upper limb gross anatomy table

14
7/27/2019 Upper Limb Gross Anatomy Table http://slidepdf.com/reader/full/upper-limb-gross-anatomy-table 1/14 Muscles of the Upper Limb - Listed Alphabetically Muscle Origin Insertion Action Innervation Artery Notes Image abductor digiti minimi (hand)  pisiform base of the  proximal  phalanx of the 5th digit on its ulnar side abducts the 5th digit deep branch of the ulnar nerve ulnar a. abductor digiti minimi, flexor digiti minimi brevis, and opponens digiti minimi are located in the hypothenar compartment of the hand abductor  pollicis brevis flexor retinaculum, scaphoid, trapezium  base of the  proximal  phalanx of the first digit abducts thumb recurrent branch of median nerve superficial  palmar br. of the radial a. abductor pollicis  brevis, flexor  pollicis brevis, and opponens pollicis are located in the thenar compartment of the hand abductor  pollicis longus middle one- third of the  posterior surface of the radius, interosseous membrane, mid-  portion of  posterolateral ulna radial side of the base of the first metacarpal abducts the thumb at carpometacarpal joint radial nerve, deep  branch  posterior interosseous a. the tendons of abductor pollicis longus and extensor  pollicis brevis make the lateral border of the anatomical snuffbox adductor  pollicis oblique head: capitate and  base of the 2nd and 3rd metacarpals; transverse head: shaft of the 3rd  base of the  proximal  phalanx of the thumb adducts the thumb ulnar nerve, deep  branch deep palmar arterial arch deep palmar arch and deep ulnar nerve pass between the two heads of adductor pollicis, which is in the adductor-

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Page 1: Upper Limb Gross Anatomy Table

7272019 Upper Limb Gross Anatomy Table

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Muscles of the Upper Limb - Listed Alphabetically

Muscle Origin Insertion Action Innervation Artery Notes Image

abductor digiti

minimi (hand)

pisiform base of the

proximal

phalanx of the

5th digit on itsulnar side

abducts the 5th digit deep branch of the

ulnar nerve

ulnar a abductor digiti

minimi flexor digiti

minimi brevis and

opponens digitiminimi are locatedin the hypothenar

compartment of the

hand

abductor pollicis brevis

flexor retinaculum

scaphoidtrapezium

base of the proximal

phalanx of thefirst digit

abducts thumb recurrent branch of median nerve

superficial palmar br of the

radial a

abductor pollicis brevis flexor

pollicis brevis andopponens pollicis

are located in thethenar compartment

of the hand

abductor

pollicis longus

middle one-

third of the posterior

surface of theradius

interosseousmembrane mid-

portion of

posterolateralulna

radial side of

the base of thefirst metacarpal

abducts the thumb at

carpometacarpal joint

radial nerve deep

branch

posterior

interosseous a

the tendons of

abductor pollicislongus and extensor

pollicis brevis makethe lateral border of

the anatomicalsnuffbox

adductor

pollicis

oblique head

capitate and base of the 2nd

and 3rd

metacarpalstransverse head

shaft of the 3rd

base of the

proximal phalanx of the

thumb

adducts the thumb ulnar nerve deep

branch

deep palmar

arterial arch

deep palmar arch

and deep ulnar nerve pass between

the two heads of

adductor polliciswhich is in the

adductor-

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metacarpal interosseouscompartment

anconeus lateral

epicondyle of the humerus

lateral side of

the olecranonand the upper

one-fourth of

the ulna

extends the forearm nerve to anconeus

from the radialnerve

interosseous

recurrent a

none

biceps brachii short head tipof the coracoid

process of thescapula long

head

supraglenoidtubercle of the

scapula

tuberosity of the radius

flexes the forearmflexes arm (long head)

supinates

musculocutaneousnerve (C56)

brachial a a powerfulsupinator only if the

elbow is flexed

brachialis anterior surface

of the lower one-half of the

humerus and theassociated

intermuscular

septa

coronoid

process of theulna

flexes the forearm musculocutaneous

nerve (C56)

brachial a

radial recurrenta

a powerful flexor

brachioradialis upper two-

thirds of thelateralsupracondylar

ridge of thehumerus

lateral side of

the base of thestyloid processof the radius

flexes the elbow

assists in pronation ampsupination

radial nerve radial recurrent

a

although

brachioradialis isinnervated by thenerve for extensors

(radial) its primaryaction is elbow

flexion the neutral

position of thismuscle is half way

between supinationand pronation

(elbow flexed

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thumb up)

coracobrachialis coracoid process of the

scapula

medial side of the humerus at

mid-shaft

flexes and adducts thearm

musculocutaneousnerve (C56)

brachial a themusculocutaneous

nerve passesthrough the

coracobrachialis

muscle to reach theother arm flexor

mm(biceps brachiiand brachialis)

deltoid lateral one-third

of the clavicleacromion the

lower lip of the

crest of the

spine of thescapula

deltoid

tuberosity of the humerus

abducts arm anterior

fibers flex amp mediallyrotate the arm

posterior fibers extend

amp laterally rotate the

arm

axillary nerve

(C56) from the posterior cord of

the brachial plexus

posterior

circumflexhumeral a

the deltoid muscle

is the principleabductor of the arm

but due to poor

mechanical

advantage it cannotinitiate this actionit is assisted by the

supraspinatus m

dorsalinterosseous

(hand)

four muscleseach arising

from two

adjacentmetacarpal

shafts

base of the proximal

phalanx and the

extensor expansion on

lateral side of

the 2nd digitlateral amp

medial sides of

the 3rd digitand medial side

of the 4th digit

flex themetacarpophalangeal

joint extend the

proximal and distalinterphalangeal joints

of digits 2-4 abduct

digits 2-4 (abduction of digits in the hand is

defined as movement

away from the midlineof the 3rd digit)

ulnar nerve deep branch

dorsal and palmar

metacarpal aa

bipennate musclesremember DAB amp

PAD - Dorsal

interosseous mmABduct and Palmar

interosseous mm

ADduct - then youcan figure out

where they must

insert to cause theseactions

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extensor carpiradialis brevis

commonextensor tendon

(lateralepicondyle of

humerus)

dorsum of thethird

metacarpal bone (base)

extends the wristabducts the hand

deep radial nerve radial a works with theextensor carpi

radialis longus andflexor carpi radialis

in abduction of the

hand

extensor carpiradialis longus

lower one-thirdof the lateral

supracondylar ridge of the

humerus

dorsum of thesecond

metacarpal bone (base)

extends the wristabducts the hand

radial nerve radial a works with theextensor carpi

radialis brevis andflexor carpi radialis

in abduction of the

hand

extensor carpiulnaris

commonextensor tendon

amp the middle

one-half of the posterior border

of the ulna

medial side of the base of the

5th metacarpal

extends the wristadducts the hand

deep radial nerve ulnar a works with theflexor carpi ulnaris

in adduction of the

hand

extensor digitiminimi

commonextensor tendon

(lateralepicondyle of

the humerus)

joins theextensor

digitorumtendon to the

5th digit and

inserts into theextensor

expansion

extends themetacarpophalangeal

proximalinterphalangeal and

distal interphalangeal

joints of the 5th digit

deep radial nerve interosseousrecurrent a

extensor digitiminimi appears to

be the ulnar-most portion of extensor

digitorum

extensor digitorum

commonextensor tendon

(lateralepicondyle of

the humerus)

extensor expansion of

digits 2-5

extends themetacarpophalangeal

proximalinterphalangeal and

distal interphalangeal

joints of the 2nd-5thdigits extends wrist

deep radial nerve interosseousrecurrent a and

posterior interosseous a

the extensor expansion inserts

via a central bandon the base of the

middle phalanx

while lateral ampmedial slips insert

on the distal

phalanx

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extensor indicis interosseousmembrane and

the posterolateral

surface of the

distal ulna

its tendon joinsthe tendon of

the extensor digitorum to the

second digit

both tendonsinsert into the

extensor expansion

extends the indexfinger at the

metacarpophalangeal proximal

interphalangeal and

distal interphalangeal joints

deep radial nerve posterior interosseous a

extensor indicis is adeep forearm

extensor whereasextensor digiti

minimi is in the

superficial layer of extensors

extensor pollicis

brevis

interosseous

membrane and

the posterior surface of the

distal radius

base of the

proximal

phalanx of thethumb

extends the thumb at

the

metacarpophalangeal joint

deep radial nerve posterior

interosseous a

the tendons of

extensor pollicis

brevis and abductor pollicis longus

make the lateral border of the

anatomical

snuffbox in whichthe radial arterial

pulse can be felt

extensor pollicislongus

interosseousmembrane and

middle part of the

posterolateralsurface of the

ulna

base of thedistal phalanx

of the thumb

extends the thumb atthe interphalangeal

joint

deep radial nerve posterior interosseous a

the tendon of extensor pollicis

longus hooksaround the dorsal

radial tubercle itforms the medial

border of theanatomical

snuffbox in whichthe radial arterial

pulse can be felt

flexor carpiradialis

common flexor tendon from the

medialepicondyle of

the humerus

base of thesecond and

thirdmetacarpals

flexes the wristabducts the hand

median nerve ulnar a works with theextensor carpi

radialis longus and brevis mm to

abduct hand

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flexor carpiulnaris

common flexor tendon amp (ulnar

head) frommedial border

of olecranon amp

upper 23 of the posterior border

of the ulna

pisiform hook of hamate and

base of 5thmetacarpal

flexes wrist adductshand

ulnar nerve ulnar a the ulnar nerve passes between the

two heads of originof the flexor carpi

ulnaris m

flexor digitiminimi brevis

(hand)

hook of hamateamp the flexor

retinaculum

proximal phalanx of the

5th digit

flexes thecarpometacarpal and

metacarpophalangeal

joints of the 5th digit

ulnar nerve deep branch

ulnar a flexor digiti minimi brevis abductor

digiti minimi and

opponens digitiminimi are in the

hypothenar compartment of the

hand

flexor digitorum profundus

posterior border of the ulna

proximal two-

thirds of medial border of ulna

interosseousmembrane

base of thedistal phalanx

of digits 2-5

flexes themetacarpophalangeal

proximal

interphalangeal anddistal interphalangeal

joints

median nerve(radial one-half)

ulnar nerve (ulnar

one-half)

ulnar a anterior interosseous a

ulnar nerveinnervates the

portion of

profundus that actson digits 4 amp 5 (the

ulnar 2 digits)

flexor digitorum

superficialis

humeroulnar

head common

flexor tendonradial head

middle 13 of

radius

shafts of the

middle

phalanges of digits 2-5

flexes the

metacarpophalangeal

and proximalinterphalangeal joints

median nerve ulnar a median nerve

travels distally in

the forearm on thedeep surface of the

flexor digitorum

superficialis m

flexor pollicis

brevis

flexor

retinaculum

trapezium

proximal

phalanx of the

1st digit

flexes the

carpometacarpal and

metacarpophalangeal joints of the thumb

recurrent branch of

the median nerve

superficial

palmar br of the

radial a

flexor pollicis

brevis abductor

pollicis brevis andopponens pollicis

are the three

muscles of the

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thenar compartmentof the hand

flexor pollicis

longus

anterior surface

of radius andinterosseous

membrane

base of the

distal phalanxof the thumb

flexes the

metacarpophalangealand interphalangeal

joints of the thumb

median nerve anterior

interosseous a

the tendon of flexor

pollicis longus passes through the

carpal tunnel with

the other longdigital flexor

tendons and themedian nerve

infraspinatus infraspinatous

fossa

greater tubercle

of the humerus(middle facet)

laterally rotates the arm suprascapular

nerve

suprascapular a infraspinatus

supraspinatus teresminor and

subscapularis are

the rotator cuff

musclesinterosseous

dorsal (hand)

four muscles

each arisingfrom two

adjacentmetacarpal

shafts

base of the

proximal phalanx and the

extensor expansion on

lateral side of

the 2nd digitlateral amp

medial sides of

the 3rd digitand medial side

of the 4th digit

flex the

metacarpophalangeal joint extend the

proximal and distalinterphalangeal joints

of digits 2-4 abduct

digits 2-4 (abduction of digits in the hand is

defined as movement

away from the midlineof the 3rd digit)

ulnar nerve deep

branch

dorsal and

palmar metacarpal aa

bipennate muscles

remember DAB ampPAD - Dorsal

interosseous mmABduct and Palmar

interosseous mm

ADduct - then youcan figure out

where they must

insert to cause theseactions

interosseous palmar

four musclesarising from the

palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the

1st palmar

base of the proximal

phalanx and

extensor expansion of

the medial side

of digits 1 amp 2

flexes themetacarpophalangeal

extends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5

(adduction of the digits

ulnar nerve deep branch

palmar metacarpal aa

unipennate musclesremember PAD amp

DAB Palmar

interossei ADductand Dorsal

interossei ABduct

and you will be able

7272019 Upper Limb Gross Anatomy Table

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interosseous isoften fused with

the adductor pollicis m)

and lateral sideof digits 4 amp 5

of the hand is inreference to the

midline of the 3rddigit)

to figure out wherethey must insert

latissimus dorsi vertebral spines

from T7 to the

sacrum posterior third

of the iliaccrest lower 3 or

4 ribs

sometimes fromthe inferior

angle of thescapula

floor of the

intertubercular

groove

extends the arm and

rotates the arm

medially

thoracodorsal

nerve (C78) from

the posterior cordof the brachial

plexus

thoracodorsal a the inserting tendon

twists so that fibers

originating highestinsert lowest

levator scapulae transverse processes of C1-C4

vertebrae

medial border of the scapulafrom the

superior angle

to the spine

elevates the scapula dorsal scapular nerve (C5) theupper part of the

muscle receives

branches of C3 ampC4

dorsal scapular a levator scapulae isnamed for its action

lumbrical

(hand)

