Upper Limb Anatomy Quiz

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Questions and Answers

Which muscle is responsible for abduction of the glenohumeral joint?

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

What is the insertion point of the teres major muscle?

  • Middle facet of the greater tubercle
  • Uppermost facet of the greater tubercle
  • Lesser tubercle
  • Crest of the lesser tubercle (correct)

Which action is primarily performed by the pectoralis major on the glenohumeral joint?

  • External rotation
  • Adduction and internal rotation (correct)
  • Abduction
  • Extension

The infraspinatus is important for which function at the glenohumeral joint?

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

From which anatomical location does the subscapularis muscle originate?

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

What is the primary role of the acromioclavicular ligament?

<p>To stabilize the clavicle's distal end with the acromion (A)</p> Signup and view all the answers

Which ligament is responsible for connecting the first rib cartilage to the clavicle?

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

What potential problem arises from a decrease in the size of the subacromial space?

<p>Impingement of the subscapularis tendon (C)</p> Signup and view all the answers

Which of the following ligaments connects the clavicle to the coracoid process?

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

What is the overall function of the sternoclavicular joint ligaments?

<p>To stabilize the clavicle with the sternum (B)</p> Signup and view all the answers

What is the primary function of the coracohumeral ligament?

<p>To stabilize the glenohumeral joint (B)</p> Signup and view all the answers

Which ligament primarily prevents excessive humeral dislocation during abduction?

<p>Inferior glenohumeral ligament (A)</p> Signup and view all the answers

How does the subacromial bursa function in relation to the subscapularis tendon?

<p>It creates a cushion between the subscapularis tendon and the acromion (B)</p> Signup and view all the answers

What role does the scapulothoracic joint play in shoulder movement?

<p>It enables movement of the scapula relative to the thoracic cage (D)</p> Signup and view all the answers

What is the origination point of the long head of the biceps brachii?

<p>Supraglenoid tubercle of the scapula (A)</p> Signup and view all the answers

Which muscle assists in preventing superior dislocation of the humeral head during abduction?

<p>Long head of the biceps brachii (B)</p> Signup and view all the answers

What is the effect of tearing the inferior glenohumeral ligament?

<p>Increased risk of shoulder instability (D)</p> Signup and view all the answers

In what location does the radial tuberosity of the radius exist?

<p>On the medial surface of the radius (D)</p> Signup and view all the answers

Which muscle is primarily responsible for flexion of the distal interphalangeal joint of the second through fifth digits?

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

What is the primary function of the pronator quadratus muscle?

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

Which statement accurately describes the role of extensor-supinator muscles?

<p>They function mainly for extension and supination. (B)</p> Signup and view all the answers

Which muscle originates from the anterior surface of the radius and performs flexion of the first digit?

<p>Flexor pollicis longus (A)</p> Signup and view all the answers

How do extensor tendons behave in relation to the extensor retinaculum?

<p>They are kept in place by it. (B)</p> Signup and view all the answers

Which muscle performs both pronation and flexion of the arm?

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

What structures keep the tendons of most flexor muscles in place on the palmar side of the wrist?

<p>Palmar carpal ligament (A), Flexor retinaculum (C)</p> Signup and view all the answers

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

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

What is the primary insertion point for the flexor carpi ulnaris muscle?

<p>Pisiform bone and hook of the hamate (A)</p> Signup and view all the answers

Which muscle is responsible for internal rotation at the glenohumeral joint?

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

What action is predominantly performed by the flexor carpi radialis muscle?

<p>Flexion and abduction of the wrist (D)</p> Signup and view all the answers

Which two muscles are involved in the process of forearm supination?

<p>Biceps brachii and Supinator (C)</p> Signup and view all the answers

Which muscle originates from the spinous process of T6 and contributes to scapular depression?

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

Which of the following muscles are classified as extrinsic flexor-pronators of the hand?

<p>Flexor carpi ulnaris (D)</p> Signup and view all the answers

Which group of muscles does NOT include any intrinsic muscles of the hand?

<p>Flexor digitorum superficialis (D)</p> Signup and view all the answers

What type of muscle are the palmar intraossei muscles classified as?

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

Which function do lumbrical muscles primarily contribute to?

<p>Flexion of the metacarpophalangeal joints and extension of the proximal interphalangeal joints (C)</p> Signup and view all the answers

How many total extrinsic extensor-supinators of the hand are there?

