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REFERENCE DIAGRAMS OF UPPER LIMB MUSCLES: NAMES, LOCATIONS, ATTACHMENTS, FUNCTIONS MUSCLES CONNECTING THE UPPER LIMB TO THE AXIAL SKELETON A25LAB EXERCISES: UPPER LIMB MUSCLES Page 1 MUSCLES CONNECTING THE UPPER LIMB TO THE AXIAL SKELETON Page 2 A25LAB EXERCISES: UPPER LIMB MUSCLES MUSCLES CONNECTING THE SCAPULA AND HUMERUS A25LAB EXERCISES: UPPER LIMB MUSCLES Page 3 MUSCLES CONNECTING THE SCAPULA AND HUMERUS Page 4 A25LAB EXERCISES: UPPER LIMB MUSCLES MUSCLES OF THE ANTERIOR ARM MUSCLE OF THE POSTERIOR ARM A25LAB EXERCISES: UPPER LIMB MUSCLES Page 5 MUSCLES OF THE ANTERIOR FOREARM: LAYER 1 Page 6 A25LAB EXERCISES: UPPER LIMB MUSCLES MUSCLES OF THE ANTERIOR FOREARM: LAYER 2 MUSCLES OF THE ANTERIOR FOREARM: LAYER 3 MUSCLES OF THE ANTERIOR FOREARM: LAYER 3 MUSCLES OF THE ANTERIOR FOREARM: LAYER 4 A25LAB EXERCISES: UPPER LIMB MUSCLES Page 7 MUSCLES OF THE POSTERIOR FOREARM: LAYER 1 Page 8 A25LAB EXERCISES: UPPER LIMB MUSCLES MUSCLES OF THE POSTERIOR FOREARM: LAYER 1 A25LAB EXERCISES: UPPER LIMB MUSCLES Page 9 MUSCLES OF THE POSTERIOR FOREARM: LAYER 2 Page 10 A25LAB EXERCISES: UPPER LIMB MUSCLES MUSCLES OF THE POSTERIOR FOREARM: LAYER 2 MUSCLES OF THE HAND: Thenar mm. A25LAB EXERCISES: UPPER LIMB MUSCLES MUSCLES OF THE HAND: Thenar mm. MUSCLES OF THE HAND: Thenar mm. Page 11 MUSCLES OF THE HAND: Hypothenar mm. MUSCLES OF THE HAND: Hypothenar mm. MUSCLES OF THE HAND: Hypothenar mm. Page 12 A25LAB EXERCISES: UPPER LIMB MUSCLES MUSCLES OF THE HAND A25LAB EXERCISES: UPPER LIMB MUSCLES Page 13 LAB ASSIGNMENT 1: UPPER LIMB MUSCLE ATTACHMENTS & FUNCTIONS. Use an articulated skeleton or diagram(s) with muscle origins and insertions indicated. (1) For each set of attachments, write the name of the muscle with those attachments in the blank space. Note: The muscle actually may have more extensive attachments than those listed. (2) List the primary action(s) of the muscle. Scapula: subscapular fossa ___________________________________________ Humerus: lesser tubercle Action(s):_______________________________________________________________________________ Scapula: supraspinous fossa _________________________________________ Humerus: greater tubercle Action(s):_______________________________________________________________________________ Scapula: infraspinous fossa __________________________________________ Humerus: greater tubercle Action(s):_______________________________________________________________________________ Scapula: lateral (axillary) border _____________________________________ Humerus: greater tubercle Action(s):_______________________________________________________________________________ Scapula: lateral (axillary) border ________________________________ Humerus: crest of lesser tubercle Action(s):_______________________________________________________________________________ Scapula: coracoid ______________________________________________________________ Ribs: 3-5 Action(s):_______________________________________________________________________________ Scapula: coracoid ___________________________________________ Humerus: mid-shaft, medial side. Action(s):_______________________________________________________________________________ Scapula: coracoid ____________________________________(Hint: short head) Radius: radial tuberosity Action(s):_______________________________________________________________________________ Scapula: supraglenoid tubercle __________________________ (Hint: long head) Radius: radial tuberosity Action(s):_______________________________________________________________________________ Scapula: infraglenoid tubercle __________________________________ (Hint: long head) Ulna: olecranon Action(s):_______________________________________________________________________________ Scapula: medial (vertebral) border, posterior surface _______________________ Spinous processes, T2-T5 Action(s):_______________________________________________________________________________ Scapula: medial (vertebral) border, posterior surface _______________________ Spinous processes, C7-T1 Action(s):_______________________________________________________________________________ Scapula: medial (vertebral) border, anterior surface _________________________________ Ribs 1-8 or 9 Action(s):_______________________________________________________________________________ Page 14 