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Muscles of upper limb
Dr. Ameera A. Al-Humidi
MBBS USTY, MSc Human Anatomy UOG
Anterior Thoracic Muscles
 Pectoralis minor
 Serratus anterior
Posterior Thoracic Muscles
 Trapezius *
 Levator scapulae
 Rhomboid major *
 Rhomboid minor
* = know origin & insertion
Pectoralis minor
Origin:
Three upper ribs (can vary)
Insertion:
Coracoid process of
scapula
Action:
Depresses and pulls
scapula forward, rotates it
downward
Anterior
Serratus anterior
Origin:
Superior 8 or 9 ribs
Insertion:
Ventral surface of scapula
Action:
Pulls scapula anteriorly
and downward
Anterior
Trapezius *
Origin: Occipital bone
& spines of 7th cervical
and all thoracic
vertebrae
Insertion: Clavicle,
spine, and acromion
process of scapula
Action: Rotates scapula
can raise, pull medially,
pull upward or depress
scapula
Anterior
Posterior
Levator scapulae
Spine of
scapula
Origin: Transverse
processes of superior 4
or 5 cervical vertebrae
Insertion: Medial
border of scapula
Action: Elevates
scapula and rotates it
downward
Posterior
Rhomboideus major *
Origin: Spines of
upper thoracic
vertebrae
Insertion: Medial
margin of scapula
Action: Adducts,
elevates and
rotates scapula
Posterior
Fig. 9.27a
Fig. 9.27d
Rhomboideus minor
Origin: Spines of
lower cervical
vertebrae
Insertion: Medial
margin of scapula
Action: Adducts,
and elevates
scapula
Posterior
Originate on Axial Skeleton
• Pectoralis major *
• Latissimus dorsi
Originate on Scapula
• Deltoid *
• Suprascapularis
• Infrascapularis
• Teres minor
• Subscapularis
• Teres major
• Coracobrachialis
Rotator cuff
Muscles
2
7
Muscles that Move the Humerus (Arm)
Abductors
Deltoid
Supraspinatus
Rotators
Infraspinatus
Teres minor
Subscapularis
2 2
2
3
* The muscles that flex and
extend the humerus also
act as adductors
Pectoralis major *
Origin: Clavicle, sternum,
and costal cartilages of
upper ribs
Insertion: Intertubercular
groove of humerus
Action: Flexes, adducts and
rotates arm medially
Anterior
Coracobrachialis
Origin: Coracoid
process of the
scapula
Insertion: Shaft of
humerus medial
side
Action: Flexes and
adducts the arm
Anterior
Latissimus dorsi
Origin: spines of
vertebrae, iliac
crest and lower
ribs
Insertion:
Intertubercular
groove humerus
Action:Extends,
adducts and
rotates arm
medially
Posterior
Teres major
Origin: Lateral
border of
scapula
Insertion:
Intertubercular
groove of
humerus
Action:
Extends,
adducts and
rotates arm
medially
Posterior
Posterior
Deltoid *
Origin:
Spine and
acromion
of scapula, &
clavicle
Insertion:
Deltoid
tuberosity of
humerus
Action:
Abducts,
flexes, and
extends arm.
Anterior
Posterior
Supraspinatus
Origin: Posterior surface
of scapula above spine
Insertion: Greater tubercle
of humerus
Action: Abducts arm
Posterior
Infraspinatus
Origin: Posterior surface
of scapula below spine
Insertion: Greater
tubercle of humerus
Action: Rotates arm
laterally
Posterior
Teres minor
Origin: Lateral
border of scapula
Insertion:
Greater tubercle
of humerus
Action: Rotates
arm laterally
Posterior
Subscapularis
Origin: Anterior
surface of scapula
Insertion: Lesser
tubercle of humerus
Action: Rotates
arm medially
Anterior
S Supraspinatus
I Infraspinatus
T Teres minor
S Subscapularis
Assist the joint capsule, coracohumeral ligament,
glenohumeral ligament and transverse ligament in
stabilizing the shoulder joint
From: Anatomy & Physiology: Seeley, Stephens and Tate 6th Ed.
