Anatomy of Joint Positions

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Questions and Answers

Which muscle is primarily responsible for elevating the scapula?

  • Rhomboid Major
  • Latissimus Dorsi
  • Trapezius
  • Levator Scapulae (correct)

What is the distal attachment of the Latissimus Dorsi muscle?

  • Acromion
  • Lateral third of clavicle
  • Medial border of scapula
  • Floor of intertubercular sulcus of humerus (correct)

Which nerves are responsible for the innervation of the Trapezius muscle?

  • Dorsal scapular nerve
  • Spinal Accessory nerve and spinal nerves C3 and C4 (correct)
  • Thoracodorsal nerve
  • Cervical nerves C1 and C2

What action does the descending part of the Trapezius muscle perform?

<p>Elevates scapula (C)</p> Signup and view all the answers

Which muscle acts to adduct and medially rotate the humerus?

<p>Latissimus Dorsi (C)</p> Signup and view all the answers

Which of the following muscles acts to rotate the glenoid cavity superiorly?

<p>Trapezius (descending and ascending parts) (A)</p> Signup and view all the answers

What is the primary role of the Rhomboid Minor?

<p>Retracting the scapula (D)</p> Signup and view all the answers

Which of the following is NOT a proximal attachment site for the Trapezius muscle?

<p>Lateral third of clavicle (D)</p> Signup and view all the answers

What is the primary action of the Flexor Carpi Radialis (FCR)?

<p>Flexes and abducts hand at the wrist (A)</p> Signup and view all the answers

Which nerve innervates the Palmaris Longus?

<p>Median nerve (C)</p> Signup and view all the answers

What is the distal attachment of the Flexor Carpi Ulnaris?

<p>Pisiform, hook of hamate, and 5th metacarpal (A)</p> Signup and view all the answers

Which muscle primarily flexes the distal phalanges of the 4th and 5th digits?

<p>Flexor Digitorum Profundus (B)</p> Signup and view all the answers

What action does the Flexor Digitorum Superficialis perform primarily?

<p>Flexes the middle phalanges at proximal interphalangeal joints (C)</p> Signup and view all the answers

What is the innervation of the Flexor Pollicis Longus?

<p>Anterior interosseous nerve, from the median nerve (B)</p> Signup and view all the answers

Which muscle is responsible for flexing the hand and tensing the palmar aponeurosis?

<p>Palmaris Longus (B)</p> Signup and view all the answers

Which layer does the Flexor Digitorum Profundus belong to?

<p>Deep layer (A)</p> Signup and view all the answers

What is the primary action of the rhomboid muscles?

<p>Retract the scapula and rotate its glenoid cavity inferiorly (D)</p> Signup and view all the answers

Which nerve innervates the supraspinatus muscle?

<p>Suprascapular nerve (A)</p> Signup and view all the answers

What muscle initiates abduction of the arm?

<p>Supraspinatus (C)</p> Signup and view all the answers

Which of the following muscles does not laterally rotate the arm?

<p>Subscapularis (A)</p> Signup and view all the answers

What is the innervation of the biceps brachii muscle?

<p>Musculocutaneous nerve (D)</p> Signup and view all the answers

Where does the triceps brachii have its proximal attachment?

<p>Infraglenoid tubercle of scapula and posterior surface of humerus (B)</p> Signup and view all the answers

Which muscle's primary action is to supinate the forearm?

<p>Biceps Brachii (D)</p> Signup and view all the answers

What is the function of the coracobrachialis muscle?

<p>Adducts and flexes the arm (A)</p> Signup and view all the answers

Which muscle is primarily responsible for pronating the forearm?

<p>Pronator Teres (B)</p> Signup and view all the answers

What is the primary action of the Pronator Quadratus muscle?

<p>Pronates the forearm (A)</p> Signup and view all the answers

Which muscle has its distal attachment at the base of the 1st metacarpal?

<p>Abductor Pollicis Longus (C)</p> Signup and view all the answers

What nerve innervates the Extensor Pollicis Longus?