<p>9 (D)</p> Signup and view all the answers

Which muscle originates from the transverse process of the upper cervical vertebrae and performs elevation of the scapula?

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

What action is primarily performed by the trapezius muscle?

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

Which muscle inserts into the deltoid tuberosity of the humerus?

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

What is a key function of the pectoralis minor muscle?

<p>Ventral tilt of the scapula and elevation of the second to fifth ribs (A)</p> Signup and view all the answers

Which of the following statements incorrectly describes the function of the rhomboid muscles?

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

What type of joint is the scapulohumeral joint classified as?

<p>Ball and socket joint (C)</p> Signup and view all the answers

What is the angle formed between the head of the humerus and the shaft?

<p>135-140° (C)</p> Signup and view all the answers

Which anatomical feature aids in stabilizing the glenohumeral joint?

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

How does the size of the glenoid cavity compare to the head of the humerus?

<p>It covers only a quarter of the head's size. (D)</p> Signup and view all the answers

What is the primary action of the flexor digitorum profundus muscle?

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

Which of the following ligaments is NOT part of the glenohumeral joint?

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

What is the primary function of the humeral canal?

<p>Serves as a passage for muscle tendons (D)</p> Signup and view all the answers

Which muscle is responsible for pronation of the forearm?

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

In which direction does the glenoid cavity primarily point?

<p>Anteriorly, laterally, and slightly superiorly (C)</p> Signup and view all the answers

Where does the extensor-supinator muscle group primarily originate?

<p>Posterior aspect of the forearm (D)</p> Signup and view all the answers

How do extensor tendons compare to flexor tendons in terms of their location?

<p>Extensor tendons are dorsal while flexor tendons are palmar (B)</p> Signup and view all the answers

What role do the two tubercles of the humerus play?

<p>They serve as sites for muscle attachments. (C)</p> Signup and view all the answers

What role does the extensor retinaculum play in relation to extensor-supinator muscles?

<p>Keeps extensor tendons in place (A)</p> Signup and view all the answers

Which ligament is primarily responsible for limiting over flexion of the wrist?

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

Which ligament connects the ulna with the lunate bone?

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

What is the primary role of the palmar radiocarpal ligament?

<p>Limit wrist extension (C)</p> Signup and view all the answers

During which movement is the radial collateral ligament primarily stretched?

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

Which structure limits over abduction of the wrist?

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

Which two bones are connected by the scapho-lunate ligament?

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

What is a characteristic of the posterior (dorsal) ligamentous complex?

<p>It limits over flexion of the wrist (B)</p> Signup and view all the answers

Which of the following ligaments is involved in connecting the radius with the triquetrum bone?

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

What is the primary action of the Pronator Teres?

<p>Flexion and pronation of the forearm (C)</p> Signup and view all the answers

Which muscle originates from the lateral epicondyle of the humerus and is responsible for extending the fifth digit?

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

Which of the following muscles performs independent extension of the second digit?

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

Which muscle is responsible for the abduction of the thumb?

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

What is the insertion point of the extensor carpi radialis longus muscle?

<p>Base of the second metacarpal bone (A)</p> Signup and view all the answers

Which muscle originates from the posterior surface of the distal third of the ulna?

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

Which action does the extensor carpi ulnaris perform?

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

Which muscle acts to supinate the forearm?

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

Which muscle inserts into the dorsal base of the proximal phalanx of the first digit?

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

Which muscle primarily contributes to the extension of the digits at the metacarpophalangeal and interphalangeal joints?

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

What is the main role of the ligaments associated with the sternoclavicular joint?

<p>To limit movement of the clavicle with the sternum (C)</p> Signup and view all the answers

What distinguishes the acromioclavicular ligament in relation to shoulder stability?

<p>It stabilizes the connection between the clavicle and the acromion (A)</p> Signup and view all the answers

Which anatomical location does the trapezoid ligament primarily connect?

<p>Coracoid process to the acromial end of the clavicle (A)</p> Signup and view all the answers

What occurs as a result of decreased size in the subacromial area?

<p>Subscapularis tendon impingement (D)</p> Signup and view all the answers

Which ligaments connect the manubrium of the sternum with the clavicle?

<p>Anterior and posterior sternoclavicular ligaments (C)</p> Signup and view all the answers

Which of the following best describes the structure of the subacromial joint?