flexor digitorum

profundustendons of

digits 2-5

extensor

expansion onthe radial side

of the proximal

phalanx of digits 2-5

flex the

metacarpophalangeal joints extend the

proximal and distal

interphalangeal jointsof digits 2-5

median nerve

(radial 2) via palmar digital

nerves amp ulnar

nerve (ulnar 2) viadeep branch

superficial

palmar arterialarch

lumbricals

(lumbricus is latinfor worm) arise

from the profundus

tendons and havethe same pattern of

innervation as does

the profundusmuscle (ulnar and

median nn split thetask equally)

opponens digiti

minimi

hook of hamate

and flexor

retinaculum

shaft of 5th

metacarpal

opposes the 5th digit ulnar nerve deep

branch

ulnar a opposition is a

rotational

movement of the

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5th metacarpalaround the long axis

of its shaftopponens digiti

minimi abductor

digiti minimi andflexor digiti minimi

brevis are in thehypothenar

compartment of the

hand

opponens pollicis

flexor retinaculum

trapezium

shaft of 1stmetacarpal

opposes the thumb recurrent branch of median nerve

superficial palmar branch

of the radial a

opposition is arotational

movement of the1st metacarpal

around the long axis

of its shaftopponens pollicis

abductor pollicis brevis and flexor

pollicis brevis are inthe thenar

compartment of the

hand

palmar

interosseous

four muscles

arising from the palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the1st palmar

interosseous is

often fused withthe adductor

pollicis m)

base of the

proximal phalanx and

extensor expansion of

the medial sideof digits 1 amp 2

and lateral side

of digits 4 amp 5

flexes the

metacarpophalangealextends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5(adduction of the digits

of the hand is in

reference to themidline of the 3rd

digit)

ulnar nerve deep

branch

palmar

metacarpal aa

unipennate muscles

remember PAD ampDAB Palmar

interossei ADductand Dorsal

interossei ABductand you will be able

to figure out where

they must insert

7272019 Upper Limb Gross Anatomy Table

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palmaris brevis fascia overlyingthe hypothenar

eminence

skin of the palm near the

ulnar border of the hand

draws the skin of theulnar side of the hand

toward the center of the palm

superficial br of the ulnar n

ulnar a palmaris brevisimproves the grasp

palmaris longus common flexor tendon fromthe medial

epicondyle of

the humerus

palmar aponeurosis

flexes the wrist median nerve ulnar a palmaris longus isabsent in about 13of forearms it may

be present on one

side only

pectoralis major medial 12 of

the claviclemanubrium amp

body of sternum costalcartilages of

ribs 2-6sometimes from

the rectus

sheath of theupper

abdominal wall

crest of the

greater tubercleof the humerus

flexes and adducts the

arm medially rotatesthe arm

medial and lateral

pectoral nerves(C5-T1)

pectoral branch

of thethoracoacromial

trunk

the deep fascia on

its anterior surfaceshould not be fused

to the fascia of themammary gland - if it is this is an

important clinicalsign indicating

breast disease

pectoralis minor ribs 3-5 coracoid process of the

scapula

draws the scapulaforward medialward

and downward

medial pectoralnerve (C8 T1)

pectoral branchof the

thoracoacromialtrunk

branches of medial pectoral nerve

usually pierce pectoralis minor to

reach the pectoralis

major muscle

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pronator quadratus

medial side of the anterior

surface of thedistal one-

fourth of the

ulna

anterior surfaceof the distal

one-fourth of the radius

pronates the forearm median nerve viathe anterior

interosseous nerve

anterior interosseous a

pronator quadratusis the deepest

muscle in the distalforearm it works

with pronator teres

and has the samenerve supply

pronator teres common flexor

tendon and(deep or ulnar

head) from

medial side of coronoid

process of theulna

midpoint of the

lateral side of the shaft of the

radius

pronates the forearm median nerve ulnar a anterior

ulnar recurrenta

median nerve

passes between thetwo heads of origin

of pronator teres

rhomboideusmajor spines of vertebrae T2-T5 medial border of the scapulainferior to the

spine of the

scapula

retracts elevates androtates the scapulainferiorly

dorsal scapular nerve (C5) dorsal scapular a named for its shape

rhomboideus

minor

inferior end of

the ligamentum

nuchae spinesof vertebrae C7

and T1

medial border

of the scapula

at the root of the spine of the

scapula

retracts elevates and

rotates the scapula

inferiorly

dorsal scapular

nerve (C5)

dorsal scapular

a

named for its shape

serratus anterior ribs 1-8 or 9 medial border of the scapula

on its costal

(deep) surface

it draws the scapulaforward the inferior

fibers rotate the

scapula superiorly

long thoracicnerve (from

ventral rami C5-

C7)

lateral thoracica

a lesion of longthoracic nerve will

cause winging of

the scapula (ie themedial border of the

scapula falls away

from the posterior chest wall and looks

like an angels

wing)

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serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

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supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

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occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 2: Upper Limb Gross Anatomy Table

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metacarpal interosseouscompartment

anconeus lateral

epicondyle of the humerus

lateral side of

the olecranonand the upper

one-fourth of

the ulna

extends the forearm nerve to anconeus

from the radialnerve

interosseous

recurrent a

none

biceps brachii short head tipof the coracoid

process of thescapula long

head

supraglenoidtubercle of the

scapula

tuberosity of the radius

flexes the forearmflexes arm (long head)

supinates

musculocutaneousnerve (C56)

brachial a a powerfulsupinator only if the

elbow is flexed

brachialis anterior surface

of the lower one-half of the

humerus and theassociated

intermuscular

septa

coronoid

process of theulna

flexes the forearm musculocutaneous

nerve (C56)

brachial a

radial recurrenta

a powerful flexor

brachioradialis upper two-

thirds of thelateralsupracondylar

ridge of thehumerus

lateral side of

the base of thestyloid processof the radius

flexes the elbow

assists in pronation ampsupination

radial nerve radial recurrent

a

although

brachioradialis isinnervated by thenerve for extensors

(radial) its primaryaction is elbow

flexion the neutral

position of thismuscle is half way

between supinationand pronation

(elbow flexed

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thumb up)

coracobrachialis coracoid process of the

scapula

medial side of the humerus at

mid-shaft

flexes and adducts thearm

musculocutaneousnerve (C56)

brachial a themusculocutaneous

nerve passesthrough the

coracobrachialis

muscle to reach theother arm flexor

mm(biceps brachiiand brachialis)

deltoid lateral one-third

of the clavicleacromion the

lower lip of the

crest of the

spine of thescapula

deltoid

tuberosity of the humerus

abducts arm anterior

fibers flex amp mediallyrotate the arm

posterior fibers extend

amp laterally rotate the

arm

axillary nerve

(C56) from the posterior cord of

the brachial plexus

posterior

circumflexhumeral a

the deltoid muscle

is the principleabductor of the arm

but due to poor

mechanical

advantage it cannotinitiate this actionit is assisted by the

supraspinatus m

dorsalinterosseous

(hand)

four muscleseach arising

from two

adjacentmetacarpal

shafts

base of the proximal

phalanx and the

extensor expansion on

lateral side of

the 2nd digitlateral amp

medial sides of

the 3rd digitand medial side

of the 4th digit

flex themetacarpophalangeal

joint extend the

proximal and distalinterphalangeal joints

of digits 2-4 abduct

digits 2-4 (abduction of digits in the hand is

defined as movement

away from the midlineof the 3rd digit)

ulnar nerve deep branch

dorsal and palmar

metacarpal aa

bipennate musclesremember DAB amp

PAD - Dorsal

interosseous mmABduct and Palmar

interosseous mm

ADduct - then youcan figure out

where they must

insert to cause theseactions

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extensor carpiradialis brevis

commonextensor tendon

(lateralepicondyle of

humerus)

dorsum of thethird

metacarpal bone (base)

extends the wristabducts the hand

deep radial nerve radial a works with theextensor carpi

radialis longus andflexor carpi radialis

in abduction of the

hand

extensor carpiradialis longus

lower one-thirdof the lateral

supracondylar ridge of the

humerus

dorsum of thesecond

metacarpal bone (base)

extends the wristabducts the hand

radial nerve radial a works with theextensor carpi

radialis brevis andflexor carpi radialis

in abduction of the

hand

extensor carpiulnaris

commonextensor tendon

amp the middle

one-half of the posterior border

of the ulna

medial side of the base of the

5th metacarpal

extends the wristadducts the hand

deep radial nerve ulnar a works with theflexor carpi ulnaris

in adduction of the

hand

extensor digitiminimi

commonextensor tendon

(lateralepicondyle of

the humerus)

joins theextensor

digitorumtendon to the

5th digit and

inserts into theextensor

expansion

extends themetacarpophalangeal

proximalinterphalangeal and

distal interphalangeal

joints of the 5th digit

deep radial nerve interosseousrecurrent a

extensor digitiminimi appears to

be the ulnar-most portion of extensor

digitorum

extensor digitorum

commonextensor tendon

(lateralepicondyle of

the humerus)

extensor expansion of

digits 2-5

extends themetacarpophalangeal

proximalinterphalangeal and

distal interphalangeal

joints of the 2nd-5thdigits extends wrist

deep radial nerve interosseousrecurrent a and

posterior interosseous a

the extensor expansion inserts

via a central bandon the base of the

middle phalanx

while lateral ampmedial slips insert

on the distal

phalanx

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extensor indicis interosseousmembrane and

the posterolateral

surface of the

distal ulna

its tendon joinsthe tendon of

the extensor digitorum to the

second digit

both tendonsinsert into the

extensor expansion

extends the indexfinger at the

metacarpophalangeal proximal

interphalangeal and

distal interphalangeal joints

deep radial nerve posterior interosseous a

extensor indicis is adeep forearm

extensor whereasextensor digiti

minimi is in the

superficial layer of extensors

extensor pollicis

brevis

interosseous

membrane and

the posterior surface of the

distal radius

base of the

proximal

phalanx of thethumb

extends the thumb at

the

metacarpophalangeal joint

deep radial nerve posterior

interosseous a

the tendons of

extensor pollicis

brevis and abductor pollicis longus

make the lateral border of the

anatomical

snuffbox in whichthe radial arterial

pulse can be felt

extensor pollicislongus

interosseousmembrane and

middle part of the

posterolateralsurface of the

ulna

base of thedistal phalanx

of the thumb

extends the thumb atthe interphalangeal

joint

deep radial nerve posterior interosseous a

the tendon of extensor pollicis

longus hooksaround the dorsal

radial tubercle itforms the medial

border of theanatomical

snuffbox in whichthe radial arterial

pulse can be felt

flexor carpiradialis

common flexor tendon from the

medialepicondyle of

the humerus

base of thesecond and

thirdmetacarpals

flexes the wristabducts the hand

median nerve ulnar a works with theextensor carpi

radialis longus and brevis mm to

abduct hand

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flexor carpiulnaris

common flexor tendon amp (ulnar

head) frommedial border

of olecranon amp

upper 23 of the posterior border

of the ulna

pisiform hook of hamate and

base of 5thmetacarpal

flexes wrist adductshand

ulnar nerve ulnar a the ulnar nerve passes between the

two heads of originof the flexor carpi

ulnaris m

flexor digitiminimi brevis

(hand)

hook of hamateamp the flexor

retinaculum

proximal phalanx of the

5th digit

flexes thecarpometacarpal and

metacarpophalangeal

joints of the 5th digit

ulnar nerve deep branch

ulnar a flexor digiti minimi brevis abductor

digiti minimi and

opponens digitiminimi are in the

hypothenar compartment of the

hand

flexor digitorum profundus

posterior border of the ulna

proximal two-

thirds of medial border of ulna

interosseousmembrane

base of thedistal phalanx

of digits 2-5

flexes themetacarpophalangeal

proximal

interphalangeal anddistal interphalangeal

joints

median nerve(radial one-half)

ulnar nerve (ulnar

one-half)

ulnar a anterior interosseous a

ulnar nerveinnervates the

portion of

profundus that actson digits 4 amp 5 (the

ulnar 2 digits)

flexor digitorum

superficialis

humeroulnar

head common

flexor tendonradial head

middle 13 of

radius

shafts of the

middle

phalanges of digits 2-5

flexes the

metacarpophalangeal

and proximalinterphalangeal joints

median nerve ulnar a median nerve

travels distally in

the forearm on thedeep surface of the

flexor digitorum

superficialis m

flexor pollicis

brevis

flexor

retinaculum

trapezium

proximal

phalanx of the

1st digit

flexes the

carpometacarpal and

metacarpophalangeal joints of the thumb

recurrent branch of

the median nerve

superficial

palmar br of the

radial a

flexor pollicis

brevis abductor

pollicis brevis andopponens pollicis

are the three

muscles of the

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thenar compartmentof the hand

flexor pollicis

longus

anterior surface

of radius andinterosseous

membrane

base of the

distal phalanxof the thumb

flexes the

metacarpophalangealand interphalangeal

joints of the thumb

median nerve anterior

interosseous a

the tendon of flexor

pollicis longus passes through the

carpal tunnel with

the other longdigital flexor

tendons and themedian nerve

infraspinatus infraspinatous

fossa

greater tubercle

of the humerus(middle facet)

laterally rotates the arm suprascapular

nerve

suprascapular a infraspinatus

supraspinatus teresminor and

subscapularis are

the rotator cuff

musclesinterosseous

dorsal (hand)