<p>Posterior interosseous nerve (D)</p> Signup and view all the answers

Which of the following muscles is responsible for extending the distal phalanx of the thumb?

<p>Extensor Pollicis Longus (B)</p> Signup and view all the answers

Which muscle is located in the superficial layer of the posterior compartment?

<p>Brachioradialis (D)</p> Signup and view all the answers

The Extensor Carpi Radialis Longus primarily acts to do what at the wrist joint?

<p>Extend and abduct the hand (D)</p> Signup and view all the answers

What muscle action is performed by the Extensor Pollicis Brevis?

<p>Extends the proximal phalanx of the thumb (B)</p> Signup and view all the answers

Which muscle's action is maximal when the forearm is in a midpronated position?

<p>Brachioradialis (A)</p> Signup and view all the answers

What is the distal attachment of the Extensor Carpi Radialis Brevis (ECRB)?

<p>Dorsal aspect of base of 3rd metacarpal (D)</p> Signup and view all the answers

Which nerve innervates the Extensor Digiti Minimi (EDM)?

<p>Deep branch of radial nerve (B)</p> Signup and view all the answers

What is the primary muscle action of the Extensor Digitorum?

<p>Extends medial four digits at metacarpophalangeal joints (D)</p> Signup and view all the answers

What is the proximal attachment of the Extensor Carpi Ulnaris (ECU)?

<p>Lateral epicondyle of humerus (B)</p> Signup and view all the answers

Which muscle primarily extends the 5th digit at the metacarpophalangeal joint?

<p>Extensor Digiti Minimi (D)</p> Signup and view all the answers

What action is performed by the Extensor Carpi Ulnaris (ECU) at the wrist joint?

<p>Adduction of the hand (D)</p> Signup and view all the answers

Which muscle is responsible for extending the 2nd digit and aiding in hand extension at the wrist?

<p>Supinator (D)</p> Signup and view all the answers

Which of the following muscles does NOT have its proximal attachment on the lateral epicondyle of the humerus?

<p>Extensor Carpi Ulnaris (D)</p> Signup and view all the answers

What is the primary muscle action of the Extensor Indicis?

<p>Supinates the forearm and rotates the radius (B)</p> Signup and view all the answers

Which nerve innervates the Opponens Pollicis?

<p>Median nerve (C)</p> Signup and view all the answers

What muscle action is associated with the Abductors Pollicis Brevis?

<p>Abducts the thumb (A)</p> Signup and view all the answers

Where is the proximal attachment of the Flexor Digiti Minimi Brevis located?

<p>Hook of hamate and flexor retinaculum (C)</p> Signup and view all the answers

Which muscle assists in the opposition of the 5th digit?

<p>Opponens Digiti Minimi (A)</p> Signup and view all the answers

What is the distal attachment site of the Extensor Indicis?

<p>Extensor expansion of the 2nd digit (D)</p> Signup and view all the answers

What action does the Flexor Pollicis Brevis perform?

<p>Flexes the thumb (D)</p> Signup and view all the answers

Which muscle has its proximal attachment at the posterior surface of the distal third of the ulna?

<p>Extensor Indicis (C)</p> Signup and view all the answers

What forms the posterior boundary of the cubital fossa?

<p>The humerus (A)</p> Signup and view all the answers

Which structure lies anterior to the brachial artery within the cubital fossa?

<p>Median cubital vein (A)</p> Signup and view all the answers

Which muscle primarily contributes to the medial boundary of the cubital fossa?

<p>Pronator teres (C)</p> Signup and view all the answers

What forms the floor of the cubital fossa?

<p>Brachialis and supinator muscles (B)</p> Signup and view all the answers

Which artery is primarily located at the cubital fossa?

<p>Brachial artery (D)</p> Signup and view all the answers

Flashcards

Trapezius Muscle Action

Elevates, depresses, retracts, and rotates the scapula (shoulder blade).

Latissimus Dorsi Function

Extends, adducts, and medially rotates the humerus (upper arm bone).

Levator Scapulae Action

Raises the scapula (shoulder blade) and rotates it.