<p>An area with a protective bursa without direct bony connection (A)</p> Signup and view all the answers

Flashcards

Supraspinatus function

Abducts the glenohumeral joint (arm)

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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Subacromial bursa location

Located inside the subacromial joint and covers the top of the subscapularis tendon.

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Scapulothoracic joint function

Space between scapula and thoracic cage, allowing scapula movement and preventing muscle friction.

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Coracohumeral ligament role

Connects coracoid process to humerus, providing glenohumeral joint stability, and guiding the biceps tendon.

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Glenohumeral ligaments function

Prevent excess shoulder movement and dislocation, like over-extension, with the inferior ligament being crucial against abduction.

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Biceps tendon role in abduction

Long head presses humerus downward to prevent upper dislocation, short head presses it upwards to prevent lower dislocation.

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Long head of biceps origin

Originates from the supraglenoid tubercle of the scapula.

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Short head of biceps origin

Originates from the coracoid process of the scapula.

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Biceps Tendon insertion

Inserts into the radial tuberosity on the radius.

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Sternoclavicular Joint

A true joint connecting the upper limb (clavicle) to the thorax (sternum).

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Acromioclavicular Ligaments

Ligaments connecting the clavicle to the acromion, maintaining stability.

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Costoclavicular Ligament

Connects the clavicle to the first rib, crucial for the sternoclavicular joint.

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Sternoclavicular Ligaments

Ligaments connecting the sternum to the clavicle, providing strength and limiting movement.

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Subacromial Bursa

Fluid-filled sac in the subacromial space, enabling smooth muscle movement.

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Subacromial Joint (False)

Space under the acromion where the subacromial bursa is located, important for rotator cuff function.

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Rotator Cuff Muscles

Group of muscles that stabilize and move the shoulder joint.

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Impingement Syndrome

Condition causing pain and limited shoulder movement due to reduced space around the rotator cuff tendons and bursa.

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Flexor Digitorum Profundus

A deep layer forearm muscle that originates from the ulna and interosseous membrane and inserts into the base of the distal phalanges of fingers 2-5. It's responsible for flexing the distal interphalangeal joint (DIP joint) of the fingers.

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Flexor Pollicis Longus

A deep layer forearm muscle that flexes the thumb, originating from the radius and interosseous membrane, inserting into the base of the distal phalanx of the thumb.

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Pronator Quadratus

A deep layer forearm muscle located on the anterior aspect of the distal radius and ulna. It pronates the forearm, effectively rotating the hand palm down.

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Extensor Retinaculum

A band of fibrous tissue located on the dorsal aspect of the wrist that holds extensor tendons in place, similar in function to the flexor retinaculum on the palmar side.

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How do extensor muscles affect abduction and adduction?

Extensor muscles that insert into the radius tend to abduct (move away from the midline) the hand, while those that insert into the ulna adduct (move towards the midline).

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Flexion at the Glenohumeral Joint

The clavicular head of the pectoralis major muscle contributes to flexing the arm at the shoulder joint.

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Latissimus Dorsi Origin

The latissimus dorsi muscle originates from the spinous processes of the thoracic vertebrae (T6 to T12) and the iliac crest.

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Latissimus Dorsi Insertion

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

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Latissimus Dorsi Functions

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

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Supination Muscles

The supinator muscle and the biceps brachii muscle are the primary muscles responsible for supination of the forearm.

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Pronation Muscles

The pronator quadratus and the pronator teres muscles are the primary muscles responsible for pronation of the forearm.

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Flexor Retinaculum Function

The flexor retinaculum (transverse carpal ligament) and the palmar carpal ligament help to keep the tendons of most flexor muscles in place on the palmar side of the wrist.

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Flexor-Pronator Muscles: Superficial Layer

The superficial layer of the flexor-pronator muscles includes the pronator teres, palmaris longus, flexor carpi radialis, and flexor carpi ulnaris.

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Extrinsic Flexor-Pronators

These 6 muscles are located outside the hand and flex (bend) the wrist and fingers, while also turning the palm down (pronation).

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Extrinsic Extensor-Supinators

These 9 muscles are located outside the hand and extend (straighten) the wrist and fingers, while turning the palm up (supination).

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Intrinsic Hand Muscles

Located within the hand, these muscles control fine movements of the fingers and thumb.

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Thenar Muscles

These 4 muscles are located on the thumb side of the hand and control thumb movements, like opposition (touching fingers).