A25LAB EXERCISES: UPPER LIMB MUSCLES Scapula: medial border & superior angle ____________________________ Transverse processes, C1-C4 Action(s):_______________________________________________________________________________ Scapula: acromion & spine __________________Vertebral spines C7-T12, occipital, ligamentum nuchae Action(s):_______________________________________________________________________________ Scapula: acromion & spine __________________Vertebral spines C7-T12, occipital, ligamentum nuchae Action(s):_______________________________________________________________________________ Clavicle: anterior border, medial half ________________________________________________________ Action(s):_______________________________________________________________________________ Clavicle: anterior border, lateral half ________________________________________________________ Action(s):_______________________________________________________________________________ Clavicle: posterior border, lateral half ________________________________________________________ Action(s):_______________________________________________________________________________ Humerus: greater tubercle _________________________________________ Scapula: supraspinous fossa Action(s):_______________________________________________________________________________ Humerus: greater tubercle __________________________________________ Scapula: infraspinous fossa Action(s):_______________________________________________________________________________ Humerus: greater tubercle ______________________________________ Scapula: lateral (axillary) border Action(s):_______________________________________________________________________________ Humerus: lesser tubercle: _______________________________________ Scapula: lateral (axillary) border Action(s):_______________________________________________________________________________ Humerus: intertubercular groove, lateral lip __________________ Sternum, costal cartilages 1-6, clavicle Action(s):_______________________________________________________________________________ Humerus: intertubercular groove, medial lip ______________________________ Scapula: axillary border Action(s):_______________________________________________________________________________ Humerus: intertubercular groove, floor __________________ Vertebral spines T7-L5, ribs 9-12, iliac crest Action(s):_______________________________________________________________________________ What muscle tendon runs in the intertubercular groove ? ________________________________________ Humerus: deltoid tuberosity _____________________ Scapula: spine & acromion; Clavicle: acromial end Action(s):_______________________________________________________________________________ Humerus: mid-shaft, medial side ___________________________________________ Scapula: coracoid Action(s):_______________________________________________________________________________ Humerus: shaft, anterior, lower 2/3rd _________________________________ Ulna: coronoid, tuberosity Action(s):_______________________________________________________________________________ Humerus: shaft, posterior ______________________ & __________________________ Ulna: olecranon Action(s):_______________________________________________________________________________ Humerus: medial epicondyle ______________________________________________ Radius: mid-shaft Action(s):_______________________________________________________________________________ Humerus: medial epicondyle _____________________________________________ Metacarpals 2 & 3 Action(s):_______________________________________________________________________________ A25LAB EXERCISES: UPPER LIMB MUSCLES Page 15 Humerus: medial epicondyle _____________________________________________ Palmar aponeurosis Action(s):_______________________________________________________________________________ Humerus: medial epicondyle ____________________________________ Pisiform, hamate, metacarpal 5 Action(s):_______________________________________________________________________________ Humerus: lateral epicondyle ___________________________________________________ Metacarpal 3 Action(s):_______________________________________________________________________________ Humerus: lateral epicondyle _____________________________________________ Distal phalanges 2-5 