Exam 4- arm muscles

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Pectoralis Major

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1

Pectoralis Major

Origin: -anterior border of medial have of clavicle (& head)

- anterior surface of sternum

-superior six costal cartilages

insertion: humerus

innervation: C5-T1

actions: -flex humerus

- adduct humerus

- medially rotate humerus

- draw scapula anterior and inferior

<p><strong>Origin</strong>: -anterior border of medial have of clavicle (&amp; head)</p><p>- anterior surface of sternum</p><p>-superior six costal cartilages</p><p><strong>insertion</strong>: humerus </p><p><strong>innervation</strong>: C5-T1</p><p><strong>actions</strong>: -flex humerus</p><p>- adduct humerus</p><p>- medially rotate humerus</p><p>- draw scapula anterior and inferior </p>
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Pectoralis Minor

Origin: 3rd - 5th ribs

insertion: coracoid process of scapula

innervation: medial pectoral nerve (C8, T1)

action: -stabilize scapula by drawing inferiorly and anteriorly against thoracic wall

-protract/abduct scapula

-raise ribs in inspiration

<p><strong>Origin:</strong> 3rd - 5th ribs</p><p><strong>insertion: </strong>coracoid process of scapula</p><p><strong>innervation:</strong> medial pectoral nerve (C8, T1)</p><p><strong>action: </strong>-stabilize scapula by drawing inferiorly and anteriorly against thoracic wall</p><p>-protract/abduct scapula</p><p>-raise ribs in inspiration</p>
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Serratus Anterior

origin: outer surface ribs 1-8

insertion: costal aspect of medial margin of scapula

innervation: long thoracic nerve (from roots of brachial plexus C5-C7)

actions: -protract/abduct and stabilize scapula

-assist in upward rotation of scapula

<p><strong>origin:</strong> outer surface ribs 1-8</p><p><strong>insertion: </strong>costal aspect of medial margin of scapula </p><p><strong>innervation: </strong>long thoracic nerve (from roots of brachial plexus C5-C7)</p><p><strong>actions</strong>: -protract/abduct and stabilize scapula</p><p>-assist in upward rotation of scapula</p>
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Deltoid

origin: -anterior lateral third clavicle

-spine of scapula

insertion: deltoid tuberosity of humerus

innervation: axillary n.

action: -clavicular part: flexion and medially rotate arm

-acromial part: abducts arm beyond initial 15 degrees done by supraspinatus m.

-spinus part: extends and laterally rotates arm

<p><strong>origin:</strong> -anterior lateral third clavicle</p><p>-spine of scapula </p><p><strong>insertion:</strong> deltoid tuberosity of humerus </p><p><strong>innervation:</strong> axillary n. </p><p><strong>action:</strong> -<em>clavicular part</em>: flexion and medially rotate arm</p><p>-<em>acromial part</em>: abducts arm beyond initial 15 degrees done by supraspinatus m. </p><p>-<em>spinus part</em>: extends and laterally rotates arm</p>
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Trapezius

origin: occipital protuberance and C7-T12 spinous processes

insertion: clavicle, acromion process, and scapula

innervation: accessory n.(CN XI), C3-C4

action: - retraction/adduction of scapula

-rotate scapula

-elevate scapula

-lower fibers- depress scapula

<p><strong>origin:</strong> occipital protuberance and C7-T12 spinous processes</p><p><strong>insertion: </strong>clavicle, acromion process, and scapula </p><p><strong>innervation:</strong> accessory n.(CN XI), C3-C4</p><p><strong>action:</strong> - retraction/adduction of scapula</p><p>-rotate scapula</p><p>-elevate scapula</p><p>-lower fibers- depress scapula </p>
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Rhomboid Major

origin: spinous processes of T2-T5

insertion: medial border of scapula

innervation: dorsal scapular n (C4-C5)

action: -retract/adduct scapula

-rotate scapula to depress glenoid cavity

-fix scapula to thoracic wall

<p><strong>origin:</strong> spinous processes of T2-T5</p><p><strong>insertion:</strong> medial border of scapula</p><p><strong>innervation:</strong> dorsal scapular n (C4-C5)</p><p><strong>action:</strong> -retract/adduct scapula</p><p>-rotate scapula to depress glenoid cavity</p><p>-fix scapula to thoracic wall</p>
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Rhomboid Minor

origin: spinous processes of C7-T1

insertion: medial border of scapula

innervation: dorsal scapular n (C4-C5)