Trapezius Origin

Upper neck and back (superior nuchal line, spinous processes).

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Latissimus Dorsi Insertion

Back of the upper arm bone (humerus).

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Rhomboid Muscles Attachment

The Rhomboid muscles (minor and major) attach to the spine and the shoulder blade, near the spinal column.

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Trapezius Innervation

Controlled by the spinal accessory nerve and some spinal nerves for sensory feedback.

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Latissimus Dorsi Innervation

Controlled by the thoracodorsal nerve.

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Supraspinatus Proximal Attachment

Supraspinous fossa of scapula.

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Infraspinatus Muscle Action

Laterally rotates the arm.

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Teres Minor Innervation

Axillary nerve (C5, C6).

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Biceps Brachii Short Head Attachment

Tip of coracoid process of scapula.

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Coracobrachialis Muscle Action

Helps flex and adduct the arm, resists shoulder dislocation.

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Brachialis Distal attachment

Coronoid process and tuberosity of ulna.

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Triceps Brachii Long Head Attachment

Infraglenoid tubercle of scapula.

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Pronator Teres Innervation

Median nerve (C6, C7).

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Teres Major Muscle Action

Adducts and Medially rotates the arm.

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Subscapularis Proximal Attachment

Subscapular fossa of scapula (anterior surface).

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ECRB Proximal Attachment

Lateral epicondyle of humerus (common extensor origin)

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ECRB Distal Attachment

Dorsal aspect of base of 3rd metacarpal

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What muscle extends the medial four fingers?

Extensor Digitorum

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Extensor Digitorum Attachment

Lateral epicondyle of humerus; posterior border of ulna via a shared aponeurosis

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EDM Distal Attachment

Extensor expansion of 5th digit

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ECU Action

Extends and adducts hand at wrist joint (also active during fist clenching)

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Supinator Attachment

Lateral, posterior, and anterior surfaces of proximal third of radius

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Deep Layer Muscle Action

Extends 2nd digit (enabling its independent extension); helps extend hand at wrist.

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Pronator Quadratus Action

Pronates the forearm (turns palm down) and helps bind the radius and ulna together.

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Abductor Pollicis Longus - Function

Abducts (moves away from midline) and extends (straightens) the thumb at the carpometacarpal joint.

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Extensor Pollicis Longus Action

Extends the distal phalanx (fingertip) of the thumb at the interphalangeal joint and also helps extend the thumb at other joints.

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Extensor Pollicis Brevis Function

Extends the proximal phalanx (thumb's base) of the thumb at the metacarpophalangeal joint.

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Brachioradialis Action

Weakly flexes the forearm (bends elbow) and is best at this when the forearm is slightly turned.

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Extensor Carpi Radialis Longus Action

Extends (straightens) and abducts (moves away from midline) the hand at the wrist joint, also active during fist clenching.

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Pronator Quadratus Attachment

Distal quarter of anterior surface of ulna (proximal) and distal quarter of anterior surface of radius (distal).

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Extensor Pollicis Longus Attachment

Posterior surface of middle third of ulna and interosseous membrane (proximal) and dorsal aspect of base of distal phalanx of thumb (distal).

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Palmaris Longus Function

The Palmaris Longus muscle helps flex the hand at the wrist and tense the palmar aponeurosis, which is a thick fibrous sheet that supports the palm.

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FCU Insertion

The Flexor Carpi Ulnaris (FCU) muscle attaches to several bones in the wrist: the pisiform, the hook of the hamate, and the base of the 5th metacarpal.

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Flexor Digitorum Superficialis (FDS) Action

This muscle flexes the middle phalanges at the PIP joints of the middle four fingers, and can also help flex the proximal phalanges at the MP joints.

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Flexor Digitorum Profundus (FDP) Innervation

The FDP muscle is innervated by the ulnar nerve, which also provides sensation to the pinky and part of the ring finger.

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Flexor Pollicis Longus (FPL) Action

The FPL muscle flexes the distal phalanx of the thumb, allowing you to bend the tip of your thumb.

