Muscles of the upper limb overview - Hard

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Questions and Answers

What is the primary action performed by the supraspinatus muscle in relation to the glenohumeral joint?

  • Flexion
  • Abduction (correct)
  • Internal rotation
  • Extension

Which muscle originates from the infraspinous fossa and is responsible for external rotation of the glenohumeral joint?

  • Supraspinatus
  • Infraspinatus (correct)
  • Teres major
  • Subscapularis

Which of the following statements is true regarding the pectoralis major muscle?

  • It originates from the ribs and sternum and performs adduction and internal rotation (correct)
  • It originates from the first rib to the fourth rib
  • It performs primarily adduction and external rotation
  • It inserts into the crest of the lesser tubercle

What is the insertion point of the teres minor muscle?

<p>Lower facet of the greater tubercle (D)</p> Signup and view all the answers

Which muscle is primarily responsible for internal rotation, adduction, and extension of the glenohumeral joint?

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

Which muscle is responsible for flexion of the distal interphalangeal joint?

<p>Flexor digitorum profundus (C)</p> Signup and view all the answers

What is the primary action of the pronator quadratus?

<p>Pronation of the forearm (B)</p> Signup and view all the answers

Where does the flexor pollicis longus originate?

<p>Anterior surface of the radius (C)</p> Signup and view all the answers

Which statement accurately describes the extensor-supinator muscles?

<p>They are responsible for extension and supination of the forearm. (A)</p> Signup and view all the answers

What keeps the extensor tendons in place at the posterior aspect of the forearm?

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

Which muscle originates from the spinous process of T6 to the crest of the ilium?

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

What action does the flexor carpi radialis perform?

<p>Flexes and abducts the wrist (B)</p> Signup and view all the answers

Which of the following is not a motor muscle of supination?

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

Where does the palmaris longus insert?

<p>Distal half of the flexor retinaculum and palmar aponeurosis (D)</p> Signup and view all the answers

What is the primary action of the flexor digitorum superficialis?

<p>Flexion of the proximal interphalangeal joint (A)</p> Signup and view all the answers

Which muscle is responsible for scapular depression?

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

Which of the following is part of the superficial layer of flexor-pronator muscles?

<p>Flexor carpi radialis (B)</p> Signup and view all the answers

What origin do most flexor muscles share?

<p>Medial epicondyle of the humerus (D)</p> Signup and view all the answers

What is the primary function of the serratus anterior muscle?

<p>Abduction and upward rotation of the scapula (B)</p> Signup and view all the answers

Which ligament connects the medial aspect of the scaphoid bone with the lateral aspect of the lunate bone?

<p>Scapho-lunate ligament (B)</p> Signup and view all the answers

Which component of the trapezius is responsible for upward rotation of the scapula?

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

Which muscle primarily performs depression of the scapula?

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

Where does the levator scapulae muscle originate?

<p>Transverse processes of upper cervical vertebrae (B)</p> Signup and view all the answers

What is the insertion point of the deltoid muscle?

<p>Deltoid tuberosity of the humerus (D)</p> Signup and view all the answers

The rhomboid major and minor muscles are responsible for which action?

<p>Adduction and downward rotation of the scapula (D)</p> Signup and view all the answers

Which of the following muscles does NOT originate from the spine or transverse processes?

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

Which extensor muscle originates from the posterior surface of the ulna?

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

What is the primary action of the extensor carpi radialis longus?

<p>Extension and abduction of the wrist (C)</p> Signup and view all the answers

Which extensor muscle is responsible for the independent extension of the pinky?

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

Where does the extensor carpi ulnaris insert?

<p>Dorsal base of the fifth metacarpal (B)</p> Signup and view all the answers

The action performed by the supinator muscle is primarily what?

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

Which extensor muscle is responsible for the extension of the thumb only at the metacarpophalangeal joint?

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

What is the common origin point for the extensor digitorum and extensor digiti minimi?

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

Which muscle aids in the extension of the second digit while allowing for hand extension?

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

What is the insertion point for the brachioradialis muscle?

<p>Lateral distal radius (B)</p> Signup and view all the answers

Which extensor muscle primarily performs the action of abduction of the thumb?

<p>Abductor pollicis longus (C)</p> Signup and view all the answers

Which bone is not part of the radio-carpal joint but plays a role in the carpal structure?

