Escolar Documentos
Profissional Documentos
Cultura Documentos
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
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
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
anterior nerves
Three
ANTERIOR POSTERIOR NERVES M-C, ulnar, median MOVEMENT Flexion MUSCLES TWIST Biceps, flexors Flexors from medial epicondyle Radial Extension Triceps, extensors Extensors from lateral epicondyle
Bicepsanterior compartment, flexion (M-C n.) Tricepsposterior compartment, extension (radial n.)
Anterior View
Posterior View
Biceps brachialis
Median
nerve
Ulnar
nerve
POSTERIOR MUSCLES
Muscles
(radial nerve)
Dermatomes extend over limbs Named nerves generally innervate skin over muscles that they innervate
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)
Median Nerve
Ulnar Nerve Brachial Artery Musculocutaneous Nerve UlnarArtery
Radial Artery
Median Nerve
Ulnar Nerve
Brachial Artery Median Nerve Medial = Pronator teres Lateral = Brachioradialis Superior = Line between epicondyles
Boundaries
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)