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glenoid fossa
a shallow, pear-shaped (pyriform) articular surface located on the lateral angle of the scapula (shoulder blade). It acts as the socket for the shoulder joint
humerus
single long bone of the upper arm, extending from the shoulder to the elbow
deltoid tuberosity
a raised, roughened V-shaped bony eminence located on the lateral aspect of the shaft of the humerus (upper arm bone), roughly at its midpoint or upper third
greater tubercle
s the prominent lateral bony projection on the upper end (proximal extremity) of the humerus (upper arm bone), situated lateral to the head of the humerus and posterolateral to the lesser tubercle
humeral head
ball-like upper part of the humerus that articulates with the shallow socket of the shoulder blade to form the ball-and-socket humerus
acromion
a flat, bony projection at the top of the shoulder blade (scapula) that forms the highest point of the shoulder
supra-spinous fossa
a smooth, concave bony depression located on the posterior surface of the scapula (shoulder blade), positioned superior to the spine of the scapula
infra-spinous fossa
a broad, shallow depression on the dorsal (back) surface of the scapula (shoulder blade), located directly inferior (below) the spine of the scapula
spine of the scapula
a prominent, shelf-like ridge of bone that runs diagonally across the upper-back (posterior) surface of the shoulder blade
scapula
a flat, triangular bone located on the upper back that connects the upper arm bone (humerus) to the collarbone (clavicle)
infraglenoid tubercle
a small, rough bony prominence located on the lateral border of the scapula, directly below the glenoid cavity (the shoulder socket)
ilium
the uppermost, largest, and most superior of the three bones that compose the human hip bone and pelvic girdle
shoulder joint
a synovial ball-and-socket joint that connects the upper arm bone to the shoulder blade, providing the greatest range of motion of any joint in the human body
intertubercular (bicipital groove)
a deep vertical depression on the upper, front-outer part of the humerus (arm bone)
lesser tubercle
a small, prominent bony projection located on the anterior and medial side of the upper arm bone (humerus) near the shoulder joint
supra-glenoid tubercle
a small, rough bony projection located on the superior (upper) rim of the glenoid cavity on the scapula (shoulder blade), just above the shoulder socket
ventral
coracoid process
a small, hook-shaped bony structure projecting forward and outward (anterolaterally) from the upper neck of the scapula (shoulder blade), sitting just beneath the outer part of the collarbone (clavicle)
subscapular fossa
a broad, concave depression on the anterior (costal or ventral) surface of the scapula (shoulder blade) that faces the thoracic rib cage
lateral epicondyle
the outer bony bump on the lower end of the humerus (upper arm bone) that serves as a primary attachment point for several forearm and wrist extensor muscles and ligaments
medial epicondyle
the prominent bony bump located on the inner (medial) side of the lower end of the humerus (upper arm bone) at the elbow joint
capitulum
the smooth, rounded knob on the lateral (outer) part of the lower (distal) end of the humerus (upper arm bone)
trochlea
the smooth, spool-shaped (pulley-shaped) articular projection located on the inferomedial side of the distal end of the humerus (upper arm bone)
radial head
the disk-shaped, knobby end of the radius bone located inside your elbow joint
ulnar tuberosity
a rough, elevated bony prominence located on the anterior and proximal surface of the ulna, situated just inferior to the base of the coronoid process
radius
one of the two long bones in the forearm, running parallel to the ulna on the lateral (thumb) side
ulna
the longer of the two long bones in the forearm, running parallel to the radius on the medial side—the side of the pinky
radial tuberosity
a small, rough bony prominence located on the medial side of the upper (proximal) radius bone in the forearm, just below the radial neck
elbow joint
complex synovial hinge and pivot joint that connects the upper arm to the forearm and allows the arm to bend, straighten, and rotate
interosseous crests
sharp, bony ridges on the shafts of paired long bones in the upper and lower limbs that serve as the main attachment sites for interosseous membranes
