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C. Riedinger ­ An easy way to learn muscles

Muscles of the arm
                                                        layer / 
name                    meaning           body part                          origin                   insertion         nerve supply        blood supply               function
                                                       location
                                                                  long head: supraglenoid 
                                                                                               via common tendon into 
                                                                     tubercle of scapula 
                                                                                               the bicipical tuberosity                                          supinator of forearm 
                                                                       (through sleeve of 
                                                                                                of radius. Medial side:                                          when elbow is flexed, 
                                                                        synovial tissue in 
                                                       anterior,                                      via bicipital                                              flexes elbow in fully 
biceps brachii      biceps of the arm       arm                    intertubercular /bicipital                            musculocutaneous   brachial artery
                                                      superficial                               aponeurosis into deep                                             supinated position. 
                                                                      groove of humerus, 
                                                                                               fascia of medial forearm                                         Shoulder: stabilises and 
                                                                     short head: coracoid 
                                                                                                  and subcutaneous                                                   minor flexion
                                                                  process, joins long head 
                                                                                                    border of ulna
                                                                      midway down arm
                                                                     distal half of anterior 
                                                        anterior,                                via strong tendon into 
                                                                      humeral shaft and                                                     radial recurrent 
brachialis          muscle of the arm       arm       intermediat                                 coronoid process of  musculocutaneous                             flexor of elbow
                                                                     medial intermuscular                                                        artery
                                                            e                                             ulna
                                                                             septum
                                                                                                                                                                 adducts shoulder (to 
                                                                     tip of coracoid process 
                    muscle of the arm                  anterior,                              medial aspect mid­shaft                                           hold things under arm), 
coracobrachialis                            arm                       of scapula (with short                           musculocutaneous     brachial artery
                   and coracoid process                  deep                                      of humerus                                                   weak flexor of shoulder 
                                                                          head of biceps)
                                                                                                                                                                         joint
                                                                   long head: infraglenoid 
                                                                     tubercle of scapula, 
                                                       posterior, 
                   muscle of arm with                              lateral and medial head:      tendon to olecranon                         deep brachial 
triceps brachii                             arm         single                                                           radial nerve                               extends elbow
                      three heads                                     posterior surface of         process of ulna                              artery
                                                        muscle
                                                                    humerus, medial head 
                                                                       in lateral groove
                                                                       posterior aspect of 
                    muscle attached to    forearm /  posterior,                                                                                                   assists extension of 
anconeous                                                            lateral epicondyle of  lateral side of olecranon    radial nerve
                         elbow               arm     superficial                                                                                                         elbow
                                                                           humerus




Anterior                                                                                        Posterior


    long head             short head




                                                                                                                                 lateral head
                                                                                                           long head
                      coracobrachialis
    biceps 
    brachii

                                                                                                          triceps
                                                                                                          brachii


                                                                                                       medial head




                      brachialis


                                                                                                                                   anconeus




(musculocutaneous nerve)                                                                    (radial nerve)
C. Riedinger ­ An easy way to learn muscles