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

What is the arrangement from lateral to medial of the bones that form the distal surface of the radio-carpal joint?

<p>Scaphoid, lunate, triquetrum (D)</p> Signup and view all the answers

Which carpal bone articulates distally with the first metacarpal bone?

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

Identify the largest carpal bone among the following options.

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

Which of the following joints is particularly vulnerable to arthritis due to its articulating connections?

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

Which of the following describes the articulation relations of the triquetrum bone?

<p>Articulates distally with the hamate and proximally with the scaphoid (A)</p> Signup and view all the answers

Which interosseous ligament connects the two rows of carpal bones?

<p>Intercarpal ligament (B)</p> Signup and view all the answers

What is the relationship of the scaphoid bone with the trapezium and trapezoid?

<p>Articulates distally with both trapezium and trapezoid (C)</p> Signup and view all the answers

What is the primary function of the triangular fibrocartilage complex (TFCC) in the wrist joint?

<p>To provide stability at the distal radioulnar joint (D)</p> Signup and view all the answers

Which statement accurately describes the function of the collateral ligaments in the wrist?

<p>They promote adduction and abduction of the wrist. (C)</p> Signup and view all the answers

Which component of the TFCC inserts into the lunate and triquetrum, providing crucial stabilization?

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

The medial or ulnar collateral ligament (UCL) provides support to which anatomical structures?

<p>Pisiform and triquetrum bones (C)</p> Signup and view all the answers

What type of joint mechanics does the triangular fibrocartilage complex (TFCC) facilitate during wrist movements?

<p>Rotational mechanics (B)</p> Signup and view all the answers

In which common activity do TFCC lesions frequently occur, leading to pain and movement limitations?

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

The radial collateral ligament (RCL) primarily supports movement in which direction?

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

What role does the triangular fibrocartilage complex (TFCC) play in relation to the radioulnar joint?

<p>Provides stabilization and limits ulnar deviation. (D)</p> Signup and view all the answers

Which action is primarily facilitated by the superior radioulnar joint?

<p>Pronation of the forearm (B)</p> Signup and view all the answers

Which of the following is a characteristic of the true elbow joint?

<p>Includes the capitulum of the humerus (B)</p> Signup and view all the answers

What is the role of the olecranon fossa in the elbow joint?

<p>Receives the olecranon process during extension (D)</p> Signup and view all the answers

The complex formed by the trochlea and capitellum allows movement primarily in which direction?

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

Which of the following bones does NOT directly participate in the formation of the true elbow joint?

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

What type of joint is the proximal radioulnar joint classified as?

<p>Pivot joint (B)</p> Signup and view all the answers

Which structure on the ulna articulates directly with the distal humerus during elbow flexion?

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

What is the main purpose of the distal radioulnar joint?

<p>Allows for supination and pronation of the forearm (D)</p> Signup and view all the answers

Flashcards

Supraspinatus Function

Abducts the glenohumeral joint.

Infraspinatus Function

Externally rotates the glenohumeral joint.

Teres Minor Function

Externally rotates the glenohumeral joint.

Subscapularis Function

Internally rotates the glenohumeral joint.

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Teres Major Function

Internally rotates, adducts, and extends the glenohumeral joint.

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Serratus anterior function

Abducts and upwardly rotates the scapula

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Trapezius origin

Occipital bone and spinous processes of C7-T12

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Rhomboids function

Adduct, downwardly rotate, and elevate scapula

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Pectoralis minor origin

Ribs 2-5

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Levator scapulae function

Elevates and downwardly rotates the scapula

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Deltoid insertion

Deltoid tuberosity of the humerus

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Deltoid function

Abduction of glenohumeral joint

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Serratus anterior origin

Ribs 1-9

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Latissimus Dorsi Origin

The latissimus dorsi muscle originates from the spinous processes of T6 to the crest of the ilium.

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Latissimus Dorsi Insertion

The latissimus dorsi inserts into the lesser tubercle of the humerus, proximal to the teres major muscle.

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Latissimus Dorsi Actions

The latissimus dorsi performs external rotation, extension, and adduction of the glenohumeral joint. It also performs scapular depression.

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Supinator Action

The supinator muscle assists in the supination of the forearm, turning the palm upwards.

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Biceps Brachii Action

The biceps brachii muscle performs supination of the forearm and flexion of the elbow joint.

