates coracobrachialis, biceps brachii, and brachialis ACTION: NERVE: ARTERY:
Coracobrachialis
ACTION: flexion, adduction, internal rotation
NERVE: Musculocutaneous Nerve (C5-7)
ARTERY: brachial artery
Biceps Brachii
(long = lateral)
ACTION: flex at elbow, supination, adduction
NERVE: Musculocutaneous Nerve (C5-7)
ARTERY: brachial artery
Brachialis
ACTION: flexion of elbow joint to flex arm
NERVE: Musculocutaneous Nerve (C5-7)
ARTERY: brachial artery
Flexor Muscles in Forearm
MEDIAN NERVE (C6- T1) & ULNAR ARTERY Pronator teres (pronate) Flexor Carpi Radialis (wrist + abduction) Palmaris Longis (wrist) Flex Digitum Superficialis (PIP flex)
5 Intrinsic Hand Muscles
Median Nerve (C6-T1) Innervated: *2 radial lumbricles (artery: superficial palmar arterial arch
*3 thumb: (RECURRENT MEDIAN NERVE)
opponins pollicis (opp),
abduct pollicis brevis (abd),
flexor pollicis brevis (flex)
superficial palmar arterial arch
arises from terminal ulnar and superficial palmar branches of radial artery
most of the supply is by the ulnar artery
Supplies palmar hand and surface of digits (except thumb and dorsum of distal phalange segs of 2-5th digits
Radial Nerve
(C5-8) innervates posterior extensors of arm at GH and elbow joint and posterior forearm:
triceps brachii long, short, and medius (brachial artery; action: extension and adduction of the shoulder joint, extension of elbow joint)
(though many supplied by branches of radial)
Posterior Forearm:
brachioradialis (posterior interosseous artery; action: flexion of forearm at elbow)
extensor carpi radialis longus (radial artery; action: wrist extension and abduction)
innervates a superficial cutaneous branch
triceps brachii
long, short, and medius
- radial nerve (C5-8)
- brachial artery;
- action: extension and adduction of the shoulder joint, extension of elbow joint
brachioradialis
radial nerve (C6 - T1) posterior interosseous artery action: flexion of forearm at elbow
extensor carpi radialis longus
radial nerve (C6 - T1)
radial artery;
action: wrist extension and abduction
Deep Branch of Radial Nerve
(C7-8) innervates:
extensor carpi radialis brevis (action: wrist extension and abduction; radial artery)
supinator (action: supinate forarm; posterior interosseous artery)
extensor carpi radialis brevis
Deep Branch of Radial Nerve (C7-8)
action: wrist extension and abduction;
radial artery
Supinator
ACTION: supination of forearm
NERVE: Deep Branch of Radial Nerve (C7-8)
ARTERY: recurrent interosseous artery
Deep Branch of Radial Nerve Innervations
C7-8
extensor carpi radialis brevis and suprinator
Extensor Digitorium
ACTION: extends digits 2-5
NERVE: posterior interosseous
ARTERY: posterior interosseous
Extensor Digiti Minimi
ACTION: extends digits 5
NERVE: posterior interosseous
ARTERY: posterior interosseous
Abductor Pollicis Longus
ACTION: abduct thumb
NERVE: posterior interosseous (or deep branch of radial, according to essential anatomy)
ARTERY: posterior interosseous
Extensor Pollicis Brevis
ACTION: extend thumb
NERVE: posterior interosseous
ARTERY: posterior interosseous
Extensor Pollicis Longus
ACTION: extend thumb
NERVE: posterior interosseous
ARTERY: posterior interosseous
Extensor Indicis
ACTION: extend first finger
NERVE: posterior interosseous
ARTERY: posterior interosseous
Posterior Interosseous
innervates: Extensor Digitorium Extensor Digiti Minimi Abductor Pollicis Longus Extensor Pollicis Brevis Extensor Pollicis Longus Extensor Indicis
Extensor Carpi Ulnaris
ACTION: extend and adduct wrist
NERVE: posterior interosseous
ARTERY: ulnar
Axillary Nerve
C5-6
innervates deltoid and teres minor
deltoid (abduct arm, flex, intern rot (anterior fibers) and extension (posterior fibers); posterior circumflex artery) and teres minor (external rotation and adduction of the arm; circumflex scap art and post circumflex art)
Deltoid
ACTION: anterior fibers) and extension (posterior fibers); posterior circumflex artery
NERVE: axillary
ARTERY: posterior circumflex artery
Subscapularis
ACTION: internal rotation and extension of the arm
NERVE: upper and lower branches of subscap nerve
ARTERY: subscapular artery
Teres major
ACTION: extension, adduction of upper arm, internal rotation
NERVE: lower branch of subscap nerve
ARTERY: circumflex scapular artery
Lower Branch of Subscapular Nerve
innervates Teres Major and Subscap
Thoracodorsal Nerve
aka: Middle Branch of Subscap Nerve
Innervates latissimus dorsi (extension, adduction, internal rot of arm; thoracodorsal art)
latissimus dorsi
ACTION: extension, adduction, internal rot of arm;
NERVE: Thoracodorsal Nerve
ARTERY: thoracodorsal artery
Ulnar Nerve
C8-T1
Innervates forearm flexors and gives rise to deep ulnar (which innervates 13 intrinsic hand muscles)
Forearm flexors: flexor carpi ulnaris (wrist flexion; adduction; ulnar artery) and half of flexor digitorum profundus
flexor carpi ulnaris
ACTION: wrist flexion; adduction;
NERVE: ulnar
ARTERY: ulnar artery
flexor digitorum profundus
ACTION: flex wrist and DIPs/PIPs
NERVE: half ulnar and half median (anterior interoseous)
ARTERY: ulnar and ant inteross
13 Intrinsic Hand Muscles
Deep Ulnar Innervation: 2 lumbricles (ulner side) 7 interossei (3 PADs, and 4 DABs) Adductor pollicis Hypothenar: abductor digiti minimi, opponons digiti minimi
Anterior Interosseous
Branch of the Median Nerve
Innervates deep anterior arm muscles:
Pronator Quadratus
Flexor Digitorum Profundus
Flexor Pollicis Longus
Pronator Quadratus
ACTION: forearm pronation
NERVE: Anterior Interosseous
ARTERY: Anterior Interosseous
Flexor Digitorum Profundus
ACTION: flexion at DIP
NERVE: Anterior Interosseous
ARTERY: Ulnar and Anterior Interosseous
Flexor Pollicis Longus
ACTION: flex distal phalanx of thumb
NERVE: Anterior Interosseous
ARTERY: Anterior Interosseous
Med Pect Nerve
Innervates Pect Major and Pect Minor
Med Brach Cut Nerve
innervates skin of medial arm (C8-T1)
Med Antebrach Cut Nerve
innervates skin of anterior and ulnar arm (C8-T1)
Pectoralis Minor
ACTION: pulls scapula mediall, forward and downwards
NERVE: Med Pect Nerve
BLOOD: thoracoacromial artery
Long Thoracic Nerve
C5-C7
innervates serratus anterior
Serratus Anterior
ACTION: superior external rotator of scapular; lowers arm; elevates ribs
NERVE: Long Thoracic
ARTERY: Lateral Thoracic Artery