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Anatomy and Physiology I
Muscles that Move the Arm, Forearm, Hand and Fingers Instructor: Mary Holman
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Review: Muscles that Move the Pectoral Girdle
Anterior Thoracic Muscles Pectoralis minor Serratus anterior Posterior Thoracic Muscles Trapezius * Levator scapulae Rhomboid major * Rhomboid minor * = know origin & insertion
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Pectoralis minor Origin: Insertion: Action:
Fig. 9.28 Pectoralis minor Anterior Origin: Three upper ribs (can vary) Insertion: Coracoid process of scapula Action: Depresses and pulls scapula forward, rotates it downward Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
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Serratus anterior Origin: Insertion: Action: Superior 8 or 9 ribs
Fig. 9.28 Serratus anterior Origin: Superior 8 or 9 ribs Insertion: Ventral surface of scapula Action: Pulls scapula anteriorly and downward Anterior Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
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Trapezius * Origin: Occipital bone Insertion: Clavicle,
Posterior Trapezius * Anterior Origin: Occipital bone & spines of 7th cervical and all thoracic vertebrae Insertion: Clavicle, spine, and acromion process of scapula Action: Rotates scapula can raise, pull medially, pull upward or depress scapula Fig. 9.28 Fig. 9.27b Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
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Levator scapulae Origin: Transverse Insertion: Medial Action: Elevates
Fig. 9.29a Levator scapulae Posterior Origin: Transverse processes of superior 4 or 5 cervical vertebrae Spine of scapula Insertion: Medial border of scapula Action: Elevates scapula and rotates it downward
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Rhomboideus major * Origin: Spines of Insertion: Medial
Fig. 9.27d Rhomboideus major * Posterior Fig. 9.27a Origin: Spines of upper thoracic vertebrae Insertion: Medial margin of scapula Action: Adducts, elevates and rotates scapula
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Rhomboideus minor Origin: Spines of Insertion: Medial Action: Adducts,
Fig. 9.27d Rhomboideus minor Posterior Fig. 9.27a Origin: Spines of lower cervical vertebrae Insertion: Medial margin of scapula Action: Adducts, and elevates scapula
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Origins of Muscles that Move the Humerus (Upper Arm)
Originate on Axial Skeleton Pectoralis major * Latissimus dorsi Originate on Scapula Deltoid * Suprascapularis Infrascapularis Teres minor Subscapularis Teres major Coracobrachialis 2 7 Rotator cuff Muscles
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Muscles that Move the Humerus (Arm)
Flexors * Pectoralis major Coracobrachialis Extensors * Latissimus dorsi Teres major 2 Abductors Deltoid Supraspinatus Rotators Infraspinatus Teres minor Subscapularis 2 3 2 * The muscles that flex and extend the humerus also act as adductors
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Pectoralis major * Origin: Clavicle, sternum,
Fig. 9.28 Pectoralis major * Origin: Clavicle, sternum, and costal cartilages of upper ribs Insertion: Intertubercular groove of humerus Action: Flexes, adducts and rotates arm medially Anterior
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Coracobrachialis Origin: Coracoid Insertion: Shaft of
Fig. 9.31a Fig. 9.31d Origin: Coracoid process of the scapula Insertion: Shaft of humerus medial side Action: Flexes and adducts the arm Anterior
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Latissimus dorsi Origin: spines of Insertion: Action:Extends,
Fig. 9.27a Posterior Fig. 9.27d Origin: spines of vertebrae, iliac crest and lower ribs Insertion: Intertubercular groove humerus Action:Extends, adducts and rotates arm medially
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Teres major Origin: Lateral Insertion: Action: border of scapula
Posterior Fig. 9.29b Origin: Lateral border of scapula Fig. 9.29a Posterior Insertion: Intertubercular groove of humerus Action: Extends, adducts and rotates arm medially
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Deltoid * Origin: Insertion: Action: Spine and acromion of scapula, &
Fig. 9.31a Anterior Deltoid * Fig. 9.29a Posterior Origin: Spine and acromion of scapula, & clavicle Insertion: Deltoid tuberosity of humerus Action: Abducts, flexes, and extends arm.
