Trail Guide to the Body Chapter 2 AOIN

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Rhomboid Major Innervation

Dorsal scapular nerve (C4, C5)

Rhomboid Minor Innervation

Dorsal scapular nerve (C4, C5)

Serratus Anterior Origin

External surfaces of upper eight or nine ribs

Subclavius Origin

First rib and cartilage

Biceps Brachii Actions

Flex elbow. Supinate forearm. Flex shoulder.

Coracobrachialis Actions

Flex shoulder. Adduct shoulder.

Brachialis Action

Flex the elbow (humeroulnar joint)

Brachioradialis Actions

Flex the elbow (humeroulnar joint), assist to pronate/supinate the forearm when these movements are resisted

Anconeus Insertion

Olecranon process and posterior, proximal surface of ulna

Brachioradialis Origin

Proximal 2/3 of lateral supracondylar ridge of humerus

Subscapularis Origin

Subscapular fossa of scapula

Flexor digitorum profundus Action

flex the 2nd-5th fingers (metacarpophalangeal and distal interphalangeal joints)

Flexor digitorum superficialis Action

flex the 2nd-5th fingers (metacarpophalangeal and distal interphalangeal joints)

Flexor carpi radialis Action

flexes and abducts wrist (radiocarpal joint), and may assist to flex elbow

Palmaris longus Insertion

flexor retinaculum and palmar aponeurosis

Flexor carpi ulnaris Insertion

pisiform, hook of hamate, base of 5th metacarpal

Latissimus Dorsi Innervation

thoracodorsal nerve (C6,7,8)

Deltoid innervation

Axillary nerve (C5, C6)

Teres Minor Innervation

Axillary nerve (C5, C6)

Extensor carpi ulnaris Origin

Common extensor tendon from the lateral epicondyle of humerus

Flexor carpi ulnaris Origin

Humeral head: common flexor tendon of medial epicondyle of humerus Ulnar head: posterior surface of proximal two thirds of ulna

Extensor digitorum Innervation

Radial C6,7,8

Brachioradialis Insertion

Styloid process of radius

Subclavius Innervation

Subclavian nerve (C5, C6)

Extensor carpi radialis brevis Insertion

base of 3rd metacarpal

Serratus Anterior Actions

Abduct scapula. Upwardly rotate scapula. Depress scapula. Hold medial border of scapula again rib cage. With scapula fixed, may assist to elevate thorax during forced inhalation.

Supraspinatus Actions

Abduct shoulder. Stabilize head of humerus in glenoid cavity.

Trapezius Innervation

Accessory nerve (Cranial nerve 11) and ventral ramus (C2,3,4)

Rhomboid Major Actions

Adduct scapula. Elevate scapula. Downwardly rotate scapula.

Triceps Brachii Actions

All heads: extend elbow Long head: extend shoulder, adduct shoulder

Extensor digitorum Insertion

Bases of middle and distal phalanges of 2nd-5th fingers

Levator Scapula Innervations

Cervical nerve (3,4) and Dorsal scapular nerve (C4,5)

Extensor carpi radialis brevis Origin

Common extensor tendon from the lateral epicondyle of humerus

Extensor digitorum Origin

Common extensor tendon from the lateral epicondyle of humerus

Pronator teres Origin

Common flexor tendon from medial epicondyle of humerus and coronoid process of the ulna

Coracobrachialis Origin

Coracoid process of scapula

Pectoralis Major Insertion

Crest of greater tubercle of humerus

Subclavius Actions

Depress clavicle and draw it anteriorly. Elevate first rib (to assist during inhalation). Stabilize sternoclavicular joint.

Infraspinatus Insertion

Greater tubercle of humerus

Teres Minor Insertion

Greater tubercle of humerus

Supraspinatus Insertion

Greater tubercle of humerus.

Teres Major Origin

Inferior angle of scapula. Lower 1/3 of lateral border of scapula.

Latissimus Dorsi Origin

Inferior angle of scapula. Spinous process of T6-T12. Last three or four ribs. Thoracolumbar aponeurosis. Posterior iliac crest.

Infraspinatus Origin

Infraspinatus fossa of scapula

Latissimus Dorsi Insertion

Intertubercular groove of the humerus.

Trapezius Insertion

Lateral 1/3 of clavicle. Acromion. Spine of scapula.

