Upper Limb (Muscles) Flashcards
State the muscles and nerves involved in shoulder flexion
- anterior deltoid - axillary n
- pectoralis major - lateral and medial pectoral n
- biceps femoris - musculocutaneous n
- coracobrachialis - musculocutaneous n
State the muscles and nerves involved in shoulder extension
- posterior deltoid - axillary n
- latissimus dorsi
- teres major
State the muscles and nerves involved in shoulder abduction
- supraspinatus (initiation) - suprascapular n
- middle deltoid - axillary n
- serratus anterior (beyond 120 degrees) - long thoracic n
State the muscles and nerves involved in shoulder adduction
- pectoralis major
- latissimus dorsi
- teres major
- teres minor
State the muscles and nerves involved in shoulder medial rotation
- subscapularis - subscapular n
- latissimus dorsi
- teres major - axillary n
- anterior deltoid - axillary n
State the muscles and nerves involved in shoulder lateral rotation
- infraspinatus - suprascapular n
- poseterior deltoid - axillary n
- teres minor - axillary n
State the muscles involved in
1. shoulder flexion
2. shoulder extension
3. shoulder abduction
4. shoulder adduction
5. shoulder medial rotation
6. shoulder lateral rotation
shoulder flexion = anterior deltoid, pectoralis major, biceps, coracobrachialis
shoulder extension = posterior deltoid, latissimus dorsi, teres major
shoulder abduction = middle deltoid, serratus anterior, supraspinatus
shoulder adduction = pectoralis major, latissimus dorsi, teres major, teres minor
shoulder medial rotation = subscapularis, latssimus dorsi, anterior deltoid, teres major
shoulder lateral rotation = infraspinatus, posterior deltoid, teres minor
State the myotomes for
ELBOW FLEXION
ELBOW EXTENSION
elbow flexion - c5/6
elbow extension - c7/8
State the muscles involved in
1. ELBOW FLEXION
2. ELBOW EXTENSION
elbow flexion - biceps brachii, coracobrachialis, brachialis, brachioradialis
elbow extension - triceps brachii
State the muscles and nerves involved in wrist flexion
- flexor carpi ulnaris - ulnar n
- palmaris longus - median n
- flexor carpi radialis - median n
State the origin, insertion and innervation of the
MUSCLES INVOLVED IN WRIST FLEXION
FLEXOR CARPI ULNARIS (GREEN)
- medial epicondyle of humerus - base of 5th metacarpal + pisiform + hook of hamate
- innervation = ulnar n
PALMARIS LONGUS (YELLOW)
- medial epicondyle of humerus - palmar aponeurosis + flexor retinaculum
- innervation = median n
FLEXOR CARPI RADIALIS (PURPLE)
- medial epicondyle of humerus - base of 2nd metacarpal
- innervation = median n
State the muscles and nerves involved in wrist extension
- extensor carpi ulnaris - radial n
- extensor carpi radialis longus - radial n
- extensor carpi radialis brevis - radial n
- Extensor digitorum - radial n
State the origin, insertion and innervation of the
MUSCLES INVOLVED IN WRIST EXTENSION
EXTENSOR CARPI ULNARIS (GREEN)
- lateral epicondyle of humerus - base of 5th metacarpal
- innervation = radial n
EXTENSOR CARPI RADIALIS LONGUS (PINK)
- lateral SUPRACONDYLE of humerus - base of 2nd metacarpal
- innervation = radial n
EXTENSOR CARPI RADIALIS BREVIS (PURPLE)
- lateral epicondyle of humerus - base of 4rd metacarpal
- innervation = radial n
EXTENSOR DIGITORUM (YELLOW)
- lateral epicondyle of humerus - extensor expansion of medial 4 digits
- innervation = radial n
State the myotomes for
WRIST FLEXION
WRIST EXTENSION
wrist flexion - c6
wrist extension - c7
State the muscles and nerves involved in wrist abduction
- flexor carpi radialis - median n
- extensor carpi radialis brevis - radial n
- extensor carpi radialis longus - radial n
- abductor pollicis longus - radial n
State the muscles and nerves involved in wrist adduction
- flexor carpi ulnaris - ulnar n
- extensor carpi ulnaris - radial n
State the muscles and nerves involved in wrist supination
- supinator - deep branch of radial n
- biceps brachii - musculocutaneous n
State the muscles and nerves involved in wrist pronation
- pronator teres - median n
- pronator quadratus - median n
State the joints involved in
WRIST SUPINATION
WRIST PRONATION
proximal radio-ulnar joint + distal radio-ulnar joint
State the origin, insertion and innervation of the
MUSCLES INVOLVED IN WRIST PRONATION