styloid process of radius
a blunt, conical bony projection located on the inferolateral aspect of the distal end of the radius bone in the forearm
styloid process of ulna
a small, pointed bony projection (about 4 to 6 mm long) located at the distal (wrist) end of the ulna, on the side of the pinky
carpal bones
eight small, irregularly shaped bones that form the wrist and connect the forearm bones (radius and ulna) to the metacarpals of the hand. They are arranged in two rows of four
proximal row carpal bones
closest to the forearm
Scaphoid: Boat-shaped bone; the most commonly fractured carpal bone
Lunate: Moon-shaped bone that articulates directly with the radius
Triquetrum: Wedge-shaped bone located on the medial side of the wrist
Pisiform: Small, pea-shaped sesamoid bone embedded within the flexor carpi ulnaris tendon
distal row carpal bones
closest to the fingers
Trapezium: Four-sided bone at the base of the thumb with a saddle-shaped joint for thumb movement
Trapezoid: Small, wedge-shaped bone next to the trapezium
Capitate: The largest and most central carpal bone
Hamate: Distinguished by a prominent hook-like projection (hook of the hamate)
metacarpals
FIVE long bones located in the palm of the hand that connect the wrist (carpal bones) to the fingers and thumb (phalanges)
proximal phalanges
the first and largest row of digital bones in the hands and feet, located closest to the palm or foot
5
middle phalanges
he middle bone located in the fingers (digits 2–5) of the hand and the lateral four toes of the foot
not on thumb
distal phalanges
tiny bones located at the very tips of your fingers and toes; form the terminal segments of each digit
5
wrist joint
a synovial ellipsoid (condyloid) joint that connects the forearm to the hand
ROM: flexion/extension, radial/ulnar deviation, supination/protonation
carpo-metacarpal joint
articulations in the hand connecting the carpal bones of the wrist to the five metacarpal bones of the palm
synovial joint
ROM: flexion/extension, abduction/adduction
metacarpo-phalangeal joint
synovial condyloid joints located where the palm bones (metacarpals) connect to the first bones of the fingers (proximal phalanges)
ROM: flexion, minor hyperextension
proximal interphalangeal joint (PIP)
the middle joint of each finger (located between the proximal and middle phalanges)
synovial hinge
ROM: flexion, with minor hyperextension
distal interphalangeal joint (DIP)
the first knuckle nearest the fingertip, connecting the middle and distal phalanges in digits two through five
ROM: flexion, with minor hyperextension
olecranon process
the large, thick, curved bony projection at the upper, back end of the ulna that forms the hard, pointy tip of your elbow
dorsal view
trapezius
Origin: external occipital protuberance, ligamertium nuchae spinous process of C7-T12
Insertion: lateral third of clavicle, acromium process, scapular spine
Action: superious fibers elevate scapula, mid fibers retract the scapula, inferior fibers rotate the scapula to elevate the shoulder joint
thoracic lumbar fascia
a broad, diamond-shaped layer of dense connective tissue and aponeurosis that spans the lower and middle back, acting as a structural bridge between the spine, pelvis, and core
pectoralis major
ORIGIN: clavicle sternumn, costal cartilages of T1-T6
INSERTION: bicipital groove
ACTION: adduct the humerus at the shoulder joint, medially rotate humerus at the shoulder joint, flex humerus from a neutral or extended position, extend the humerus from flexed position to neutral
deltoid
ORIGIN: clavicle acromion spine of scapula
INSERTION: deltoid tuberosity
ACTION: abduct the humerus at the shoulder joint, anterior fibers flex the humerus at the shoulder joint, posterior fibers extend the humerus at the shoulder joint
supraspinatus
ORIGIN: supraspinous fossa
INSERTION: superior aspect of greater tubercle
ACTION: abduct humerus at shoulder joint
infraspinatus
ORIGN: infraspinous fossa
INSERTION: posterior aspect of greater tubercle
ACTION: laterally rotate humerus at the shoulder joint
teres minor
ORIGIN: lateral margin of scapula
INSERTION: posterior aspect of greater tubercle
ACTION: laterally rotate humerus at the shoulder joint
subscapularis
ORIGIN: subscapular fossa
INSERTION: lesser tubercle of humerus
ACTION: medially rotate humerus at the shoulder joint
what are the rotator cuff muscles?