Supinator Origin

Lateral epicondyle of humerus, radial collateral ligament, annular ligament and supinator crest of the ulna

Pronator Quadratus Insertion

Lateral, anterior surface of distal radius

Infraspinatus Actions

Laterally rotate shoulder. Adduct shoulder. Stabilize head of humerus in glenoid cavity.

Subscapularis Insertion

Lesser tubercle of humerus

Rhomboid Major Insertion

Medial border of scapula between the spine of scapula and inferior angle

Levator Scapula Insertion

Medial border of scapula, between superior angle and superior portion of spine of scapula

Pectoralis Major Origin

Medial half of clavicle. Sternum. Cartilage of 1-6 ribs.

Pectoralis Minor Innervation

Medial pectoral nerve with some fibers coming from branch of lateral pectoral nerve (C6,7,8, and T1)

Coracobrachialis Insertion

Medial surface of mid-humeral shaft

Pronator Quadratus Origin

Medial, anterior surface of distal ulna

Biceps Brachii Innervation

Musculocutaneous nerve (C5, C6)

Brachialis Innervation

Musculocutaneous nerve (C5, C6)

Extensor indicis Origin

Posterior surface of distal shaft of ulna and interosseous membrane

Pronator Quadratus Action

Pronate the forearm (radioulnar joints)

Pronator teres Actions

Pronate the forearm (radioulnar joints), assist to flex the elbow (humeroulnar joint)

Biceps Brachii Origin

Short head: coracoid process of scapula Long head: supraglenoid tubercle of scapula

Flexor digitorum superficialis Insertion

Sides of middle phalanges of second through fifth fingers

Rhomboid Minor Origin

Spinous processes of C7-T1

Supinator Action

Supinate the forearm (radioulnar joints)

Supraspinatus Innervation

Suprascapular nerve (C4,5,6)

Extensor indicis Insertion

Tendon of the extensor digitorum at the level of the 2nd metacarpal

Levator Scapula Origin

Transverse processes of first through fourth cervical vertebrae

Biceps Brachii Insertion

Tuberosity of radius. Aponeurosis of biceps brachii.

Teres Minor Origin

Upper 2/3 of lateral border of scapula

Pectoralis Major Innervation

Upper Fibers: Lateral pectoral nerve (C5, 6, 7) Lower Fibers: Lateral and medial pectoral nerve (C6, 7, 8, T1)

Subscapularis Innervation

Upper and lower subscapular nerves (C5,6,7)

Flexor carpi radialis Insertion

base of 2nd and 3rd metacarpals

Extensor carpi radialis longus Insertion

base of 2nd metacarpal

Extensor carpi ulnaris Insertion

base of 5th metacarpal

Flexor digitorum profundus Insertion

bases of distal phalanges, palmar surface of digits 2-5

Extensor indicis Action

extend and adduct the 2nd finger (metacarpophalgeal joint), and may assist to extend wrist (radiocarpal joint)

Flexor digitorum profundus Innervation

2nd & 3rd Fingers: Median C7, 8, T1 4th & 5th Fingers: Ulnar C7, 8, T1

Pectoralis Minor Origin

3, 4, and 5 ribs

Rhomboid Minor Actions

Adduct scapula. Elevate scapula. Downwardly rotate scapula.

Pectoralis Major Actions

Adduct shoulder. Medially rotate shoulder. Assist to elevate thorax during forced inhalation (with arm fixed). Flex shoulder. Horizontally adduct shoulder. Extend shoulder.

Deltoid Actions

All fibers: abduct shoulder Anterior fibers: flex shoulder, medially rotate shoulder, horizontally adduct shoulder Posterior Fibers: extend shoulder, laterally rotate shoulder, horizontally abduct shoulder

Flexor digitorum profundus Origin

Anterior and medial surfaces of proximal 3/4 of ulna

Serratus Anterior Insertion

Anterior surface of medial border of scapula

Supinator Insertion

Anterior, lateral surface of proximal 1/3 of radial shaft

Flexor digitorum superficialis Origin

Common flexor tendon on the medial epicondyle, ulnar collateral ligament, coronoid process, interosseous membrane, and proximal shaft of radius

Teres Major Insertion

Crest of lesser tubercle of humerus.

Deltoid Insertion

Deltoid tuberosity

Pectoralis Minor Actions

Depress scapula. Abduct scapula. Downwardly rotate scapula. With scapula fixed, assist to elevate thorax during forced inhalation.