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Supraspinatus Origin: Posterior surface Insertion: Greater tubercle
Fig. 9.29c Origin: Posterior surface of scapula above spine Insertion: Greater tubercle of humerus Action: Abducts arm Posterior
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Infraspinatus Origin: Posterior surface Insertion: Greater
Fig. 9.29b Infraspinatus Origin: Posterior surface of scapula below spine Insertion: Greater tubercle of humerus Action: Rotates arm laterally Posterior
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Teres minor Origin: Lateral Insertion: Action: Rotates
Fig. 9.29c Fig. 9.29a Origin: Lateral border of scapula Insertion: Greater tubercle of humerus Action: Rotates arm laterally Posterior
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Subscapularis Origin: Anterior Insertion: Lesser Action: Rotates
Fig. 9.31a Fig. 9.31c Origin: Anterior surface of scapula Insertion: Lesser tubercle of humerus Action: Rotates arm medially Anterior Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
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S Supraspinatus I Infraspinatus T Teres minor S Subscapularis
Rotator Cuff Muscles S Supraspinatus I Infraspinatus T Teres minor S Subscapularis Assist the joint capsule, coracohumeral ligament, glenohumeral ligament and transverse ligament in stabilizing the shoulder joint
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Rotator Cuff S I S T Anterior B A
From: Anatomy & Physiology: Seeley, Stephens and Tate 6th Ed.
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Fig. 9.30 Pectoralis major Serratus anterior Coracobrachialis Deltoid
Teres major Latissimus dorsi Humerus Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
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Muscles that Move the Forearm
Biceps brachii * Brachialis * Brachioradialis Triceps brachii * Supinator Pronator teres Pronator quadratus
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Actions of the Muscles that Move the Forearm
3 Flexors Biceps brachii Brachialis Brachioradialis 3 Rotators Supinator Pronator teres Pronator quadratus “3” Extensors Triceps brachii
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Biceps brachii * Short head Long head Origin: Short head - Coracoid
Fig. 9.31b Anterior Biceps brachii * Short head Long head Origin: Short head - Coracoid process Long head - Tubercle above glenoid cavity of scapula Insertion: Radial tuberosity and aponeurosis Action: Flexes forearm at elbow and rotates arm laterally (supinates) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
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Brachialis * Origin: Anterior Insertion: Coronoid Action: Flexes
Fig. 9.31a Fig. 9.31d Brachialis * Origin: Anterior shaft of humerus Insertion: Coronoid process of the ulna Action: Flexes forearm at the elbow Anterior
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Brachioradialis Origin: Lateral border Insertion: Superior
Fig. 9.32a Fig. 9.32b Brachioradialis Origin: Lateral border of the distal end of the humerus Insertion: Superior to styloid process of the radius Action: Flexes forearm at elbow Anterior
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Triceps brachii * Origin: Tubercle below Insertion: Olecranon
Fig. 9.29d Triceps brachii * Posterior Origin: Tubercle below glenoid cavity and lateral and medial surfaces of the humerus Insertion: Olecranon process of the ulna Action: Extends elbow Posterior Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
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Supinator Origin: Lateral Insertion: Lateral Action: Rotates
Fig. 9.32a Supinator Anterior Origin: Lateral epicondyle of humerus and ridge near the radial notch of ulna Insertion: Lateral surface of proximal third of radius Action: Rotates forearm laterally (supinates hand) From: Anatomy & Physiology: Seeley, Stephens and Tate 6th Ed.