PRONATOR TERES (GREEN)
- coronoid process of ulna + medial epicondyle - lateral radius
- innervation = median n
PRONATOR QUADRATUS (YELLOW)
- ulna - radius
- innervation = median n
State the muscles and nerves involved in thumb abduction
- abductor pollicis longus (deep extensor of forearm) - radial n
- abductor pollicis brevis (thenar muscle) - median n
State the origin, insertion and innervation of the
MUSCLES INVOLVED IN THUMB ABDUCTION
ABDUCTOR POLLICIS LONGUS (GREEN)
- radius + ulna + interosseous membrane - base of 1st metacarpal
- innervation = radial n
ABDUCTOR POLLICIS BREVIS (YELLOW)
- flexor retinaculum - proximal phalanx of 1st metacarpal
- innervation = median n
State the muscles and nerves involved in thumb adduction
- adductor pollicis - ulnar n (although located on radial side)
State the joints involved in
THUMB ABDUCTION
THUMB ADDUCTION
thumb abduction - carpometacarpal joint
thumb adduction- carpometacarpal joint
State the myotomes for
THUMB ABDUCTION
THUMB ADDUCTION
both t1
State the muscles and nerves involved in thumb opposition
- opponens pollicis - median n
State the joint involved for
THUMB OPPOSITION
thumb opposition - carpometacarpal joint
State the muscles and nerves involved in thumb flexion
- flexor pollicis brevis (thenar muscle) - median n
- flexor pollicis longus (deep muscle of forearm) - median n
State the origin, insertion and innervation of the
MUSCLES INVOLVED IN THUMB FLEXION
FLEXOR POLLICIS LONGUS (GREEN)
- ulna + interosseous membrane - base of distal phalanx of thumb
- innervation = medial 1/2 ulnar n, lateral 1/2 median n
FLEXOR POLLICIS BREVIS (YELLOW)
- flexor retinaculum + tubercles of schapoid and trapezium - base of proximal phalanx of thumb
- innervation = median n
State the muscles and nerves involved in thumb extension
- extensor pollicis longus - radial n
- extensor pollicis brevis - radial n
State the origin, insertion and innervation of the
MUSCLES INVOLVED IN THUMB EXTENSION
EXTENSOR POLLICIS LONGUS (GREEN)
- ulna - base of distal phalanx of thumb
- innervation = radial n
EXTENSOR POLLICIS BREVIS (YELLOW)
- radius + interosseous membrane - base of distal phalanx of thumb
- innervation = radial n
State the joints involved in
THUMB FLEXION
THUMB EXTENSION
thumb flexion - carpometacarpal joint + metcarpophalangeal joint
thumb extension - metcarpophalangeal joint (longus) + interphalangeal joint (brevis)
State the 4 thenar muscles (AFOA)
State their innervation
- abductor pollicis brevis - median n
- flexor pollicis brevis - median n
- opponens pollicis - median n
- adductor pollicis - ulnar n
Identify the muscles. State their action and innervation
ABDUCTOR POLLICIS BREVIS (GREEN)
- action = abduction of thumb at CMC joint
- innervatio = median n
FLEXOR POLLICIS BREVIS (PURPLE)
- action = flexion of thumb at CMC joint + MCP joint
- innervation = median n
OPPONENS POLLICIS (YELLOW)
- action = opposition of thumn at CMC joint and MCP joint
- innervation = median n
ADDUCTOR POLLICIS (PINK)
- action = adduction of thumb at CMC joint
- innervation = ulnar n
State the muscles and nerves involved in finger flexion
- flexor digitorum superficialis - median n
- flexor digitorum profundus - median n (lateral 1/2), ulnar n (medial 1/2)
State the joints involved in finger flexion
middle phalanges (flexor digitorum superficialis)
distal phalanges (flexor digitorum profundus)
State the muscles and nerves involved in finger extension
- extensor digitorum - radial n
- extensor digiti minimi - radial n
- lumbricals - ulnar n
State the joints involved in finger extension
extensor digitorum - MCP joint + interphalangeal joint
extensor digiti minimi - MCP joint + PIP joint on 5th finger
lumbricals - interphalangeal joint
State the myotomes for
FINGER FLEXION
FINGER EXTENSION
finger flexion - c8
finger extension - c7
State the muscles and nerves involved in finger abduction + adduction
finger abduction - dorsal interossei - ulnar n
finger adduction - ventral interossei - ulnar n
State the myotomes for
FINGER ABDUCTION
FINGER ADDUCTION
t1
Label the muscles in the arm. State the innervation of each muscle
biceps - musculocutaneous n
brachialis - musculocutaneous nerve
triceps brachii - radial n
State the boundaries of the cubital fossal.
