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Upper Extremities
Muscles, Ligaments, Nerves, Arteries of the upper extremities
44
Anatomy
Graduate
07/16/2012

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Cards

Term
Trapezius
Definition
Origin: External occipital protuberance, superior nuchal line, nuchal ligament and spines of the thoracic vertebrae

Insertion: Spine of the scapula, lateral third of clavicle and acromion

Actions: Elevates, retracts and rotates scapula to face gelnoid cavity superiorly, depresses scapula

Innervation: Spinal accessory nerve

Arterial supply: Superficial branch of the transverse cervical artery
Term
Latissimus Dorsi
Definition
Origin: Iliac crest, spine of T6, thoracolumbar fascia, inferior 3-4 ribs

Insertion: Floor of intertubercular groove of humerus

Action: Adducts, extends and medially rotates humerus

Innervation: Thoracodorsal nerve

Arterial supply: Thoracodorsal artery
Term
Rhomboid major
Definition
Origin: Vertebral spines of T2-T5

Insertion: Medial scapula (inferior to minor)

Action: Adducts and rotates scapula

Innervation: Dorsal scapular nerve

Arterial supply: Deep branch of transverse cervical artery
Term
Rhomboid minor
Definition
Origin: Vertebral spines of C7-T1

Insertion: Medial scapula (superior to major)

Action: Adducts and rotates scapula

Innervation: Dorsal scapular nerve

Arterial supply: Deep branch of transverse cervical artery
Term
Levator scapulae
Definition
Origin: Transverse processes of C1-C4

Insertion: Scapula between superior angle and root of scapular spine (medial upper border)

Action: Elevates scapula or inclines neck if scapula fixed

Innervation: Deep scapular nerve

Arterial supply: Deep branch of transverse cervical artery
Term
Posterior Superior Serratus
Definition
Origin: Spinous process of C7-T3

Insertion: Superior border of ribs 2-5

Action: Thin respiratory muscle
Term
Posterior inferior Serratus
Definition
Origin: Spinous process of T11-L2

Insertion: Inferior border of the lower 3-4 ribs

Action: Thin respiratory muscle
Term
Splenius Capitis
Definition
Origin: Lower half of ligamentum nuchae, spines of C7-T3

Insertion: Mastoid process of temporal bone and lateral part of occipital

Action: Extend head (together), laterally flex head with slight rotation of the head (alone)

Innervation: Dorsal rami

Arterial supply: Superficial branch of transverse cervical artery
Term
Splenius Cervicis
Definition
Origin: Spines of T3-T6

Insertion: Transverse processes of upper 3-4 cervical vertebrae (mostly covered by splenius capitis)

Action: Extend neck (together), laterally flex head and neck (alone)

Innervation: Dorsal rami

Arterial supply: Superficial branch of transverse cervical artery
Term
Erector Spinae muscles
Definition

Iliocostalis, Longissimus, Spinalis

Origin: I-iliac crest inferior 6 ribs and ribs 3-6, L-transverse process of lumbar thorugh cervical spine, S- spines of upper lumbar and lower thoracic vertebrae

Insertion: I- angle of ribs, cervical vertebrae of C6-C4, L- transverse process of thoracic and cervical vertebrae and ribs superior in origin, masoid process, S spines of upper thoracic and cervical vertebrae

Action: extends vertebral column, maintain posture, bend vertebral column laterally, extends head and turns face towards same side

Innervation: Dorsal rami

Term
Semispinalis Muscle
Definition

Transversospinalis muscle, most superficial

Origin: Transverse process of vertebrae

Insertion: Spines of higher vertebrae or occipital bone for most superior muscles

Action:

Innervation: Dorsal rami

Term
Multifidus
Definition
Transversospinalis muscle, most developed in lumbar region Origin: Transverse processes Insertion: Base of vertebral spines (spanning 2-3 vertebrae) Action: extension of spinal cord Innervation: Dorsal rami
Term
Rotatores
Definition
Transversospinalis muscle, deepest layer

Origin: Transverse processes

Insertion: Spinous processes of more superior vertebrae (Longus: traversing one complete vertebrae, Brevis: vertebrae immediately superior)

Action:

Innervation: Dorsal rami
Term
Rectus Capitis Posterior Major
Definition

Origin: spine of C2

Insertion: Occipital bone

Action: Extension and rotation of head

Innervation: Dorsal rami of C1

Term
Rectus Capitis Posterior Minor
Definition

Origin: Posterior tubercle of C1

Insertion: Occipital bone

Action: Extension and rotation of head

Innervation: Dorsal rami of C1

Term
Oblique Capitis Superior
Definition
Origin: Transverse processes of Atlas (C1)

Insertion: Occipital bone

Action: Extension and lateral rotation of head

Innervation: Dorsal rami of C1
Term
Oblique Capitis Inferior
Definition
Origin: Spine of Axis (C2)

Insertion: Transverse process of Atlas (C1)