Subscapularis
Supraspinatus
Infraspinatus
Teres minor
brachialis
ORIGIN: distal half of anterior humeral shaft
INSERTION: ulnar tuberosity
ACTION: flex the forearm at the elbow joint
biceps brachi
ORIGIN: short head → coracoid process, long head → supraglenoid tubercle
INSERTION: radial tuberosity
ACTION: flex the forearm at the elbow joint, suponate the forearm from a flexed position
triceps brachii
ORIGIN: long head → inferglenoid tubercle, lateral head → proximo-later humeral shaft, medial head → distomedial humeral shaft
INSERTION: olecronion process
ACTION: extend the forearm at the elbow joint
pronator teres
ORIGN: medial epicondyle
INSERTION: middle proximal radial shaft
ACTION: protonate the forearm
flexor carpi radialis
ORIGIN: medial epicondyle
INSERTION: base of 2nd metacarpal
ACTION: flex hand at the wrist joint, abduct the hand at the wrist joint
flexor carpi ulnaris
ORIGIN: medial epicondyle
INSERTION: pisiform hamate base of 4th and 5th metacarpal
ACTION: flex the hand at the wrist joint, adduct the hand at the wrist joint
flexor digitorum superficialis
ORIGIN: medial epicondyle, proximal half of radial shaft
INSERTION: bases of MP 2-5
ACTION: flex the proximal phalanges at the MP joint, flex the middle phalanges at the PIP joint
flexor digitorum profundus
ORIGIN: proximal ulnar shaft, interosseus membrane
INSERTION: distal phalanges of digits 2-5
ACTION: flex distal phalanges at distal inter-phalangial joint, flex hand at the wrist
flexor pollicis longus
ORIGN: anterior radial shaft, interossesus membrane
INSERTION: base of distal phalanx of thumb
ACTION: flex the thumb at MP
opponens pollicis
ORIGIN: flexor retraculum trapezium schaphoid
INSERTION: lateral aspect of 1st metacarpal
ACTION: oppose the thumb (bring 1st metacarpal towards thumb)
abductor pollicis brevus
ORIGIN: flexor retraciculm
INSERTION: lateral aspect of base of 1st proximal phalanx
ACTION: adduct the thumb, assist in opposition
flexor pollicis brevus
ORIGIN: flexor retraciculm
INSERTION: lateral aspect of base of 1st proximal phalanx (more palmer than abductor)
ACTION: flex the thumb (proximal phalanx)
thenar muscles
a group of three intrinsic muscles located at the base of the thumb on the palm side of the hand; all controlled by the same median nerve
Abductor Pollicis Brevis
Adductor Pollicis
Flexor Pollicis Brevis
Opponens Pollicis
Flexor Retiniculum
adductor pollicis
ORIGIN: 3rd metacarpal
INSERTION: medial side of base of 1st proximal phalanx
ACTION: adduct the thumb
extensor carpi ulnaris
ORIGIN: lateral epicondyle
INSERTION: base of 5th metacarpal
ACTION: extend the hand at the wrist, adduct the hand at the wrist
extensor carpi radialis longus
ORIGIN: lateral epicondyle
INSERTION: base of 2nd metacarpal
ACTION: extend the hand at the wrist joint, abduct the hand at the wrist joint
extensor carpi radialis brevis
ORIGIN: lateral epicondyle
INSERTION: base of 3rd metacarpal
ACTION: extend the hand at the wrist joint, abduct the hand at the wrist joint
extensor digitorum
ORIGIN: lateral epicondyle
INSERTION: extensor expansion of digits 2-5
ACTION: extend digits 2-5 at MP, PIP, & DIP joints
1st layer of forearm & hand muscles
Pronator Teres
Flexor Carpi Radialis
Flexor Carpi Ulnaris
Palmaris Longus
2nd layer of forearm & hand muscles
Flexor digitorum superficialis
3rd layer of forearm & hand muscles
Flexor Digitorum Profundus
Flexor Pollicis Longus
4th layer of forearm and hand muscles
deepest
Pronator quadratus
median nerve
one of the three main nerves of the upper limb, originating from the brachial plexus (spinal roots C5 through T1). It runs down the arm and forearm into the hand, providing vital motor and sensory functions
flexor retrinaculum
ligament in the wrist or the laciniate ligament in the ankle) is a strong, fibrous band of connective tissue that bridges bony concavities to form protective tunnels for tendons, nerves, and vessels