A B
S
I
T S
Anterior
Humerus
Coracobrachialis
Teres major
Latissimus dorsi
Serratus anterior
Pectoralis major
Deltoid
• Biceps brachii *
• Brachialis *
• Brachioradialis
• Triceps brachii *
• Supinator
• Pronator teres
• Pronator quadratus
3 Flexors
Biceps brachii
Brachialis
Brachioradialis
“3” Extensors
Triceps brachii
3 Rotators
Supinator
Pronator teres
Pronator quadratus
Biceps brachii *
Short head
Long head
Origin: Short head - Coracoid
process
Long head - Tubercle above
glenoid cavity of scapula
Insertion: Radial tuberosity
and aponeurosis
Action: Flexes forearm at
elbow and rotates arm
laterally (supinates)
Anterior
Brachialis *
Origin: Anterior
shaft of humerus
Insertion: Coronoid
process of the ulna
Action: Flexes
forearm at the
elbow
Anterior
Brachioradialis
Origin: Lateral border
of the distal end of the
humerus
Insertion: Superior
to styloid process
of the radius
Action: Flexes forearm
at elbow
Anterior
Triceps brachii *
Origin: Tubercle below
glenoid cavity and lateral
and medial surfaces of the
humerus
Insertion: Olecranon
process of the ulna
Action: Extends elbow
Posterior
Supinator
Origin: Lateral
epicondyle
of humerus
and ridge near
the radial notch
of ulna
Insertion: Lateral
surface of proximal
third of radius
Action: Rotates
forearm laterally
(supinates hand)
Anterior
Pronator teres
Origin: Medial epicondyle
of humerus and coronoid
process of ulna
Insertion: Lateral surface
of radius
Action: Rotates forearm
medially (pronates
hand)
Anterior
Pronator quadratus
Origin: Anterior distal end
of ulna
Insertion: Anterior distal
end of radius
Action: Rotates forearm
medially (pronates
hand)
O
I
Anterior
Triceps brachii
Humerus
Long head of
biceps brachii
Short head of biceps brachii
• Flexor carpi radialis
• Palmaris longus
• Flexor carpi ulnaris
• Extensor carpi radialis longus
• Extensor carpi radialis brevis
• Extensor carpi ulnaris
3 Flexors
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
3 Extensors
Extensor carpi radialis longus
Extensor carpi radialis brevis
Extensor carpi ulnaris
Flexor carpi radialis
Origin: Medial
epicondyle of humerus
Insertion: Base of
2nd and 3rd
metacarpals
Action: Flexes wrist
and abducts hand
Anterior
Palmaris longus
Origin: Medial epicondyle
of humerus
Insertion: Fascia of palm
Action: Flexes wrist
Anterior
Flexor carpi ulnaris
Origin: Medial epi-
condyle of humerus
and olecranon
process of the ulna
Insertion: Carpal &
metacarpal bones
Action: Flexes
wrist and adducts
hand
Post
Ant Ant
Extensor carpi ulnaris
Origin: Lateral epicondyle
of humerus
Insertion: Carpal and
metacarpal bones
Action: Extends and
adducts hand
Posterior
Extensor carpi radialis
longus
brevis
Origin: longus - distal end
of humerus
brevis - lateral epicondyle of
humerus
Insertion: longus - base of
2nd metacarpal
brevis - base of 2nd & 3rd
metacarpal
Action: Extends wrist &
abducts hand
Posterior
 Flexor digitorum superficialis
 Flexor digitorum profundus
 Extensor digitorum
2 Flexors
Flexor digitorum superficialis
Flexor digitorum profundus
1 Extensor
Extensor digitorum
Origin: Medial epicondyle of
humerus, olecranon process
of ulna, and the radius
Insertion: Tendons of the
fingers
Action: Flexes the fingers
and wrist
Flexor digitorum superficialis
Anterior
Origin: Anterior surface of
ulna
Insertion: Bases of distal
phalanges 2 through 5
Action: Flexes the distal
joints of the fingers
Flexor digitorum profundus
Anterior
Origin: Lateral epicondyle
of the humerus
Insertion: Posterior
surfaces of phalanges
in fingers 2 through 5
Action: Extends fingers
and wrist
Extensor digitorum
Posterior
Abductor pollicis longus m.
