upper limb muscles Flashcards
(52 cards)
extrinsic muscles (back)
originate from torso
attach to bones of the shoulder (clavicle, scapula or humerus) organ used into superficial and deep layer
trapezius
extrinsic, superficial muscle in the back
origin: skull, nuchal ligament and spinous processes fo C7-T12
insertion: clavicle, acromion and scapula spine
innervation: motor - accessory nerve, proprioceptive - C3, C4
blood supply: cervicodorsal trunk
actions:
- upper fibres - elevate scapula and rotate it during arm abduction
- middle fibres: retract scapula
- lower fibres: pull scapula inferiorly
latissimus dorsi
extrinsic, superficial muscle in the back
strap-like muscle
origin: spinous processes of T7-T12, iliac crest, thoracolumbar fascia abd inferior 3 ribs
insertion: fibres converge into tendon attaching to intertubercular surface of sulcus of the humerus
innervation: thoracodorsal nerve
blood supply: thoracodorsal artery
actions: on upper limb
- extension
- adduction
- medial rotation
levator scapulae
deep, extrinsic muscle in the back origin: transverse processes fo C1-C4 insertion: medial border of scapula innervation: dorsal scapular nerve blood supply: dorsal scapular artery actions: elevates scapula
rhomboid major
deep, extrinsic muscle in the back inferior to rhomboid minor origin: spinous processes of T2-T5 vertebrae insertion: medial border of the scapula innervation: dorsal scapular nerve blood supply: dorsal scapular artery actions: retracts and rotates scapula
rhomboid minor
deep, extrinsic muscle in the back superior to rhomboid major origin: spinous processes of C7-T1 vertebrae insertion: medial border of the scapula innervation: dorsal scapular nerve blood supply: dorsal scapular artery actions: retracts and rotates scapula
anterior compartment (upper arm)
biceps brachii, coracobrachialis, brachialis
all innervated by musculocutaneous nerve
all supplied by branches of brachial artery
biceps brachii
anterior compartment of upper arm
2 headed, enters forearm and blends with deep fascia
innervation: musculocutaneous nerve
blood supply: brachial artery
origin:
- long head, supraglenoid tubercle of scapula
- short head, coracoid process
insertion: radial tuberosity via bicipital aponeurosis
actions:
- supination of forearm
- flexes arm at elbow and shoulder
coracobrachialis
anterior compartment of upper arm origin: coracoid process insertion: medial side of humeral shaft innervation: musculocutaneous nerve blood supply: brachial artery actions: - flexion of arm at the shoulder - weak adduction of arm
brachialis
anterior compartment of upper arm origin: medial and lateral surfaces of humeral shaft insertion: ulna tuberosity innervation: musculocutaneous nerve blood supply: brachial artery actions: flexion at elbow
posterior compartment (arm)
triceps brachii
triceps brachii
3 heads
origin:
- long head: infraglenoid tubercle
- lateral head: humerus, superior to radial groove
- medial head: humerus, inferior to radial groove
insertion: heads converge to one tendon - olecranon of the ulna
innervation: radial nerve
blood supply: profunda brachia artery
anterior compartment (forearm)
3 compartments: superficial, intermediate and deep
forearm - anterior, superficial compartment
flexor carpi ulnaris, palmaris longus, flexor carpi radialis, pronator teres
originate from common tendon - arises from medial epicondyle of humerus
flexor carpi ulnaris
in superficial, anterior compartment of forearm
origin: medial epicondyle + long origin from ulna
insertion: pisiform carpal bone
innervation: ulnar nerve
blood supply: ulnar artery
actions: flexion and adduction at wrist
palmaris longus
in superficial, anterior compartment of forearm absent in ~15% population origin: medial epicondyle insertion: flexor retinaculum innervation: median nerve blood supply: ulnar artery actions: flexion at the wrist
flexor carpi radialis
in superficial, anterior compartment of forearm
origin: medial epicondyle
insertion: base of metacarpals II and III
innervation: median nerve
blood supply: ulnar artery
actions: flexion and abduction at the wrist
pronator teres
in superficial, anterior compartment of forearm
origin: 2
- medial epicondyle
- coracoid process of ulna
insertion: laterally to mid-shaft of radius
innervation: median nerve
blood supply: ulnar, common interosseous arteries
actions: pronation of forearm
flexor digitorum superficialis
in intermediate, anterior compartment of forearm
median nerve and ulnar artery pass between its 2 heads
origin:
- one head from medial epicondyle
- one head from radius
insertion: middle phalanges of 4 fingers (tendons pass through carpal tunnel)
innervation: median nerve
actions:
- flexes wrist
- flexes metacarpophalangeal joints and proximal interphalangeal joints
forearm - anterior, deep compartment
3 muscles
flexor digitorum profundus, flexor pollicis longus, pronator quadratus
flexor digitorum profundus
in deep, anterior compartment of forearm
origin: ulna and associated interosseous membrane
insertion: distal phalanges of four fingers
(tendons pass through carpal tunnel)
innervation:
- medial half, ulnar nerve
- lateral half, median nerve
actions: flex interphalangeal joints and metacarpophalangeal joints and wrist
flexor pollicis longus
in deep, anterior compartment of forearm
origin: anterior surface of radius and surrounding interosseous membrane
insertion: base of distal phalanx of the thumb
innervation: median nerve
actions: flex interphalangeal joints and metacarpophalangeal joint of thumb
pronator quadratus
in deep, anterior compartment of forearm
origin: anterior surface of ulna
insertion: anterior surface on radius
innervation: median nerve
actions: pronates forearm
posterior compartment (forearm)
extensor muscles
all innervated by radial nerve
2 layers: deep and superficial