four muscles

each arisingfrom two

adjacentmetacarpal

shafts

base of the

proximal phalanx and the

extensor expansion on

lateral side of

the 2nd digitlateral amp

medial sides of

the 3rd digitand medial side

of the 4th digit

flex the

metacarpophalangeal joint extend the

proximal and distalinterphalangeal joints

of digits 2-4 abduct

digits 2-4 (abduction of digits in the hand is

defined as movement

away from the midlineof the 3rd digit)

ulnar nerve deep

branch

dorsal and

palmar metacarpal aa

bipennate muscles

remember DAB ampPAD - Dorsal

interosseous mmABduct and Palmar

interosseous mm

ADduct - then youcan figure out

where they must

insert to cause theseactions

interosseous palmar

four musclesarising from the

palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the

1st palmar

base of the proximal

phalanx and

extensor expansion of

the medial side

of digits 1 amp 2

flexes themetacarpophalangeal

extends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5

(adduction of the digits

ulnar nerve deep branch

palmar metacarpal aa

unipennate musclesremember PAD amp

DAB Palmar

interossei ADductand Dorsal

interossei ABduct

and you will be able

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interosseous isoften fused with

the adductor pollicis m)

and lateral sideof digits 4 amp 5

of the hand is inreference to the

midline of the 3rddigit)

to figure out wherethey must insert

latissimus dorsi vertebral spines

from T7 to the

sacrum posterior third

of the iliaccrest lower 3 or

4 ribs

sometimes fromthe inferior

angle of thescapula

floor of the

intertubercular

groove

extends the arm and

rotates the arm

medially

thoracodorsal

nerve (C78) from

the posterior cordof the brachial

plexus

thoracodorsal a the inserting tendon

twists so that fibers

originating highestinsert lowest

levator scapulae transverse processes of C1-C4

vertebrae

medial border of the scapulafrom the

superior angle

to the spine

elevates the scapula dorsal scapular nerve (C5) theupper part of the

muscle receives

branches of C3 ampC4

dorsal scapular a levator scapulae isnamed for its action

lumbrical

(hand)

flexor digitorum

profundustendons of

digits 2-5

extensor

expansion onthe radial side

of the proximal

phalanx of digits 2-5

flex the

metacarpophalangeal joints extend the

proximal and distal

interphalangeal jointsof digits 2-5

median nerve

(radial 2) via palmar digital

nerves amp ulnar

nerve (ulnar 2) viadeep branch

superficial

palmar arterialarch

lumbricals

(lumbricus is latinfor worm) arise

from the profundus

tendons and havethe same pattern of

innervation as does

the profundusmuscle (ulnar and

median nn split thetask equally)

opponens digiti

minimi

hook of hamate

and flexor

retinaculum

shaft of 5th

metacarpal

opposes the 5th digit ulnar nerve deep

branch

ulnar a opposition is a

rotational

movement of the

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5th metacarpalaround the long axis

of its shaftopponens digiti

minimi abductor

digiti minimi andflexor digiti minimi

brevis are in thehypothenar

compartment of the

hand

opponens pollicis

flexor retinaculum

trapezium

shaft of 1stmetacarpal

opposes the thumb recurrent branch of median nerve

superficial palmar branch

of the radial a

opposition is arotational

movement of the1st metacarpal

around the long axis

of its shaftopponens pollicis

abductor pollicis brevis and flexor

pollicis brevis are inthe thenar

compartment of the

hand

palmar

interosseous

four muscles

arising from the palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the1st palmar

interosseous is

often fused withthe adductor

pollicis m)

base of the

proximal phalanx and

extensor expansion of

the medial sideof digits 1 amp 2

and lateral side

of digits 4 amp 5

flexes the

metacarpophalangealextends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5(adduction of the digits

of the hand is in

reference to themidline of the 3rd

digit)

ulnar nerve deep

branch

palmar

metacarpal aa

unipennate muscles

remember PAD ampDAB Palmar

interossei ADductand Dorsal

interossei ABductand you will be able

to figure out where

they must insert

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palmaris brevis fascia overlyingthe hypothenar

eminence

skin of the palm near the

ulnar border of the hand

draws the skin of theulnar side of the hand

toward the center of the palm

superficial br of the ulnar n

ulnar a palmaris brevisimproves the grasp

palmaris longus common flexor tendon fromthe medial

epicondyle of

the humerus

palmar aponeurosis

flexes the wrist median nerve ulnar a palmaris longus isabsent in about 13of forearms it may

be present on one

side only

pectoralis major medial 12 of

the claviclemanubrium amp

body of sternum costalcartilages of

ribs 2-6sometimes from

the rectus

sheath of theupper

abdominal wall

crest of the

greater tubercleof the humerus

flexes and adducts the

arm medially rotatesthe arm

medial and lateral

pectoral nerves(C5-T1)

pectoral branch

of thethoracoacromial

trunk

the deep fascia on

its anterior surfaceshould not be fused

to the fascia of themammary gland - if it is this is an

important clinicalsign indicating

breast disease

pectoralis minor ribs 3-5 coracoid process of the

scapula

draws the scapulaforward medialward

and downward

medial pectoralnerve (C8 T1)

pectoral branchof the

thoracoacromialtrunk

branches of medial pectoral nerve

usually pierce pectoralis minor to

reach the pectoralis

major muscle

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pronator quadratus

medial side of the anterior

surface of thedistal one-

fourth of the

ulna

anterior surfaceof the distal

one-fourth of the radius

pronates the forearm median nerve viathe anterior

interosseous nerve

anterior interosseous a

pronator quadratusis the deepest

muscle in the distalforearm it works

with pronator teres

and has the samenerve supply

pronator teres common flexor

tendon and(deep or ulnar

head) from

medial side of coronoid

process of theulna

midpoint of the

lateral side of the shaft of the

radius

pronates the forearm median nerve ulnar a anterior

ulnar recurrenta

median nerve

passes between thetwo heads of origin

of pronator teres

rhomboideusmajor spines of vertebrae T2-T5 medial border of the scapulainferior to the

spine of the

scapula

retracts elevates androtates the scapulainferiorly

dorsal scapular nerve (C5) dorsal scapular a named for its shape

rhomboideus

minor

inferior end of

the ligamentum

nuchae spinesof vertebrae C7

and T1

medial border

of the scapula

at the root of the spine of the

scapula

retracts elevates and

rotates the scapula

inferiorly

dorsal scapular

nerve (C5)

dorsal scapular

a

named for its shape

serratus anterior ribs 1-8 or 9 medial border of the scapula

on its costal

(deep) surface

it draws the scapulaforward the inferior

fibers rotate the

scapula superiorly

long thoracicnerve (from

ventral rami C5-

C7)

lateral thoracica

a lesion of longthoracic nerve will

cause winging of

the scapula (ie themedial border of the

scapula falls away

from the posterior chest wall and looks

like an angels

wing)

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serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

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supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

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occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 3: Upper Limb Gross Anatomy Table

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thumb up)

coracobrachialis coracoid process of the

scapula

medial side of the humerus at

mid-shaft

flexes and adducts thearm

musculocutaneousnerve (C56)

brachial a themusculocutaneous

nerve passesthrough the

coracobrachialis

muscle to reach theother arm flexor

mm(biceps brachiiand brachialis)

deltoid lateral one-third

of the clavicleacromion the

lower lip of the

crest of the

spine of thescapula

deltoid

tuberosity of the humerus

abducts arm anterior

fibers flex amp mediallyrotate the arm

posterior fibers extend

amp laterally rotate the

arm

axillary nerve

(C56) from the posterior cord of

the brachial plexus

posterior

circumflexhumeral a

the deltoid muscle

is the principleabductor of the arm

but due to poor

mechanical

advantage it cannotinitiate this actionit is assisted by the

supraspinatus m

dorsalinterosseous

(hand)

four muscleseach arising

from two

adjacentmetacarpal

shafts

base of the proximal

phalanx and the

extensor expansion on

lateral side of

the 2nd digitlateral amp

medial sides of

the 3rd digitand medial side

of the 4th digit

flex themetacarpophalangeal

joint extend the

proximal and distalinterphalangeal joints

of digits 2-4 abduct

digits 2-4 (abduction of digits in the hand is

defined as movement

away from the midlineof the 3rd digit)

ulnar nerve deep branch

dorsal and palmar

metacarpal aa

bipennate musclesremember DAB amp

PAD - Dorsal

interosseous mmABduct and Palmar

interosseous mm

ADduct - then youcan figure out

where they must

insert to cause theseactions

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extensor carpiradialis brevis

commonextensor tendon

(lateralepicondyle of

humerus)

dorsum of thethird

metacarpal bone (base)

extends the wristabducts the hand

deep radial nerve radial a works with theextensor carpi

radialis longus andflexor carpi radialis

in abduction of the

hand

extensor carpiradialis longus

lower one-thirdof the lateral

supracondylar ridge of the

humerus

dorsum of thesecond

metacarpal bone (base)

extends the wristabducts the hand

radial nerve radial a works with theextensor carpi

radialis brevis andflexor carpi radialis

in abduction of the

hand

extensor carpiulnaris

commonextensor tendon

amp the middle

one-half of the posterior border

of the ulna

medial side of the base of the

5th metacarpal

extends the wristadducts the hand

deep radial nerve ulnar a works with theflexor carpi ulnaris

in adduction of the

hand

extensor digitiminimi

commonextensor tendon

(lateralepicondyle of

the humerus)

joins theextensor

digitorumtendon to the

5th digit and

inserts into theextensor

expansion

extends themetacarpophalangeal

proximalinterphalangeal and

distal interphalangeal

joints of the 5th digit

deep radial nerve interosseousrecurrent a

extensor digitiminimi appears to

be the ulnar-most portion of extensor

digitorum

extensor digitorum

commonextensor tendon

(lateralepicondyle of

the humerus)

extensor expansion of

digits 2-5

extends themetacarpophalangeal

proximalinterphalangeal and

distal interphalangeal

joints of the 2nd-5thdigits extends wrist

deep radial nerve interosseousrecurrent a and

posterior interosseous a

the extensor expansion inserts

via a central bandon the base of the

middle phalanx

while lateral ampmedial slips insert

on the distal

phalanx

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extensor indicis interosseousmembrane and

the posterolateral

surface of the

distal ulna

its tendon joinsthe tendon of

the extensor digitorum to the

second digit

both tendonsinsert into the

extensor expansion

extends the indexfinger at the

metacarpophalangeal proximal

interphalangeal and

distal interphalangeal joints

deep radial nerve posterior interosseous a

extensor indicis is adeep forearm

extensor whereasextensor digiti

minimi is in the

superficial layer of extensors

extensor pollicis

brevis

interosseous

membrane and

the posterior surface of the

distal radius

base of the

proximal

phalanx of thethumb

extends the thumb at

the

metacarpophalangeal joint

deep radial nerve posterior

interosseous a

the tendons of

extensor pollicis

brevis and abductor pollicis longus

make the lateral border of the

anatomical

snuffbox in whichthe radial arterial

pulse can be felt

extensor pollicislongus

interosseousmembrane and

middle part of the

posterolateralsurface of the

ulna

base of thedistal phalanx

of the thumb

extends the thumb atthe interphalangeal

joint

deep radial nerve posterior interosseous a

the tendon of extensor pollicis

longus hooksaround the dorsal

radial tubercle itforms the medial

border of theanatomical

snuffbox in whichthe radial arterial

pulse can be felt

flexor carpiradialis

common flexor tendon from the

medialepicondyle of

the humerus

base of thesecond and

thirdmetacarpals

flexes the wristabducts the hand

median nerve ulnar a works with theextensor carpi

radialis longus and brevis mm to

abduct hand

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flexor carpiulnaris

common flexor tendon amp (ulnar

head) frommedial border

of olecranon amp

upper 23 of the posterior border

of the ulna

pisiform hook of hamate and

base of 5thmetacarpal

flexes wrist adductshand

ulnar nerve ulnar a the ulnar nerve passes between the

two heads of originof the flexor carpi

ulnaris m

flexor digitiminimi brevis

(hand)

hook of hamateamp the flexor

retinaculum

proximal phalanx of the

5th digit

flexes thecarpometacarpal and

metacarpophalangeal

joints of the 5th digit

ulnar nerve deep branch

ulnar a flexor digiti minimi brevis abductor

digiti minimi and

opponens digitiminimi are in the

hypothenar compartment of the

hand

flexor digitorum profundus

posterior border of the ulna

proximal two-

thirds of medial border of ulna

interosseousmembrane

base of thedistal phalanx

of digits 2-5

flexes themetacarpophalangeal

proximal

interphalangeal anddistal interphalangeal

joints

median nerve(radial one-half)

ulnar nerve (ulnar

one-half)

ulnar a anterior interosseous a

ulnar nerveinnervates the

portion of

profundus that actson digits 4 amp 5 (the

ulnar 2 digits)

flexor digitorum

superficialis

humeroulnar

head common

flexor tendonradial head

middle 13 of

radius

shafts of the

middle

phalanges of digits 2-5

flexes the

metacarpophalangeal

and proximalinterphalangeal joints

median nerve ulnar a median nerve

travels distally in

the forearm on thedeep surface of the

flexor digitorum

superficialis m

flexor pollicis

brevis

flexor

retinaculum

trapezium

proximal

phalanx of the

1st digit

flexes the

carpometacarpal and

metacarpophalangeal joints of the thumb

recurrent branch of

the median nerve

superficial

palmar br of the

radial a

flexor pollicis

brevis abductor

pollicis brevis andopponens pollicis

are the three

muscles of the

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thenar compartmentof the hand