Flexor pollicis longus m.
Radius
Pronator teres m.
Brachioradialis m.
Radial n.
Radial a.
Flexor carpi radialis m.
Extensor digitorum m.
Ulna
Ulnar n.
Ulnar a.
Flexor carpi ulnaris m.
Median n.
Palmaris longus m.
Anterior
Extensor carpi
radialis brevis m.
Extensor carpi
radialis longus m.
Extensor carpi
ulnaris m.
Extensor pollicis
longus m.
Flexor digitorum
profundus m.
Flexor digitorum
superficialis m.
p
p
p
Flexor retinaculum
Extensor retinaculum
results from compression on the ulnar nerve in the
Cubital tunnel behind the medial epicondyle
causing numbness
and tingling in the ring and little fingers.
The tunnel is formed by the medial epicondyle, ulnar
collateral ligament, and two heads of the flexor carpi
ulnaris muscle
transmits the ulnar nerve and
superior ulnar collateral or posterior ulnar recurrent
artery.
is caused by compression of the median nerve due to
the reduced size of the osseofibrous carpal tunnel, resulting
from inflammation of the flexor retinaculum, arthritic
changes in the carpal bones, or inflammation or thickening
of the synovial sheaths of the flexor tendons. It leads to
pain and paresthesia (tingling, burning, and
numbness) in the hand in the area supplied by the
median nerve and may also cause atrophy of the thenar
muscles in cases of severe compression. However, no
paresthesia occurs over the thenar eminence of skin
because this area is supplied by the palmar cutaneous
branch of the median nerve.
■ Is a triangular interval bounded medially by the
tendon of the extensor pollicis longus muscle and
laterally by the tendons of the extensor pollicis brevis
and abductor pollicis longus muscles.
■ Is limited proximally by the styloid process of the
radius.
■ Has a floor formed by the scaphoid and trapezium
bones and crossed by the radial artery.
Muscles Arm.ppt

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Muscles Arm.ppt

  • 1. Muscles of upper limb Dr. Ameera A. Al-Humidi MBBS USTY, MSc Human Anatomy UOG
  • 2. Anterior Thoracic Muscles  Pectoralis minor  Serratus anterior Posterior Thoracic Muscles  Trapezius *  Levator scapulae  Rhomboid major *  Rhomboid minor * = know origin & insertion
  • 3. Pectoralis minor Origin: Three upper ribs (can vary) Insertion: Coracoid process of scapula Action: Depresses and pulls scapula forward, rotates it downward Anterior
  • 4. Serratus anterior Origin: Superior 8 or 9 ribs Insertion: Ventral surface of scapula Action: Pulls scapula anteriorly and downward Anterior
  • 5. Trapezius * Origin: Occipital bone & spines of 7th cervical and all thoracic vertebrae Insertion: Clavicle, spine, and acromion process of scapula Action: Rotates scapula can raise, pull medially, pull upward or depress scapula Anterior Posterior
  • 6. Levator scapulae Spine of scapula Origin: Transverse processes of superior 4 or 5 cervical vertebrae Insertion: Medial border of scapula Action: Elevates scapula and rotates it downward Posterior
  • 7. Rhomboideus major * Origin: Spines of upper thoracic vertebrae Insertion: Medial margin of scapula Action: Adducts, elevates and rotates scapula Posterior
  • 8. Fig. 9.27a Fig. 9.27d Rhomboideus minor Origin: Spines of lower cervical vertebrae Insertion: Medial margin of scapula Action: Adducts, and elevates scapula Posterior
  • 9. Originate on Axial Skeleton • Pectoralis major * • Latissimus dorsi Originate on Scapula • Deltoid * • Suprascapularis • Infrascapularis • Teres minor • Subscapularis • Teres major • Coracobrachialis Rotator cuff Muscles 2 7
  • 10. Muscles that Move the Humerus (Arm) Abductors Deltoid Supraspinatus Rotators Infraspinatus Teres minor Subscapularis 2 2 2 3 * The muscles that flex and extend the humerus also act as adductors