actions: -retract/adduct and rotate scapula

-fix scapula to thoracic wall

<p><strong>origin: </strong> spinous processes of C7-T1</p><p><strong>insertion:</strong> medial border of scapula</p><p><strong>innervation:</strong> dorsal scapular n (C4-C5)</p><p><strong>actions:</strong> -retract/adduct and rotate scapula</p><p>-fix scapula to thoracic wall</p>
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Teres Major

origin: posterior aspect of inferior angle of scapula

insertion: humerus

innervation: lower subscapular n. (C5-C6)

actions: -adduct humerus

-internal/medial rotation of humerus

-extend humerus from flexed position

-protract/abduct scapula

-depress shoulder

<p><strong>origin: </strong> posterior aspect of inferior angle of scapula</p><p><strong>insertion: </strong>humerus</p><p><strong>innervation:</strong> lower subscapular n. (C5-C6)</p><p><strong>actions:</strong> -adduct humerus</p><p>-internal/medial rotation of humerus </p><p>-extend humerus from flexed position </p><p>-protract/abduct scapula</p><p>-depress shoulder </p>
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Teres Minor

origin: lateral border of scapula

insertion: greater tubercle of humerus

innervation: axillary nerve CN XI

actions: -laterally rotate arm

-stabilize humerus

<p><strong>origin: </strong>lateral border of scapula </p><p><strong>insertion:</strong> greater tubercle of humerus</p><p><strong>innervation: </strong>axillary nerve CN XI</p><p><strong>actions: </strong>-laterally rotate arm</p><p>-stabilize humerus </p>
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Latissimus Dorsi

origin: T7-L5 spinous processes and iliac crest

insertion: humerus

innervation: thoracodorsal n (C6-C8)

action: -extend, adduct, and medially rotate humerus

-move body toward arms during climbing

<p><strong>origin:</strong> T7-L5 spinous processes and iliac crest</p><p><strong>insertion:</strong> humerus</p><p><strong>innervation:</strong> thoracodorsal n (C6-C8)</p><p><strong>action:</strong> -extend, adduct, and medially rotate humerus</p><p>-move body toward arms during climbing </p>
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Levator Scapulae

origin: C1-C4 transverse processes

insertion: scapula

innervation: C3-C5

action: elevate scapula

<p><strong>origin:</strong> C1-C4 transverse processes</p><p><strong>insertion: </strong>scapula</p><p><strong>innervation:</strong> C3-C5</p><p><strong>action:</strong> elevate scapula</p>
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Rotator Cuff Muscles

supraspinatus

infraspinatus

teres minor

subscapularis

(Tendons of S.I.T.S)

<p>supraspinatus</p><p>infraspinatus</p><p>teres minor</p><p>subscapularis</p><p>(Tendons of S.I.T.S)</p>
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Supraspinatus

origin: scapula

insertion: superior aspect of greater tubercle of humerus

innervation: suprascapular n. (C4-C6)

action: initiates abduction of arm (first 15 degrees)

<p><strong>origin:</strong> scapula</p><p><strong>insertion:</strong> superior aspect of greater tubercle of humerus</p><p><strong>innervation:</strong> suprascapular n. (C4-C6)</p><p><strong>action:</strong> initiates abduction of arm (first 15 degrees)</p>
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Infraspinatus

origin: scapula

insertion: greater tubercle of humerus

innervation: suprascapular n (C4-C6)

action: -lateral rotation of arm

-stabilize humerus

<p><strong>origin:</strong> scapula</p><p><strong>insertion: </strong> greater tubercle of humerus</p><p><strong>innervation:</strong> suprascapular n (C4-C6)</p><p><strong>action:</strong> -lateral rotation of arm</p><p>-stabilize humerus</p>
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Subscapularis

origin: subscapular fossa of scapula

insertion: lesser tubercle of humerus

innervation: upper and lower subscapular n (C5-C7)

action: -medially rotates arm

-adduct arm

-help hold humeral head in glenoid cavity

<p><strong>origin:</strong> subscapular fossa of scapula</p><p><strong>insertion: </strong>lesser tubercle of humerus</p><p><strong>innervation:</strong> upper and lower subscapular n (C5-C7)</p><p><strong>action:</strong> -medially rotates arm</p><p>-adduct arm</p><p>-help hold humeral head in glenoid cavity</p>
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shoulder abduction muscles

supraspinatus (inital 15 degrees)

lateral part of deltoid (30-120 degrees)