flexor pollicis

longus

anterior surface

of radius andinterosseous

membrane

base of the

distal phalanxof the thumb

flexes the

metacarpophalangealand interphalangeal

joints of the thumb

median nerve anterior

interosseous a

the tendon of flexor

pollicis longus passes through the

carpal tunnel with

the other longdigital flexor

tendons and themedian nerve

infraspinatus infraspinatous

fossa

greater tubercle

of the humerus(middle facet)

laterally rotates the arm suprascapular

nerve

suprascapular a infraspinatus

supraspinatus teresminor and

subscapularis are

the rotator cuff

musclesinterosseous

dorsal (hand)

four muscles

each arisingfrom two

adjacentmetacarpal

shafts

base of the

proximal phalanx and the

extensor expansion on

lateral side of

the 2nd digitlateral amp

medial sides of

the 3rd digitand medial side

of the 4th digit

flex the

metacarpophalangeal joint extend the

proximal and distalinterphalangeal joints

of digits 2-4 abduct

digits 2-4 (abduction of digits in the hand is

defined as movement

away from the midlineof the 3rd digit)

ulnar nerve deep

branch

dorsal and

palmar metacarpal aa

bipennate muscles

remember DAB ampPAD - Dorsal

interosseous mmABduct and Palmar

interosseous mm

ADduct - then youcan figure out

where they must

insert to cause theseactions

interosseous palmar

four musclesarising from the

palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the

1st palmar

base of the proximal

phalanx and

extensor expansion of

the medial side

of digits 1 amp 2

flexes themetacarpophalangeal

extends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5

(adduction of the digits

ulnar nerve deep branch

palmar metacarpal aa

unipennate musclesremember PAD amp

DAB Palmar

interossei ADductand Dorsal

interossei ABduct

and you will be able

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interosseous isoften fused with

the adductor pollicis m)

and lateral sideof digits 4 amp 5

of the hand is inreference to the

midline of the 3rddigit)

to figure out wherethey must insert

latissimus dorsi vertebral spines

from T7 to the

sacrum posterior third

of the iliaccrest lower 3 or

4 ribs

sometimes fromthe inferior

angle of thescapula

floor of the

intertubercular

groove

extends the arm and

rotates the arm

medially

thoracodorsal

nerve (C78) from

the posterior cordof the brachial

plexus

thoracodorsal a the inserting tendon

twists so that fibers

originating highestinsert lowest

levator scapulae transverse processes of C1-C4

vertebrae

medial border of the scapulafrom the

superior angle

to the spine

elevates the scapula dorsal scapular nerve (C5) theupper part of the

muscle receives

branches of C3 ampC4

dorsal scapular a levator scapulae isnamed for its action

lumbrical

(hand)

flexor digitorum

profundustendons of

digits 2-5

extensor

expansion onthe radial side

of the proximal

phalanx of digits 2-5

flex the

metacarpophalangeal joints extend the

proximal and distal

interphalangeal jointsof digits 2-5

median nerve

(radial 2) via palmar digital

nerves amp ulnar

nerve (ulnar 2) viadeep branch

superficial

palmar arterialarch

lumbricals

(lumbricus is latinfor worm) arise

from the profundus

tendons and havethe same pattern of

innervation as does

the profundusmuscle (ulnar and

median nn split thetask equally)

opponens digiti

minimi

hook of hamate

and flexor

retinaculum

shaft of 5th

metacarpal

opposes the 5th digit ulnar nerve deep

branch

ulnar a opposition is a

rotational

movement of the

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5th metacarpalaround the long axis

of its shaftopponens digiti

minimi abductor

digiti minimi andflexor digiti minimi

brevis are in thehypothenar

compartment of the

hand

opponens pollicis

flexor retinaculum

trapezium

shaft of 1stmetacarpal

opposes the thumb recurrent branch of median nerve

superficial palmar branch

of the radial a

opposition is arotational

movement of the1st metacarpal

around the long axis

of its shaftopponens pollicis

abductor pollicis brevis and flexor

pollicis brevis are inthe thenar

compartment of the

hand

palmar

interosseous

four muscles

arising from the palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the1st palmar

interosseous is

often fused withthe adductor

pollicis m)

base of the

proximal phalanx and

extensor expansion of

the medial sideof digits 1 amp 2

and lateral side

of digits 4 amp 5

flexes the

metacarpophalangealextends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5(adduction of the digits

of the hand is in

reference to themidline of the 3rd

digit)

ulnar nerve deep

branch

palmar

metacarpal aa

unipennate muscles

remember PAD ampDAB Palmar

interossei ADductand Dorsal

interossei ABductand you will be able

to figure out where

they must insert

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palmaris brevis fascia overlyingthe hypothenar

eminence

skin of the palm near the

ulnar border of the hand

draws the skin of theulnar side of the hand

toward the center of the palm

superficial br of the ulnar n

ulnar a palmaris brevisimproves the grasp

palmaris longus common flexor tendon fromthe medial

epicondyle of

the humerus

palmar aponeurosis

flexes the wrist median nerve ulnar a palmaris longus isabsent in about 13of forearms it may

be present on one

side only

pectoralis major medial 12 of

the claviclemanubrium amp

body of sternum costalcartilages of

ribs 2-6sometimes from

the rectus

sheath of theupper

abdominal wall

crest of the

greater tubercleof the humerus

flexes and adducts the

arm medially rotatesthe arm

medial and lateral

pectoral nerves(C5-T1)

pectoral branch

of thethoracoacromial

trunk

the deep fascia on

its anterior surfaceshould not be fused

to the fascia of themammary gland - if it is this is an

important clinicalsign indicating

breast disease

pectoralis minor ribs 3-5 coracoid process of the

scapula

draws the scapulaforward medialward

and downward

medial pectoralnerve (C8 T1)

pectoral branchof the

thoracoacromialtrunk

branches of medial pectoral nerve

usually pierce pectoralis minor to

reach the pectoralis

major muscle

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pronator quadratus

medial side of the anterior

surface of thedistal one-

fourth of the

ulna

anterior surfaceof the distal

one-fourth of the radius

pronates the forearm median nerve viathe anterior

interosseous nerve

anterior interosseous a

pronator quadratusis the deepest

muscle in the distalforearm it works

with pronator teres

and has the samenerve supply

pronator teres common flexor

tendon and(deep or ulnar

head) from

medial side of coronoid

process of theulna

midpoint of the

lateral side of the shaft of the

radius

pronates the forearm median nerve ulnar a anterior

ulnar recurrenta

median nerve

passes between thetwo heads of origin

of pronator teres

rhomboideusmajor spines of vertebrae T2-T5 medial border of the scapulainferior to the

spine of the

scapula

retracts elevates androtates the scapulainferiorly

dorsal scapular nerve (C5) dorsal scapular a named for its shape

rhomboideus

minor

inferior end of

the ligamentum

nuchae spinesof vertebrae C7

and T1

medial border

of the scapula

at the root of the spine of the

scapula

retracts elevates and

rotates the scapula

inferiorly

dorsal scapular

nerve (C5)

dorsal scapular

a

named for its shape

serratus anterior ribs 1-8 or 9 medial border of the scapula

on its costal

(deep) surface

it draws the scapulaforward the inferior

fibers rotate the

scapula superiorly

long thoracicnerve (from

ventral rami C5-

C7)

lateral thoracica

a lesion of longthoracic nerve will

cause winging of

the scapula (ie themedial border of the

scapula falls away

from the posterior chest wall and looks

like an angels

wing)

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serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

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supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

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occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 4: Upper Limb Gross Anatomy Table

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extensor carpiradialis brevis

commonextensor tendon

(lateralepicondyle of

humerus)

dorsum of thethird

metacarpal bone (base)

extends the wristabducts the hand

deep radial nerve radial a works with theextensor carpi

radialis longus andflexor carpi radialis

in abduction of the

hand

extensor carpiradialis longus

lower one-thirdof the lateral

supracondylar ridge of the

humerus

dorsum of thesecond

metacarpal bone (base)

extends the wristabducts the hand

radial nerve radial a works with theextensor carpi

radialis brevis andflexor carpi radialis

in abduction of the

hand

extensor carpiulnaris

commonextensor tendon

amp the middle

one-half of the posterior border

of the ulna

medial side of the base of the

5th metacarpal

extends the wristadducts the hand

deep radial nerve ulnar a works with theflexor carpi ulnaris

in adduction of the

hand

extensor digitiminimi

commonextensor tendon

(lateralepicondyle of

the humerus)

joins theextensor

digitorumtendon to the

5th digit and

inserts into theextensor

expansion

extends themetacarpophalangeal

proximalinterphalangeal and

distal interphalangeal

joints of the 5th digit

deep radial nerve interosseousrecurrent a

extensor digitiminimi appears to

be the ulnar-most portion of extensor

digitorum

extensor digitorum

commonextensor tendon

(lateralepicondyle of

the humerus)

extensor expansion of

digits 2-5

extends themetacarpophalangeal

proximalinterphalangeal and

distal interphalangeal

joints of the 2nd-5thdigits extends wrist

deep radial nerve interosseousrecurrent a and

posterior interosseous a

the extensor expansion inserts

via a central bandon the base of the

middle phalanx

while lateral ampmedial slips insert

on the distal

phalanx

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extensor indicis interosseousmembrane and

the posterolateral

surface of the

distal ulna

its tendon joinsthe tendon of

the extensor digitorum to the

second digit

both tendonsinsert into the

extensor expansion

extends the indexfinger at the

metacarpophalangeal proximal

interphalangeal and

distal interphalangeal joints

deep radial nerve posterior interosseous a

extensor indicis is adeep forearm

extensor whereasextensor digiti

minimi is in the

superficial layer of extensors

extensor pollicis

brevis

interosseous

membrane and

the posterior surface of the

distal radius

base of the

proximal

phalanx of thethumb

extends the thumb at

the

metacarpophalangeal joint

deep radial nerve posterior

interosseous a

the tendons of

extensor pollicis

brevis and abductor pollicis longus

make the lateral border of the

anatomical

snuffbox in whichthe radial arterial

pulse can be felt

extensor pollicislongus

interosseousmembrane and

middle part of the

posterolateralsurface of the

ulna

base of thedistal phalanx

of the thumb

extends the thumb atthe interphalangeal

joint

deep radial nerve posterior interosseous a

the tendon of extensor pollicis

longus hooksaround the dorsal

radial tubercle itforms the medial

border of theanatomical

snuffbox in whichthe radial arterial

pulse can be felt

flexor carpiradialis

common flexor tendon from the

medialepicondyle of

the humerus

base of thesecond and

thirdmetacarpals

flexes the wristabducts the hand

median nerve ulnar a works with theextensor carpi

radialis longus and brevis mm to

abduct hand

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flexor carpiulnaris

common flexor tendon amp (ulnar

head) frommedial border

of olecranon amp

upper 23 of the posterior border

of the ulna

pisiform hook of hamate and

base of 5thmetacarpal

flexes wrist adductshand

ulnar nerve ulnar a the ulnar nerve passes between the

two heads of originof the flexor carpi

ulnaris m

flexor digitiminimi brevis

(hand)

hook of hamateamp the flexor

retinaculum

proximal phalanx of the

5th digit

flexes thecarpometacarpal and

metacarpophalangeal

joints of the 5th digit

ulnar nerve deep branch

ulnar a flexor digiti minimi brevis abductor

digiti minimi and

opponens digitiminimi are in the

hypothenar compartment of the

hand

flexor digitorum profundus

posterior border of the ulna

proximal two-

thirds of medial border of ulna

interosseousmembrane

base of thedistal phalanx

of digits 2-5

flexes themetacarpophalangeal

proximal

interphalangeal anddistal interphalangeal

joints

median nerve(radial one-half)

ulnar nerve (ulnar

one-half)

ulnar a anterior interosseous a

ulnar nerveinnervates the

portion of

profundus that actson digits 4 amp 5 (the

ulnar 2 digits)

flexor digitorum

superficialis

humeroulnar

head common

flexor tendonradial head

middle 13 of

radius

shafts of the

middle

phalanges of digits 2-5

flexes the

metacarpophalangeal

and proximalinterphalangeal joints

median nerve ulnar a median nerve

travels distally in

the forearm on thedeep surface of the

flexor digitorum

superficialis m

flexor pollicis

brevis

flexor

retinaculum

trapezium

proximal

phalanx of the

1st digit

flexes the

carpometacarpal and

metacarpophalangeal joints of the thumb

recurrent branch of

the median nerve

superficial

palmar br of the

radial a

flexor pollicis

brevis abductor

pollicis brevis andopponens pollicis

are the three

muscles of the

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thenar compartmentof the hand

flexor pollicis

longus

anterior surface

of radius andinterosseous

membrane

base of the

distal phalanxof the thumb

flexes the

metacarpophalangealand interphalangeal

joints of the thumb

median nerve anterior

interosseous a

the tendon of flexor

pollicis longus passes through the

carpal tunnel with

the other longdigital flexor

tendons and themedian nerve

infraspinatus infraspinatous

fossa

greater tubercle

of the humerus(middle facet)

laterally rotates the arm suprascapular

nerve

suprascapular a infraspinatus

supraspinatus teresminor and

subscapularis are

the rotator cuff

musclesinterosseous

dorsal (hand)

four muscles

each arisingfrom two

adjacentmetacarpal

shafts

base of the

proximal phalanx and the

extensor expansion on

lateral side of

the 2nd digitlateral amp

medial sides of

the 3rd digitand medial side

of the 4th digit

flex the

metacarpophalangeal joint extend the

proximal and distalinterphalangeal joints

of digits 2-4 abduct

digits 2-4 (abduction of digits in the hand is

defined as movement

away from the midlineof the 3rd digit)

