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Muscle Pectoralis major Origin clavicular head: anterior medial half of clavicle sternocostal head: anterior sternum + rib 16 cartilage; aponerosis of external oblique muscle Anterior 3-5 ribs Insertion Lateral lip of Intertubercular groove Nerve Medial & lateral pectoral nerves Action Glenohumeral: Adduction, Horizontal adduction medial rotation Upper: flexion lower: extension coracoid process Medial pectoral nerve Junction of 1st rib with costal cartilage External lateral 1-8 ribs Inferior middle third of clavicle Anterior medial border of scapula Nerve to subclavious Trapezius Skull nuchal line, c1-t12 vertebrae Lateral clavicle, medial acromion, all spine Spinal root of accessory nerve + C3 + C4 Latissimus dorsi Spinal process of t7-l5, iliac crest. (passing 4 lower ribs + inferior angle of scapula) Intertubercular groove Thoracodorsal nerve levator scapulae C1-c4 transverse process Superior angle of scapula Rhomboids Minor: nuchal ligament + SP C7+T1 Major: SP T2+T5 Scapula: Depression, protraction Stabilizing clavicle & depress clavicle Protects + protraction of scapula.+ Upward rotation + maintain scapula apposed to thoracic wall Scapula: Upper: elevation Lower: depression both: upward rotation middle: retraction Scapula: retraction, depression Glenohumeral: extension, medial rotation, adduction Scapula: elevation, retraction, downward rotation Scapula: retraction, downward rotation, stabilizing Pectoralis minor Subclavious Serratus anterior Long thoracic nerve Dorsal scapular nerve + C3+C4 Medial border of scapula Dorsal scapular nerve Muscle Supraspinatous Infraspinatous Teres minor Subscapularis Teres Major Deltoid Biceps Brachialis Origin Supraspinatous fossa Infraspinatous fossa Infraspinatous fossa Medial border of subscapular fossa Upper lateral border of scapula Lateral third of clavicle, acromion, spine Insertion Greater tubercle (1) Greater tubercle (2) Greater tubercle (3) Lower tubercle 1. long supraglenoid tubercle through capsule, Intertubercular groove. 2. short coracoid process anterior distal half of humerus shaft Radial tuberocity of radius + bicipital aponeurosis Musculocutaneous nerve Ulna’s coronoid process + tuberocity of ulna Medial Middle third of humerus proximal ed of ocleranon Musculocutaneous nerve Elbow flexion Musculocutaneous nerve Radial nerve Glenohumeral flexion, adduction Elbow: extension Coracobrachialis Coracoid process triceps 1. long infraglenoid tubercle 2. lateral postlateral shaft above radial groove 3. medial postlateral shaft under radial groove Medial lip of Intertubercular groove Deltoid tuberocity Nerve Suprascapular nerve Suprascapular nerve Axillary nerve Upper & lower subscapular nerve Lower subscapular nerve Axillary nerve Action Abduction Lateral rotation Lateral rotation Medial rotation Adduction, medial rotation, extension Abduction of arm Anterior: flexion + medial rotation Posterior: extension + lateral rotation Glenohumeral: flexion Elbow: flexion, supination Muscle Pronator teres Flexor capi radialis (FCR) Flexor carpi ulnaris Origin Common flexor tendon (medial epicondyle & coronoid process) Common flexor tendon (medial epicondyle & coronoid process) Common flexor tendon (medial epicondyle & coronoid process) Palmaris longus (15%20% absent) Common flexor tendon (medial epicondyle & coronoid process) Flexor digitorum superficialis Common flexor tendon (medial epicondyle & coronoid process) Insertion Nerve Anterior Forearm Lateral shaft of radius Median nerve Pronation Flexion of forarm (helps) Palmar flexion Radial rotation Metacarpal bone 2, 3 Median nerve Hook of hamate, piciform, metacarpal bone 5 Ulnar nerve Ulnar deviation Flexion of forarm (helps) Palmar apuneurosis Median nerve Palmar flexion. Tension of palmar apuneurosis Intermediate layer 4 tendons to middle Median nerve phalanges of medial 4 digits Flexor Pollicis Longus (FPL) Radial shaft Deep layer Distal Phalanx 1st digit (thumb) Flexor Digitorum Profundus (FDP) Pronator Quadratus Ant ulna and interossus membrane Bases distal phalanges 4 medial digits Runs between distal 1/4 radius and ulna. Ulna is considered to be the origin. Brachioradialis Radial/lateral Action Flexion proximal interphalange joint (assists in flexion Metacarpalphalangeal joint & Wrist J’s.) Median N. Ant IO branch Flexes phalanges of 1st digit (thumb) Medial 2 tendons Ulnar N. ; Lateral 2 tendons Ant.interoseus branch median n. Anterior interoseus n. Flexion DIP 4 medial digits Posterior forearm – lateral Radius's styloid process Radial nerve Forearm Pronation Elbow: flexion Extensor carpi radialis longus Extensor carpi radialis brevis Extensor digitorum Extensor digiti minimi Extensor carpi ulnaris Supinator Abductor pollicis longus Extensor pollicis brevis Extensor pollicis longus Extensor indicis supracondylar ridge Radial/lateral supracondylar ridge Common extensor tendon (lateral epicondyle) Common extensor tendon (lateral epicondyle) Common extensor tendon (lateral epicondyle) Common extensor tendon (lateral epicondyle) Lateral epicondyle & ulna Shaft of ulna and radius Shaft of ulna Shaft of ulna Shaft of ulna Base of metacarpal bone Radial nerve 2. Posterior superficial layer Base of metacarpal bone Deep radial nerve 3. Wrist joint: radial deviation, extension Middle and distal phalanges of 2-5. Deep radial nerve Extensor hood of 5 th phalange Deep radial nerve Extension of: interphalange joints, Metacarpalphalangeal joint & Wrist J’s Extension of 5 th phalange Base of metacarpal bone Deep radial nerve 5. Posterior deep layer Wraps around proximal Deep radial nerve radius Base of metacarpal 1 Deep radial nerve Proximal phalange of thumb (1) Distal phalange of thumb (1) Extensor hood of phalang 2. Wrist joint: radial deviation, extension Wrist joint: ulnar deviation, extension Supination Abduction of the thumb. Deep radial nerve Deep radial nerve Deep radial nerve Extension of the finger