State the contents of the cubital fossa
medially - pronator teres
laterally - brachioradialis
superiorly - lateral to medial epicondyles
inferiorly - brachialis + supinator muscle
contents - median n, bifurcation of brachial A, tendon of biceps brachii, radial n (Mother Buys Ten Rabbits)
BICIPITAL APONEUROSIS separates the ____ V from underlying ____ A and ____ N
BICIPITAL APONEUROSIS separates the MEDIAN CUBITAL V from underlying BRACHIAL A and MEDIAN N
State and label the superficial flexors of forearm. State the actions of each muscle and their innervation.
All muscles innervated by median n except FCU by ulnar n
PRONATOR TERES - pronation of wrist
FLEXOR CARPI ULNARIS - wrist flexion, wrist adduction
PALMARIS LONGUS - wrist flexion
FLEXOR CARPI RADIALIS - wrist flexion, wrist abduction
FLEXOR DIGITORUM SUPERFICIALIS - flexion of middle phalanges
State and label the deep flexors of forearm. State the actions of each muscle and their innervation.
FLEXOR DIGITORUM PROFUNDUS
- flexion of distal IP joints of medial 4 digits
- medial 1/2 - ulnar n, lateral 1/2 - medial n
FLEXOR POLLICIS LONGUS
- thumb flexion at MCP and CMJ
- median n
PRONATOR QUADRATUS
- wrist pronation
- median n
State and label the superficial extensors of forearm. State the actions of each muscle and their innervation.
EXTENSOR CARPI RADIALIS LONGUS
- wrist extension, wrist abduction
- radial n
EXTENSOR CARPI RADIALIS BREVIS
- wrist extension, wrist abduction
- radial n
EXTENSOR DIGITORUM
- extension of proximal phalanges at MCP joint, wrist extension
- radial n
EXTENSOR DIGITI MINIMI
- extension of 5th digit at MCP and IP joints
- radial n
EXTENSOR CARPI ULNARIS
- wrist extension, wrist adduction
- radial n
State and label the deep extensors of forearm. State the actions of each muscle and their innervation.
ABDUCTOR POLLICIS LONGUS
- abduction of thumb at MCP joint, extension of thumb at MCP joint
- radial n
EXTENSOR POLLICIS LONGUS
- extension of distal phalanx at IP joint
- radial n
EXTENSOR POLLICIS BREVIS
- extension of proximal phalanx at MCP joint
- radial n
EXTENSOR INDICIS
- extension of index finger at MCP joint and IP joint
- radial n
State the boundaries of the anatomical snuff box. State the contents of the snuff box.
Anteriorly - abductor pollicis longus (APL) + extensor pollicis brevis (EPB)
Posteriorly - extensor pollicis longus (EPL)
Contents
- radial A
- scaphoid and trapezium bones
State the 3 kinds of wrist fractures/disclocation. State the common causes of each fracture.
- distal radius fracture (smith’s fracture) - foosh
- scaphoid fracture (colle’s fracture) - foosh with wrist extended and abducted
- anterior dislocation of lunate - fall on dorsiflexed wrist (leads to carpal tunnel syndroem)
State the innervation of the lumbricals. State their actions.
lumbricals - flexion of digits at MCP joints, extension of digits at IP joints
- lumbricals 1 + 2 - median n
- lumbricals 3 + 4 - ulnar n