  • 11. Pectoralis major * Origin: Clavicle, sternum, and costal cartilages of upper ribs Insertion: Intertubercular groove of humerus Action: Flexes, adducts and rotates arm medially Anterior
  • 12. Coracobrachialis Origin: Coracoid process of the scapula Insertion: Shaft of humerus medial side Action: Flexes and adducts the arm Anterior
  • 13. Latissimus dorsi Origin: spines of vertebrae, iliac crest and lower ribs Insertion: Intertubercular groove humerus Action:Extends, adducts and rotates arm medially Posterior
  • 14. Teres major Origin: Lateral border of scapula Insertion: Intertubercular groove of humerus Action: Extends, adducts and rotates arm medially Posterior Posterior
  • 15. Deltoid * Origin: Spine and acromion of scapula, & clavicle Insertion: Deltoid tuberosity of humerus Action: Abducts, flexes, and extends arm. Anterior Posterior
  • 16. Supraspinatus Origin: Posterior surface of scapula above spine Insertion: Greater tubercle of humerus Action: Abducts arm Posterior
  • 17. Infraspinatus Origin: Posterior surface of scapula below spine Insertion: Greater tubercle of humerus Action: Rotates arm laterally Posterior
  • 18. Teres minor Origin: Lateral border of scapula Insertion: Greater tubercle of humerus Action: Rotates arm laterally Posterior
  • 19. Subscapularis Origin: Anterior surface of scapula Insertion: Lesser tubercle of humerus Action: Rotates arm medially Anterior
  • 20. S Supraspinatus I Infraspinatus T Teres minor S Subscapularis Assist the joint capsule, coracohumeral ligament, glenohumeral ligament and transverse ligament in stabilizing the shoulder joint
  • 21. From: Anatomy & Physiology: Seeley, Stephens and Tate 6th Ed. A B S I T S Anterior
  • 23. • Biceps brachii * • Brachialis * • Brachioradialis • Triceps brachii * • Supinator • Pronator teres • Pronator quadratus
  • 24. 3 Flexors Biceps brachii Brachialis Brachioradialis “3” Extensors Triceps brachii 3 Rotators Supinator Pronator teres Pronator quadratus
  • 25. Biceps brachii * Short head Long head Origin: Short head - Coracoid process Long head - Tubercle above glenoid cavity of scapula Insertion: Radial tuberosity and aponeurosis Action: Flexes forearm at elbow and rotates arm laterally (supinates) Anterior
  • 26. Brachialis * Origin: Anterior shaft of humerus Insertion: Coronoid process of the ulna Action: Flexes forearm at the elbow Anterior
  • 27. Brachioradialis Origin: Lateral border of the distal end of the humerus Insertion: Superior to styloid process of the radius Action: Flexes forearm at elbow Anterior
  • 28. Triceps brachii * Origin: Tubercle below glenoid cavity and lateral and medial surfaces of the humerus Insertion: Olecranon process of the ulna Action: Extends elbow Posterior
  • 29. Supinator Origin: Lateral epicondyle of humerus and ridge near the radial notch of ulna Insertion: Lateral surface of proximal third of radius Action: Rotates forearm laterally (supinates hand) Anterior
  • 30. Pronator teres Origin: Medial epicondyle of humerus and coronoid process of ulna Insertion: Lateral surface of radius Action: Rotates forearm medially (pronates hand) Anterior
  • 31. Pronator quadratus Origin: Anterior distal end of ulna Insertion: Anterior distal end of radius Action: Rotates forearm medially (pronates hand) O I Anterior
  • 32. Triceps brachii Humerus Long head of biceps brachii Short head of biceps brachii
  • 33. • Flexor carpi radialis • Palmaris longus • Flexor carpi ulnaris • Extensor carpi radialis longus • Extensor carpi radialis brevis • Extensor carpi ulnaris