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Pronator Teres Action

The pronator teres muscle assists in the pronation of the forearm, turning the palm downwards.

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Flexor Carpi Ulnaris Insertion

The flexor carpi ulnaris muscle inserts into the pisiform bone, hook of the hamate bone, and fifth metacarpal bone.

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Flexor Digitorum Superficialis Origin

The flexor digitorum superficialis originates from the medial epicondyle and coronoid process of the humerus.

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Flexor Digitorum Profundus Function

The flexor digitorum profundus muscle flexes the distal interphalangeal joints of the 2nd through 5th digits.

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Flexor Pollicis Longus Function

The flexor pollicis longus muscle flexes the distal phalanx of the thumb.

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Pronator Quadratus Function

The pronator quadratus muscle pronates the forearm, effectively rotating the hand so the palm faces downward.

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Extensor Retinaculum Function

The extensor retinaculum holds extensor tendons in place on the posterior aspect of the wrist, similar to the flexor retinaculum on the anterior aspect.

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Where are Extensor-Supinator Muscles Located?

Extensor-supinator muscles are located on the posterior aspect of the forearm, in contrast to flexor-pronator muscles on the anterior side. They are responsible for forearm extension and supination.

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Brachioradialis Function

Flexes the forearm at the elbow joint.

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Extensor Carpi Radialis Longus Origin

Lateral supracondylar ridge of the humerus.

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Extensor Carpi Radialis Brevis Insertion

Dorsal aspect of the base of the third metacarpal bone.

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Extensor Digitorum Function

Extends the fingers at the metacarpophalangeal and interphalangeal joints.

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Extensor Digiti Minimi Origin

Lateral epicondyle of the humerus.

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Extensor Carpi Ulnaris Function

Extends and adducts the hand (wrist) joint.

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Extensor Indicis Function

Extends the index finger independently, supports hand extension.

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Abductor Pollicis Longus Insertion

Dorsal base of the first metacarpal bone.

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Extensor Pollicis Brevis Function

Individually extends the thumb at the metacarpophalangeal and carpometacarpal joints.

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Radio-carpal Joint

The joint formed between the distal end of the radius and the proximal row of carpal bones (scaphoid, lunate, triquetrum).

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Carpal Bones (Proximal Row)

The first row of carpal bones, located at the wrist, consists of the scaphoid, lunate, triquetrum, and pisiform.

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Interosseous Ligaments

Ligaments that connect the carpal bones within the same row, providing stability and support.

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Midcarpal Joint

The articulation between the proximal row and the distal row of carpal bones.

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Distal Row of Carpal Bones

The second row of carpal bones, comprising the trapezium, trapezoid, capitate, and hamate, located on the palm side.

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Trapezium Articulation

The trapezium bone articulates with the scaphoid bone proximally and the first metacarpal bone distally.

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Capitate Articulation

The capitate bone articulates with the scaphoid and lunate proximally, and with the third and fourth metacarpal bones distally.

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Hamate Articulation

The hamate bone articulates with the lunate and triquetrum proximally, and with the fourth and fifth metacarpal bones distally.

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What is the Elbow Joint?

The elbow joint is a complex structure with three bones: the humerus, ulna, and radius. It has a single articular cavity but functions as two separate joints: the true elbow joint and the proximal radioulnar joint.

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True Elbow Joint

The true elbow joint is formed between the trochlea of the humerus and the trochlear notch of the ulna, and the capitulum of the humerus and the head of the radius. It allows flexion and extension movements.

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Proximal Radioulnar Joint

The proximal radioulnar joint is formed between the proximal ends of the radius and ulna. It allows pronation and supination movements, alongside the distal radioulnar joint.

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Trochlea

The trochlea is a spool-shaped structure on the distal humerus that articulates with the trochlear notch of the ulna, allowing flexion and extension.

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Capitulum

The capitulum, located on the distal humerus, is a rounded surface that articulates with the head of the radius, allowing pronation and supination.

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Coronoid Fossa

The coronoid fossa is a depression on the anterior distal humerus that receives the coronoid process of the ulna during flexion.

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Olecranon Fossa

The olecranon fossa is a depression on the posterior distal humerus that receives the olecranon process of the ulna during extension.