Action: Laterally rotates head

Innervation: Dorsal rami of C1
Term
Supraspinous ligament
Definition
runs along the vertebral spines continuing the length of the vertebral column
Term
Nuchal ligament
Definition
Also called ligamentum nuchae, merges with the supraspinous ligament in the cervical curvature region
Term
Anterior Longitudinal ligament
Definition
lies on the anterior side of the vertebral bodies, continues the length of the column
Term
Ligamentum flava
Definition
run from lamina to lamina covering most the space between these vertebral regions
Term
Posterior longitudinal ligament
Definition
runs along the posterior side of the vertebral bodies (anterior to the spinal cord)
Term
Intertransverse ligaments
Definition
between transverse processes
Term
Interspinous ligaments
Definition
between spinous processes
Term
Anterior altanto-occipital membrane
Definition
continuation of the anterior longitudinal ligament
Term
Anterior atlanto-axial membrane
Definition
continuation of the anterior longitudinal ligament
Term
Tectorial membrane
Definition
continuation of the posterior longitudinal ligament between C1 and skull
Term
Cruciform ligament
Definition
cross shaped with longitudinal and transverse parts, holding dens of axis in place
Term
Alar or "check" ligament
Definition
holds dens in place laterally (deep to cruciform ligament)
Term
Pectoralis Major
Definition
Origin:
Clavicular head- medial clavicle
Sternocostal head- manubrium and body of sternum, costal cartilages of 2-6 ribs
Abdominal part- aponeurosis of the external oblique

Insertion: lateral part of the intertubercular groove of humerus

Action: adducts and medially rotates the humerus, clavicular head alone can flex humerus, sternocostal head help extend humerus

Innervation: lateral and medial pectoral nerves

Vasculature: thoracoacrominal artery, internal thoracic artery
Term
Pectoralis Minor
Definition
Origin: upper margin of the ribs 3-5

Insertion: coracoid process of the scapula

Action: inferior rotation of the glenoid of the scapula, stabilizes scapula

Innervation: medial pectoral nerve

Arterial supply: pectoral branch of the thoracoacrominal artery
Term
Subclavius
Definition
Origin: 1st rib cartilage

Insertion: inferior surface of the midclavicle

Action: depresses lateral end of the clavicle, stabilizes clavicle

Innervation: nerve to subclavius (branches of C5-C6)

Arterial supply: clavicular branch of the thoracoacrominal artery
Term
Serratus Anterior
Definition

Origin: anterior surface of the upper 1-9 ribs

 

Insertion: medial border of the scapula on the costal side

 

Action: when scapula is fixed helps raise ribs (respiration), protracts (abducts) scapula and superiorly rotates the glenoid of the scapula to enable full abduction of the arm

 

Innervation: long thoracic nerve

 

Arterial supply: lateral thoracic

Term
Deltoid
Definition
Origin: lateral third of clavicle, spine of scapula, acromion

Insertion: deltoid tuberosity of humerus

Action: abducts arm (anterior), flexes (medial) and extends arm (posterior)

Innervation: axillary

Arterial supply: posterior humeral circumflex artery; deltoid branch of the thoracoacrominal artery
Term
Teres major
Definition
Origin: inferior angle of the scapula

Insertion: medial lip of the biceptal or intertubercular groove of the humerus

Action: adducts and medially rotates arm (similar to the latissimus dorsi)

Innervation: lower subscapular

Arterial supply: scapular circumflex
Term
Supraspinatus
Definition
Origin: supraspinous fossa of scapula

Insertion: superior part of greater tuberosity of the humerus; capsule of the shoulder joint

Action: abduct the humerus and stabilize head

Innervation: suprascapular

Arterial supply: suprascapular
Term
Infraspinatous
Definition
Origin: infraspinous fossa of scapula

Insertion: medial facet of the greater tuberosity of the humerus; capsule of the shoulder joint

Action: lateral rotator of the humerus

Innervation: suprascapular

Arterial supply: suprascapular; scapular circumflex
Term
Teres Minor
Definition
Origin: posterolateral border of scapula

Insertion: lower facet of greater tuberosity

Action: adducts and lateral rotator of the humerus

Innervation: axillary

Arterial supply: scapular circumflex
Term
Subscapularis
Definition
Origin: subscapular fossa

Insertion: lesser tuberosity of the humerus; capsule of shoulder joint

Action: medially rotates humerus

Innervation: upper and lower subscapular

Arterial supply: subscapular, lateral thoracic
Term
Biceps brachii
Definition
Origin:
Short head: coracoid process of scapula
Long head: supraglenoid region of scapula

Insertion: radial tuberosity (also fascia of forearm via bicipital aponeurosis)

Action: flexes elbow, supinates forearm, flexes arm (long head only)

Innervation: musculocutaneous

Arterial supply: brachial
Term
Coracobrachialis
Definition
Origin: coracoid process of scapula

Insertion: mid-humerus

Action: flexes and adducts arm

Innervation: musculocutaneous

Arterial supply: brachial
Term
Brachialis
Definition
Origin: distal anterior humerus

Insertion: ulnar tuberosity

Action: flexes elbow

Innervation: musculocutaneous

Arterial supply: radial recurrent and brachial
Term
Triceps brachii
Definition
Origin:
Long (superficial): infraglenoid tubercle of scapula
Lateral (superficial): upper posterior humerus
Medial (deep): lower posterior humerus

Insertion: olecranon of ulna

Action: main extensor of the elbow joint, also a weak extensor of the shoulder (long head)

Innervation: radial

Arterial supply: deep brachial
Term
Anconeus
Definition
Origin: lateral epicondyle of humerus

Insertion: olecranon and posterior ulna

Action: assists triceps in extending forearm; stabilizes elbow joint

Innervation: radial

Arterial supply: deep brachial
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