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GH joint muscles
cross GH joint + insert onto humerus
extension
latissimus dorsi
teres major
flexion
pectoralis major
coracobrachialis
biceps brachii
abduction
deltoid

latissimus dorsi
acts on GH joint → extension at GH joint
origin
lumbar spine
sacrum
ilium
insertion
anterior surface of proximal humerus

teres major
acts on GH joint → extension at GH joint
origin
lateral border of scapula
insertion
anterior surface of proximal humerus

pectoralis major
acts on GH joint → flexion (clavicular head) + horizontal adduction (sternocostal head) at GH joint
origin
clavicle (clavicular head)
sternum
costal cartilages (sternocostal head)
insertion
anterior surface of proximal humerus

deltoid
acts on GH joint → abduction at GH joint + contributes to flexion/extension
origin
clavicle
acromion
spine of scapula
insertion
deltoid tuberosity

biceps brachii
acts on GH joint → flexion at GH joint + elbow joint
anterior compartment of arm
origin
long head → glenoid fossa (supraglenoid tubercle)
short head → coracoid process
insertion
radial tuberosity of radius
innervation = musculocutaneous

coracobrachialis
acts on GH joint → flexion at GH joint
anterior compartment of arm
origin
coracoid process
insertion
anterior surface of mid-humerus
innervation = musculocutaneou

upper extremity arterial supply
arch of aorta
brachiocephalic trunk
right side only
subclavian artery
runs deep to clavicle
axillary artery
runs within axilla
brachial artery
runs within arm
radial + ulnar artery
run within forearm

upper extremity venous drainage
deep veins
same as arteries
superficial veins
tributaries eventually drain into axillary vein
cephalic → lateral
basilic → medial
median cubital → point of connection

brachial plexus
network of nerves derived from spinal nerves C5-T1
surrounds axillary artery
continuation of subclavian artery within axilla
5 main nerves derived → provides motor + sensory innervation to upper extremity
musculocutaneous nerve
runs in anterior arm compartment
axillary nerve
innervation to deltoid, teres minor
radial nerve
runs in posterior arm compartments
continues into forearm
median nerve
runs alongside brachial artery
continues into anterior forearm
ulnar nerve
runs medially into anterior forearm

elbow joint
articulations b/w distal humerus + proximal radius & ulna
3 articulations sharing joint capsule
reinforced by medial + lateral collateral ligaments +anular ligaments
humeroulnar
uniaxial hinge joint
flexion + extension
humeroradial
biaxial atypical ball-and-socket joint
flexion + extension
rotation during pronation + supination of forearm
proximal radioulnar
uniaxial pivot joint

elbow joint movement
full elbow flexion = coronoid process received by coronoid fossa
full elbow extension = olecranon process received by olecranon fossa

radioulnar joints
3 joints that permit radius to move relative to ulna during pronation/supination of forearm
proximal
uniaxial pivot joint
stabilized by anular ligament = sling within which radius head can rotate
middle
syndesmosis joint
interosseus membrane = stabilize position of radius + ulna
boundary b/w anterior + posterior muscles of forearm
distal
uniaxial pivot joint

anterior arm compartment
3 muscles
biceps brachii
most superficial
has long + short heads
action: flexion at GH + elbow joints
brachialis
originates on anterior humerus
crosses elbow joint + inserts onto ulnar tuberosity
action: flexion at elbow joint
coracobrachialis
deep to short head of biceps brachii
action: flexion at GH joint only
innervation: musculocutaneous nerve

posterior arm compartment
1 muscle
triceps brachii
long head → originates on infraglenoid tubercle
medial + lateral heads → originate on posterior humerus
all 3 insert onto olecranon process of ulna
action: extension at elbow joint
innervation: radial nerve

elbow joint muscles
anterior → elbow joint flexion
biceps brachii
brachialis
posterior → elbow joint extension
triceps brachii
wrist joint
articulation b/w distal radius + proximal row of carpal bones
biaxial condyloid joint
actions
flexion + extension
abduction + adduction

anterior forearm compartment
3 layers innervated by median + ulnar nerves
superficial = wrist flexion
pronator teres (pronation of forearm only)
flexor carpi radialis
palmaris longus
flexor carpi ulnaris
middle = wrist + digits flexion
flexor digitorum superficialis
flexor digitorum profundus
flexor pollicis longus (thumb)
deep = forearm supination + pronation

superficial anterior forearm compartment
action
flexion of wrist joint (except pronator teres)
origin
medial epicondyle of humerus
insertion
distal to wrist joint (except pronator teres)
muscles
pronator teres → pronation of forearm
flexor carpi radialis
crosses wrist joint + inserts on radial side
palmaris longus
flexor carpi ulnaris
crosses wrist joint + inserts on ulnar side

pronator teres
(1) part of superficial anterior forearm compartment → pronates forearm
origin
medial epicondyle of humerus
insertion
middle of lateral surface of radius

flexor carpi radialis
(2) part of superficial anterior forearm compartment → flexion of wrist
origin
medial epicondyle of humerus
insertion
distal to wrist joint on radial side

palmaris longus
(3) part of superficial anterior forearm compartment → flexion of wrist
origin
medial epicondyle of humerus
insertion
distal to wrist joint

flexor carpi ulnaris
(4) part of superficial anterior forearm compartment → flexion of wrist
origin
medial epicondyle of humerus
insertion
distal to wrist joint on ulnar side