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shoulder adduction muscles

pec major

lat dorsi

coracobrachialis

teres major

anterior and posterior parts of deltoid

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shoulder flexion muscles

anterior part of deltoid

coracobrachialis

long head of biceps brachii

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shoulder extension muscles

posterior part of deltoid

lat dorsi

teres major

long head of triceps

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shoulder medial rotation muscles

lat dorsi

subrascapularis

teres major

pec major

anterior part of deltoid

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shoulder lateral rotation muscles

infraspinatus

teres minor

posterior part of deltoid

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Shoulder elevation/depression

at SC joint with vertical gliding of scapula

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Shoulder prime elevators

cervical portion of trapezius

levator scapula

rhomboid major and minor

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shoulder depressors

pec minor

subclavius

thoracic portion of trapezius

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shoulder protraction/retraction

at SC joint with horizontal gliding of scapula

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shoulder protraction/abduction

pec minor

serratus anterior

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shoulder retraction/adduction

rhomboid major and minor

trapezius

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shoulder rotation

at AC joint and Sc joint

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shoulder superior rotators

trapezius

serratus anterior

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shoulder inferior rotators

pec mino

rhomboid major and minor

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order of muscles involved în raising arms above head

  1. supraspinatus

  2. deltoid

  3. serratus anterior

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3 flexors of arm muscles

biceps brachii

brachialis

coracobrachialis

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1 extensor of arm muscles

triceps brachii

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Forearm flexors are _____ groups, forearm extensors are ______

anterior; posterior

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Forearm flexion/extension

through trochlea

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forearm flexors

biceps brachii (acts on radius)

brachialis (acts on ulna)

brachioradialis

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forearm extensors

triceps

anconeus

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forearm pronation/supination

through capitulum of humerus

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forearm pronators

pronator teres (long and short head)

pronator quadratus

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forearm supinators

supinator m.

biceps brachii n.

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biceps brachii

long head tendon sits in bicipital groove

origin: -short head: coracoid process of scapula

-long head: supraglenoid tubercle of scapula

insertion: radial tuberosity

innervation: musculocutaneous n. (C5-C6)

action: -flex arm

-flex forearm

-supinate forearm

<p><mark data-color="red">long head tendon sits in bicipital groove</mark></p><p><strong>origin: </strong> -short head: coracoid process of scapula</p><p>-long head: supraglenoid tubercle of scapula</p><p><strong>insertion: </strong> radial tuberosity </p><p><strong>innervation:</strong> musculocutaneous n. (C5-C6)</p><p><strong>action: </strong>-flex arm</p><p>-flex forearm</p><p>-supinate forearm</p>
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bracialis

origin: distal ½ of anterior surface of humerus

insertion: coronoid process of ulna and tuberosity of ulna

innervation: musculocutaneous n (C5-C6)

action: flex forearm at elbow

<p><strong>origin: </strong>distal ½ of anterior surface of humerus</p><p><strong>insertion:</strong> coronoid process of ulna and tuberosity of ulna</p><p><strong>innervation:</strong> musculocutaneous n (C5-C6)</p><p><strong>action: </strong>flex forearm at elbow</p>
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coracobrachialis

origin: coracoid process of scapula

insertion:medial aspect of humeral shaft (humerus)

innervation: musculocutaneous n (C5-C7)

action: flex and adduct arm

<p><strong>origin:</strong> coracoid process of scapula</p><p><strong>insertion:</strong>medial aspect of humeral shaft (humerus)</p><p><strong>innervation: </strong>musculocutaneous n (C5-C7)</p><p><strong>action:</strong> flex and adduct arm</p>
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triceps brachii

origin: -long head: scapula

-lateral head: posterior humerus

-medial head: posterior humerus

insertion: posterior olecranon process of ulna

innervation: radial nerve (C6-C8)

action: -extend forearm at elbow

-long head: extend and adduct arm

<p><strong>origin:</strong> -long head: scapula</p><p>-lateral head: posterior humerus</p><p>-medial head: posterior humerus</p><p><strong>insertion: </strong>posterior olecranon process of ulna</p><p><strong>innervation:</strong> radial nerve (C6-C8)</p><p><strong>action: -extend forearm at elbow</strong></p><p>-long head: extend and adduct arm</p>
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anconeus