ulnar nerve deep

branch

dorsal and

palmar metacarpal aa

bipennate muscles

remember DAB ampPAD - Dorsal

interosseous mmABduct and Palmar

interosseous mm

ADduct - then youcan figure out

where they must

insert to cause theseactions

interosseous palmar

four musclesarising from the

palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the

1st palmar

base of the proximal

phalanx and

extensor expansion of

the medial side

of digits 1 amp 2

flexes themetacarpophalangeal

extends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5

(adduction of the digits

ulnar nerve deep branch

palmar metacarpal aa

unipennate musclesremember PAD amp

DAB Palmar

interossei ADductand Dorsal

interossei ABduct

and you will be able

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interosseous isoften fused with

the adductor pollicis m)

and lateral sideof digits 4 amp 5

of the hand is inreference to the

midline of the 3rddigit)

to figure out wherethey must insert

latissimus dorsi vertebral spines

from T7 to the

sacrum posterior third

of the iliaccrest lower 3 or

4 ribs

sometimes fromthe inferior

angle of thescapula

floor of the

intertubercular

groove

extends the arm and

rotates the arm

medially

thoracodorsal

nerve (C78) from

the posterior cordof the brachial

plexus

thoracodorsal a the inserting tendon

twists so that fibers

originating highestinsert lowest

levator scapulae transverse processes of C1-C4

vertebrae

medial border of the scapulafrom the

superior angle

to the spine

elevates the scapula dorsal scapular nerve (C5) theupper part of the

muscle receives

branches of C3 ampC4

dorsal scapular a levator scapulae isnamed for its action

lumbrical

(hand)

flexor digitorum

profundustendons of

digits 2-5

extensor

expansion onthe radial side

of the proximal

phalanx of digits 2-5

flex the

metacarpophalangeal joints extend the

proximal and distal

interphalangeal jointsof digits 2-5

median nerve

(radial 2) via palmar digital

nerves amp ulnar

nerve (ulnar 2) viadeep branch

superficial

palmar arterialarch

lumbricals

(lumbricus is latinfor worm) arise

from the profundus

tendons and havethe same pattern of

innervation as does

the profundusmuscle (ulnar and

median nn split thetask equally)

opponens digiti

minimi

hook of hamate

and flexor

retinaculum

shaft of 5th

metacarpal

opposes the 5th digit ulnar nerve deep

branch

ulnar a opposition is a

rotational

movement of the

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5th metacarpalaround the long axis

of its shaftopponens digiti

minimi abductor

digiti minimi andflexor digiti minimi

brevis are in thehypothenar

compartment of the

hand

opponens pollicis

flexor retinaculum

trapezium

shaft of 1stmetacarpal

opposes the thumb recurrent branch of median nerve

superficial palmar branch

of the radial a

opposition is arotational

movement of the1st metacarpal

around the long axis

of its shaftopponens pollicis

abductor pollicis brevis and flexor

pollicis brevis are inthe thenar

compartment of the

hand

palmar

interosseous

four muscles

arising from the palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the1st palmar

interosseous is

often fused withthe adductor

pollicis m)

base of the

proximal phalanx and

extensor expansion of

the medial sideof digits 1 amp 2

and lateral side

of digits 4 amp 5

flexes the

metacarpophalangealextends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5(adduction of the digits

of the hand is in

reference to themidline of the 3rd

digit)

ulnar nerve deep

branch

palmar

metacarpal aa

unipennate muscles

remember PAD ampDAB Palmar

interossei ADductand Dorsal

interossei ABductand you will be able

to figure out where

they must insert

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palmaris brevis fascia overlyingthe hypothenar

eminence

skin of the palm near the

ulnar border of the hand

draws the skin of theulnar side of the hand

toward the center of the palm

superficial br of the ulnar n

ulnar a palmaris brevisimproves the grasp

palmaris longus common flexor tendon fromthe medial

epicondyle of

the humerus

palmar aponeurosis

flexes the wrist median nerve ulnar a palmaris longus isabsent in about 13of forearms it may

be present on one

side only

pectoralis major medial 12 of

the claviclemanubrium amp

body of sternum costalcartilages of

ribs 2-6sometimes from

the rectus

sheath of theupper

abdominal wall

crest of the

greater tubercleof the humerus

flexes and adducts the

arm medially rotatesthe arm

medial and lateral

pectoral nerves(C5-T1)

pectoral branch

of thethoracoacromial

trunk

the deep fascia on

its anterior surfaceshould not be fused

to the fascia of themammary gland - if it is this is an

important clinicalsign indicating

breast disease

pectoralis minor ribs 3-5 coracoid process of the

scapula

draws the scapulaforward medialward

and downward

medial pectoralnerve (C8 T1)

pectoral branchof the

thoracoacromialtrunk

branches of medial pectoral nerve

usually pierce pectoralis minor to

reach the pectoralis

major muscle

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pronator quadratus

medial side of the anterior

surface of thedistal one-

fourth of the

ulna

anterior surfaceof the distal

one-fourth of the radius

pronates the forearm median nerve viathe anterior

interosseous nerve

anterior interosseous a

pronator quadratusis the deepest

muscle in the distalforearm it works

with pronator teres

and has the samenerve supply

pronator teres common flexor

tendon and(deep or ulnar

head) from

medial side of coronoid

process of theulna

midpoint of the

lateral side of the shaft of the

radius

pronates the forearm median nerve ulnar a anterior

ulnar recurrenta

median nerve

passes between thetwo heads of origin

of pronator teres

rhomboideusmajor spines of vertebrae T2-T5 medial border of the scapulainferior to the

spine of the

scapula

retracts elevates androtates the scapulainferiorly

dorsal scapular nerve (C5) dorsal scapular a named for its shape

rhomboideus

minor

inferior end of

the ligamentum

nuchae spinesof vertebrae C7

and T1

medial border

of the scapula

at the root of the spine of the

scapula

retracts elevates and

rotates the scapula

inferiorly

dorsal scapular

nerve (C5)

dorsal scapular

a

named for its shape

serratus anterior ribs 1-8 or 9 medial border of the scapula

on its costal

(deep) surface

it draws the scapulaforward the inferior

fibers rotate the

scapula superiorly

long thoracicnerve (from

ventral rami C5-

C7)

lateral thoracica

a lesion of longthoracic nerve will

cause winging of

the scapula (ie themedial border of the

scapula falls away

from the posterior chest wall and looks

like an angels

wing)

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serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

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supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

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occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 5: Upper Limb Gross Anatomy Table

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extensor indicis interosseousmembrane and

the posterolateral

surface of the

distal ulna

its tendon joinsthe tendon of

the extensor digitorum to the

second digit

both tendonsinsert into the

extensor expansion

extends the indexfinger at the

metacarpophalangeal proximal

interphalangeal and

distal interphalangeal joints

deep radial nerve posterior interosseous a

extensor indicis is adeep forearm

extensor whereasextensor digiti

minimi is in the

superficial layer of extensors

extensor pollicis

brevis

interosseous

membrane and

the posterior surface of the

distal radius

base of the

proximal

phalanx of thethumb

extends the thumb at

the

metacarpophalangeal joint

deep radial nerve posterior

interosseous a

the tendons of

extensor pollicis

brevis and abductor pollicis longus

make the lateral border of the

anatomical

snuffbox in whichthe radial arterial

pulse can be felt

extensor pollicislongus

interosseousmembrane and

middle part of the

posterolateralsurface of the

ulna

base of thedistal phalanx

of the thumb

extends the thumb atthe interphalangeal

joint

deep radial nerve posterior interosseous a

the tendon of extensor pollicis

longus hooksaround the dorsal

radial tubercle itforms the medial

border of theanatomical

snuffbox in whichthe radial arterial

pulse can be felt

flexor carpiradialis

common flexor tendon from the

medialepicondyle of

the humerus

base of thesecond and

thirdmetacarpals

flexes the wristabducts the hand

median nerve ulnar a works with theextensor carpi

radialis longus and brevis mm to

abduct hand

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flexor carpiulnaris

common flexor tendon amp (ulnar

head) frommedial border

of olecranon amp

upper 23 of the posterior border

of the ulna

pisiform hook of hamate and

base of 5thmetacarpal

flexes wrist adductshand

ulnar nerve ulnar a the ulnar nerve passes between the

two heads of originof the flexor carpi

ulnaris m

flexor digitiminimi brevis

(hand)

hook of hamateamp the flexor

retinaculum

proximal phalanx of the

5th digit

flexes thecarpometacarpal and

metacarpophalangeal

joints of the 5th digit

ulnar nerve deep branch

ulnar a flexor digiti minimi brevis abductor

digiti minimi and

opponens digitiminimi are in the

hypothenar compartment of the

hand

flexor digitorum profundus

posterior border of the ulna

proximal two-

thirds of medial border of ulna

interosseousmembrane

base of thedistal phalanx

of digits 2-5

flexes themetacarpophalangeal

proximal

interphalangeal anddistal interphalangeal

joints

median nerve(radial one-half)

ulnar nerve (ulnar

one-half)

ulnar a anterior interosseous a

ulnar nerveinnervates the

portion of

profundus that actson digits 4 amp 5 (the

ulnar 2 digits)

flexor digitorum

superficialis

humeroulnar

head common

flexor tendonradial head

middle 13 of

radius

shafts of the

middle

phalanges of digits 2-5

flexes the

metacarpophalangeal

and proximalinterphalangeal joints

median nerve ulnar a median nerve

travels distally in

the forearm on thedeep surface of the

flexor digitorum

superficialis m

flexor pollicis

brevis

flexor

retinaculum

trapezium

proximal

phalanx of the

1st digit

flexes the

carpometacarpal and

metacarpophalangeal joints of the thumb

recurrent branch of

the median nerve

superficial

palmar br of the

radial a

flexor pollicis

brevis abductor

pollicis brevis andopponens pollicis

are the three

muscles of the

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thenar compartmentof the hand

flexor pollicis

longus

anterior surface

of radius andinterosseous

membrane

base of the

distal phalanxof the thumb

flexes the

metacarpophalangealand interphalangeal

joints of the thumb

median nerve anterior

interosseous a

the tendon of flexor

pollicis longus passes through the

carpal tunnel with

the other longdigital flexor

tendons and themedian nerve

infraspinatus infraspinatous

fossa

greater tubercle

of the humerus(middle facet)

laterally rotates the arm suprascapular

nerve

suprascapular a infraspinatus

supraspinatus teresminor and

subscapularis are

the rotator cuff

musclesinterosseous

dorsal (hand)

four muscles

each arisingfrom two

adjacentmetacarpal

shafts

base of the

proximal phalanx and the

extensor expansion on

lateral side of

the 2nd digitlateral amp

medial sides of

the 3rd digitand medial side

of the 4th digit

flex the

metacarpophalangeal joint extend the

proximal and distalinterphalangeal joints

of digits 2-4 abduct

digits 2-4 (abduction of digits in the hand is

defined as movement

away from the midlineof the 3rd digit)

ulnar nerve deep

branch

dorsal and

palmar metacarpal aa

bipennate muscles

remember DAB ampPAD - Dorsal

interosseous mmABduct and Palmar

interosseous mm

ADduct - then youcan figure out

where they must

insert to cause theseactions

interosseous palmar

four musclesarising from the

palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the

1st palmar

base of the proximal

phalanx and

extensor expansion of

the medial side

of digits 1 amp 2

flexes themetacarpophalangeal

extends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5

(adduction of the digits

ulnar nerve deep branch

palmar metacarpal aa

unipennate musclesremember PAD amp

DAB Palmar

interossei ADductand Dorsal

interossei ABduct

and you will be able

7272019 Upper Limb Gross Anatomy Table

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interosseous isoften fused with

the adductor pollicis m)

and lateral sideof digits 4 amp 5

of the hand is inreference to the

midline of the 3rddigit)

to figure out wherethey must insert

latissimus dorsi vertebral spines

from T7 to the

sacrum posterior third

of the iliaccrest lower 3 or

4 ribs

sometimes fromthe inferior

angle of thescapula

floor of the

intertubercular

groove

extends the arm and

rotates the arm

medially

thoracodorsal

nerve (C78) from

the posterior cordof the brachial

plexus

thoracodorsal a the inserting tendon

twists so that fibers

originating highestinsert lowest

levator scapulae transverse processes of C1-C4

vertebrae

medial border of the scapulafrom the

superior angle

to the spine

elevates the scapula dorsal scapular nerve (C5) theupper part of the

muscle receives

branches of C3 ampC4

dorsal scapular a levator scapulae isnamed for its action

lumbrical

(hand)

flexor digitorum

profundustendons of

digits 2-5

extensor

expansion onthe radial side

of the proximal

phalanx of digits 2-5

flex the

metacarpophalangeal joints extend the

proximal and distal

interphalangeal jointsof digits 2-5

median nerve

(radial 2) via palmar digital

nerves amp ulnar

nerve (ulnar 2) viadeep branch

superficial

palmar arterialarch

lumbricals

(lumbricus is latinfor worm) arise

from the profundus

tendons and havethe same pattern of

innervation as does

the profundusmuscle (ulnar and

median nn split thetask equally)

opponens digiti

minimi

hook of hamate

and flexor

retinaculum

shaft of 5th

metacarpal

opposes the 5th digit ulnar nerve deep

branch

ulnar a opposition is a

rotational

movement of the

7272019 Upper Limb Gross Anatomy Table

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5th metacarpalaround the long axis