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Hypothenar Muscles

These 4 muscles are on the little finger side of the hand and control little finger movements, like abduction (spreading out).

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Glenohumeral Joint

The ball-and-socket joint connecting the humerus (upper arm bone) to the scapula (shoulder blade). It allows for a wide range of motion, making it the most mobile joint in the body.

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Glenoid Cavity

A shallow socket on the scapula that receives the head of the humerus, forming the glenohumeral joint. It is smaller than the humeral head, allowing for greater mobility.

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Glenoid Labrum

A ring of fibrocartilage located around the rim of the glenoid cavity, deepening the socket and increasing stability of the shoulder joint.

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Humeral Head Angle

The angle formed between the head of the humerus and its shaft. It points superiorly, medially, and slightly posteriorly, enabling the full range of shoulder motion.

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Tubercles of the Humerus

Two bony prominences on the humerus: the lesser tubercle (anteriorly) and the greater tubercle (laterally and slightly posteriorly). These serve as attachment points for shoulder muscles.

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Humeral Canal

A groove located between the lesser and greater tubercles of the humerus, allowing passage for the biceps tendon.

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Glenohumeral Ligaments

A group of ligaments that connect the scapula and humerus, providing stability to the shoulder joint. They include the superior, middle, and inferior glenohumeral ligaments, transverse humeral ligament, and coracohumeral ligament.

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Acromioclavicular Joint

A true joint that connects the acromion process of the scapula to the clavicle (collarbone), contributing to shoulder stability.

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Subacromial Joint

A false joint (not a true joint) located above the humerus. It is where the subacromial bursa is found and plays a vital role in the rotator cuff muscles' movement.

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What are the 3 main ligaments of the Acromioclavicular joint?

The acromioclavicular joint has 3 main ligaments: the acromioclavicular ligament, the conoid ligament, and the trapezoid ligament. The acromioclavicular ligament connects the clavicle and acromion, the conoid ligament connects the coracoid process and clavicle, and the trapezoid ligament connects the coracoid process and clavicle.

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What are the 4 muscles of the rotator cuff?

The 4 muscles of the rotator cuff are: supraspinatus, infraspinatus, teres minor, and subscapularis. These muscles support the shoulder joint and help with various movements like rotation and abduction.

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Radiocarpal Ligament

A ligament connecting the radius to the capitate (lateral) and triquetrum (medial) bones, limiting wrist extension.

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Ulnocarpal Ligament

A ligament connecting the ulna to the triquetrum (medial) and lunate (lateral) bones, limiting wrist extension.

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Palmar Radiocarpal & Ulnocarpal Ligaments

These ligaments, located on the palm side, work together to limit excessive wrist extension.

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Dorsal Radiocarpal & Intercarpal Ligaments

These ligaments, on the back side, work together to limit excessive wrist flexion.

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Radial Collateral Ligament

This ligament limits excessive adduction (hand toward ulna)

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Ulnar Collateral Ligament

This ligament limits excessive abduction (hand toward radius) and is further supported by the scaphoid bone.

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Metacarpal Ligaments

These ligaments connect the 8 carpal bones directly, named for the bones they connect (e.g., scapho-lunate).

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Scapho-lunate Ligament

A horizontal ligament connecting the medial scaphoid to the lateral lunate, stabilizing the wrist.

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Serratus Anterior Function

The Serratus Anterior muscle abducts and upwardly rotates the scapula, helping to protract (push forward) the shoulder.

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Trapezius: 3 Components

The Trapezius muscle has three parts: Descending, Transverse, and Ascending, each with specific functions.

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Rhomboid Muscles: Major & Minor

The Rhomboid Major and Minor muscles adduct and downwardly rotate the scapula, pulling it closer to the spine.

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Pectoralis Minor: Function

The Pectoralis Minor muscle depresses and ventrally tilts the scapula, drawing it downward and forward.

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Levator Scapulae Function

The Levator Scapulae muscle elevates and downwardly rotates the scapula, while also flexing the head to the same side.

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Flexor Digitorum Profundus Function

This muscle is located in the deep layer of the forearm and flexes the distal interphalangeal joint (DIP) of the fingers 2-5.

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Flexor Pollicis Longus Function

Located in the deep layer of the forearm, it flexes only the distal phalanx of the thumb.

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Pronator Quadratus Function

This deep forearm muscle pronates the forearm, turning the palm down.