   Muscles of the forearm (anterior side)
                                                                  layer / 
   name                         meaning             body part                          origin                             insertion       nerve supply    blood supply              function
                                                                 location
                                                                                                     maximum convexity of 
                                                                             CFO and distal part of 
                                                                                                     radius at midpoint of 
                                                                              the supradcondylar 
                                                                                                      lateral aspect of bone 
                                                                 anterior,  ridge of humerus, deep:                                                      ulnar and radial     pronates the forearm, 
   pronator  teres         cylindrical pronator      forearm                                           (I.e. halfway along                median nerve
                                                                superficial     medial aspect of                                                              artery           (also flexes elbow)
                                                                                                       forearm, mid­shaft, 
                                                                              coronoid process of 
                                                                                                      roughening of lateral 
                                                                                      ulna
                                                                                                              surface)
                                                                                                                                                                             with FCU to flex wrist, 
                             flexor of carpal                    anterior,                                        bases of the 2nd and                                       with radial extensors to 
   flexor carpi radialis                             forearm                            CFO                                               median nerve     ulnar artery
                           bones on radial side                 superficial                                         3rd metacarpals                                             abduct the wrist, 
                                                                                                                                                                                 stabilises wrist
                                                                                                          palmar aponeurosis, 
                                                                 anterior,                                   superficial tendon                                               tenses palmar fascia 
   palmaris longus         long palmar muscle        forearm                            CFO                                        median nerve            ulnar artery
                                                                superficial                                  adherent to flexor                                               and flexes the wrist
                                                                                                                  retinaculum
                                                                                                           pisiform (=sesamoid 
                                                                                                        bone in its tendon!) with 
                                                                                                           extension to hook of 
                                                                               CFO and medial margin  hamate (pisohamate 
                             flexor of carpal                    anterior,                                                                                                   adducts and flexes the 
   flexor carpi ulnaris                              forearm                   of olecranon process of  ligament) and base of       ulnar nerve            ulnar artery
                           bones on ulnar side                  superficial                                                                                                          wrist
                                                                                         ulna                  5th metacarpal 
                                                                                                               (pisometacarpal 
                                                                                                        ligament), and aspect of 
                                                                                                            flexor retinaculum
                                                                                                        4 tendons through carpal 
                                                                               humeral head: ant aspect  tunnel for fingers 2­5. 
                                                                               of medial epicondyle of  Tendon inserts at base of 
                                                                                                                                                                              strong flexor of wrist 
                                                                  anterior,       humerus via CFO,               
                                                                                                              middle phalanx. 
   flexor digitorum        superficial flexor of                                                                                                                             and fingers (not distal 
                                                     forearm    intermediat      ulnar head: coronoid  Decussation on lateral  median nerve                ulnar artery
   superficialis                 fingers                                                                                                                                     interphalangeal joint), 
                                                                      e         process of ulna, also:  and medial aspects of 
                                                                                                                                                                              weak flexor of elbow
                                                                                 extended origin from  proximal phalanges for 
                                                                                        radius             FDP tendons to pass 
                                                                                                                     through

  Superficial and intermediate layer
          LAT                                                            MED
            pronator teres
                                                                                    head of ulna:
                                                                                                              olecranon

                                                                                       trochlear
                                                                                         notch



                                                                                               coracoid 
                                                                                            process of ulna


    brachioradials                                      flexor digitorum superficials (FDS)
    (see post. forearm,
    radial nerve)
                                                     ulnar
                                                     head
                                                                         flexor carpi ulnaris (FCU)


flexor carpi radialis (FCR)




                                                                                       (palmaris longus not drawn)

   (all median nerve but FCU which is ulnar nerve)
C. Riedinger ­ An easy way to learn muscles

 Muscles of the forearm (anterior side ­ 2)
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  Deep layer



 LAT                                                  MED




                                        flexor digitorum profundus (FDP)
flexor pollicis 
    longus




                                          pronator quadratus




 (all median nerve but FDP, which is 1/2 ulnar nerve)
C. Riedinger ­ An easy way to learn muscles

  Muscles of the forearm (posterior side)
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  Superficial layer
                                            brachioradialis
                                               (radial nerve)

  MED                                       LAT                                      MED                                       LAT

    (all me)




                                                                                                                      Extensor digitorum
                                                                                                                      communis (EDC)

extensor carpi radialis
    longus (ECRl)

                                                                                                                            Extensor digiti
extensor carpi radialis                                                            Extensor carpi                           minimi (EDM)
    brevis (ECRb)                                                                  ulnaris (ECU)




  (All post. interosseous branch of radial nerve, except brachioradialis which is radial nerve proper.)
C. Riedinger ­ An easy way to learn muscles

 Muscles of the forearm (posterior side ­ 2)
                                                               /"*$-+0+
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 Deep layer



     MED                                     LAT

     (all me)