of its shaftopponens digiti

minimi abductor

digiti minimi andflexor digiti minimi

brevis are in thehypothenar

compartment of the

hand

opponens pollicis

flexor retinaculum

trapezium

shaft of 1stmetacarpal

opposes the thumb recurrent branch of median nerve

superficial palmar branch

of the radial a

opposition is arotational

movement of the1st metacarpal

around the long axis

of its shaftopponens pollicis

abductor pollicis brevis and flexor

pollicis brevis are inthe thenar

compartment of the

hand

palmar

interosseous

four muscles

arising from the palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the1st palmar

interosseous is

often fused withthe adductor

pollicis m)

base of the

proximal phalanx and

extensor expansion of

the medial sideof digits 1 amp 2

and lateral side

of digits 4 amp 5

flexes the

metacarpophalangealextends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5(adduction of the digits

of the hand is in

reference to themidline of the 3rd

digit)

ulnar nerve deep

branch

palmar

metacarpal aa

unipennate muscles

remember PAD ampDAB Palmar

interossei ADductand Dorsal

interossei ABductand you will be able

to figure out where

they must insert

7272019 Upper Limb Gross Anatomy Table

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palmaris brevis fascia overlyingthe hypothenar

eminence

skin of the palm near the

ulnar border of the hand

draws the skin of theulnar side of the hand

toward the center of the palm

superficial br of the ulnar n

ulnar a palmaris brevisimproves the grasp

palmaris longus common flexor tendon fromthe medial

epicondyle of

the humerus

palmar aponeurosis

flexes the wrist median nerve ulnar a palmaris longus isabsent in about 13of forearms it may

be present on one

side only

pectoralis major medial 12 of

the claviclemanubrium amp

body of sternum costalcartilages of

ribs 2-6sometimes from

the rectus

sheath of theupper

abdominal wall

crest of the

greater tubercleof the humerus

flexes and adducts the

arm medially rotatesthe arm

medial and lateral

pectoral nerves(C5-T1)

pectoral branch

of thethoracoacromial

trunk

the deep fascia on

its anterior surfaceshould not be fused

to the fascia of themammary gland - if it is this is an

important clinicalsign indicating

breast disease

pectoralis minor ribs 3-5 coracoid process of the

scapula

draws the scapulaforward medialward

and downward

medial pectoralnerve (C8 T1)

pectoral branchof the

thoracoacromialtrunk

branches of medial pectoral nerve

usually pierce pectoralis minor to

reach the pectoralis

major muscle

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pronator quadratus

medial side of the anterior

surface of thedistal one-

fourth of the

ulna

anterior surfaceof the distal

one-fourth of the radius

pronates the forearm median nerve viathe anterior

interosseous nerve

anterior interosseous a

pronator quadratusis the deepest

muscle in the distalforearm it works

with pronator teres

and has the samenerve supply

pronator teres common flexor

tendon and(deep or ulnar

head) from

medial side of coronoid

process of theulna

midpoint of the

lateral side of the shaft of the

radius

pronates the forearm median nerve ulnar a anterior

ulnar recurrenta

median nerve

passes between thetwo heads of origin

of pronator teres

rhomboideusmajor spines of vertebrae T2-T5 medial border of the scapulainferior to the

spine of the

scapula

retracts elevates androtates the scapulainferiorly

dorsal scapular nerve (C5) dorsal scapular a named for its shape

rhomboideus

minor

inferior end of

the ligamentum

nuchae spinesof vertebrae C7

and T1

medial border

of the scapula

at the root of the spine of the

scapula

retracts elevates and

rotates the scapula

inferiorly

dorsal scapular

nerve (C5)

dorsal scapular

a

named for its shape

serratus anterior ribs 1-8 or 9 medial border of the scapula

on its costal

(deep) surface

it draws the scapulaforward the inferior

fibers rotate the

scapula superiorly

long thoracicnerve (from

ventral rami C5-

C7)

lateral thoracica

a lesion of longthoracic nerve will

cause winging of

the scapula (ie themedial border of the

scapula falls away

from the posterior chest wall and looks

like an angels

wing)

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serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

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supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

7272019 Upper Limb Gross Anatomy Table

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occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 6: Upper Limb Gross Anatomy Table

7272019 Upper Limb Gross Anatomy Table

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flexor carpiulnaris

common flexor tendon amp (ulnar

head) frommedial border

of olecranon amp

upper 23 of the posterior border

of the ulna

pisiform hook of hamate and

base of 5thmetacarpal

flexes wrist adductshand

ulnar nerve ulnar a the ulnar nerve passes between the

two heads of originof the flexor carpi

ulnaris m

flexor digitiminimi brevis

(hand)

hook of hamateamp the flexor

retinaculum

proximal phalanx of the

5th digit

flexes thecarpometacarpal and

metacarpophalangeal

joints of the 5th digit

ulnar nerve deep branch

ulnar a flexor digiti minimi brevis abductor

digiti minimi and

opponens digitiminimi are in the

hypothenar compartment of the

hand

flexor digitorum profundus

posterior border of the ulna

proximal two-

thirds of medial border of ulna

interosseousmembrane

base of thedistal phalanx

of digits 2-5

flexes themetacarpophalangeal

proximal

interphalangeal anddistal interphalangeal

joints

median nerve(radial one-half)

ulnar nerve (ulnar

one-half)

ulnar a anterior interosseous a

ulnar nerveinnervates the

portion of

profundus that actson digits 4 amp 5 (the

ulnar 2 digits)

flexor digitorum

superficialis

humeroulnar

head common

flexor tendonradial head

middle 13 of

radius

shafts of the

middle

phalanges of digits 2-5

flexes the

metacarpophalangeal

and proximalinterphalangeal joints

median nerve ulnar a median nerve

travels distally in

the forearm on thedeep surface of the

flexor digitorum

superficialis m

flexor pollicis

brevis

flexor

retinaculum

trapezium

proximal

phalanx of the

1st digit

flexes the

carpometacarpal and

metacarpophalangeal joints of the thumb

recurrent branch of

the median nerve

superficial

palmar br of the

radial a

flexor pollicis

brevis abductor

pollicis brevis andopponens pollicis

are the three

muscles of the

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thenar compartmentof the hand

flexor pollicis

longus

anterior surface

of radius andinterosseous

membrane

base of the

distal phalanxof the thumb

flexes the

metacarpophalangealand interphalangeal

joints of the thumb

median nerve anterior

interosseous a

the tendon of flexor

pollicis longus passes through the

carpal tunnel with

the other longdigital flexor

tendons and themedian nerve

infraspinatus infraspinatous

fossa

greater tubercle

of the humerus(middle facet)

laterally rotates the arm suprascapular

nerve

suprascapular a infraspinatus

supraspinatus teresminor and

subscapularis are

the rotator cuff

musclesinterosseous

dorsal (hand)

four muscles

each arisingfrom two

adjacentmetacarpal

shafts

base of the

proximal phalanx and the

extensor expansion on

lateral side of

the 2nd digitlateral amp

medial sides of

the 3rd digitand medial side

of the 4th digit

flex the

metacarpophalangeal joint extend the

proximal and distalinterphalangeal joints

of digits 2-4 abduct

digits 2-4 (abduction of digits in the hand is

defined as movement

away from the midlineof the 3rd digit)

ulnar nerve deep

branch

dorsal and

palmar metacarpal aa

bipennate muscles

remember DAB ampPAD - Dorsal

interosseous mmABduct and Palmar

interosseous mm

ADduct - then youcan figure out

where they must

insert to cause theseactions

interosseous palmar

four musclesarising from the

palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the

1st palmar

base of the proximal

phalanx and

extensor expansion of

the medial side

of digits 1 amp 2

flexes themetacarpophalangeal

extends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5

(adduction of the digits

ulnar nerve deep branch

palmar metacarpal aa

unipennate musclesremember PAD amp

DAB Palmar

interossei ADductand Dorsal

interossei ABduct

and you will be able

7272019 Upper Limb Gross Anatomy Table

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interosseous isoften fused with

the adductor pollicis m)

and lateral sideof digits 4 amp 5

of the hand is inreference to the

midline of the 3rddigit)

to figure out wherethey must insert

latissimus dorsi vertebral spines

from T7 to the

sacrum posterior third

of the iliaccrest lower 3 or

4 ribs

sometimes fromthe inferior

angle of thescapula

floor of the

intertubercular

groove

extends the arm and

rotates the arm

medially

thoracodorsal

nerve (C78) from

the posterior cordof the brachial

plexus

thoracodorsal a the inserting tendon

twists so that fibers

originating highestinsert lowest

levator scapulae transverse processes of C1-C4

vertebrae

medial border of the scapulafrom the

superior angle

to the spine

elevates the scapula dorsal scapular nerve (C5) theupper part of the

muscle receives

branches of C3 ampC4

dorsal scapular a levator scapulae isnamed for its action

lumbrical

(hand)

flexor digitorum

profundustendons of

digits 2-5

extensor

expansion onthe radial side

of the proximal

phalanx of digits 2-5

flex the

metacarpophalangeal joints extend the

proximal and distal

interphalangeal jointsof digits 2-5

median nerve

(radial 2) via palmar digital

nerves amp ulnar

nerve (ulnar 2) viadeep branch

superficial

palmar arterialarch

lumbricals

(lumbricus is latinfor worm) arise

from the profundus

tendons and havethe same pattern of

innervation as does

the profundusmuscle (ulnar and

median nn split thetask equally)

opponens digiti

minimi

hook of hamate

and flexor

retinaculum

shaft of 5th

metacarpal

opposes the 5th digit ulnar nerve deep

branch

ulnar a opposition is a

rotational

movement of the

7272019 Upper Limb Gross Anatomy Table

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5th metacarpalaround the long axis

of its shaftopponens digiti

minimi abductor

digiti minimi andflexor digiti minimi

brevis are in thehypothenar

compartment of the

hand

opponens pollicis

flexor retinaculum

trapezium

shaft of 1stmetacarpal

opposes the thumb recurrent branch of median nerve

superficial palmar branch

of the radial a

opposition is arotational

movement of the1st metacarpal

around the long axis

of its shaftopponens pollicis

abductor pollicis brevis and flexor

pollicis brevis are inthe thenar

compartment of the

hand

palmar

interosseous

four muscles

arising from the palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the1st palmar

interosseous is

often fused withthe adductor

pollicis m)

base of the

proximal phalanx and

extensor expansion of

the medial sideof digits 1 amp 2

and lateral side

of digits 4 amp 5

flexes the

metacarpophalangealextends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5(adduction of the digits

of the hand is in

reference to themidline of the 3rd

digit)

ulnar nerve deep

branch

palmar

metacarpal aa

unipennate muscles

remember PAD ampDAB Palmar

interossei ADductand Dorsal

interossei ABductand you will be able

to figure out where

they must insert

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palmaris brevis fascia overlyingthe hypothenar

eminence

skin of the palm near the

ulnar border of the hand

draws the skin of theulnar side of the hand

toward the center of the palm

superficial br of the ulnar n

ulnar a palmaris brevisimproves the grasp

palmaris longus common flexor tendon fromthe medial

epicondyle of

the humerus

palmar aponeurosis

flexes the wrist median nerve ulnar a palmaris longus isabsent in about 13of forearms it may

be present on one

side only

pectoralis major medial 12 of

the claviclemanubrium amp

body of sternum costalcartilages of

ribs 2-6sometimes from

the rectus

sheath of theupper

abdominal wall

crest of the

greater tubercleof the humerus

flexes and adducts the

arm medially rotatesthe arm

medial and lateral

pectoral nerves(C5-T1)

pectoral branch

of thethoracoacromial

trunk

the deep fascia on

its anterior surfaceshould not be fused

to the fascia of themammary gland - if it is this is an

important clinicalsign indicating

breast disease

pectoralis minor ribs 3-5 coracoid process of the

scapula

draws the scapulaforward medialward

and downward

medial pectoralnerve (C8 T1)

pectoral branchof the

thoracoacromialtrunk

branches of medial pectoral nerve

usually pierce pectoralis minor to

reach the pectoralis

major muscle

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pronator quadratus

medial side of the anterior

surface of thedistal one-

fourth of the

ulna

anterior surfaceof the distal

one-fourth of the radius

pronates the forearm median nerve viathe anterior

interosseous nerve

anterior interosseous a

pronator quadratusis the deepest

muscle in the distalforearm it works

with pronator teres

and has the samenerve supply

pronator teres common flexor

tendon and(deep or ulnar

head) from

medial side of coronoid

process of theulna

midpoint of the

lateral side of the shaft of the

radius

pronates the forearm median nerve ulnar a anterior

ulnar recurrenta

median nerve

passes between thetwo heads of origin

of pronator teres

rhomboideusmajor spines of vertebrae T2-T5 medial border of the scapulainferior to the

spine of the

scapula

retracts elevates androtates the scapulainferiorly

dorsal scapular nerve (C5) dorsal scapular a named for its shape

rhomboideus

minor

inferior end of

the ligamentum

nuchae spinesof vertebrae C7

and T1

medial border

of the scapula

at the root of the spine of the

scapula

retracts elevates and

rotates the scapula

inferiorly

dorsal scapular

nerve (C5)

dorsal scapular

a

named for its shape

serratus anterior ribs 1-8 or 9 medial border of the scapula

on its costal

(deep) surface

it draws the scapulaforward the inferior

fibers rotate the

scapula superiorly

long thoracicnerve (from

ventral rami C5-

C7)

lateral thoracica

a lesion of longthoracic nerve will

cause winging of

the scapula (ie themedial border of the

scapula falls away

from the posterior chest wall and looks

like an angels

wing)

7272019 Upper Limb Gross Anatomy Table

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serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

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supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

7272019 Upper Limb Gross Anatomy Table

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occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 7: Upper Limb Gross Anatomy Table