origin: posterior lateral epicondyle of humerus

insertion: lateral surface of olecranon and superior part of posterior surface of ulna

innervation: radial nerve (C7-T1)

action: -assists triceps in extending forearm

-stabilizes elbow joint

-abducts ulna during pronation

<p><strong>origin:</strong> posterior lateral epicondyle of humerus</p><p><strong>insertion:</strong> lateral surface of olecranon and superior part of posterior surface of ulna</p><p><strong>innervation: </strong>radial nerve (C7-T1)</p><p><strong>action:</strong> -assists triceps in extending forearm</p><p>-stabilizes elbow joint </p><p>-abducts ulna during pronation</p>
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flexion/extension at wrist

through radoiocarpal and ulnocarpal joints

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wrist prime flexors

flexor carpi radialis

flexor carpi ulnaris

palmaris longus

flexor digitorum superficialis

flexor digitorum profundus

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wrist prime extensors

extensor carpi radialis longus

extensor carpi radialis brevis

extensor digitorum

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palmaris longus

origin: medial epicondyle of humerus

insertion: flexor retinaculum and palmar aponeurosis

innervation: median nerve

action: flex wrist (hand at wrist joint)

<p><strong>origin:</strong> medial epicondyle of humerus </p><p><strong>insertion: </strong>flexor retinaculum and palmar aponeurosis</p><p><strong>innervation: </strong>median nerve</p><p><strong>action: </strong>flex wrist (hand at wrist joint)</p>
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flexor carpi ulnaris

origin: humeral head (from medial epicondyle of humerus), ulnar head (from medial aspect of olecranon process and posterior border of ulna)

insertion: pisiform bone, hook of hamate, base of 5th metacarpal

innervation: ulnar nerve

action: flex and adduct hand at wrist joint

<p><strong>origin:</strong> humeral head (from medial epicondyle of humerus), ulnar head (from medial aspect of olecranon process and posterior border of ulna)</p><p><strong>insertion:</strong> pisiform bone, hook of hamate, base of 5th metacarpal </p><p><strong>innervation:</strong> ulnar nerve </p><p><strong>action:</strong> flex and adduct hand at wrist joint </p>
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Pronator teres

origin: humeral head (from medial epicondyle), ulnar head (from medial border of coronoid process of ulna)

insertion: lateral aspect of shaft of radius

innervation: median nerve

action: pronation and flexion of forearm

<p><strong>origin:</strong> humeral head (from medial epicondyle), ulnar head (from medial border of coronoid process of ulna)</p><p><strong>insertion:</strong> lateral aspect of shaft of radius</p><p><strong>innervation:</strong> median nerve</p><p><strong>action:</strong> pronation and flexion of forearm</p>
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Flexor carpi radialis

origin: from medial epicondyle of humerus

insertion: bases of 2nd and 3rd metacarpals

innervation: median nerve

action: flex and abduct hand at wrist joint

<p><strong>origin:</strong> from medial epicondyle of humerus</p><p><strong>insertion:</strong> bases of 2nd and 3rd metacarpals</p><p><strong>innervation: </strong> median nerve </p><p><strong>action: </strong>flex and abduct hand at wrist joint </p>
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flexor digitorum superficialis

origin: humeroulnar head from medial epicondyle of humerus and medial border of coronoid process of ulna, radial head from oblique line on anterior surface of shaft of radius

insertion: base of middle phalanx of 2-5 fingers

innervation: median nerve

action: flex middle phalanx of fingers and assist in flexing proximal phalanx at MCP joint

<p><strong>origin:</strong> humeroulnar head from medial epicondyle of humerus and medial border of coronoid process of ulna, radial head from oblique line on anterior surface of shaft of radius</p><p><strong><mark data-color="red">insertion: </mark></strong><mark data-color="red">base of middle phalanx of 2-5 fingers</mark></p><p><strong>innervation:</strong> median nerve</p><p><strong>action: </strong>flex middle phalanx of fingers and assist in flexing proximal phalanx at MCP joint</p>
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Flexor digitorum profundus

origin: anteromedial surface of shaft of ulna

insertion: distal phalanges of medial four fingers

innervation: medial half- ulnar nerve; lateral half- median nerve

action: flexes distal phalanx of fingers; assists in flexion of wrist

<p><strong>origin:</strong> anteromedial surface of shaft of ulna</p><p><strong><mark data-color="red">insertion: </mark></strong><mark data-color="red">distal phalanges of medial four fingers</mark></p><p><strong>innervation:</strong> medial half- ulnar nerve; lateral half- median nerve</p><p><strong>action:</strong> flexes distal phalanx of fingers; assists in flexion of wrist</p>
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Flexus pollicis longus