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Extensor Retinaculum Function

A band of tissue that holds extensor tendons in place on the dorsal (back) side of the wrist, similar to the flexor retinaculum on the palm.

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Extensor Muscle Insertion and Movement

Extensor muscles that insert into the radius primarily abduct the hand (move it away from the midline), while those that insert into the ulna primarily adduct it (move it toward the midline).

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Brachioradialis Function

The Brachioradialis muscle flexes the forearm at the elbow. It is a superficial extensor muscle of the forearm. It is located on the lateral side of the forearm.

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Extensor Carpi Radialis Longus Function

The Extensor Carpi Radialis Longus muscle extends and abducts the hand at the wrist. It helps you to extend your hand away from your body.

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Extensor Carpi Radialis Brevis Function

The Extensor Carpi Radialis Brevis muscle extends and abducts the hand at the wrist. It is a superficial extensor muscle of the forearm.

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Extensor Digitorum Function

The Extensor Digitorum muscle extends the fingers at the metacarpophalangeal and interphalangeal joints. This is the muscle that helps you straighten all your fingers.

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Extensor Carpi Ulnaris Function

The Extensor Carpi Ulnaris muscle extends and adducts the hand at the wrist. It helps you to extend your hand toward your little finger.

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Supinator Function

The Supinator muscle supinates the forearm, turning the palm upward. It is a deep extensor muscle of the forearm.

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Extensor Indicis Function

The Extensor Indicis muscle extends the index finger independently. It is a deep extensor muscle of the forearm.

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Abductor Pollicis Longus Function

The Abductor Pollicis Longus muscle abducts the thumb. It is a deep extensor muscle of the forearm.

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Extensor Pollicis Longus Function

The Extensor Pollicis Longus muscle performs individual extension of the thumb at the metacarpophalangeal and interphalangeal joints. It is a deep extensor muscle of the forearm.

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Extensor Pollicis Brevis Function

The Extensor Pollicis Brevis muscle performs individual extension of the thumb at the metacarpophalangeal and carpometacarpal joints. It is a deep extensor muscle of the forearm.

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Study Notes

Upper Limb Anatomy

  • Composed of three bones: clavicle, scapula, and humerus.
  • Scapula is a flat bone, slightly concave from the front and convex from behind.
  • Scapula has a spine, dividing the infraspinous and supraspinous fossae.
  • Acromion is a scapular process, continuation of the spine.
  • Coracoid process is a deep, anterior scapular process not palpable.
  • Glenoid fossa is the scapular socket for the glenohumeral joint.
  • Glenohumeral joint is the most mobile ball-and-socket joint.
  • Shoulder has three true joints (sternoclavicular, acromioclavicular, glenohumeral) and two false (scapulothoracic, subacromial).
  • Humerus head forms a 135-140° angle with the shaft.
  • Humerus head has a lesser and greater tubercle for muscle attachments.
  • Glenoid cavity is much smaller than the humeral head, stabilized by the glenoid labrum.
  • Glenoid cavity faces anteriorly, laterally, and slightly superiorly.

Glenohumeral Joint Ligaments

  • Main ligaments are superior, middle, and inferior glenohumeral ligaments.
  • Other ligaments are the transverse humeral ligament and coracohumeral ligament.
  • Acromioclavicular ligament connects the clavicle and acromion.
  • Sternoclavicular ligaments connect the clavicle and sternum.
  • Subacromial joint is a false joint with a bursa.

Elbow Joint Ligaments

  • Main ligaments are: ulnar (medial), radial (lateral), and annular ligaments.
  • The joint includes the humerus, radius, and ulna.

Arm Muscles (Posterior View)

  • Triceps brachii (long, lateral, and medial heads), with insertion into the olecranon process.

Arm Muscles (Anterior View)

  • Coracobrachialis, originating from the coracoid process.
  • Brachialis, originating beneath the deltoid tuberosity.

Forearm Muscles (Supination and Pronation)

  • Biceps brachii, with short and long heads.
  • Supinator muscle.

Forearm Muscles (Flexion/Extension)

  • Pronator quadratus
  • Pronator teres

Wrist (Radiocarpal) Joint Ligaments

  • Collateral ligaments (radial and ulnar).
  • Triangular fibrocartilage complex (TFCC)
  • The palmar and dorsal ligamentous complexes.

Hand Muscles

  • Lumbrical and interosseous muscles are intrinsic.
  • Thenar and hypothenar muscles are intrinsic.

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