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 714

thenar compartmentof the hand

flexor pollicis

longus

anterior surface

of radius andinterosseous

membrane

base of the

distal phalanxof the thumb

flexes the

metacarpophalangealand interphalangeal

joints of the thumb

median nerve anterior

interosseous a

the tendon of flexor

pollicis longus passes through the

carpal tunnel with

the other longdigital flexor

tendons and themedian nerve

infraspinatus infraspinatous

fossa

greater tubercle

of the humerus(middle facet)

laterally rotates the arm suprascapular

nerve

suprascapular a infraspinatus

supraspinatus teresminor and

subscapularis are

the rotator cuff

musclesinterosseous

dorsal (hand)

four muscles

each arisingfrom two

adjacentmetacarpal

shafts

base of the

proximal phalanx and the

extensor expansion on

lateral side of

the 2nd digitlateral amp

medial sides of

the 3rd digitand medial side

of the 4th digit

flex the

metacarpophalangeal joint extend the

proximal and distalinterphalangeal joints

of digits 2-4 abduct

digits 2-4 (abduction of digits in the hand is

defined as movement

away from the midlineof the 3rd digit)

ulnar nerve deep

branch

dorsal and

palmar metacarpal aa

bipennate muscles

remember DAB ampPAD - Dorsal

interosseous mmABduct and Palmar

interosseous mm

ADduct - then youcan figure out

where they must

insert to cause theseactions

interosseous palmar

four musclesarising from the

palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the

1st palmar

base of the proximal

phalanx and

extensor expansion of

the medial side

of digits 1 amp 2

flexes themetacarpophalangeal

extends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5

(adduction of the digits

ulnar nerve deep branch

palmar metacarpal aa

unipennate musclesremember PAD amp

DAB Palmar

interossei ADductand Dorsal

interossei ABduct

and you will be able

7272019 Upper Limb Gross Anatomy Table

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interosseous isoften fused with

the adductor pollicis m)

and lateral sideof digits 4 amp 5

of the hand is inreference to the

midline of the 3rddigit)

to figure out wherethey must insert

latissimus dorsi vertebral spines

from T7 to the

sacrum posterior third

of the iliaccrest lower 3 or

4 ribs

sometimes fromthe inferior

angle of thescapula

floor of the

intertubercular

groove

extends the arm and

rotates the arm

medially

thoracodorsal

nerve (C78) from

the posterior cordof the brachial

plexus

thoracodorsal a the inserting tendon

twists so that fibers

originating highestinsert lowest

levator scapulae transverse processes of C1-C4

vertebrae

medial border of the scapulafrom the

superior angle

to the spine

elevates the scapula dorsal scapular nerve (C5) theupper part of the

muscle receives

branches of C3 ampC4

dorsal scapular a levator scapulae isnamed for its action

lumbrical

(hand)

flexor digitorum

profundustendons of

digits 2-5

extensor

expansion onthe radial side

of the proximal

phalanx of digits 2-5

flex the

metacarpophalangeal joints extend the

proximal and distal

interphalangeal jointsof digits 2-5

median nerve

(radial 2) via palmar digital

nerves amp ulnar

nerve (ulnar 2) viadeep branch

superficial

palmar arterialarch

lumbricals

(lumbricus is latinfor worm) arise

from the profundus

tendons and havethe same pattern of

innervation as does

the profundusmuscle (ulnar and

median nn split thetask equally)

opponens digiti

minimi

hook of hamate

and flexor

retinaculum

shaft of 5th

metacarpal

opposes the 5th digit ulnar nerve deep

branch

ulnar a opposition is a

rotational

movement of the

7272019 Upper Limb Gross Anatomy Table

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5th metacarpalaround the long axis

of its shaftopponens digiti

minimi abductor

digiti minimi andflexor digiti minimi

brevis are in thehypothenar

compartment of the

hand

opponens pollicis

flexor retinaculum

trapezium

shaft of 1stmetacarpal

opposes the thumb recurrent branch of median nerve

superficial palmar branch

of the radial a

opposition is arotational

movement of the1st metacarpal

around the long axis

of its shaftopponens pollicis

abductor pollicis brevis and flexor

pollicis brevis are inthe thenar

compartment of the

hand

palmar

interosseous

four muscles

arising from the palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the1st palmar

interosseous is

often fused withthe adductor

pollicis m)

base of the

proximal phalanx and

extensor expansion of

the medial sideof digits 1 amp 2

and lateral side

of digits 4 amp 5

flexes the

metacarpophalangealextends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5(adduction of the digits

of the hand is in

reference to themidline of the 3rd

digit)

ulnar nerve deep

branch

palmar

metacarpal aa

unipennate muscles

remember PAD ampDAB Palmar

interossei ADductand Dorsal

interossei ABductand you will be able

to figure out where

they must insert

7272019 Upper Limb Gross Anatomy Table

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palmaris brevis fascia overlyingthe hypothenar

eminence

skin of the palm near the

ulnar border of the hand

draws the skin of theulnar side of the hand

toward the center of the palm

superficial br of the ulnar n

ulnar a palmaris brevisimproves the grasp

palmaris longus common flexor tendon fromthe medial

epicondyle of

the humerus

palmar aponeurosis

flexes the wrist median nerve ulnar a palmaris longus isabsent in about 13of forearms it may

be present on one

side only

pectoralis major medial 12 of

the claviclemanubrium amp

body of sternum costalcartilages of

ribs 2-6sometimes from

the rectus

sheath of theupper

abdominal wall

crest of the

greater tubercleof the humerus

flexes and adducts the

arm medially rotatesthe arm

medial and lateral

pectoral nerves(C5-T1)

pectoral branch

of thethoracoacromial

trunk

the deep fascia on

its anterior surfaceshould not be fused

to the fascia of themammary gland - if it is this is an

important clinicalsign indicating

breast disease

pectoralis minor ribs 3-5 coracoid process of the

scapula

draws the scapulaforward medialward

and downward

medial pectoralnerve (C8 T1)

pectoral branchof the

thoracoacromialtrunk

branches of medial pectoral nerve

usually pierce pectoralis minor to

reach the pectoralis

major muscle

7272019 Upper Limb Gross Anatomy Table

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pronator quadratus

medial side of the anterior

surface of thedistal one-

fourth of the

ulna

anterior surfaceof the distal

one-fourth of the radius

pronates the forearm median nerve viathe anterior

interosseous nerve

anterior interosseous a

pronator quadratusis the deepest

muscle in the distalforearm it works

with pronator teres

and has the samenerve supply

pronator teres common flexor

tendon and(deep or ulnar

head) from

medial side of coronoid

process of theulna

midpoint of the

lateral side of the shaft of the

radius

pronates the forearm median nerve ulnar a anterior

ulnar recurrenta

median nerve

passes between thetwo heads of origin

of pronator teres

rhomboideusmajor spines of vertebrae T2-T5 medial border of the scapulainferior to the

spine of the

scapula

retracts elevates androtates the scapulainferiorly

dorsal scapular nerve (C5) dorsal scapular a named for its shape

rhomboideus

minor

inferior end of

the ligamentum

nuchae spinesof vertebrae C7

and T1

medial border

of the scapula

at the root of the spine of the

scapula

retracts elevates and

rotates the scapula

inferiorly

dorsal scapular

nerve (C5)

dorsal scapular

a

named for its shape

serratus anterior ribs 1-8 or 9 medial border of the scapula

on its costal

(deep) surface

it draws the scapulaforward the inferior

fibers rotate the

scapula superiorly

long thoracicnerve (from

ventral rami C5-

C7)

lateral thoracica

a lesion of longthoracic nerve will

cause winging of

the scapula (ie themedial border of the

scapula falls away

from the posterior chest wall and looks

like an angels

wing)

7272019 Upper Limb Gross Anatomy Table

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serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

7272019 Upper Limb Gross Anatomy Table

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supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

7272019 Upper Limb Gross Anatomy Table

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occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 8: Upper Limb Gross Anatomy Table

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 814

interosseous isoften fused with

the adductor pollicis m)

and lateral sideof digits 4 amp 5

of the hand is inreference to the

midline of the 3rddigit)

to figure out wherethey must insert

latissimus dorsi vertebral spines

from T7 to the

sacrum posterior third

of the iliaccrest lower 3 or

4 ribs

sometimes fromthe inferior

angle of thescapula

floor of the

intertubercular

groove

extends the arm and

rotates the arm

medially

thoracodorsal

nerve (C78) from

the posterior cordof the brachial

plexus

thoracodorsal a the inserting tendon

twists so that fibers

originating highestinsert lowest

levator scapulae transverse processes of C1-C4

vertebrae

medial border of the scapulafrom the

superior angle

to the spine

elevates the scapula dorsal scapular nerve (C5) theupper part of the

muscle receives

branches of C3 ampC4

dorsal scapular a levator scapulae isnamed for its action

lumbrical

(hand)

flexor digitorum

profundustendons of

digits 2-5

extensor

expansion onthe radial side

of the proximal

phalanx of digits 2-5

flex the

metacarpophalangeal joints extend the

proximal and distal

interphalangeal jointsof digits 2-5

median nerve

(radial 2) via palmar digital

nerves amp ulnar

nerve (ulnar 2) viadeep branch

superficial

palmar arterialarch

lumbricals

(lumbricus is latinfor worm) arise

from the profundus

tendons and havethe same pattern of

innervation as does

the profundusmuscle (ulnar and

median nn split thetask equally)

opponens digiti

minimi

hook of hamate

and flexor

retinaculum

shaft of 5th

metacarpal

opposes the 5th digit ulnar nerve deep

branch

ulnar a opposition is a

rotational

movement of the

7272019 Upper Limb Gross Anatomy Table

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5th metacarpalaround the long axis

of its shaftopponens digiti

minimi abductor

digiti minimi andflexor digiti minimi

brevis are in thehypothenar

compartment of the

hand

opponens pollicis

flexor retinaculum

trapezium

shaft of 1stmetacarpal

opposes the thumb recurrent branch of median nerve

superficial palmar branch

of the radial a

opposition is arotational

movement of the1st metacarpal

around the long axis

of its shaftopponens pollicis

abductor pollicis brevis and flexor

pollicis brevis are inthe thenar

compartment of the

hand

palmar

interosseous

four muscles

arising from the palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the1st palmar

interosseous is

often fused withthe adductor

pollicis m)

base of the

proximal phalanx and

extensor expansion of

the medial sideof digits 1 amp 2

and lateral side

of digits 4 amp 5

flexes the

metacarpophalangealextends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5(adduction of the digits

of the hand is in

reference to themidline of the 3rd

digit)

ulnar nerve deep

branch

palmar

metacarpal aa

unipennate muscles

remember PAD ampDAB Palmar

interossei ADductand Dorsal

interossei ABductand you will be able

to figure out where

they must insert

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1014

palmaris brevis fascia overlyingthe hypothenar

eminence

skin of the palm near the

ulnar border of the hand

draws the skin of theulnar side of the hand

toward the center of the palm

superficial br of the ulnar n

ulnar a palmaris brevisimproves the grasp

palmaris longus common flexor tendon fromthe medial

epicondyle of

the humerus

palmar aponeurosis

flexes the wrist median nerve ulnar a palmaris longus isabsent in about 13of forearms it may

be present on one

side only

pectoralis major medial 12 of

the claviclemanubrium amp

body of sternum costalcartilages of

ribs 2-6sometimes from

the rectus

sheath of theupper

abdominal wall

crest of the

greater tubercleof the humerus

flexes and adducts the

arm medially rotatesthe arm

medial and lateral

pectoral nerves(C5-T1)

pectoral branch

of thethoracoacromial

trunk

the deep fascia on

its anterior surfaceshould not be fused

to the fascia of themammary gland - if it is this is an

important clinicalsign indicating

breast disease

pectoralis minor ribs 3-5 coracoid process of the

scapula

draws the scapulaforward medialward

and downward

medial pectoralnerve (C8 T1)

pectoral branchof the

thoracoacromialtrunk

branches of medial pectoral nerve

usually pierce pectoralis minor to

reach the pectoralis

major muscle

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1114

pronator quadratus

medial side of the anterior

surface of thedistal one-

fourth of the

ulna

anterior surfaceof the distal

one-fourth of the radius

pronates the forearm median nerve viathe anterior

interosseous nerve

anterior interosseous a

pronator quadratusis the deepest

muscle in the distalforearm it works

with pronator teres

and has the samenerve supply

pronator teres common flexor

tendon and(deep or ulnar

head) from

medial side of coronoid

process of theulna

midpoint of the

lateral side of the shaft of the

radius

pronates the forearm median nerve ulnar a anterior

ulnar recurrenta

median nerve

passes between thetwo heads of origin

of pronator teres

rhomboideusmajor spines of vertebrae T2-T5 medial border of the scapulainferior to the

spine of the

scapula

retracts elevates androtates the scapulainferiorly

dorsal scapular nerve (C5) dorsal scapular a named for its shape

rhomboideus

minor

inferior end of

the ligamentum

nuchae spinesof vertebrae C7

and T1

medial border

of the scapula

at the root of the spine of the

scapula

retracts elevates and

rotates the scapula

inferiorly

dorsal scapular

nerve (C5)

dorsal scapular

a

named for its shape

serratus anterior ribs 1-8 or 9 medial border of the scapula

on its costal

(deep) surface

it draws the scapulaforward the inferior

fibers rotate the

scapula superiorly

long thoracicnerve (from

ventral rami C5-

C7)

lateral thoracica

a lesion of longthoracic nerve will

cause winging of

the scapula (ie themedial border of the

scapula falls away

from the posterior chest wall and looks

like an angels

wing)