origin: anterior surface of shaft of radius

insertion: distal phalanx of thumb

innervation: median nerve

action: flex distal phalanx of thumb

<p><strong>origin:</strong> anterior surface of shaft of radius</p><p><strong>insertion:</strong> distal phalanx of thumb</p><p><strong>innervation:</strong> median nerve</p><p><strong>action:</strong> flex distal phalanx of thumb</p>
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pronator quadratus

origin: anterior surface of ulna

insertion: anterior surface of radius

innervation: median nerve

action: pronate forearm

<p><strong>origin:</strong> anterior surface of ulna</p><p><strong>insertion: </strong>anterior surface of radius</p><p><strong>innervation:</strong> median nerve</p><p><strong>action: </strong> pronate forearm</p>
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muscles that extend medial 4 digits

extensor digitorum

extensor indicis

extensor digiti minimi

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muscles that extend or abduct thumb

abductor pollicis longus

extensor pollicis brevis

extensor pollicis longus

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brachioradialis

origin: proximal lateral supra-epicondylar ridge

insertion: styloid process (distal end) of radius

innervation: radial nerve

action: flex forearm

<p><strong>origin: </strong>proximal lateral supra-epicondylar ridge</p><p><strong>insertion:</strong> styloid process (distal end) of radius</p><p><strong><mark data-color="red">innervation: </mark></strong><mark data-color="red">radial nerve</mark></p><p><strong>action:</strong> flex forearm</p>
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extensor carpi radialis longus

origin: lateral supra-epicondylar ridge of humerus

insertion: base of 2nd metacarpal

innervation: radial nerve

action: extend and abduct wrist

<p><strong><mark data-color="red">origin:</mark></strong><mark data-color="red"> lateral supra-epicondylar ridge of humerus</mark></p><p><strong><mark data-color="red">insertion:</mark></strong><mark data-color="red"> base of 2nd metacarpal</mark></p><p><strong>innervation:</strong> radial nerve</p><p><strong>action:</strong> extend and abduct wrist</p>
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extensor carpi radialis brevis

origin: lateral epicondyle of humerus

insertion: base of 3rd metacarpal

innervation: radial nerve

action: extend and abduct wrist

<p><strong><mark data-color="red">origin:</mark></strong><mark data-color="red"> lateral epicondyle of humerus</mark></p><p><strong><mark data-color="red">insertion:</mark></strong><mark data-color="red"> base of 3rd metacarpal</mark></p><p><strong>innervation:</strong> radial nerve</p><p><strong>action:</strong> extend and abduct wrist</p>
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extensor carpi ulnaris

origin: lateral epicondyle of humerus and posterior border of ulna

insertion: base of 5th metacarpal

innervation: radial nerve

action: extend and adduct wrist

<p><strong><mark data-color="red">origin:</mark></strong><mark data-color="red"> lateral epicondyle of humerus and posterior border of ulna</mark></p><p><strong><mark data-color="red">insertion: </mark></strong><mark data-color="red">base of 5th metacarpal</mark></p><p><strong>innervation: </strong>radial nerve</p><p><strong>action: </strong>extend and adduct wrist</p>
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Extensor digitorum

origin: lateral epicondyle of humerus

insertion: extensor expansion medial 4 fingers

innervation: radial nerve

action:extend medial 4 fingers at MCP joints and IP joints

<p><strong>origin:</strong> lateral epicondyle of humerus</p><p><strong>insertion:</strong> extensor expansion medial 4 fingers</p><p><strong>innervation:</strong> radial nerve</p><p><strong>action:</strong>extend medial 4 fingers at MCP joints and IP joints</p>
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extensor digiti minimi

origin: lateral epicondyle of humerus

insertion: extensor expansion of 5th finger

innervation: radial nerve

action: extend 5th finger

<p><strong>origin:</strong> lateral epicondyle of humerus</p><p><strong>insertion:</strong> extensor expansion of 5th finger</p><p><strong>innervation:</strong> radial nerve</p><p><strong>action:</strong> extend 5th finger</p>
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extensor pollicis brevis

