Upper limb attachments Flashcards
Pectoralis major
Proximal=medial third of clavicle (clavicular head), anterior surface of sternum (sternocostal head), costal cartilages 1-7, sternal end of 6th rib and aponeurosis of external oblique (abdominal part)
Distal=lateral lip of intertubercular sulcus
Pectoralis minor
Proximal=ribs 3-5 (anterior surface and superior rib border)
Distal=coracoid process of scapula
Trapezius
Proximal=ligamentum nuchae, external occipital protuberance, the thoracic spine (spinous processes of vertebra C7-T12), superior nuchal line
Distal=acromion, posterior border of lateral third of clavicle, crest of the scapular spine
Serratus anterior
Origin=lateral surface of ribs 1-8
Insertion=costal surface of medial border to scapula
Latissimus dorsi
Proximal=spinous processes of T6-T12, spinous processes of lumbar vertebrae (L1-L5) via thoracolumbar fascia, iliac crest, lower 3-4 ribs
Distal=floor of intertubercular sulcus
Deltoid
Proximal=anterior border of lateral third of clavicle, acromion and crest of the spine of the scapula
Distal=deltoid tuberosity of the humerus
Teres major
Proximal=posterior surface of inferior angle of scapula
Distal=medial lip of intertubercular sulcus
Supraspinatus
Proximal=supraspinous fossa
Distal=greater tubercle (most superior facet)
Infraspinatus
Proximal=infraspinous fossa
Distal=greater tubercle (middle facet)
Teres minor
Proximal=posterior surface of scapula immediately adjacent to lateral border of scapula
Distal=greater tubercle (inferior facet)
Subscapularis
Proximal=medial 2/3rds of subscapular fossa
Distal=lesser tubercle
Coracobrachialis
Proximal=coracoid process
Distal=midshaft of humerus on medial side (linear roughening)
Biceps brachii
Short proximal=coracoid process
Long proximal=supraglenoid tubercle
Distal=radial tuberosity and bicipital aponeurosiis
Brachialis
Proximal=anterior humeral shaft and intermuscular septae adjacent
Distal=ulnar tuberosity
Triceps
Long proximal=infraglenoid tubercle
- Long medial and long lateral=posterior humeral shaft
- Distal=triceps tendon attaches to olecranon
Pronator teres
Proximal=coronoid process (ulnar head), medial epicondyle and supra-epicondylar ridge adjacent (humeral head)
Distal=lateral surface of radial midshaft
Flexor carpi ulnaris
Proximal humeral head=medial epicondyle
Proximal ulnar head=olecranon and posterior ulnar border
Distal=pisiform bone, and then via pisohamate and pisometacarpal ligaments into the hamate and base of metacarpal V
Flexor carpi radialis
Proximal=medial epicondyle
Distal=metacarpals 2 and 3 (base)