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Pronator teres Origin: Medial epicondyle Insertion: Lateral surface
Fig. 9.32c Pronator teres Origin: Medial epicondyle of humerus and coronoid process of ulna Insertion: Lateral surface of radius Action: Rotates forearm medially (pronates hand) Anterior
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Pronator quadratus Origin: Anterior distal end
Fig. 9.32c Pronator quadratus Origin: Anterior distal end of ulna Insertion: Anterior distal end of radius I O Action: Rotates forearm medially (pronates hand) Anterior
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Fig. 9.30 Short head of biceps brachii Long head of biceps brachii
Triceps brachii Humerus Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
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Muscles that Move the Hand
Flexor carpi radialis Palmaris longus Flexor carpi ulnaris Extensor carpi radialis longus Extensor carpi radialis brevis Extensor carpi ulnaris
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Actions of the Muscles that Move the Hand
3 Flexors Flexor carpi radialis Palmaris longus Flexor carpi ulnaris 3 Extensors Extensor carpi radialis longus Extensor carpi radialis brevis Extensor carpi ulnaris
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Flexor carpi radialis Origin: Medial Insertion: Base of
Fig. 9.32a Fig. 9.32d Flexor carpi radialis Origin: Medial epicondyle of humerus Insertion: Base of 2nd and 3rd metacarpals Action: Flexes wrist and abducts hand Anterior
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Palmaris longus Origin: Medial epicondyle Insertion: Fascia of palm
Fig. 9.32a Palmaris longus Origin: Medial epicondyle of humerus Insertion: Fascia of palm Action: Flexes wrist Anterior
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Flexor carpi ulnaris Origin: Medial epi- Insertion: Carpal &
Fig. 9.32a Fig. 9.32b Ant Ant Flexor carpi ulnaris Post Origin: Medial epi- condyle of humerus and olecranon process of the ulna 9.33a Insertion: Carpal & metacarpal bones Action: Flexes wrist and adducts hand
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Extensor carpi ulnaris
Fig. 9.33a Fig. 9.33c Extensor carpi ulnaris Origin: Lateral epicondyle of humerus Insertion: Carpal and metacarpal bones Action: Extends and adducts hand Posterior
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Extensor carpi radialis longus brevis
Fig. 9.33a Fig. 9.33b Extensor carpi radialis longus brevis Origin: longus - distal end of humerus brevis - lateral epicondyle of humerus Insertion: longus - base of 2nd metacarpal brevis - base of 2nd & 3rd metacarpal Action: Extends wrist & abducts hand Posterior
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Muscles that Move the Fingers
Flexor digitorum superficialis Flexor digitorum profundus Extensor digitorum
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Actions of the Muscles that Move the Fingers
2 Flexors Flexor digitorum superficialis Flexor digitorum profundus 1 Extensor Extensor digitorum
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Flexor digitorum superficialis
Fig. 9.32e Fig. 9.32a Origin: Medial epicondyle of humerus, olecranon process of ulna, and the radius Insertion: Tendons of the fingers Action: Flexes the fingers and wrist Anterior
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Flexor digitorum profundus
Anterior Origin: Anterior surface of ulna Insertion: Bases of distal phalanges 2 through 5 Action: Flexes the distal joints of the fingers From: Anatomy & Physiology: Seeley, Stephens and Tate 6th Ed.
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Extensor digitorum Origin: Lateral epicondyle Insertion: Posterior
Fig. 9.33a Fig. 9.33c Extensor digitorum Origin: Lateral epicondyle of the humerus Insertion: Posterior surfaces of phalanges in fingers 2 through 5 Action: Extends fingers and wrist Posterior
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Fig. 9.34b Radius Ulna Abductor pollicis longus m.
Extensor digitorum m. Flexor pollicis longus m. Extensor carpi ulnaris m. Radius Extensor pollicis longus m. Extensor carpi radialis brevis m. p p Ulna Extensor carpi radialis longus m. Flexor digitorum profundus m. p Pronator teres m. Ulnar n. Brachioradialis m. Ulnar a. Radial n. Flexor carpi ulnaris m. Radial a. Median n. Flexor carpi radialis m. Flexor digitorum superficialis m. Anterior Palmaris longus m. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
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Flexor retinaculum Extensor retinaculum
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