                                    supinator




                                        abductor pollicis longus
extensor pollicis
     longus




                extensor indicis                   extensor pollicis brevis




 (All post. interosseous branch of radial nerve)
C. Riedinger ­ An easy way to learn muscles

Muscles of the hand (palmar/anterior side)
                                                           /"*$-+0+
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                                                                                                  dorsal expansion:
                                                                                                                                                                        EDC


   (all me)




                                                                            FDP tendon
                                                                                             lumbricals (ulnar one nearly always multipennate, 
                                                                                             others unipennate, depends on which nerve supplies them!
                                                                                             dorsal interossei (DAB = abduct, bipennate)
                                                                                             palmar interossei (PAD=adduct, unipennate)
C. Riedinger ­ An easy way to learn muscles

   Muscles of the hand (palmar/anterior side, eminences)
                                                                    layer / 
   name                           meaning             body part                        origin                     insertion            nerve supply          blood supply             function
                                                                   location
                                                                              transverse: anterior body 
                                                                                 of 3rd metacarpal, 
                                                                    thenar                                 medial side of the base 
                                                                                oblique: bases of 2nd                               ulnar nerve (deep 
   adductor pollicis         adductor of  thumb         hand      eminence,                                of the proximal phalanx                     depp palmar arch            adducts thumb
                                                                                and 3rd metacarpals                                   motor branch)
                                                                     deep                                          of thumb 
                                                                               and adjacent trapezoid 
                                                                                 and capitate bones
                                                                    thenar         transverse carpal       radial base of proximal 
   abductor pollicis                                                                                                                                       superficial palmar 
                             abductor of thumb          hand      eminence,  ligament, scaphoid and        phalanx of thumb and        median nerve                                abducts thumb
   brevis                                                                                                                                                         arch
                                                                    lateral           trapezium               thumb extensors
                                                                    thenar 
                                                                                  trapezoid, flexor           thumb, proximal                              superficial palmar 
   flexor pollicis brevis    short thumb flexor         hand      eminence,                                                            median nerve                                 flexes thumb
                                                                                     retinaculum                  phalanx                                         arch
                                                                    medial
                                                                    thenar          trapezium and 
                            opposing muscle of                                                               metacarpal bone of                            superficial palmar  moves thumb against 
   opponens pollicis                                    hand      eminence,       transverse carpal                                    median nerve
                                  thumb                                                                    thumb on its radial side                               arch             little finger
                                                                     deep              ligament
                                                                    hypo­
                              abductor of little                    thenar                                   base of proximal       ulnar nerve (deep 
   abductor digiti minimi                               hand                           pisiform                                                               ulnar artery       abducts little finger
                                  finger                          eminence,                                phalanx of little finger   motor branch)
                                                                  superficial
                                                                    hypo­                                   ulnar side of base of 
   flexor digiti minimi                                                                                                               ulnar nerve (deep 
                            flexor of little finger     hand        thenar           hamate bone            proximal phalanx of                               ulnar artery       flexes little finger
   (brevis)                                                                                                                             motor branch)
                                                                  eminence                                      little finger
                          opposing muscle of 
                                                                  hypothenar  hook of hamate and            medial border of 5th      ulnar nerve (deep                          moves little finger 
   opponens digiti minimi little finger (places         hand                                                                                                  ulnar artery
                                                                   eminence    flexor retinaculum              metacarpal               motor branch)                             against thumb
                            against sth else)




   Thenar eminence                                                               Hypothenar eminence:




      (all me)




(whole muscles 
visible on hand:)




 Opponens pollicis                                                                          Opponens digiti minimi
 Abductor pollicis brevis (always median)                                                   Abductor digiti minimi
 Flexor pollicis brevis                                                                     Flexor digiti minimi brevis
 Adductor pollicis                                                                          (does not need adductor since it has interossei)

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An easy way to learn upper limb muscles

