Upper Limb Muscles Flashcards
muscles of the pectoral
region?
Pectoralis major. Pectoralis minor. Subclavius. Serratus anterior.
Pectoralis Major
Origin ? Insertion? Nerve supply? Action?
• Nerve supply : • Medial & lateral pectoral nerves. • Action : • Adduction and medial rotation of the arm. • Clavicular head helps in flexion of arm (shoulder).
Pectoralis minor
Origin ? Insertion? Nerve supply? Action?
• Origin:
• from 3rd , 4th , and 5th ribs
close to their costal
cartilages. • Insertion: • coracoid process. • Nerve supply: • medial pectoral nerve. • Action:
• Depression of shoulder. • Draw the ribs upward and
outwards during deep
inspiration
Subclavius
Origin ? Insertion? Nerve supply? Action?
Origin: • From 1st rib at the junction
with its costal cartilage. • Insertion: • Subclavian groove at the
inferior surface of middle 1/3
of clavicle. • Nerve supply: • Nerve to subclavius from
upper trunk of brachial plexus. • Action: • Steadies the clavicle during
movement of the shoulder
joint.
Serratus anterior
Origin ? Insertion? Nerve supply? Action?
Origin: Upper eight ribs. Insertion: Ventral aspect of medial border and inferior angle of scapula. Nerve supply: Long thoracic nerve. Action: Draws the scapula forward (protraction, in boxing). Rotates scapula outwards in raising the arm above 90 degree.
It is a thickened
membrane of deep fascia between the subclavius and pectoralis minor.
?
Clavipectoral Fascia
Clavipectoral Fascia is It is pierced by ?
Lateral pectoral nerve.
Thoraco-acromial artery
Cephalic vein.
Few lymph vessels.
A pyramid-shaped space between the upper part of the arm and the side of the chest ?
Axilla
Axilla what passes?
• Through this major neurovascular structures(Axillary vessels & nerves) pass between neck & thorax and upper extremity.
apex of axilla is the? Bounded by?
cervicoaxillary canal: The passageway between
theneck and the axilla
It is bounded by the 1st rib,
clavicle, and superior edge
of the scapula.
APEX’s Base formed by? Bounded by? In front? Behind? Medially?
Formed by skin stretching between the anterior and
posterior walls.
bounded:
-In front: the anterior
axillary fold (formed by
the lower border of the
Pectoralis major muscle).
-behind by the posterior axillary fold (formed by the tendon of latissimus dorsi and the teres major muscle).
-medially by the ribs and
the chest wall.
Apex
Anterior wall? Posterior wall ?
Medial wall? Lateral wall?
- Anterior wall formed by the
• pectoralis major • pectoralis minor • clavicopectoral fascia
-Posterior wall:
• Subscapularis • Latissimus dorsi • Teres major muscles
-medial wall:
Serratus anterior Upper 4-5 ribs & Intercostal muscles
-lateral wall:
Coracobrachialis Intertubercular groove of humerus Biceps brachii
Contents of The Axilla
1. Cords and braches of brachial plexus. 2. Axillary artery and its branches. 3.Axillary vein and its tributaries. 4. Axillary lymph nodes. 5. Axillary fat. 6.Loose connective tissue.
The brachial
plexus is formed
by the ?
anterior
rami of C5
C6,C7,C8, and T1
The apex of the axilla region is an opening
between the clavicle, first rib and the scapula. • In this apex, the vessels and nerves may
become compressed between the bones – this
is called?
thoracic outlet syndrome.
The serratus anterior is
paralyzed owing to injury to
? What happens?
long thoracic nerve . When the arm is raised, the medial border and inferior angle of the scapula pull markedly away from the posterior thoracic wall, a deformation known as a winged scapula
Shoulder Muscles?
Deltoid, • Teres major, • The four rotator cuff muscles (supraspinatus,
infraspinatus, subscapularis and teres minor).
Rotator cuff muscles attachments, innervation, and actions?
- Supraspinatus:
Innervation: Suprascapular nerve.
