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Mnemonics for Week 1 Supination vs. Pronation "SOUPination": Supination is to turn your arm palm up, as if you are holding a bowl of soup. "POUR-nation": Pronation is to turn your arm with the palm down, as if you are pouring out whatever is in your bowl. Alternatively, Pronation donation: Pronation is palm facing downward, as if making a donation. Erector spinae muscles: “I Love Standing” (from lateral to medial) Iliocostalis Longissimus Spinalis These muscles help you to stand erect. Alternatives: “I Love Sex” OR “I Long for Spinach” - “Sex” helps you think of “Erector”, but “Long” and “Spinach” help you to remember the muscles’ names. Erector spinae muscles: order Spinalis is on the spine (most medial). Iliocostalis is on the ribs (most lateral). And it's a Long (Longissimus) way between the spine and the ribs! Superior Transverse Scapular Ligament “Save The Sea Lions” Suprascapular artery and Suprascapular nerve in reference to the Superior transverse scapular ligament “Army (artery) goes over the bridge; Navy (nerve) goes under the bridge” The bridge is the Superior transverse scapular ligament Rotator cuff muscles: “SITS” (clockwise from top) Supraspinatus Infraspinatus Teres minor Subscapularis A pro baseball pitcher has injured his rotator cuff muscles. As a result, he SITS out for the rest of the game, and then gets sent to the minor leagues. Axillary Artery branches: “Screw The Lawyer Save A Patient” (from proximal to distal) Superior thoracic artery or Supreme thoracic artery Thoracoacromial trunk Lateral thoracic artery Subscapular artery (branches into circumflex scapular artery and thoracodorsal artery) Anterior circumflex humeral artery Posterior circumflex humeral artery These 2 arteries anastomose. Alternatives: “Some Times Life Seems A Pain” OR “Send The Lord to Say A Prayer” Thoracoacromial Trunk branches: “CAlifornia Police Department” Clavicular Acromial Pectoral Deltoid Alternative: “ABCD” - Acromial - Breast (pectoral) - Clavicular - Deltoid OR “CAP D” - Clavicular - Acromial - Pectoral - Deltoid Serratus anterior (innervation & action): “C5-6-7 raises your wings to heaven” Say this aloud and it rhymes C567 injury causes inability to raise arm past 90 degrees up to heaven, and results in a winging of the scapula. · Long thoracic nerve (cervical roots 5, 6 & 7) innervate Serratus anterior. Serratus Anterior (innervation and artery): SALT Serratus Anterior = Long Thoracic nerve Serratus Anterior = Lateral Thoracic artery MNEMONICS FOR WEEK 2 Arm fractures: nerves affected by humerus fracture location ARM fracture: (from proximal to distal) Axillary nerve: surgical neck of humerus Radial nerve: mid shaft of humerus Median nerve: distal end of humerus Radial Nerve: muscles supplied (simplified) “BEST muscles”: Brachioradialis Extensors Supinator Triceps Elbow: muscles that flex it Three B’s Bend the elbow: Brachialis Biceps brachii Brachioradialis Flexor digitorum muscles: how they insert onto fingers A little rhyme: Superficialis Splits in two To Permit Profundus Passing through Flexor digitorum superficialis flexes at PIP joint Flexor digitorum profundus flexes at PIP and DIP joint Brachioradialis: function, innervation, one relation, one attachment BrachioRadialis: Function: It’s the Beer Raising muscle, flexes elbow, strongest when wrist is oriented like holding a beer. Innervation: Breaks Rule: it’s a flexor muscle, But Radial nerve innervates it. (Radial nerve is usually for extensors) Relation: Behind it is the Radial nerve in the cubital fossa. Attachment: Attaches to the Bottom of the Radius. Anterior forearm muscles: superficial flexors There are 5 digits of your hand. Place your thumb into your palm, then lay that hand palm down on your other arm. Your 4 fingers now show distribution. Spells PFPF: Pass/Fail, Pass/Fail Pronator teres Flexor carpi radialis Palmaris longus Flexor carpi ulnaris Median nerve: hand muscles innervated “Meat LOAF”: Median nerve Lumbricals 1 and 2 Opponens pollicis Abductor pollicis brevis Flexor pollicis brevis Muscles of the Hand: palmar surface “All For One And One For All” · Thenar: Abductor pollicis brevis Flexor pollicis brevis Opponens pollicis Adductor pollicis. · Hypothenar: Opponens digiti minimi Flexor digiti minimi brevis Abductor digiti minimi Interossei muscles of hand: actions of dorsal vs. palmar “PAD and DAB” The Palmar interossei ADduct and the Dorsal interossei ABduct. Use your hand to dab with a pad. Lumbricals: action Lumbrical action is to hold a pea, that is to flex the metacarpophalangeal joint (MCP) and extend the interphalangeal joints (IP). When you look at the hand in this position, it makes an “L” shape, since L is for Lumbrical. Carpal bones: "Some Lovers Try Positions That They Can't Handle": · Proximal row then distal row, both rows lateral-to-medial: Scaphoid Lunate Triquetrum Pisiform Trapezium Trapezoid Capitate Hamate Alternatively: “Stop Letting Those People Touch The Cadavers Hand” Carpal bones: trapezium vs. trapezoid location TrapeziUM is by the thUMB, TrapeziOID is inSIDE. Alternatively, TrapeziUM is by the thUMB, TrapezOID is by its SIDE. Femoral triangle: NAVEL Femoral Nerve Femoral Artery Femoral Vein Empty space lymphatics Lacunar ligament Pes anserinus: Sgt. AMP Sartorius: Anterior Gracilis: Medial SemiTendinosus: Posterior Posterior compartment muscles (medial side, posterior to medial malleolus) Tom, Dick and Harry Tibialis posterior Flexor digitorum longus Posterior tibial artery Tibial nerve Flexor hallucis longus Alternatively: "Tom, Dick And Nervous Harry". Alternatively: "Tom, Dick And Not Harry". Popliteal fossa: muscles arrangement The two Semi's go together, Semimembranosus and Semitendinosus. The Membranosus is Medial and since the two semis go together, Semitendinosus is also medial. Therefore, Biceps Femoris has to be lateral. Of the semi's, to remember which one is superficial: the Tendinosus is on Top. Inversion vs. eversion muscles in leg Second letter rule for inversion/eversion · Eversion muscles: pErineus longus pErineus brevis pErineus tertius · Inversion muscles: tIbialis anterior tIbialis posterior Leg: anterior muscles of leg "The Hospitals Are Not Dirty Places" Tibialis anterior extensor Hallucis longus Anterior tibial Artery deep fibular Nerve extensor Digitorum longus Peroneus tertius [fibularis tertius]