Upper Limb Anatomy Flashcards
State common bony palpations of shoulder
Clavicle Sternum Acromion Coracoid Process Humeral head Greater tuberosity Lesser tuberosity Scapula Spine of scapula Inferior angle medial border
Joints of the shoulder
Sternoclavicular Joint
Acromioclavicular Joint
Bony landmarks of the elbow
Medial/lateral epicondlye
Olecranon proccess
Ulna head and styloid process
Radial styloid and dorsal tubercle
Bony landmarks of hand
Carpal bones Metacarpals DIPs PIPs Anatomical snuff box
First proximal row of carpals
Scaphoid, lunate, triquetrum and pisiform
Distal row of carpals
Trapezium, trapezoid, capitate and hamate
What is the origin of the coracobrachialis
Corocoid process
State the insertion of coracobrachialis
Medial surface of mid humeral shaft
How to test coracobrachialis
Supine lying arm at 90 degrees abducted, get them to adduct the shoulder.
Levator scapulae origin?
Transverse processes C1-C4
What is the insertion of Levator Scapulae?
Medial border of scapula, between superior angle and superior portion of spine of scapula
What does the levator scapulae do?
Elevate shoulder
Long head of tricep origin?
Infraglenoid tubercle of the scapula
Origin of lateral head of tricep?
Posterior surface of proximal half of the humerus.
Medial head of tricep origin?
Posterior surface of the distal half of the humerus
Insertion of the tricep?
Olecranon process of the ulna
State the Pectoralis major origin?
Medial half of clavicle, sternum and cartilage of the first 6th ribs
Insertion of Pectoralis major?
Crest of greater tubercle of humerus
Test the Pectoralis Major?
Adduction of shoulder - patient in supine
Origin of rhomboid major?
Spinous processes of T2-5
Rhomboid minor origin
Spinous process of C7-T1
Rhomboid major insertion?
Medial border of scapula between spine of scapula and inferior angle
Rhomboid minor insertion?
Upper portion of medial border of scapula
Action of rhomboid major and minor?
Adduct, elevate and downward rotate of scapula
How do we test the rhomboids?
Arm in small of back, try and lift elbow.
Origin of Pectoralis minor?
3, 4 and 5th ribs
Pectoralis minor insertion?
Medial surface of corocoid process
How to Test Pectoralis minor
Hand in small of back, and lift off.
Serratus Anterior origin?
External surface of the upper 8/9 ribs
Insertion of Serratus Anterior?
Anterior surface of the medial border of the scapula
Testing the Serratus Anterior
Protract the scapula in supine position
State the rotator cuffs
Supraspinatus
Infraspinatus
Teres minor
Subscapularis
Supraspinatus origin?
Supraspinus fossa
Insertion of Supraspinatus?
Greater tubercle of humerus
Infraspinatus origin?
Infraspinous fossa
Supraspinatus insertion?
greater tubercle of humerus
Infraspinatus insertion
Greater tubercle of humerus
Teres minor origin?
Upper 2/3rds of lateral border scapula
Insertion of Teres minor?
Greater tubercle of humerus
Origin of Subscapularis
Subscapularis fossa
Insertion of Subscapularis
lesser tubercle of humerus
Latissimus dorsi origin?
inferior angle of scapula, spinous processes of T7-T12, last 3/4 ribs, thoracolumbar fascia and posterior iliac crest.
Insertion of latissimus dorsi?
Intertubercle groove of humerus
Origin of Teres major?
Inferior angle and lower 1/3 of lateral border of scapula
Insertion of Teres major
Crest of the lesser tubercle of the humerus
Ways to test Teres major?
Lying prone, medially rotate humerus
Origin of trapezius?
External occipital protuberance, medial portion of superior nuchal line of the occiput, ligament nuchae and spinous processes C7-T12
Insertion of trapezius?
Lateral 1/3 of clavicle, acromion and spine of scapula
Origin of deltoid?
Lateral 1/3 of clavicle, acromion and spine of scapula.
Insertion of Deltoid
Deltoid Tuberosity
Short head of bicep origin?
Corocoid process of scapula
Long head of bicep origin?
Supraglenoid tubercle of scapula
Insertion of biceps
Tuberosity of the radius and aponeurosis of the bicep brachii
Origin of brachialis?
distal 1/2 of anterior surface of humerus
Insertion of brachialis?
Tuberosity and coronoid process of the ulna
Origin of the brachioradialis?
Proximal 2/3rds of lateral supracondylar ridge of humerus
Insertion of brachioradialis?
Styloid process of radius
Abductor pollicis longus origin?
Posterior surface of radius and ulna, interosseous membrane
Insertion of abductor pollicis longus
Base of 1st metacarpal
Origin of Extensor pollicis longus
Posterior surface of ulna and interosseous membrane
Insertion of extensor pollicis longus
Base of distal phalanx of the thumb
Extensor pollicis brevis origin
Posterior surface of radius and interosseous membrane
Insertion of extensor pollicis brevis
base of proximal phalanx of thumb
Action of abductor pollicis brevis?
abduct the thumb
Flexor pollicis brevis action?
flexion of the thumb
Hyperthenar eminence contains which 3 muscles?
Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis.
Origin of abductor pollicis brevis
Flexor retinaculum, trapezium and scaphoid tubercles.
Insertion of abductor pollicis brevis
base of proximal phalanx of 1st metatarsal
Origin of flexor pollicis brevis?
Flexor retinaculum
Insertion of flexor pollicis brevis
base of proximal phalanx of thumb, palmar side.
origin of opponens pollicis?
flexor retinaculm
insertion of opponens pollicis
attaches to entire length of 1st metacarpal bone.
action of opponens pollicis
Opposition of the thumb
adductor pollicis origin
capitate and 2nd, 3rd metacarpal
Insertion of adductor pollicis
base of proximal phalanx of thumb
Origin of extensor carpi radialis longus?
Supracondylar ridge on lateral side of humerus
Insertion of extensor carpi radialis longus
Base of 2nd metacarpal
Extensor carpi radialis brevis origin
lateral epicondyle of humerus
Extensor carpi radialis brevis insertion
base of the 3rd metacarpal
Extensor digitorem origin
lateral epicondyle of humerus
Insertion of extensor digitorem
middle and distal phalange of digits 2,3,4 and 5
Origin of extensor carpi ulnaris
lateral epicondyle of humerus
Insertion of extensor carpi ulnaris
base of the 5th metacarpal
Wrist flexors
5 muscles, all originate from the medial epicondyle of humerus.
Flexor carpi radialis origin
medial epicondyle of the humerus
insertion of flexor carpi radialis
base of 2nd and 3rd metacarpal
Origin of Palmaris longus
medial epicondyle of the humerus
Insertion of palmaris longus
Palmar fascia
Flexor carpi ulnaris origin
medial epicondyle of humerus
insertion of flexor carpi ulnaris
pisiform, hook of hamate and base 5th metacarpal