  • 1. C. Riedinger ­ An easy way to learn muscles Muscles of the arm layer /  name meaning body part origin insertion nerve supply blood supply function location long head: supraglenoid  via common tendon into  tubercle of scapula  the bicipical tuberosity  supinator of forearm  (through sleeve of  of radius. Medial side:  when elbow is flexed,  synovial tissue in  anterior,  via bicipital  flexes elbow in fully  biceps brachii biceps of the arm arm intertubercular /bicipital  musculocutaneous brachial artery superficial aponeurosis into deep  supinated position.  groove of humerus,  fascia of medial forearm  Shoulder: stabilises and  short head: coracoid  and subcutaneous  minor flexion process, joins long head  border of ulna midway down arm distal half of anterior  anterior,  via strong tendon into  humeral shaft and  radial recurrent  brachialis muscle of the arm arm intermediat coronoid process of  musculocutaneous flexor of elbow medial intermuscular  artery e ulna septum adducts shoulder (to  tip of coracoid process  muscle of the arm  anterior,  medial aspect mid­shaft  hold things under arm),  coracobrachialis arm of scapula (with short  musculocutaneous brachial artery and coracoid process deep of humerus weak flexor of shoulder  head of biceps) joint long head: infraglenoid  tubercle of scapula,  posterior,  muscle of arm with  lateral and medial head:  tendon to olecranon  deep brachial  triceps brachii arm single  radial nerve extends elbow three heads posterior surface of  process of ulna artery muscle humerus, medial head  in lateral groove posterior aspect of  muscle attached to  forearm /  posterior,  assists extension of  anconeous lateral epicondyle of  lateral side of olecranon radial nerve elbow arm superficial elbow humerus Anterior Posterior long head short head lateral head long head coracobrachialis biceps  brachii triceps brachii medial head brachialis anconeus (musculocutaneous nerve) (radial nerve)
  • 2. C. Riedinger ­ An easy way to learn muscles Muscles of the forearm (anterior side) layer /  name meaning body part origin insertion nerve supply blood supply function location maximum convexity of  CFO and distal part of  radius at midpoint of  the supradcondylar  lateral aspect of bone  anterior,  ridge of humerus, deep:  ulnar and radial  pronates the forearm,  pronator  teres cylindrical pronator forearm (I.e. halfway along  median nerve superficial medial aspect of  artery (also flexes elbow) forearm, mid­shaft,  coronoid process of  roughening of lateral  ulna surface) with FCU to flex wrist,  flexor of carpal  anterior,  bases of the 2nd and  with radial extensors to  flexor carpi radialis forearm CFO median nerve ulnar artery bones on radial side superficial 3rd metacarpals abduct the wrist,  stabilises wrist palmar aponeurosis,  anterior,  superficial tendon  tenses palmar fascia  palmaris longus long palmar muscle forearm CFO median nerve ulnar artery superficial adherent to flexor  and flexes the wrist retinaculum pisiform (=sesamoid  bone in its tendon!) with  extension to hook of  CFO and medial margin  hamate (pisohamate  flexor of carpal  anterior,  adducts and flexes the  flexor carpi ulnaris forearm of olecranon process of  ligament) and base of  ulnar nerve ulnar artery bones on ulnar side superficial wrist ulna 5th metacarpal  (pisometacarpal  ligament), and aspect of  flexor retinaculum 4 tendons through carpal  humeral head: ant aspect  tunnel for fingers 2­5.  of medial epicondyle of  Tendon inserts at base of  strong flexor of wrist  anterior,  humerus via CFO,                middle phalanx.  flexor digitorum  superficial flexor of  and fingers (not distal  forearm intermediat ulnar head: coronoid  Decussation on lateral  median nerve ulnar artery superficialis fingers interphalangeal joint),  e process of ulna, also:  and medial aspects of  weak flexor of elbow extended origin from  proximal phalanges for  radius FDP tendons to pass  through Superficial and intermediate layer LAT MED pronator teres head of ulna: olecranon trochlear notch coracoid  process of ulna brachioradials flexor digitorum superficials (FDS) (see post. forearm, radial nerve) ulnar head flexor carpi ulnaris (FCU) flexor carpi radialis (FCR) (palmaris longus not drawn) (all median nerve but FCU which is ulnar nerve)