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1214

serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1314

supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1414

occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 9: Upper Limb Gross Anatomy Table

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 914

5th metacarpalaround the long axis

of its shaftopponens digiti

minimi abductor

digiti minimi andflexor digiti minimi

brevis are in thehypothenar

compartment of the

hand

opponens pollicis

flexor retinaculum

trapezium

shaft of 1stmetacarpal

opposes the thumb recurrent branch of median nerve

superficial palmar branch

of the radial a

opposition is arotational

movement of the1st metacarpal

around the long axis

of its shaftopponens pollicis

abductor pollicis brevis and flexor

pollicis brevis are inthe thenar

compartment of the

hand

palmar

interosseous

four muscles

arising from the palmar surface

of the shafts of metacarpals 1

2 4 amp 5 (the1st palmar

interosseous is

often fused withthe adductor

pollicis m)

base of the

proximal phalanx and

extensor expansion of

the medial sideof digits 1 amp 2

and lateral side

of digits 4 amp 5

flexes the

metacarpophalangealextends proximal and

distal interphalangeal joints and adducts

digits 1 2 4 amp 5(adduction of the digits

of the hand is in

reference to themidline of the 3rd

digit)

ulnar nerve deep

branch

palmar

metacarpal aa

unipennate muscles

remember PAD ampDAB Palmar

interossei ADductand Dorsal

interossei ABductand you will be able

to figure out where

they must insert

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1014

palmaris brevis fascia overlyingthe hypothenar

eminence

skin of the palm near the

ulnar border of the hand

draws the skin of theulnar side of the hand

toward the center of the palm

superficial br of the ulnar n

ulnar a palmaris brevisimproves the grasp

palmaris longus common flexor tendon fromthe medial

epicondyle of

the humerus

palmar aponeurosis

flexes the wrist median nerve ulnar a palmaris longus isabsent in about 13of forearms it may

be present on one

side only

pectoralis major medial 12 of

the claviclemanubrium amp

body of sternum costalcartilages of

ribs 2-6sometimes from

the rectus

sheath of theupper

abdominal wall

crest of the

greater tubercleof the humerus

flexes and adducts the

arm medially rotatesthe arm

medial and lateral

pectoral nerves(C5-T1)

pectoral branch

of thethoracoacromial

trunk

the deep fascia on

its anterior surfaceshould not be fused

to the fascia of themammary gland - if it is this is an

important clinicalsign indicating

breast disease

pectoralis minor ribs 3-5 coracoid process of the

scapula

draws the scapulaforward medialward

and downward

medial pectoralnerve (C8 T1)

pectoral branchof the

thoracoacromialtrunk

branches of medial pectoral nerve

usually pierce pectoralis minor to

reach the pectoralis

major muscle

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1114

pronator quadratus

medial side of the anterior

surface of thedistal one-

fourth of the

ulna

anterior surfaceof the distal

one-fourth of the radius

pronates the forearm median nerve viathe anterior

interosseous nerve

anterior interosseous a

pronator quadratusis the deepest

muscle in the distalforearm it works

with pronator teres

and has the samenerve supply

pronator teres common flexor

tendon and(deep or ulnar

head) from

medial side of coronoid

process of theulna

midpoint of the

lateral side of the shaft of the

radius

pronates the forearm median nerve ulnar a anterior

ulnar recurrenta

median nerve

passes between thetwo heads of origin

of pronator teres

rhomboideusmajor spines of vertebrae T2-T5 medial border of the scapulainferior to the

spine of the

scapula

retracts elevates androtates the scapulainferiorly

dorsal scapular nerve (C5) dorsal scapular a named for its shape

rhomboideus

minor

inferior end of

the ligamentum

nuchae spinesof vertebrae C7

and T1

medial border

of the scapula

at the root of the spine of the

scapula

retracts elevates and

rotates the scapula

inferiorly

dorsal scapular

nerve (C5)

dorsal scapular

a

named for its shape

serratus anterior ribs 1-8 or 9 medial border of the scapula

on its costal

(deep) surface

it draws the scapulaforward the inferior

fibers rotate the

scapula superiorly

long thoracicnerve (from

ventral rami C5-

C7)

lateral thoracica

a lesion of longthoracic nerve will

cause winging of

the scapula (ie themedial border of the

scapula falls away

from the posterior chest wall and looks

like an angels

wing)

7272019 Upper Limb Gross Anatomy Table

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serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

7272019 Upper Limb Gross Anatomy Table

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supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1414

occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 10: Upper Limb Gross Anatomy Table

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1014

palmaris brevis fascia overlyingthe hypothenar

eminence

skin of the palm near the

ulnar border of the hand

draws the skin of theulnar side of the hand

toward the center of the palm

superficial br of the ulnar n

ulnar a palmaris brevisimproves the grasp

palmaris longus common flexor tendon fromthe medial

epicondyle of

the humerus

palmar aponeurosis

flexes the wrist median nerve ulnar a palmaris longus isabsent in about 13of forearms it may

be present on one

side only

pectoralis major medial 12 of

the claviclemanubrium amp

body of sternum costalcartilages of

ribs 2-6sometimes from

the rectus

sheath of theupper

abdominal wall

crest of the

greater tubercleof the humerus

flexes and adducts the

arm medially rotatesthe arm

medial and lateral

pectoral nerves(C5-T1)

pectoral branch

of thethoracoacromial

trunk

the deep fascia on

its anterior surfaceshould not be fused

to the fascia of themammary gland - if it is this is an

important clinicalsign indicating

breast disease

pectoralis minor ribs 3-5 coracoid process of the

scapula

draws the scapulaforward medialward

and downward

medial pectoralnerve (C8 T1)

pectoral branchof the

thoracoacromialtrunk

branches of medial pectoral nerve

usually pierce pectoralis minor to

reach the pectoralis

major muscle

7272019 Upper Limb Gross Anatomy Table

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pronator quadratus

medial side of the anterior

surface of thedistal one-

fourth of the

ulna

anterior surfaceof the distal

one-fourth of the radius

pronates the forearm median nerve viathe anterior

interosseous nerve

anterior interosseous a

pronator quadratusis the deepest

muscle in the distalforearm it works

with pronator teres

and has the samenerve supply

pronator teres common flexor

tendon and(deep or ulnar

head) from

medial side of coronoid

process of theulna

midpoint of the

lateral side of the shaft of the

radius

pronates the forearm median nerve ulnar a anterior

ulnar recurrenta

median nerve

passes between thetwo heads of origin

of pronator teres

rhomboideusmajor spines of vertebrae T2-T5 medial border of the scapulainferior to the

spine of the

scapula

retracts elevates androtates the scapulainferiorly

dorsal scapular nerve (C5) dorsal scapular a named for its shape

rhomboideus

minor

inferior end of

the ligamentum

nuchae spinesof vertebrae C7

and T1

medial border

of the scapula

at the root of the spine of the

scapula

retracts elevates and

rotates the scapula

inferiorly

dorsal scapular

nerve (C5)

dorsal scapular

a

named for its shape

serratus anterior ribs 1-8 or 9 medial border of the scapula

on its costal

(deep) surface

it draws the scapulaforward the inferior

fibers rotate the

scapula superiorly

long thoracicnerve (from

ventral rami C5-

C7)

lateral thoracica

a lesion of longthoracic nerve will

cause winging of

the scapula (ie themedial border of the

scapula falls away

from the posterior chest wall and looks

like an angels

wing)

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1214

serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1314

supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1414

occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 11: Upper Limb Gross Anatomy Table

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1114

pronator quadratus

medial side of the anterior

surface of thedistal one-

fourth of the

ulna

anterior surfaceof the distal

one-fourth of the radius

pronates the forearm median nerve viathe anterior

interosseous nerve

anterior interosseous a

pronator quadratusis the deepest

muscle in the distalforearm it works

with pronator teres

and has the samenerve supply

pronator teres common flexor

tendon and(deep or ulnar

head) from

medial side of coronoid

process of theulna

midpoint of the

lateral side of the shaft of the

radius

pronates the forearm median nerve ulnar a anterior

ulnar recurrenta

median nerve

passes between thetwo heads of origin

of pronator teres

rhomboideusmajor spines of vertebrae T2-T5 medial border of the scapulainferior to the

spine of the

scapula

retracts elevates androtates the scapulainferiorly

dorsal scapular nerve (C5) dorsal scapular a named for its shape

rhomboideus

minor

inferior end of

the ligamentum

nuchae spinesof vertebrae C7

and T1

medial border

of the scapula

at the root of the spine of the

scapula

retracts elevates and

rotates the scapula

inferiorly

dorsal scapular

nerve (C5)

dorsal scapular

a

named for its shape

serratus anterior ribs 1-8 or 9 medial border of the scapula

on its costal

(deep) surface

it draws the scapulaforward the inferior

fibers rotate the

scapula superiorly

long thoracicnerve (from

ventral rami C5-

C7)

lateral thoracica

a lesion of longthoracic nerve will

cause winging of

the scapula (ie themedial border of the

scapula falls away

from the posterior chest wall and looks

like an angels

wing)

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1214

serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1314

supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1414

occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 12: Upper Limb Gross Anatomy Table

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1214

serratus posterior

inferior

thoracolumbar fascia spines of

vertebrae T11-T12 and L1-L2

ribs 9-12lateral to the

angles

pulls down lower ribs branches of theventral primary

rami of spinalnerves T9-T12

lowest posterior intercostal a

subcostal afirst two lumbar

aa

a respiratorymuscle it receives

ventral ramusinnervation

embryonically

related to theintercostal muscles

not the deep back mm

serratus

posterior

superior

ligamentum

nuchae spines

of vertebrae C7and T1-T3

ribs 1-4 lateral

to the angles

elevates the upper ribs branches of the

ventral primary

rami of spinalnerves T1-T4

posterior

intercostal aa 1-

4

a respiratory

muscle it receives

ventral ramusinnervation

embryonicallyrelated to the

intercostal muscles

not the deep back mm

subclavius first rib and its

cartilage

inferior surface

of the clavicle

draws the clavicle (and

hence the shoulder)down and forward

nerve to

subclavius (C5)

clavicular br of

thethoracoacromial

trunk

it serves an

important protectivefunction - it

cushions thesubclavian vessels

from bonefragments in

clavicular fractures

subscapularis medial two-

thirds of the

costal surface of the scapula

(subscapular fossa)

lesser tubercle

of the humerus

medially rotates the

arm assists extention

of the arm

upper and lower

subscapular nerves

(C56)

subscapular a subscapularis

supraspinatus

infraspinatus andteres minor are the

rotator cuff muscles

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1314

supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1414

occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 13: Upper Limb Gross Anatomy Table

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1314

supinator lateralepicondyle of

the humerussupinator crest

amp fossa of the

ulna radialcollateral

ligamentannular

ligament

lateral side of proximal one-

third of theradius

supinates the forearm deep radial nerve recurrentinterosseous a

deep radial nerve passes through the

supinator to reachthe posterior

compartment of the

forearm

supraspinatus supraspinatous

fossa

greater tubercle

of the humerus(highest facet)

abducts the arm

(initiates abduction)

suprascapular

nerve (C56) fromthe superior trunk

of the brachial plexus

suprascapular a supraspinatus

initiates abductionof the arm then the

deltoid musclecompletes the

action a member of

the rotator cuff group

teres major dorsal surface

of the inferior angle of the

scapula

crest of the

lesser tubercleof the humerus

adducts the arm

medially rotates thearm assists in arm

extension

lower subscapular

nerve (C56) fromthe posterior cord

of the brachial plexus

circumflex

scapular a

teres major inserts

beside the tendon of latissimus dorsi

and assistslatissimus in its

actions

teres minor upper 23 of the

lateral border of the scapula

greater tubercle

of the humerus(lowest facet)

laterally rotates the arm axillary nerve

(C56) from the posterior cord of

the brachial plexus

circumflex

scapular a

fixes the head of the

humerus in theglenoid fossa during

abduction amp flexion

of the arm amember of the

rotator cuff group

trapezius medial third of the superior

nuchal line

external

lateral third of the clavicle

medial side of

the acromion

elevates and depressesthe scapula (depending

on which part of the

muscle contracts)

motor spinalaccessory (XI)

proprioception

C3-C4

transversecervical a

named for its shapetrapezius is an

example of a

muscle that

7272019 Upper Limb Gross Anatomy Table

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occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited

Page 14: Upper Limb Gross Anatomy Table

7272019 Upper Limb Gross Anatomy Table

httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 1414

occipital protuberance

ligamentumnuchae spinous

processes of

vertebrae C7-T12

and the upper crest of the

scapular spinetubercle of the

scapular spine

rotates the scapulasuperiorly retracts

scapula

migrates duringdevelopment from

its level of origin(cervical) to its final

position pulling its

nerve and arteryalong behind

triceps brachii long head

infraglenoidtubercle of the

scapula lateral

head posterolateral

humerus amplateral

intermuscular

septum medialhead

posteromedialsurface of the

inferior 12 of the humerus

olecranon

process of theulna

extends the forearm

the long head extendsand adducts arm

radial nerve deep brachial

(profunda brachii) a

long head of the

triceps separates thetriangular and

quadrangular spaces

(teres major teresminor and the

humerus are theother boundaries)

all three heads of

origin insert by acommon tendon

The material presented in these tables is contained in the book

MedCharts Anatomy by Thomas R Gest amp Jaye Schlesinger

Published by ILOC Inc New York

Copyright copy 1995 unauthorized use prohibited

The excellent editorial assistance of

Dr Pat Tank UAMS

is gratefully acknowledged

Copyrightcopy 2000 The University of Michigan Unauthorized use prohibited