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MUSCLE Pectoralis Major ORIGIN INSERTION ACTION NERVE medial half of clavicle; Sternum; upper six costal cartilages Lateral lip of intertubercular horizontal adduction groove of humerus Medial and lateral pectoral nerves External surfaces of ribs 3-5 Coracoid process of the scapula Raises ribs in forced inspiration; draws scapula forward and downward Medial and lateral pectoral nerves Lateral third of clavicle; acromion and crest of spine of scapula; Inner/medial aspect of the spine of the scapula Shrugging the shoulders Accessory (eleventh cranial) Pectoralis Minor Trapezius Latissimus Dorsi Levator Scapulae External occipital protuberance; ligamentum nuchae; Spinous processes and surpraspinous ligaments of C7 and all thoracic vertebrae Spinous processes of lower six thoracic vertebrae; Lumbar vertebrae, sacral vertebrae, supraspinous ligament; Posterior part of iliac crest; lower three or four ribs; Inferior angle of the scapula Posterior tubercles of transverse processes of C1-C4 Extends and hyperextends the arm, drawing shoulder Bottom of intertubercular downward and backward; Extends, groove adducts and medially rotates the arm Thoracodorsal (C6-C8) Superior angle of scapula Dorsal scapular Elevates scapula (synergist) Rhomboid Major Rhomboid Minor Spines of thoracic vertebrae 2-5; Supraspinous ligament Medial border of the scapula below the spine Retracts and stabilizes scapula Dorsal scapular Spines of c7 and T1; Lower part of ligamentum nuchae Medial border of the scapula at the root of spine Retracts and stablizes scapula Dorsal scapular Outer surface of first 8-9 ribs Anterior surface of medial border of scapula Holds scapula in place against posterior thoracic wall Long Thoracic Anterior border and superior surface of lateral third of clavicle; Lateral border of the acromion process; Lower border of the crest of the spine of the scapular Deltoid tuberosity Main action: abducts arm; synergist: flexes and medially rotates arm, Extends and laterally rotates arm Axillary (C5, C6) Supraspinous fossa of scapula Superior facet of greater tubercle of humerus Hyperextension of the arm Suprascapular nerve Serratus Anterior Deltoid ROTATOR CUFF (SITS) Supraspinatus (rotator cuff) Infraspinatus (rotator cuff) Infraspinous fossa of scapula Middle facet of the greater tubercle of humerus Lateral rotation of the arm, synergist to abduction of arm Suprascapular nerve (C5, C6) Upper 2/3 of the posterior surface of the lateral border of the scapula Lower facet of the grater tubercle of humerus Laterally rotates arm (synergist); weak synergist to adduction of arm Axillary Subscapular fossa on the anterior surface of scapula Lesser tubercle of humerus Internal rotation of the arm Upper and lower subscapular nerves (C5, C6) Lower third of the posterior surface of the lateral border of the scapular, near inferior angle Syngergist to Medial lip of latissimus dorsi: intertubercular Adducts arm, extends arm, medially rotates groove arm Teres Minor (rotator cuff) Subscapularis (rotator cuff) Teres Major Lower subscapular nerve Brachialis Anterior of lower half of humerus Coronoid process of ulna; ulna tuberosity Primary forearm flexor Musculocutaneous Two heads: Supraglenoid tubercle of scapulus & coracoid process of scapula Radial tuberosity; bicipital aponeurosis into deep fascia on medial side of forearm Supinates forearm in flexion; weak forearm flexor Musculocutaneous Tip of coracoid process of scapula Middle third of the medial surface of border of humerus Flexor of humerus at shoulder joing Musculocutaneous Long head: infraglenoid tubercle of scapula; Lateral head: upper half of posterior surface of humerus; Medial head: posterior surface of lower half of humerus (buried) Posterior part of olecranon process of ulna Extends forearm; long head aids in addution if arm is abducted Radial nerve Biceps Brachii Coracobrachialis Triceps Brachii Superficial GROUP Pronator Teres (superficial group) Flexor carpi radialus (superficial group) Humeral head- medial supracondylar ridge and medial epicondyle of humerus; Ulnar headmedial border of the coronoid prrocess of ulna Middle of lateral surface of the radius (pronator tuberosity) Pronates and flexes forearm Median nerve Medial epicondyle of the humerus through common tendon (flexor pronator tendon) Front of the bases of the second and third metacarpal bones Flexes hand; radial deviation Median nerve Medial epicondyle of the humerus through common tendon (flexor pronator tendon) Front of flexor retinaculum and apex of palmar aponeurosis Flexes the hand; makes a tight fist Median nerve Humeral head- medial epicondyle of humerus; Ulnar headmedial margin of olecranon process of ulna, dorsal border of shaft of ulna Pisiform bone; hook of hamate; base of fifth metacarpal Flexes hand; ulnar deviation Ulnar nerve Palmaris Longus (superficial group) Flexor carpi ulnaris (superficial group) Flexor Digitorum Superficialis (Intermediate grp) Flexor Digitorum Profundus (deep) Medial epicondyle of humerus through common tendon; medial margin of coronoid process of ulna; anterior shaft of radius Four tendons split and connect at middle phalanges of four fingers Upper anterior & medial shaft of ulna and medial coronoid process, interosseous membrane Front of base of distal phalanges of fingers 2-5 Middle of anterior surface of shaft of radius, interosseous membrane, Palmar aspect of base of distal phalanx of thumb Primary: flexion of digits. Flexes carpal region, MCPs & PCPs of digits 2-5. Median nerve Flexes distal phalanges (DIPS). Synergist to MCPs & PIPs Anerior Interosseus/Ulnar (digit flexion backup for median nerve) Flexes the thumb Anterior interosseous (branch of median) Flexor Pollicis Longus Three muscles in Anterior compartment of forearm but no action on digits: Pronator Quadratus Anterior surface of distal part of shaft of ulna Lower portion of anterior surface of shaft of radius, distal part of lateral border of radius Pronates forearm and hand; works with Pronator teres for full pronation. Anterior interosseous (branch of median) Lateral epicondyle of humerus; supinator crest and foss of ulna Posterior and lateral surfaces of upper third of radius suppinates forearm; antagonist of pronator teres and pronator quadratus; supinator when in extension, syngergist in flexion Radial nerve (because origin off lateral condyle) Upper 2/3 of lateral supracondylar ridge of humerus Base of styloid process and lateral surface of radius Radial nerve Flexes forearm (elbow flexion (synergist to brachialis) backup) Supinator Brachioradialis Posterior Compartment of forearm Extensor Carpi Radialis (Brevis3 & Longus2) Lateral supracondylar Dorsal surface of 2nd and 3rd ridge and epicondyle of metacarpals humerus extends hand; synergist in radial deviation with flexor carpi radialis; antagonist to FCR for extension/flexion Radial Extensor Carpi Ulnaris Extensor Digitorum Communis Common tendon attached to lateral epicondyle of humerus Dorsal surface of base of 5th metacarpal bone Extends hand; synergist in ulnar deviation with flexor carpi ulnaris Radial nerve (because origin off lateral condyle) Common tendon attached to lateral epicondyle of humerus Lateral and dorsal surfaces of all phalanges of four fingers Extends the fingers and wrist; extension expansion joint at distal phalanges Radial nerve (because origin off lateral condyle) Posterior surface of ulna and adjacent part of interosseous membrane Extensor expansion on dorsal surface of proximal phalanx of index finger Extends index finger Radial Common tendon attached to lateral epicondyle of humerus Dorsal surface of base of first phalanx of fifth finger Extends fifth finger (pulls out of opposition) Radial nerve Extensor Indicis Extensor Digiti Minimi Abductor Pollicis Longus Dorsal surface of shaft or radius, ulna, interosseous membrane Dorsal surface of base of first metacarpal bone Abducts thumb & wrist Radial Dorsal surface of radius, adjacent part of interosseous membrane Base of proximal phalanx of thumb Extends thumb Radial Base of distal phalanx of thumb Extends thumb Radial lateral aspect of base of proximal phalanx of thumb Abducts thumb (with Abductor Pollicis Longus) and opposes thumb to other fingers Median Medial and lateral aspect of base of proximal phalanx of thumb Flexes MCP joint of thumb, opposes thumb Median/Ulnar Rotates thumb into opposition, primary thumb opposer; separates us from animals Median adducts thumb Ulnar! Extensor Pollicis Brevis Extensor Pollicis Longus Abductor pollicis Brevis (thenar eminence) Flexor Pollicis Brevis (thenar eminence) Opponens Pollicis (thenar eminence) Adductor Middle third of dorsal surface of ulna, interosseous membrane Tubercle of scaphoid, tubercle of trapezium, flexor retinaculum Flexor retinaculum and trapezium, first metacarpal bone Flexor retinaculum, tubercle of trapezium Anterior Lateral border of first metacarpal bone, wraps around entire lateral border Medial side of Pollicis Abductor Digiti Minimi (Hypothenar eminence) Flexor Digiti Minimi (Hypothenar eminence) Opponens Digiti Minimi (Hypothenar eminence) Lumbricales Palmar Interossei (PAD) Dorsal Interossei (DAB) surface of 2 &3 metacarpals, capitate, trapezoid Pisiform bone, tendon of flexor carpi ulnaris Anterior surface of flexor retinaculum, hook of hamate Flexor retinaculum, hook of hamate JUST KNOW: Synergist to PIP & MCP function Palmer surface of metacarpals: ADducts digits between 2-3, 3-4, 4-5; Dorsal surface between metacarpals; ABducts between 2-3 and 3-4 digits proximal phalanx of thumb Medial side of proximal phalanx of fifth finger Abducts fifth finger Medial side of base of proximal phalanx of fifth finger Flexes fifth finger (extrinisic muscles, Flexor Digitorum Ulnar Profundus/Superficialis are stronger flexers) Whole length of medial border of fifth metacarpal bone rotates fifth metacarpal bone, flexing fifth finger Ulnar Ulnar