Muscle Pectoralis

Origin Clavicular head (anterior surface of medial half of clavicle); Sternocostal head (anterior surface of sternum); first seven costal cartilages; sternal end of

Insertion Action lateral lip of flexion, extension, intertubercul adduction & medial ar sulcus of rotation of arm at GH humerus coracoid process of joint stabilise the scapula on

Major Pectoralis

sixth rib ribs 3-5

Minor Serratus

ribs 1-8 close to the costal

the scapula medial

anterior Latissimus

cartilages spinous processes of lower six thoracic vertebrae and related interspinous

dorsi Teres Major

ligaments elongate oval area on the

the thorax protraction and lateral rotation of the scapula border of the and it holds the scapula on the scapula thoracic wall floor of adduction, medial rotation and intertubercul extension of the arm at ar sulcus GH joint medial lip of medial the intertubercul rotation and

posterior surface of the

ar sulcus on extension of the anterior surface of arm at GH

inferior angle of the scapula

the humerus joint

Biceps Brachii

it has got two points of origin: the long head (supraglenoid tubercle of scapula) and short head (apex of coracoid process) long head: infragleoid tubercle of scapula, lateral head: shaft of humerus superior to groove, medial head: inferior to groove inferior edge of crest of the spine of the scapula; lateral margin of the acromion; anterior border of lateral 1/3 of clavicle one of the rotator cuff muscles one of the rotator cuff

tuberosity of flexion of radius and on bicipital forearm at supination of other tendon elbow joint, aponeurosis forearm olecranon extends forearm at elbow abduction of

Triceps

Deltoid

deltoid tuberosity of humerus

Supraspinatus

Infraspinatous Teres Minor

muscles one of the rotator cuff muscles medial 2/3 of subscapular

Subscapularis

lesser tubercle of

arm abduction of GH joint with deltoid lateral rotation of GH joint lateral rotation of GH joint medial rotation of arm at GH joint flexion of arm at GH

fossa humerus Coracobrachiali apex of coracoid process (like midshaft of

s Brachialis

short head of biceps) distal half of anterior aspect

humerus coronoid process of

joint major flexor

Brachioradialis

of humerus proximal part of lateral supraepicondylar ridge of humerus and adjacent intermuscular septum

ulna of elbow lateral accessory surface of flexor of distal end of radius elbow

MUSCLES OF Pronator Teres SUPERFICIA L LAYER OF FLEXOR COMPARTME NT OF FOREARM muscle) Flexor Carpi Radialis Flexor Carpi Ulnaris Palmaris Longus (absent in some people) Flexor digitorum (rectangular

medial epicondyle

midshaft of

Median

medial epicondyle

medial epicondyle

radius base of metacarpals 2 and 3 pisiform

Nerve Median Nerve ulnar nerve

medial epicondyle

MUSCLE OF INTERMEDIA TE LAYER OF FLEXOR COMPARTME NT OF FOREARM MUSCLES OF DEEP LAYER OF FLEXOR COMPARTME NT OF FOREARM

humero-ulnar head: medial

bone palmar Median aponeurosis of hand Nerve one tendon Median on each

epicondyle superficialis (four tendons) Flexor digitorum profundus (four tendons) Flexor Pollicis membrane

radial head:

finger's middle

anterior oblique line of radius phalange ulna and interosseous palmar

longus Pronator

EXTENSOR COMPARTME NT OF FOREARM

quadratus same basic arrangement as flexor muscles

Nerve lateral half by anterior surfaces of interosseous branch of distal median nerve phalanges of medial half by ulnar each finger nerve anterior interosseous nerve of median nerve anterior interosseous nerve of median nerve blood posterior supply: posterior interosseous interosseous artery nerve

EXTRINSIC long flexors MUSCLES OF THE HAND for power grip long extensors

forearm

hand

median /

forearm

hand

INTRINSIC MUSCLES OF

hypothenar muscles (flexor digit minimi, minimi, opponens digiti

hand

hand

ulnar nerve posterior interosseous branch of radial nerve ulnar nerve

THE HAND - abductor digiti for pinch grip

minimi) thenar muscles hand (flexor pollicis brevis, abductor pollicis brevis, opponens pollicis) lumbricals (4)

hand

Median

Nerve radial side of

fingers palmar interossei (4) dorsal interossei (4) ulnar nerve

ulnar nerve

Innervation Sternocostal head is innervated by C8 and T1, medial pectoral nerve and Clavicular head is innervated by C5,6,7, lateral pectoral nerves medial pectoral nerve C8 and T1 long thoracic

nerve C5-C7 thoracodorsa l nerve, C6,7,8 lower subscapular nerve, C5 and C6

musculocuta neous nerve C5,6,7 Radial Nerve, C5T1 axillary nerve C5 and C6 C5 and C6

upper and lower subscapular nerve, C5 and C6 musculocuta neous nerve C5,6,7 musculocuta neous nerve C5,6,7 Radial Nerve, C5T1

Pronation

flexion and abduction of the wrist flexion and adduction of the wrist flexion of wrist joint flexion of metacarpoph alangeal joints flexion of distal interphalang eal joints flexion of thumb, holding grip Pronation

extension

power grip

power grip

pinch grip

pinch grip

flex mp joints and extend ip joints and work together --> salut movement adduction (PAD) of fingers abducton (DAB) of fingers