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Elbow Joint Shape

The distal end of the humerus (trochlea + capitellum) has a flattened shape, resembling an artist's palette, and is important for the joint's movements.

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Radial Collateral Ligament (RCL)

A ligament that connects the styloid process of the radius to the scaphoid bone; it has an anterior and posterior band.

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Ulnar Collateral Ligament (UCL)

A ligament that connects the styloid process of the ulna to the pisiform and triquetrum bones; it also has an anterior and posterior band.

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Triangular Fibrocartilage Complex (TFCC)

A meniscus-like structure stabilizing the wrist at the distal radioulnar joint; it acts as a cushion and pivot for force transmission.

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TFCC Function: Abduction/Adduction

Prevents damage to articular cartilage during abduction/adduction movements of the wrist.

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TFCC Function: Force Transmission

Acts as a pivot point for force transmitted across the wrist to the ulnar side.

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TFCC Insertion: Palmar

The TFCC inserts into the lunate and triquetrum via the ulnolunate, ulnotriquetral, and radioulnar ligaments.

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TFCC Insertion: Dorsal

The TFCC inserts into the lunate and triquetrum via the dorsal radio-ulnar ligament, extensor carpi ulnaris, and UCL.

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TFCC Lesions

Common in boxing, causing pain and adduction limitation; can be repaired arthroscopically.

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Study Notes

Ligaments of the Metacarpal Joint

  • The metacarpal joint is formed by 8 bones: scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, and hamate.
  • Ligaments connect these bones, for example, the scapho-lunate ligament connects the scaphoid to the lunate.

Muscles from Trunk to Shoulder Girdle

  • Serratus Anterior:
    • Originates from ribs 1-9.
    • Inserts into the medial border of the scapula.
    • Abducts and upwardly rotates the scapula.
  • Trapezius:
    • Has 3 components: descending, transverse, and ascending.
    • Originates from the occipital bone and spinous processes of C7-T12.
    • Inserts into the acromion and spine of the scapula.
    • Abducts, downwardly rotates, and elevates/depresses the scapula.
  • Rhomboid Minor and Major:
    • Originate from spinous processes C5-T4 and nuchal ligament.
    • Inserts into medial border of scapula.
    • Adduct, downwardly rotate, and elevate the scapula.
  • Pectoralis Minor:
    • Originates from ribs 2-5.
    • Inserts into the coracoid process of the scapula.
    • Depresses and ventral tilts scapula, elevating ribs 2-5.
  • Levator Scapulae:
    • Originates from upper cervical vertebrae transverse processes.
    • Inserts into superior medial border of scapula (above rhomboids).
    • Elevates and downwardly rotates the scapula, flexes and laterally rotates the head.

Muscles from Shoulder Girdle to Humerus

  • Deltoid:

    • 3 components originating from spine of scapula, acromion, and clavicle.
    • Inserts into deltoid tuberosity of humerus.
    • Abducts the glenohumeral joint. Clavicular part flexes, spinal part extends.
  • Supraspinatus:

    • Originates from the supraspinous fossa.
    • Inserts into the greater tubercle of the humerus.
    • Abducts the glenohumeral joint.
  • Infraspinatus:

    • Originates from infraspinous fossa.
    • Inserts into the greater tubercle of the humerus.
    • Externally rotates the glenohumeral joint.
  • Teres Minor:

    • Originates from lateral border of scapula.
    • Inserts into the greater tubercle of the humerus.
    • Externally rotates the glenohumeral joint.
  • Subscapularis:

    • Originates from subscapular fossa.
    • Inserts into the lesser tubercle of the humerus.
    • Internally rotates the glenohumeral joint (also, adducts, extends, and flexes).
  • Teres Major:

    • Originates from the inferior angle of the scapula.
    • Inserts into the crest of the lesser tubercle of the humerus.
    • Internally rotates, adducts, and extends the glenohumeral joint.
  • Pectoralis Major:

    • Originates from ribs 2-7, sternum, and scapula.
    • Inserts into the crest of the greater tubercle of the humerus.
    • Adducts and internally rotates glenohumeral joint; clavicular head flexes.
  • Latissimus Dorsi:

    • Originates from spinous processes T6-ilium.
    • Inserts into the crest of the lesser tubercle (proximal to teres major).
    • Externally rotates, extends, and adducts glenohumeral joint (also scapular depression).

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