  • 3. C. Riedinger ­ An easy way to learn muscles Muscles of the forearm (anterior side ­ 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eep layer LAT MED flexor digitorum profundus (FDP) flexor pollicis  longus pronator quadratus (all median nerve but FDP, which is 1/2 ulnar nerve)
  • 4. C. Riedinger ­ An easy way to learn muscles Muscles of the forearm (posterior side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uperficial layer brachioradialis (radial nerve) MED LAT MED LAT (all me) Extensor digitorum communis (EDC) extensor carpi radialis longus (ECRl) Extensor digiti extensor carpi radialis Extensor carpi minimi (EDM) brevis (ECRb) ulnaris (ECU) (All post. interosseous branch of radial nerve, except brachioradialis which is radial nerve proper.)
  • 5. C. Riedinger ­ An easy way to learn muscles Muscles of the forearm (posterior side ­ 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eep layer MED LAT (all me) supinator abductor pollicis longus extensor pollicis longus extensor indicis extensor pollicis brevis (All post. interosseous branch of radial nerve)
  • 6. C. Riedinger ­ An easy way to learn muscles Muscles of the hand (palmar/anterior side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dorsal expansion: EDC (all me) FDP tendon lumbricals (ulnar one nearly always multipennate,  others unipennate, depends on which nerve supplies them! dorsal interossei (DAB = abduct, bipennate) palmar interossei (PAD=adduct, unipennate)
  • 7. C. Riedinger ­ An easy way to learn muscles Muscles of the hand (palmar/anterior side, eminences) layer /  name meaning body part origin insertion nerve supply blood supply function location transverse: anterior body  of 3rd metacarpal,  thenar  medial side of the base  oblique: bases of 2nd  ulnar nerve (deep  adductor pollicis  adductor of  thumb hand eminence,  of the proximal phalanx  depp palmar arch adducts thumb and 3rd metacarpals  motor branch) deep of thumb  and adjacent trapezoid  and capitate bones thenar  transverse carpal  radial base of proximal  abductor pollicis  superficial palmar  abductor of thumb hand eminence,  ligament, scaphoid and  phalanx of thumb and  median nerve abducts thumb brevis arch lateral trapezium thumb extensors thenar  trapezoid, flexor  thumb, proximal  superficial palmar  flexor pollicis brevis short thumb flexor hand eminence,  median nerve flexes thumb retinaculum phalanx arch medial thenar  trapezium and  opposing muscle of  metacarpal bone of  superficial palmar  moves thumb against  opponens pollicis hand eminence,  transverse carpal  median nerve thumb thumb on its radial side arch little finger deep ligament hypo­ abductor of little  thenar  base of proximal  ulnar nerve (deep  abductor digiti minimi hand pisiform ulnar artery abducts little finger finger eminence,  phalanx of little finger motor branch) superficial hypo­ ulnar side of base of  flexor digiti minimi  ulnar nerve (deep  flexor of little finger hand thenar  hamate bone proximal phalanx of  ulnar artery flexes little finger (brevis) motor branch) eminence little finger opposing muscle of  hypothenar  hook of hamate and  medial border of 5th  ulnar nerve (deep  moves little finger  opponens digiti minimi little finger (places  hand ulnar artery eminence flexor retinaculum metacarpal motor branch) against thumb against sth else) Thenar eminence                                                               Hypothenar eminence: (all me) (whole muscles  visible on hand:) Opponens pollicis Opponens digiti minimi Abductor pollicis brevis (always median) Abductor digiti minimi Flexor pollicis brevis Flexor digiti minimi brevis Adductor pollicis (does not need adductor since it has interossei)