carpal tunnel
a narrow, fibro-osseous passageway on the palmar side of the wrist that connects the forearm to the hand
a condition caused by pressure on the median nerve as it passes through a narrow passageway in the wrist
roof is flexor retrinaculum
musculo-cutanenous nerve
RAMI: C5-C7
Modality + Distribution:
Somatic Motor: muscles of the anterior compartment of the arm
Somatic Sensory: skin of the lateral forearm
median nerve (interventions)
RAMI: C6-T1
Modality + Ditribution:
SM: to most muscles of the anterior compartment of forearm & same muscles in palm + hand (thenar)
SS: to most of palm, digits 1-3, ½ of digit 4
ulnar nerve
RAMI: C8-T1
Modality + Distribution:
SM: to 1½ muscles in anterior compartment of forearm (flex carpi ulnaris), ulnar half of flexor digitorum profundus, + most muscles in the hand
SS: ulnar 1/3 of palm, digit 5, ½ of digit 4
axillary nerve
RAMI: C5,C6
Modality + Distribution:
SM: deltoid, teres minor
SS: to shoulder joint, skin sensation over deltoid muscle
radial nerve
RAMI: C5-T1
Modality + Distribution:
SM: to all muscles in posterior compartments
SS: shin of posterior arm, posterior forearm
nasal cavity
the large, air-filled space above and behind the nose in the middle of the face. It serves as the uppermost part of the respiratory tract, connecting the external nostrils (nares) to the upper throat (nasopharynx)
oral cavity
mouth; the first part of the digestive tract and a shared passageway for digestion, breathing, and speech
bony palate
the hard, immobile front portion of the roof of the mouth that separates the oral cavity from the nasal cavity
mandible
lower jawbone) is the largest, strongest, and only movable bone in the human skull
pharynx
a muscular, mucus-lined tube about 4 to 4.5 inches long that extends from the base of the skull down to the esophagus and larynx. It serves as a shared passageway for both the respiratory and digestive systems
esophagus
a muscular tube that carries food, liquids, and saliva from your throat (pharynx) to your stomach
diaphragm
a thin, dome-shaped sheet of skeletal muscle and tendon located below the lungs and heart. It acts as the primary partition separating the thoracic (chest) cavity from the abdominal cavity
esophagus hiatus
an oval-shaped opening in the diaphragm through which the esophagus passes from the thoracic cavity into the abdominal cavity
peristalsis
a series of automatic, wave-like smooth muscle contractions and relaxations that move food, fluids, and waste through the digestive tract and other hollow tubes in the body
cardiac sphincter
a ring-shaped, involuntary muscle located at the junction where the esophagus connects to the stomach
pancreas
a 6- to 10-inch-long, fish- or pear-shaped gland located deep in the upper abdomen behind the stomach. It acts as a dual-function (heterocrine) gland responsible for both digestion and blood sugar regulation
part sits behind the stomach
connects to liver and duodeum
main pancreatic duct
a central tubular structure that runs through the length of the pancreas to transport digestive enzymes into the small intestine
common bile duct
passes through the head of the pancreas before joining the main pancreatic duct to empty into the small intestine (duodenum)
accessory pancreatic duct
a secondary duct in the human pancreas. It helps drain digestive enzymes (pancreatic juice) from the upper portion of the pancreatic head into the small intestine.
ampulla
a small, flask-like point where the common bile duct and the main pancreatic duct merge inside the wall of the duodenum
stomach
a hollow, J-shaped muscular organ in the upper-left part of the abdomen that stores, churns, and breaks down food
sitting between the esophagus and the small intestine.
contains cardia, fundus, body sections
stomach antrum
the lower, distal portion of the stomach located just above the pyloric canal and small intestine