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Departement of Anatomy

Medical Faculty of North Sumatra University

Muscle crosses joint


Origin is usually proximal and insertion is
usually distal
Origin is considered fixed in analyzing
muscle action
Muscle action (concentric) is given by
movement of insertion relative to origin
across joint
Remember:

Sometimes insertion might be fixed


Muscle may be active isometrically and
concentrically giving different real function during
real activity

Muscles of Scapula
If INSERTION on
scapula, muscle moves
scapula

Trapezius
Rhomboids
Pectoralis Minor
Serratus Ventralis
Levator Scapulae

If ORIGIN on scapula, muscle


moves arm
Teres Major
Latissimus Dorsi (partially on scapula)

Supraspinatus
Infraspinatus
Teres minor
Subscapularis

Muscles originate on fossae of scapula


Help support open socket of shoulder joint
Insert around ball of femur
Medial and lateral rotation of upper limb
Typical baseball pitcher injury

Region between arm and chest


Boundaries
Ventral

- pectoral muscles
Dorsal = latissimus dorsi, teres major
subscapularis
Medial = serratus ventralis
Lateral = bicipital groove of humerus

Contents
Axillary

nerves and blood vessels


Axillary lymph nodes
Brachial plexus

Posterior Compartmentposterior cord


Anterior compartmentmedial, lateral cords
Name of cord is relative to axillary artery

One posterior nerve


Radial

n.

Three anterior nerves


Musculocutaneous
Median
Ulnar

n.

n.

n.

Bicepsanterior compartment, flexion (M-C n.)


Tricepsposterior compartment, extension (radial n.)

Anterior Compartment Forearm--flexors


MedialEpicondyle
Brachioradialis
PronatorTeres
FlexorCarpiRadialis
FlexorCarpiUlnaris
FlexorRetinaculum

AnteriorView

FlexorDigitorumSuperficialisisdeepto
otherflexors

Posterior Compartment of Forearm--extensors

LateralEpicondyle

Extensordigitorum
Extensorcarpiulnaris

PosteriorView

Brachioradialis
ExtCarpiRadialisLongus

ANTERIOR MUSCLES
M-C nerve
Biceps
brachialis

Median nerve
Forearm

flexors
Thumb intrinsics (1M$ nerve)

Ulnar nerve
Flexor

carpi ulnaris
Hand intrinsics

POSTERIOR MUSCLES

Muscles (radial nerve)


Triceps
Anconeus
Brachioradialis
Carpal,

digit extensors

Dermatomes
extend over limbs
Named nerves
generally innervate
skin over muscles
that they innervate

Frolich,HumanAnatomy,UpprLimb

M-C: between biceps brachii and brachialis


Median: medial/posterior to biceps,
branches into forearm flexors at elbow then
to hand through carpal tunnel
Ulnar: medial in arm, posterior to medial
epicondle of humerus (funny bone) down
medial forearm medial to carpal tunnel into
palm
Radial: deep posterior arm around lateral
epicondyle of humerus to forearm (deep and
superficial branches)

MedianNerve
UlnarNerve
BrachialArtery
MusculocutaneousNerve

UlnarArtery

RadialArtery

MedianNerve

UlnarNerve

Biceps + Triceps
brachii
Olecranon Process
Medial Epicondyle
Cubital Fossa

Anterior surface elbow


Contents

Brachial Artery
Median Nerve

Boundaries

Medial = Pronator teres


Lateral = Brachioradialis
Superior = Line between
epicondyles

Carpal Tunnel
Carpals concave anteriorly
Carpal ligament covers it
Contains: long tendons,
Median nerve
Inflammation of tendons =
compression of Median
nerve
Anatomical Snuffbox
Lateral = E.pollicis brevis
Medial = E. pollicis longus
Floor = scaphoid, styloid of
radius
Contains Radial Artery
(pulse)

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