middle anterior forearm compartment
action
flexion of wrist joints + digit joints
origin
medial epicondyle of humerus
forearm bones
insertion
distally onto digits
except pronator teres
muscles
flexor digitorum superficialis
flexor digitorum profundus
flexor pollicis longus

flexor digitorum superficialis
action
flexion of wrist joints + digit joints
origin
medial epicondyle of humerus
forearm bones
insertion
distally onto digits
except pronator teres

flexor digitorum profundus
action
flexion of wrist joints + digit joints
origin
medial epicondyle of humerus
forearm bones
insertion
distally onto digits
except pronator teres

flexor pollicis longus
action
flexion of wrist joints + digit joints
origin
medial epicondyle of humerus
forearm bones
insertion
distally onto digits
except pronator teres

posterior forearm compartment
2 layers innervated by radial nerve
superficial = extension of wrist + digits
extensor carpi radialis longus
extensor carpi radialis brevis
extensor digitorum
extensor carpi ulnaris
deep = move digits 1/2/5

superficial posterior forearm compartment
action
extension of wrist joints + digit joints
origin
lateral epicondyle of humerus
insertion
distal to wrist joints
extensor digitorum onto digits
muscles
extensor carpi radialis longus
extensor carpi radialis brevis
extensor digitorum
extensor carpi ulnaris

forearm vasculature
brachial artery
branches into radial + ulnar arteries at elbow (cubital fossa)
anastomose (join) in hand = superficial + deep palmar arches
forearm nerves
3 main nerves
median
ulnar
radial

median nerve
nerve in forearm
runs in anterior compartment of forearm - along brachial artery
passes deep to flexor retinaculum to enter hand
if flexor retinaculum is tight → carpal tunnel syndrome
ulnar nerve
nerve in forearm
passes posterior to medial epicondyle
groove behind medial epicondyle
runs medially into anterior forearm
radial nerve
nerve in forearm
passes anterior to lateral epicondyle
deep branches run in posterior compartment of forearm
innervates
triceps brachii
carpal tunnel
condition associated w/ inflammation of synovial sheaths surrounding tendons due to overuse
impinge on median nerve
causes motor + sensory neurological symptoms
floor: carpal bones
roof: flexor retinaculum
sheath of connective tissue → holds all tendons in place
contents:
median nerve
tendons of:
flexor digitorum superficialis
flexor digitorum profundus
flexor pollicis longus

arch of aorta
gives rise to 3 major arteries
left subclavian
left common carotid
brachiocepahlic trunk

brachiocephalic trunk
branches from arch of aorta - on right side only

subclavian artery
artery that branches from brachiocephalic trunk - runs deeps to clavicle

axillary artery
artery that runs within axilla (armpit region)

brachial artery
artery that runs within arm

musculotaneous nerve
nerve that runs in anterior compartment of arm
innervates
biceps brachii
brachialis
coracobrachialis
axillary nerve
nerve that runs in axillary region
innervates
deltoid
teres minor
brachialis
flexion at elbow joint
anterior compartment of arm
origin
anterior humerus
crosses elbow joint
insertion
ulnar tuberosity
innervation = musculocutaneous

radial artery
artery that runs through forearm

ulnar artery
artery that runs through forearm

flexor digitorum profundus tendons
(1)

flexor digitorum superficialis tendons
(2)

flexor retinaculum
(3)

flexor pollicis longus tendon
(4)

median nerve
(5)

flexor digitorum superficialis tendons
(1) distal
palmaris longus tendon
(2) distal

flexor carpi radialis tendon
(3) distal

flexor pollicis longus tendon
(4) distal

extensor carpi radialis longus tendon
(5) distal

extensor carpi radialis brevis tendon
(6) distal

extensor digitorum and indicis tendons
(7) distal

radius
(8) distal

extensor carpi ulnaris tendon
(9) distal

ulna
(10) distal

flexor digitorum profundus tendons
(11) distal

flexor carpi ulnaris muscle and tendon
(12) distal

flexor pollicis longus
(1) mid

radius
(2) mid

extensor carpi radialis brevis
(3) mid

extensor digitorum
(4) mid

interosseous membrane
(5) mid

extensor carpi ulnaris
(6) mid

ulna
(7) mid

flexor carpi ulnaris
(8) mid

flexor digitorum profundus
(9) mid

flexor digitorum superficialis
(10) mid

flexor carpi radialis
(11) mid

extensor carpi radialis longus
(12) mid

extensor radialis brevis
(1) proximal

ulna
(2) proximal

flexor digitorum profundus
(3) proximal

flexor carpi ulnaris
(4) proximal

palmaris longus
(5) proximal

flexor digitorum superficialis
(6) proximal

pronator teres
(7) proximal

radius
(8) proximal

extensor carpi radialis longus
(9) proximal

brachial artery
(1) distal

brachial vein
(2) distal

medial condyle of humerus
(3) distal

triceps brachii medial head
(4) distal

triceps brachii tendon
(5) distal

triceps brachii muscle lateral head
(6) distal

lateral condyle of humerus
(7) distal

brachialis
(8) distal

biceps brachii short head
(9) distal

biceps brachii short head
(1) mid

brachial vein
(2) mid

triceps brachii long head
(3) mid

triceps brachii medial head
(4) mid

triceps brachii lateral head
(5) mid

humerus
(6) mid

brachialis muscle
(7) mid

biceps brachii long head
(8) mid