• Actions: Abducts the arm 0-15o, and
assists deltoid for 15-90o - Infraspinatus
• Innervation: Suprascapular nerve. • Actions: Laterally rotates the arm. - Subscapularis:
Innervation: Upper and lower
subscapular nerves.
• Actions: Medially rotates the arm. - Teres Minor
• Innervation: Axillary nerve.
• Actions: Laterally rotates the arm.
Teres Major
Origin ? Insertion? Nerve supply? Action?
Originates from the posterior surface of the inferior angle of the scapula. • It attaches to the intertubercular groove of the humerus. • Innervation: Lower subscapular nerve. • Actions: Adducts at the shoulder and medially rotates the arm.
refers to inflammation
of the tendons of the rotator cuff muscles. ? muscle most commonly affected is the
? During which movement?
Rotator Cuff Tendonitis
supraspinatus
abduction, causes inflammation and
degenerative changes in the tendon itself.
thickened band of deep fascia in center of palm of the hand. ?
Palmar Aponeurosis
Attachment of the Palmar Aponeurosis
?
Apex: flexor retinaculum & receives palmaris longus insertion Base: 4 slips
Function of Palmar Aponeurosis
?
Function: improve the grip Protect underlying structures
progressive shortening,
thickening, and fibrosis of the
palmar aponeurosis
Is called? What does it do?
Dupuytren contracture
pulls the
4th and 5th fingers into partial
flexion.
It is a thickening of deep fascia that lies over the front of the carpal bones
?
FLEXOR RETINACULUM
FLEXOR RETINACULUM
RELATIONS Superficial: from lateral to medial:
?
Superficial palmar branch of radial artery 2. Palmar cutaneous branch of median
nerve
3. Tendon of palmaris longus
4. Palmar cutaneous branch of ulnar nerve
5. Ulnar vessels
6. Ulnar nerve
FLEXOR RETINACULUM
RELATIONS Deep: Structures passing through carpal
tunnel
?
Tendon of FPL & its synovial sheath (radial
bursa)
8. Tendons of FDS & FDP & their common
synovial sheath (Ulnar bursa)
9. Tendon of FCR & its synovial sheath ( in a
special compartment)
10. Median nerve
HAND muscles ?
- Thenar eminence ( 3 muscles : • Flexor pollicis brevis • Opponens pollicis • abductor pollicis ) ( N supply: median nerve)
- Hypothenar eminence ( 3 muscles : • Abductor digiti minimi • Flexor digiti minimi • Opponens digiti minimi )( N.Supply=ulnar)
Superficial :
3. Palmaris brevis
Intermediate group
- Lumbricals ( 4 muscles : • lateral 2 by median n • medial 2 by ulnar n )
- Interossei ( 8 muscles : Palmar interossei ( 3) Dorsal Interossei (4) ) ( by ulnar N)
Thenar eminence
Muscles and nerve supply?
Flexor pollicis brevis • Opponens pollicis • Adductor pollicis • The median nerve innervates all the thenar muscles.
Hypothenar Muscles and nerve supply?
Hypothenar group: eminence • Abductor digiti minimi • Flexor digiti minimi
• Opponens digiti minimi • The ulnar nerve innervates
the muscles of the
hypothenar eminence.
Lumbrical muscles
Nerve supply and action?
Nerve supply . • lateral 2 by median n • medial 2 by ulnar n Action: writing position • Flex metacarpophalangeal
joints • Extend interphalangeal
joints of medial 4 fingers
Palmar interossei
Location? Action? Innervation?
(3 )These are located anteriorly on the hand. There are three palmar interossei muscles • Actions: Adducts the fingers at the MCP joint. • Innervation: Ulnar nerve.
Dorsal Interossei
Location ? Action? Nerve supply?
These can be palpated
on the dorsum of the
hand. • There are four dorsal
interossei muscles. • Actions: Abduct the
fingers at the MCP joint. • Innervation: Ulnar
nerve
It is a thickening of deep fascia in front of the fingers? Function?
Synovial flexor sheath
They enable tendons to slide freely over each other during movements of the fingers