  • 34. 3 Flexors Flexor carpi radialis Palmaris longus Flexor carpi ulnaris 3 Extensors Extensor carpi radialis longus Extensor carpi radialis brevis Extensor carpi ulnaris
  • 35. Flexor carpi radialis Origin: Medial epicondyle of humerus Insertion: Base of 2nd and 3rd metacarpals Action: Flexes wrist and abducts hand Anterior
  • 36. Palmaris longus Origin: Medial epicondyle of humerus Insertion: Fascia of palm Action: Flexes wrist Anterior
  • 37. Flexor carpi ulnaris Origin: Medial epi- condyle of humerus and olecranon process of the ulna Insertion: Carpal & metacarpal bones Action: Flexes wrist and adducts hand Post Ant Ant
  • 38. Extensor carpi ulnaris Origin: Lateral epicondyle of humerus Insertion: Carpal and metacarpal bones Action: Extends and adducts hand Posterior
  • 39. Extensor carpi radialis longus brevis Origin: longus - distal end of humerus brevis - lateral epicondyle of humerus Insertion: longus - base of 2nd metacarpal brevis - base of 2nd & 3rd metacarpal Action: Extends wrist & abducts hand Posterior
  • 40.  Flexor digitorum superficialis  Flexor digitorum profundus  Extensor digitorum
  • 41. 2 Flexors Flexor digitorum superficialis Flexor digitorum profundus 1 Extensor Extensor digitorum
  • 42. Origin: Medial epicondyle of humerus, olecranon process of ulna, and the radius Insertion: Tendons of the fingers Action: Flexes the fingers and wrist Flexor digitorum superficialis Anterior
  • 43. Origin: Anterior surface of ulna Insertion: Bases of distal phalanges 2 through 5 Action: Flexes the distal joints of the fingers Flexor digitorum profundus Anterior
  • 44. Origin: Lateral epicondyle of the humerus Insertion: Posterior surfaces of phalanges in fingers 2 through 5 Action: Extends fingers and wrist Extensor digitorum Posterior
  • 45. Abductor pollicis longus m. Flexor pollicis longus m. Radius Pronator teres m. Brachioradialis m. Radial n. Radial a. Flexor carpi radialis m. Extensor digitorum m. Ulna Ulnar n. Ulnar a. Flexor carpi ulnaris m. Median n. Palmaris longus m. Anterior Extensor carpi radialis brevis m. Extensor carpi radialis longus m. Extensor carpi ulnaris m. Extensor pollicis longus m. Flexor digitorum profundus m. Flexor digitorum superficialis m. p p p
  • 47.
  • 48.
  • 49.
  • 50. results from compression on the ulnar nerve in the Cubital tunnel behind the medial epicondyle causing numbness and tingling in the ring and little fingers. The tunnel is formed by the medial epicondyle, ulnar collateral ligament, and two heads of the flexor carpi ulnaris muscle transmits the ulnar nerve and superior ulnar collateral or posterior ulnar recurrent artery.
  • 51.
  • 52. is caused by compression of the median nerve due to the reduced size of the osseofibrous carpal tunnel, resulting from inflammation of the flexor retinaculum, arthritic changes in the carpal bones, or inflammation or thickening of the synovial sheaths of the flexor tendons. It leads to pain and paresthesia (tingling, burning, and numbness) in the hand in the area supplied by the median nerve and may also cause atrophy of the thenar muscles in cases of severe compression. However, no paresthesia occurs over the thenar eminence of skin because this area is supplied by the palmar cutaneous branch of the median nerve.
  • 53. ■ Is a triangular interval bounded medially by the tendon of the extensor pollicis longus muscle and laterally by the tendons of the extensor pollicis brevis and abductor pollicis longus muscles. ■ Is limited proximally by the styloid process of the radius. ■ Has a floor formed by the scaphoid and trapezium bones and crossed by the radial artery.