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This document was created by Alex Yartsev ([email protected]); if I have used your data or images and forgot to reference you, please email me. Muscle Attachment Sites in the Upper Limb The Clavicle Pectoralis major Right clavicle Deltoid tubercle: attachment of the deltoid Smooth superior surface of the shaft, under the platysma muscle Deltoid Axillary nerve Acromial facet Trapezius Sternocleidomastoid and Trapezius innervated by the Spinal Accessory nerve Sternocleidomastoid Conoid tubercle, attachment of the conoid ligament which is the medial part of the coracoclavicular ligament Sternal facet Conoid ligament Costoclavicular ligament Acromial facet Impression for the costoclavicular ligament which binds the clavicle to the first rib Subclavian groove: site of attachment of the subclavius muscle Subclavius Innervated by Nerve to Subclavius Trapezoid line, attachment of the trapezoid ligament which is the lateral part of the coracoclavicular ligament Trapezoid ligament This document was created by Alex Yartsev ([email protected]); if I have used your data or images and forgot to reference you, please email me. The Scapula Trapezius Right scapula: posterior Levator scapulae Supraspinatus Deltoid Deltoid and Teres Minor are innervated by the Axillary nerve Rhomboid minor Levator Scapulae, Rhomboid minor and Rhomboid Major are innervated by the Dorsal Scapular Nerve Supraspinatus and Infraspinatus innervated by the Suprascapular nerve Long head of triceps Infraspinatus Rhomboid major Teres Minor Teres Major Teres Major innervated by Lower Subscapular Nerve Latissimus dorsi Latissimus dorsi innervated by the Thoracodorsal nerve Deltoid Right scapula: anterior Pectoralis minor Innervated by the medial pectoral nerve Biceps brachii: short head Serratus anterior Serratus anterior is innervated by the Long Thoracic nerve Coracobrachialis and Biceps Brachii are innervated by the Musculocutaneous nerve Coracobrachialis Subscapularis Subscapularis innervated by the Upper and lower Subscapular nerves Long head of triceps Innervated by the Radial nerve This document was created by Alex Yartsev ([email protected]); if I have used your data or images and forgot to reference you, please email me. The Humerus Right Humerus: anterior Supraspinatus (greater tubercle) Suprascapular nerve Right Humerus: posterior Subscapularis (lesser tubercle) Teres minor Axillary nerve Upper and lower Subscapular nerves Infraspinatus (greater tuberosity Suprascapular nerve Latissimus dorsi Thoracodorsal nerve The bicipital groove Covered by the transverse ligament Teres major Lower Subscapular Nerve Triceps brachii: Lateral head Pectoralis major Innervated by the Lateral and medial pectoral nerves Deltoid Deltoid Axillary nerve Axillary nerve All heads of the triceps are innervated by the Radial nerve Coracobrachialis Musculocutaneous nerve Triceps brachii: Medial head Brachialis Musculocutaneous nerve Brachioradialis Radial nerve Anconeus Extensor carpi radialis longus Pronator teres Flexor carpi ulnaris Median nerve Ulnar nerve (Radial Nerve) Common extensor origin: - Extensor carpi radialis brevis (deep branch of the radial nerve) - Extensor digitorum (posterior interosseous nerve) - Extensor digiti minimi(posterior interosseous nerve) - Extensor carpi ulnaris (posterior interosseous nerve) - Radial nerve Supinator Deep branch of radial nerve Common flexor origin: - Flexor carpi radialis (Median nerve) - Palmaris longus (Median nerve) - Humeroulnar head of the FLEXOR DIGITORUM SUPERFICIALIS (Median nerve) - This document was created by Alex Yartsev ([email protected]); if I have used your data or images and forgot to reference you, please email me. The Radius and Ulna: Flexor compartment Brachialis Musculocutaneous nerve Biceps brachii Musculocutaneous nerve Supinator Flexor digitorum superficialis Deep branch of radial nerve; actually a part of the extensor compartment (Median nerve) Flexor digitorum superficialis Pronator teres: the ulnar head originates here innervated by the Median nerve (Median nerve) Flexor carpii ulnaris Pronator teres Ulnar head originates here Innervated by the Ulnar nerve (Median nerve) Flexor pollicis longus Anterior interosseous nerve Flexor digitorum profundis Radial half innervated by the Median nerve Ulnar Half innervated by the ulnar nerve Pronator quadratus Brachioradialis Radial nerve ORIGINATES at the ULNA INSERTS into the RADIUS This document was created by Alex Yartsev ([email protected]); if I have used your data or images and forgot to reference you, please email me. The Radius and Ulna: dorsal surface Triceps brachii Radial nerve Anconeus Radial nerve Supinator Deep branch of radial nerve Supinator Deep branch of radial nerve Abductor pollicis longus (posterior interosseous nerve) Pronator teres (Median nerve) Extensor pollicis longus (posterior interosseous nerve) Posterior oblique line Extensor pollicis brevis (posterior interosseous nerve) Extensor indices (posterior interosseous nerve) This document was created by Alex Yartsev ([email protected]); if I have used your data or images and forgot to reference you, please email me. The carpus and hand: palmar surface Flexor digitorum superficialis (Median nerve – index and middle finger) (Ulnar nerve – ring and pinky fingers) Inserts into the distal phalanges Adductor pollices (Median nerve) Flexor digitorum superficialis (Median nerve) Inserts into the middle phalanges Flexor pollicis longus (Anterior interosseous nerve) Flexor digiti minimi brevis (deep branch of ulnar nerve) Flexor pollicis longus (deep branch of ulnar nerve) Abductor digit minimi Flexor pollicis brevis (deep branch of ulnar nerve) (recurrent branch of Median nerve) Abductor pollicis brevis Opponens digit minimi (recurrent branch of Median nerve) (deep branch of ulnar nerve) Opponens pollicis (recurrent branch of Median nerve) Abductor pollicis longus Flexor carpii ulnaris (recurrent branch of Median nerve) Unique among anterior compartment muscles because it is WHOLELY innervated by the Ulnar nerve Abductor digit minimi Flexor Carpi radialis (deep branch of ulnar nerve) (Median nerve) Palmaris longus (Median nerve) Inserts into the flexor retinaculum Opponens pollicis brevis, abductor pollicis brevis and flexor pollicis brevis all originate from the flexor retinaculum This document was created by Alex Yartsev ([email protected]); if I have used your data or images and forgot to reference you, please email me. The carpus and hand: dorsal surface Extensor digitorum Extensor indices (posterior interosseous nerve) (posterior interosseous nerve) Extensor digit minimi (posterior interosseous nerve) Extensor carpi radialis longus (radial nerve) Extensor pollicis longus (posterior interosseous nerve) Extensor carpi radialis brevis Deep branch of radial nerve Dorsal interossei Deep branch of ulnar nerve Extensor pollicis brevis (posterior interosseous nerve) Extensor carpi ulnaris Deep branch of radial nerve Abductor pollicis longus (posterior interosseous nerve)