Action(s):_______________________________________________________________________________ Humerus: lateral epicondyle ___________________________________________________ Metacarpal 5 Action(s):_______________________________________________________________________________ Humerus: lateral epicondyle ____________________________________ Ulna: olceranon (lateral aspepct) Action(s):_______________________________________________________________________________ Humerus: lateral supracondylar ridge ______________________________ Radius: base of styloid process Action(s):_______________________________________________________________________________ Humerus: lateral supracondylar ridge ____________________________________________ Metacarpal 2 Action(s):_______________________________________________________________________________ Radius: tuberosity _____________________________________ Scapula: coracoid, supraglenoid tubercle Action(s):_______________________________________________________________________________ Radius: base of styloid process ______________________________ Humerus: lateral supracondylar ridge Action(s):_______________________________________________________________________________ Ulna: olecranon ___________________________ Scapula: infraglenoid tubercle; humerus: posterior shaft Action(s):_______________________________________________________________________________ Ulna: coronoid & tuberosity ________________________________ Humerus: anterior surface, distal 2/3 Action(s):_______________________________________________________________________________ Ulna: distal shaft, anterior surface ____________________________ Radius: distal shaft, anterior surface Action(s):_______________________________________________________________________________ Hand: palmar, distal phalanges 2-5 ______________________________ Ulna & interosseous membrane Action(s):_______________________________________________________________________________ Hand: palmar, middle phalanges 2-5 _______________________________Humerus: medial epidondyle, ulna: coronoid, radius: shaft Action(s):_______________________________________________________________________________ Hand: palmar, pollex, distal phalanx ____________________________ Radius & interosseous membrane Action(s):_______________________________________________________________________________ Page 16 A25LAB EXERCISES: UPPER LIMB MUSCLES LAB ASSIGNMENT 2: UPPER LIMB MUSCLE IDENTIFICATION (MODELS) The list below is a key to the muscles of the upper limb models (Somso) in the lab. One of the models is intact. Please do not disassemble it ! The other model has had muscles removed to expose deeper muscles. Working in teams of two or more: first, use the key to find each muscle on the model and give an action for the muscle; second, point to each muscle on the model and name it without using the key; third, name each muscle on the list and find it on the model without using the number key. MUSCLES, TENDONS, AND LIGAMENTS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. Supraspinatus Infraspinatus Teres major Teres minor Latissimus dorsi Subscapularis Deltoid Pectoralis major Biceps brachii Brachialis Triceps brachii Pronator teres Flexor carpi radialis Palmaris longus Flexor carpi ulnaris Extensor carpi ulnaris Extensor digitorum Extensor carpi radialis brevis Extensor carpi radialis longus Brachioradialis Extensor pollicis longus (tendon) Extensor pollicis brevis Abductor pollicis longus Flexor digitorum superficialis Supinator omit Extensor retinaculum Flexor pollicis brevis Abductor pollicis brevis Adductor pollicis Opponens pollicis Opponens digiti minimi Flexor digiti minimi Abductor digiti minimi Lumbricales Dorsal interossei Flexor retinaculum (transverse carpal ligament) Tendon sheath omit omit Flexor pollicis longus (tendon) Flexor digitorum superficialis (tendons) Flexor digitorum profundus (tendons) omit A25LAB EXERCISES: UPPER LIMB MUSCLES Page 17 LAB ASSIGNMENT 3: UPPER LIMB MUSCLE IDENTIFICATION (MODELS) The following diagrams are based on the intact upper limb models (Somso). Color each muscle in the diagram, write its name on the diagram, then find it on the model. N.B.: the numbers and letters on the diagrams are purposely NOT the same as those on the model. 16 21 20 SCAPULAR REGION & ARM POSTERIOR ASPECT 19 22 18 G E 17 9d 9c A. B. C. E. G. Clavicle Scapula: spine & acromion Scapula: medial border Humerus: lateral epicondyle Ulna: olecranon 1. 