origin: distal 1/3 of radius

insertion: base of proximal phalanx of thumb

innervation: radial nerve

action: extend thumb at MCP joint, extend carpometacarpal joint

<p><strong>origin:</strong> distal 1/3 of radius </p><p><strong>insertion: </strong>base of proximal phalanx of thumb</p><p><strong>innervation:</strong> radial nerve</p><p><strong>action: </strong>extend thumb at MCP joint, extend carpometacarpal joint</p>
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extensor pollicis longus

origin: middle 1/3 ulna and interosseous membrane

insertion: base of distal phalanx of thumb

innervation: radial nerve

action: extend thumb at IP joint, extend MCP and carpometacarpal joint

<p><strong>origin: </strong>middle 1/3 ulna and interosseous membrane</p><p><strong>insertion:</strong> base of distal phalanx of thumb</p><p><strong>innervation:</strong> radial nerve</p><p><strong>action:</strong> extend thumb at IP joint, extend MCP and carpometacarpal joint </p>
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abductor pollicis longus

origin: posterior surface of ulna and middle aspect of radius

insertion: base of 1st metacarpal

innervation: radial nerve

action: abducts thumb and extends it at carpometacarpal joint

<p><strong>origin:</strong> posterior surface of ulna and middle aspect of radius</p><p><strong>insertion:</strong> base of 1st metacarpal </p><p><strong>innervation:</strong> radial nerve</p><p><strong>action:</strong> abducts thumb and extends it at carpometacarpal joint</p>
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supinator

origin: lateral epicondyle of humerus and crest of ulna

insertion: upper 1/3 of radius

innervation: radial nerve

action: -supinate forearm

-rotate radius to turn palm anteriorly or superiorly (if elbow is flexed)

<p><strong>origin:</strong> lateral epicondyle of humerus and crest of ulna</p><p><strong>insertion:</strong> upper 1/3 of radius</p><p><strong>innervation:</strong> radial nerve</p><p><strong>action:</strong> -supinate forearm</p><p>-rotate radius to turn palm anteriorly or superiorly (if elbow is flexed)</p>
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extensor indicis

origin: posterior surface of ulna

insertion: extensor expansion of index finger

innervation: radial nerve

action: -extend index finger

-help extend hand at wrist

<p><strong>origin:</strong> posterior surface of ulna</p><p><strong>insertion:</strong> extensor expansion of index finger</p><p><strong>innervation:</strong> radial nerve</p><p><strong>action:</strong> -extend index finger</p><p>-help extend hand at wrist</p>
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Short intrinsic hand muscles

lumbrical

dorsal interossei

palmar interossei

<p>lumbrical</p><p>dorsal interossei</p><p>palmar interossei</p>
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Lumbricals I & II unipennate actions

action: flex the MCP joint and extend IP joints of 2 and 3

<p><strong><u>action:</u></strong><u> flex the MCP joint</u> and extend IP joints of 2 and 3</p>
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lumbricals III& IV bipennate actions

action: flex MCP joint and extend IP joints of 4 and 5

<p><strong><u>action: </u></strong><u> flex MCP joint</u> and extend IP joints of 4 and 5</p>
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Dorsal Interossei (bipennate)

origin: adjacent sides of metacarpal

insertion: base of proximal phalanges; extensor expansions of 2-4 fingers

action: abduct 2-4 fingers from axial line, act with lumbricals in flexing MCP joints and extending IP joints

<p><strong>origin:</strong> adjacent sides of metacarpal </p><p><strong>insertion:</strong> base of proximal phalanges; extensor expansions of 2-4 fingers</p><p><strong>action:</strong> abduct 2-4 fingers from axial line, act with lumbricals in flexing MCP joints and extending IP joints</p>
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74

Palmar interossei (unipennate)

origin: palmar side of 2nd, 4th, and 5th metacarpals

insertion: base of proximal phalanges, extensor expansions of 2nd, 4th, and 5th fingers

innervation: ulnar nerve

action: adduct 2nd, 4th, and 5th fingers toward axial line, assist lumbricals in flexing MCP joint and extending IP joints

<p><strong>origin:</strong> palmar side of 2nd, 4th, and 5th metacarpals </p><p><strong>insertion:</strong> base of proximal phalanges, extensor expansions of 2nd, 4th, and 5th fingers</p><p><strong>innervation: </strong>ulnar nerve</p><p><strong>action:</strong> adduct 2nd, 4th, and 5th fingers toward axial line, assist lumbricals in flexing MCP joint and extending IP joints</p>
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