Brachialis Origin

Distal half of anterior surface of humerus

Levator Scapula Actions

Elevate scapula. Downwardly rotate scapula. Laterally flex head and neck. Rotate head and neck to same side. Extend head and neck.

Extensor carpi radialis brevis Action

Extend and abduct wrist (radiocarpal joint), assist to flex elbow (humeroulnar joint)

Extensor carpi radialis longus Action

Extend and abduct wrist (radiocarpal joint), assist to flex elbow (humeroulnar joint)

Latissimus Dorsi Actions

Extend shoulder. Adduct shoulder. Medially rotate shoulder.

Teres Major Actions

Extend shoulder. Adduct shoulder. Medially rotate shoulder.

Anconeus Action

Extend the humeroulnar joint

Trapezius Origin

External occipital protuberance. Medial portion of superior nuchal line of occiput. Ligamentum nuchae. Spinous processes of C7-T12.

Subclavius Insertion

Inferior surface of middle 1/3 of clavicle

Deltoid Origin

Lateral 1/3 of clavicle. Acromion. Spine of scapula.

Teres Minor Actions

Laterally rotate shoulder. Adduct shoulder. Stabilize head of humerus in glenoid cavity.

Triceps Brachii Origin

Long head: Infraglenoid tubercle of scapula Lateral head: Posterior surface of proximal half of humerus Medial head: Posterior surface of distal half of humerus

Serratus Anterior Innervation

Long thoracic nerve (C5,6,7,8)

Teres Major Innervation

Lower subscapular nerve (C5,6,7)

Pectoralis Minor Insertion

Medial surface of coracoid process of the scapula

Subscapularis Actions

Medially rotate shoulder. Stabilize head of humerus in glenoid cavity.

Pronator teres Innervation

Median nerve (C6, C7)

Palmaris longus Innervation

Median nerve (C6, C7, C8, T1)

Flexor carpi radialis Innervation

Median nerve (C6,7,8)

Pronator Quadratus Innervation

Median nerve (C7 , C8, T1)

Flexor digitorum superficialis Innervation

Median nerve (C7, C8, T1)

Pronator teres Insertion

Middle of lateral surface of radius

Coracobrachialis Innervation

Musculocutaneous nerve (C6, C7)

Triceps Brachii Insertion

Olecranon process of ulna

Anconeus Innervation

Radial C7, 8

Brachioradialis Innervation

Radial nerve (C5, C6)

Supinator Innervation

Radial nerve (C5,6,7)

Extensor carpi radialis brevis Innervation

Radial nerve (C6, 7, 8)

Extensor carpi ulnaris Innervation

Radial nerve (C6, 7, 8)

Extensor indicis Innervation

Radial nerve (C6, 7, 8)

Triceps Brachii Innervation

Radial nerve (C6, C7, C8, and T1)

Extensor carpi radialis longus Innervation

Radial nerve - C5, 6, 7, 8

Rhomboid Major Origin

Spinous processes of T2-T5

Infraspinatus Innervation

Suprascapular nerve (C4,5,6)

Supraspinatus Origin

Supraspinatus fossa of scapula.

Palmaris longus Action

Tense the palmar fascia Flex the wrist May assist to flex the elbow

Brachialis Insertion

Tuberosity and coronoid process of ulna

Flexor carpi ulnaris Innervation

Ulnar nerve (C7, C8, T1)

Trapezius Actions

Upper fibers: extend head and neck, laterally flex H and N to same side, rotate H and N to opposite side, elevate scapula, upwardly rotate scapula. Middle fibers: adduct scapula, stabilize scapula. Lower fibers: depress scapula, upwardly rotate scapula.

Rhomboid Minor Insertion

Upper portion of medial border of the scapula, across from spine of scapula

Flexor carpi radialis Origin

common flexor tendon on medial epicondyle of humerus

Palmaris longus Origin

common flexor tendon on medial epicondyle of humerus

Extensor carpi radialis longus Origin

distal 1/3 of lateral supracondylar ridge of humerus

Extensor digitorum Action

extend the 2nd-5th fingers (metacarpophalangeal and interphangeal joints)

Extensor carpi ulnaris Action

extends and adducts wrist (radiocarpal joint)

Flexor carpi ulnaris Action

flexes and adducts radiocarpal joint, assists to flex the elbow

Anconeus Origin

lateral epicondyle of humerus


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