2. 3. 5. 6. 7. 9. Trapezius m. (cut) Pectoralis major m. (cut) Deltoideus m. Teres major m. Teres minor m. Infraspinatus m. Triceps brachii m. a. long head b. lateral head c. medial head d. triceps tendon Biceps brachii m. Brachialis m. Flexor carpi ulnaris m. Brachioradialis m. Extensor carpi radialis longus m. Extensor carpi radialis brevis m. Extensor digitorum m. Extensor carpi ulnaris m. Anconeus m. 12 10. 12. 16. 17. 18. 9b 10 19. 20. 21. 22. 9a 2 5 6 3 7 C A B 1 Page 18 A25LAB EXERCISES: UPPER LIMB MUSCLES LAB ASSIGNMENT 3: UPPER LIMB MUSCLE IDENTIFICATION (MODELS) SCAPULAR REGION & ARM ANTERIOR ASPECT 15 14 17 13 10c F Clavicle Scapula: medial border Scapula: coracoid process Humerus: medial epicondyle 2. 3. 4. 5. 8. 9. Pectoralis major m. (cut) Deltoideus m. Latissimus dorsi m. (cut) Teres major m. Subscapularis m. Triceps brachii m. a. long head c. medial head Biceps brachii m. a. long head b. short head c. bicipital tendon Coracobrachialis m. Pronator teres m. Flexor carpi radialis m. Palmaris longus m. Brachioradialis m. 9c A. C. D. F. 10b 9a 10a 10. 11 11. 13. 14. 15. 17. 3 2 4 5 8 2 D C 3 A A A25LAB EXERCISES: UPPER LIMB MUSCLES Page 19 LAB ASSIGNMENT 3: UPPER LIMB MUSCLE IDENTIFICATION (MODELS) FOREARM AND HAND POSTERIOR ASPECT E. Humerus: lateral epicondyle G. Ulna: olecranon H. Common extensor tendon I. Extensor retinaculum 10. 12. 17. 18. 30 28 29 26 19. 27 20. 21. 22. 23. 24. 25. 26. I 18 26 19 25 24 23 27. 28. 29. 30. 20 Biceps brachii m. Brachialis m. Brachioradialis m. Extensor carpi radialis longus m. Extensor carpi radialis brevis m. Extensor digitorum m. Extensor carpi ulnaris m. Anconeus m. Extensor digiti minimi m. Abductor pollicis longus m. Extensor pollicis brevis m. Extensor pollicis longus m. (tendon) Extensor indicis m. (tendon) Adductor pollicis m. Dorsal interosseous m. I Abductor digiti minimi m. 21 18 H 22 19 E G 10 12 17 Page 20 A25LAB EXERCISES: UPPER LIMB MUSCLES LAB ASSIGNMENT 3: UPPER LIMB MUSCLE IDENTIFICATION (MODELS) FOREARM & HAND ANTERIOR ASPECT 32 K 40 31b 29 37 38 39 36 35 34 33 31a 25 10. 12. 13. 14 15. 16. 17. 25. 29. 31. 16 15 14 17 13 F F. Humerus: medial epicondyle J. Flexor retinaculum K. Sheath of long flexor tendons in digits 12 10 32. 33. 34. 35. 36. 37. 38. 39. 40. Biceps brachii m. Brachialis m. Pronator teres m. Flexor carpi radialis m. Palmaris longus m. Flexor carpi ulnaris m. Brachioradialis m. Extensor pollicis brevis m. (tendon) Dorsal interosseous m. I Flexor digitorum superficialis m. a. muscle fibers b. tendons Flexor digitorum profundus m. (tendons) Opponens pollicis m. Abductor pollicis brevis m. Flexor pollicis brevis m. Adductor pollicis m. Flexor pollicis longus m. (tendon) Abductor digiti minimi m. Flexor digiti minimi brevis m. Lumbricales mm. 1-4 A25LAB EXERCISES: UPPER LIMB MUSCLES Page 21 LAB ASSIGNMENT 4: UPPER LIMB MUSCLE IDENTIFICATION (CADAVERS) The following is a checklist of muscles that you will identify on the prosected cadavers or upper limb specimens. Please note that not every muscle will be visible on every cadaver or specimen. It depends upon the cadaver orientation and the dissection. (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) (26) (27) (28) (29) (30) (31) (32) (33) Pectoralis major Pectoralis minor Serratus anterior Trapezius Latissimus dorsi Rhomboid major Rhomboid minor Teres major Teres minor Infraspinatus Supraspinatus Subscapularis Deltoid Biceps brachii Coracobrachialis Brachialis Triceps brachii Pronator teres Flexor carpi radialis Palmaris longus Flexor carpi ulnaris Flexor digitorum superficialis Flexor digitorum profundus Flexor pollicis longus Brachioradialis Extensor carpi radialis longus Extensor carpi radialis brevis Extensor digitorum Extensor digiti minimi Extensor carpi ulnaris Anconeus Thenar muscles Hypothenar muscles Page 22 A25LAB EXERCISES: UPPER LIMB MUSCLES LAB ASSIGNMENT 5: UPPER LIMB MUSCLES: GENERAL ORGANIZATION The deep fascia organizes the arm and forearm muscles into muscular compartments. In general, the muscles in each compartment share the same embryological origins, functions, nerve supply, and blood supply. Study the following diagrams carefully. A25LAB EXERCISES: UPPER LIMB MUSCLES Page 23 Page 24 A25LAB EXERCISES: UPPER LIMB MUSCLES A25LAB EXERCISES: UPPER LIMB MUSCLES Page 25 Page 26 A25LAB EXERCISES: UPPER LIMB MUSCLES