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Extensor Indicis Action

Extends the index finger; aids in supination of the forearm and rotation of the radius to turn the palm anteriorly (if elbow is flexed).

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Extensor Indicis Innervation

Innervated by the posterior interosseous nerve, which is a continuation of the deep branch of the radial nerve.

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Opponens Pollicis Action

Opposes the thumb, drawing it medially and rotating it to bring it towards the palm.

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Abductor Pollicis Brevis Action

Abducts the thumb, moving it away from the hand and helping with opposition.

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Flexor Pollicis Brevis Action

Flexes the thumb, bringing it towards the palm.

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Abductor Digiti Minimi Action

Abducts the little finger, moving it away from the hand and helping with flexing its proximal phalanx.

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Flexor Digiti Minimi Brevis Action

Flexes the proximal phalanx of the little finger, bending it towards the palm.

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Opponens Digiti Minimi Action

Draws the little finger medially and rotates it, bringing it into opposition with the thumb.

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What's the cubital fossa?

A triangular space on the anterior elbow, containing vessels and nerves.

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What are the boundaries of the cubital fossa?

Superior: imaginary line between epicondyles. Medial: flexor muscles (pronator teres). Lateral: extensor muscles (brachioradialis).

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What's the floor of the cubital fossa?

Formed by the brachialis and supinator muscles.

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What's the roof of the cubital fossa?

Made of fascia, subcutaneous tissue, and skin.

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What major structures are found in the cubital fossa?

Brachial artery, radial & ulnar arteries, biceps tendon, median nerve, radial nerve.

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Study Notes

Table 1-6: Close-Packed Positions of Joints

  • Zygapophyseal (spine): Extension
  • Temporomandibular: Teeth clenched
  • Glenohumeral: Abduction and external rotation
  • Acromioclavicular: Arm abducted to 90 degrees
  • Sternoclavicular: Arm resting by side
  • Ulnohumeral: Elbow flexed 90 degrees, forearm supinated 5 degrees
  • Radiohumeral: Extension
  • Proximal radioulnar: 5 degrees of supination
  • Distal radioulnar: 5 degrees of supination
  • Radiocarpal (wrist): Extension with radial deviation
  • Metacarpophalangeal: Full flexion
  • Carpometacarpal: Full opposition
  • Interphalangeal: Full extension
  • Hip: Full extension, internal rotation, and abduction
  • Talocrural (ankle): Maximum dorsiflexion
  • Subtalar: Supination
  • Midtarsal: Supination
  • Tarsometatarsal: Supination
  • Metatarsophalangeal: Full extension
  • Interphalangeal: Full extension

Table 1-7: Open-Packed (Resting) Positions of Joints

  • Zygapophyseal (spine): Midway between flexion and extension
  • Temporomandibular: Mouth slightly open (freeway space)
  • Glenohumeral: 55 degrees of abduction, 30 degrees of horizontal adduction
  • Acromioclavicular: Arm resting by side
  • Sternoclavicular: Arm resting by side
  • Ulnohumeral: 70 degrees of flexion, 10 degrees of supination
  • Radiohumeral: Arm resting by side (description, not degrees)
  • Proximal radioulnar: 70 degrees of flexion, 35 degrees of supination
  • Distal radioulnar: 10 degrees of supination
  • Radiocarpal (wrist): Neutral with slight ulnar deviation
  • Carpometacarpal: Midway between abduction-adduction and flexion-extension
  • Metacarpophalangeal: Slight flexion
  • Interphalangeal: Slight flexion
  • Hip: 10-30 degrees of flexion, 10-30 degrees of abduction, and 0-5 degrees of external rotation
  • Talocrural (ankle): 25 degrees of flexion, 10 degrees of plantar flexion, midway between maximum inversion and eversion
  • Subtalar: Midway between extremes of range of movement
  • Midtarsal: Midway between extremes of range of movement
  • Tarsometatarsal: Midway between extremes of range of movement
  • Metatarsophalangeal: Neutral
  • Interphalangeal: Slight flexion

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