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Vocabulary flashcards covering the major muscles of the upper limb with their origin, insertion, innervation, and action.
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Pectoralis major
Origin: medial clavicle, manubrium and body of sternum, and costal cartilages; Insertion: lateral lip of intertubercular sulcus of the humerus; Innervation: medial and lateral pectoral nerves; Action: flexes, adducts, and medially rotates the humerus.
Pectoralis minor
Origin: ribs 3–5; Insertion: coracoid process; Innervation: medial pectoral nerve; Action: protracts and depresses the scapula; accessory muscle of respiration.
Subclavius
Origin: superior border of first rib and costal cartilage; Insertion: inferior surface of the clavicle; Innervation: nerve to subclavius; Action: anchors and depresses the clavicle.
Serratus anterior
Origin: ribs 1–9; Insertion: medial border of the scapula (costal surface); Innervation: long thoracic nerve; Action: fixes scapula to thoracic wall, abducts the humerus; works with trapezius for arm abduction from 90–180 degrees.
Deltoid
Origin: Anterior fibers from lateral clavicle; Middle fibers from acromion; Posterior fibers from spine of scapula; Insertion: deltoid tuberosity of humerus; Innervation: axillary nerve; Action: Anterior—flexion and internal rotation; Middle—abduction (15–90 degrees); Posterior—extension and external rotation.
Supraspinatus
Origin: supraspinous fossa of scapula; Insertion: greater tubercle of humerus; Innervation: suprascapular nerve; Action: initiates the first 15 degrees of arm abduction.
Infraspinatus
Origin: infraspinous fossa of scapula; Insertion: greater tubercle of humerus; Innervation: suprascapular nerve; Action: external (lateral) rotation of the humerus.
Teres minor
Origin: lateral border of the scapula; Insertion: greater tubercle of humerus; Innervation: axillary nerve; Action: external rotation of the humerus.
Subscapularis
Origin: subscapular fossa of scapula; Insertion: lesser tubercle of humerus; Innervation: upper and lower subscapular nerves; Action: internal rotation of the humerus.
Teres major
Origin: inferior angle of the scapula; Insertion: crest of lesser tubercle of humerus; Innervation: lower subscapular nerve; Action: extension, adduction, and internal rotation of the humerus (same as latissimus dorsi).
Biceps brachii
Origin: short head from coracoid process; long head from supraglenoid tubercle of scapula; Insertion: radial tuberosity of the radius via the bicipital aponeurosis; Innervation: musculocutaneous nerve (C5–C7); Action: flexion and supination of the forearm; long head also assists in arm flexion.
Coracobrachialis
Origin: coracoid process; Insertion: middle third of humerus; Innervation: musculocutaneous nerve (C5–C7); Action: flexion and adduction of the arm.
Brachialis
Origin: anterior midshaft of humerus; Insertion: coronoid process of ulna; Innervation: musculocutaneous nerve (C5–C7); Action: primary flexor of the forearm.
Triceps brachii
Origin: long head – infraglenoid tubercle; lateral head – posterior midshaft; medial head – posterior midshaft; Insertion: olecranon via common tendon; Innervation: radial nerve (C5–T1); Action: extends the elbow; long head can extend the arm.
Anconeus
Origin: lateral epicondyle; Insertion: olecranon process; Innervation: radial nerve (C5–T1); Action: weak forearm extension and stabilizes the humeroulnar joint.
Pronator teres
Origin: medial epicondyle of humerus; Insertion: anterior radius; Innervation: median nerve; Action: pronation of the forearm and weak flexion.
Flexor carpi radialis
Origin: medial epicondyle of humerus; Insertion: radial side of the wrist; Innervation: median nerve; Action: wrist flexion and abduction (radial deviation).
Palmaris longus
Origin: medial epicondyle of humerus; Insertion: palmar aponeurosis; Innervation: median nerve; Action: wrist flexion.
Flexor carpi ulnaris
Origin: medial epicondyle of humerus; Insertion: ulnar side of the wrist (pisiform/hook of hamate and base of 5th metacarpal); Innervation: ulnar nerve; Action: wrist flexion and adduction.
Flexor digitorum superficialis
Origin: medial epicondyle of humerus and anterior radius; Insertion: bases of middle phalanges of digits 2–5; Innervation: median nerve; Action: flexion of the fingers (PIP joints primarily).
Pronator quadratus
Origin: anterior ulna; Insertion: anterior radius; Innervation: anterior interosseous nerve; Action: pronation of the forearm.
Flexor digitorum profundus
Origin: anterior ulna and interosseous membrane; Insertion: bases of distal phalanges 2–5; Innervation: lateral portion (digits 2–3) by anterior interosseous nerve; medial portion (digits 4–5) by ulnar nerve; Action: flexion of the fingers (DIP, PIP, and MCP).
Flexor pollicis longus
Origin: anterior radius; Insertion: distal phalanx of digit 1 (thumb); Innervation: anterior interosseous nerve; Action: flexion of the thumb.
Brachioradialis
Origin: supraepicondylar ridge (lateral); Insertion: distal radius (anterior); Innervation: radial nerve (proper); Action: flexion of the forearm (wrist not moved).
Extensor carpi radialis longus
Origin: supraepicondylar ridge (lateral); Insertion: dorsal surface base of 2nd metacarpal; Innervation: radial nerve (proper); Action: wrist extension and abduction.
Extensor carpi radialis brevis
Origin: lateral epicondyle of humerus; Insertion: dorsal surface base of 3rd metacarpal; Innervation: posterior interosseous nerve; Action: wrist extension and abduction.
Extensor digitorum
Origin: lateral epicondyle of humerus; Insertion: extensor expansion of digits 2–5; Innervation: posterior interosseous nerve; Action: extension of the digits.
Extensor digiti minimi
Origin: lateral epicondyle; Insertion: extensor expansion of digit 5; Innervation: posterior interosseous nerve; Action: extension of digit 5.
Extensor carpi ulnaris
Origin: lateral epicondyle of humerus; Insertion: ulnar side of the wrist; Innervation: posterior interosseous nerve; Action: wrist extension and adduction.
Abductor pollicis longus
Origin: posterior ulna, radius and interosseous membrane; Insertion: base of the first metacarpal; Innervation: posterior interosseous nerve; Action: thumb abduction.
Extensor pollicis brevis
Origin: posterior radius and interosseous membrane; Insertion: base of proximal phalanx of the thumb; Innervation: posterior interosseous nerve; Action: thumb extension.
Extensor pollicis longus
Origin: posterior ulna and interosseous membrane; Insertion: base of distal phalanx of the thumb; Innervation: posterior interosseous nerve; Action: thumb extension.
Extensor indicis
Origin: posterior ulna and interosseous membrane; Insertion: extensor expansion of the index finger; Innervation: posterior interosseous nerve; Action: extension of the index finger.
Supinator
Origin: posterior ulna; Insertion: lateral and anterior radius; Innervation: deep branch of radial nerve; Action: forearm supination.
Lumbrical
Origin: (from notes) nan; Insertion: nan; Innervation: 1st and 2nd lumbricals by median nerve, 3rd and 4th by deep branch of ulnar nerve; Action: flex MCP joints and extend PIP joints.
Carpal tunnel
Definition: The passage in the wrist through which the median nerve passes; contains tendons of flexor digitorum superficialis and flexor digitorum profundus; Innervation: median nerve; Note: site of carpal tunnel syndrome.