Muscles of the Upper Limb

Published on by VINOD NAIR

Muscles Of The Shoulder

 

Muscle: Deltoid

Origin: Lateral third of clavicle, acromion, and spine of scapula

Insertion: Deltoid tuberosity of humerus

Nerve: Axillary, C5, C6

Action: Abducts, adducts, flexes, extends, and rotates arm medially

 

Muscle: Infraspinatus

Origin: Infraspinous fossa of scapula

Insertion: Middle facet of greater tubercle of humerus

Nerve: Suprascapular, C5, C6

Action: Rotates arm laterally; helps to hold humeral head in glenoid cavity of scapula

 

Muscle: Latissimus dorsi

Origin: Spines of T7-T12 thoracolumbar fascia, iliac crest, ribs 9-12

Insertion: Floor of bicipital groove of humerus

Nerve: Thoracodorsal C6, C7, C8

Action: Extends, adducts, and medially rotates humerus; raises body towards arms during climbing

 

Muscle: Pectoralis major

Origin: Clavicular head anterior surface of medial half of clavicle

Insertion: Lateral lip of intertubercular groove of humerus

Nerve: Lateral and medial pectoral nerves; clavicular head C5 and C6, sternocostal head C7, C8 and T1

Action: Abducts, medially rotates humerus; draws scapula anteriorly and inferiorly

 

Muscle: Pectoralis minor

Origin: 3rd to 5th ribs near the costal cartilages

Insertion: Medial border and superior surface of coracoid process of scapula

Nerve: Medial pectoral nerve C8 and T1

Action: Stabilizes scapula against thoracic wall

 

Muscle: Subscapularis

Origin: Subscapular fossa

Insertion: Lesser tubercle of humerus

Nerve: Upper and lower subscapular, C5, C6, C7

Action: Medially rotates arm and adducts it; helps to hold humeral head in glenoid cavity

 

Muscle: Supraspinatus

Origin: Supraspinous fossa of scapula

Insertion:  Superior facet of greater tubercle of humerus

Nerve: Suprascapular C4, C5, C6

Action: Initiates and assists deltoid in abduction of arm and acts with rotator cuff of muscles

 

Muscle: Teres minor

Origin: Superior portion of lateral border of scapula

Insertion: Inferior facet of greater tubercle of humerus

Nerve: Axillary, C5, C6

Action: Laterally rotates arm; helps to hold humeral head in glenoid cavity of scapula

 

Muscle: Teres major

Origin: Dorsal surface of inferior angle of scapula

Insertion: Medial lip of intertubercular groove of humerus

Nerve: Lower subscapular, C6, C7

Action: Adducts and rotates arm medially

 

Muscles Of The Arm

 

Muscle: Anconeus

Origin: Lateral epicondyle of humerus

Insertion: Lateral surface of olecranon and superior part of posterior surface of ulna

Nerve: Radial, C7, C8, and T1

Action: Assists triceps in extending forearm; abducts ulna during pronation

 

Muscle: Biceps brachii

Origin: Long head, supraglenoid tubercle; short head, coracoid process

Insertion: Radial tuberosity of radius

Nerve: Musculocutaneous, C5, C6

Action: Flexes arm and forearm, supinates forearm

 

Muscle: Brachialis

Origin: Distal anterior surface of humerus

Insertion: Coronoid process of ulna and ulnar tuberosity

Nerve: Musculocutaneous, C5, C6

Action: Flexes forearm in all positions

 

Muscle: Coracobrachialis

Origin: tip of coracoid process of scapula

Insertion: Middle third of medial surface of humerus

Nerve: Musculocutaneous, C5, C6, C7

Action: Flexes and adducts arm

 

Muscle: Triceps

Origin: Long head, infraglenoid tubercle; lateral head, superior to radial groove of humerus; medial head to radial groove

Insertion: Posterior surface of olecranon process of ulna

Nerve: Radial, C6, C7, C8

Action: Chief extensor of forearm at elbow

 

Muscles Of The Anterior Forearm

 

Muscle: Flexor carpi radialis

Origin: Medial epicondyle of humerus

Insertion: Bases of second and third metacarpals

Nerve: Median, C6, C7

Action: Flexes forearm; flexes and abducts hand

 

Muscle: Flexor carpi ulnaris

Origin: Humeral head, medial epicondyle of humerus; ulnar head, olecranon and posterior border of ulna

Insertion: Pisiform bone, hook of hamate, and base of fifth metacarpal

Nerve: Ulnar, C7, C8

Action: Flexes and adducts hand, flexes forearm

 

Muscle: Flexor digitorum profundus

Origin: Anteromedial surface of ulna, interosseous membrane

Insertion: Base of digital phalanges of medial four fingers

Nerve: Ulnar and medial, C8, T1

Action: Flexes distal interphalangeal joints and hand

 

Muscle: Flexor digitorum superficialis

Origin: Medial epicondyle, coronoid process of ulna, superior anterior border of radius

Insertion: Middle phalanges of finger

Nerve: Median, C7, C8, T1

Action: Flexes proximal interphalangeal joints; flexes hand at wrist

 

Muscle: Flexor pollicis longus

Origin: Anterior surface of radius and adjacent interosseus membrane

Insertion: Base of distal phalanx of thumb

Nerve: Median, C8. T1

Action: Flexes thumb

 

Muscle: Palmaris longus

Origin: Medial epicondyle of humerus

Insertion: Distal half of flexor retinaculum, palmar aponeurosis

Nerve: Median, C7, C8

Action: Flexes hand at wrist and forearm

 

Muscle: Pronator quadratus

Origin: Anterior surface of distal ulna

Insertion: Anterior surface of distal radius

Nerve: Anterior interosseous nerve from median C8, and T1

Action: Pronates forearm; helps hold radius and ulna together

 

Muscle: Pronator teres

Origin: Medial epicondyle of humerus and coronoid process of ulna

Insertion: Middle of lateral surface of radius

Nerve: Median, C6, C7

Action: Pronates and flexes arm at elbow

 

Muscles Of The Posterior Forearm

 

Muscle: Abductor pollicis longus

Origin: Interosseous membrane, middle third of posterior surface of radius and ulna

Insertion: Lateral surface of base of first metacarpal

Nerve: Radial, deep branch, posterior interosseous nerve C7, C8

Action: Abducts thumb and hand

 

Muscle: Articularis cubiti

Origin: Distal portion of posterior aspect of shaft of humerus

Insertion: Posterior fibrous capsule of elbow joint

Nerve: Radial, C7, C8

Action: Retracts posterior joint capsule during extension of elbow

 

Muscle: Brachioradialis

Origin: Lateral supracondylar ridge of humerus

Insertion: Base of radial styloid process

Nerve: Radial, C5, C6, C7

Action: Flexes forearm

 

Muscle: Extensor carpi radialis brevis

Origin: Lateral epicondyle of humerus

Insertion: Posterior base of third metacarpal

Nerve: Radial, deep branch, C7, C8

Action: Extends fingers and abducts hands at wrist

 

Muscle: Extensor carpi radialis longus

Origin: Lateral supracondylar ridge of humerus

Insertion: Dorsum of base of second metacarpal

Nerve: Radial, C6, C7

Action: Extends and abducts hand at wrist joint

 

Muscle: Extensor carpi ulnaris

Origin: Lateral epicondyle and posterior surface of ulna

Insertion: Base of fifth metacarpal

Nerve: Radial, deep branch, posterior interosseous nerve C7, C8

Action: Extends and adducts hand at wrist joint

 

Muscle: Extensor digiti minimi

Origin: Common extensor tendon and interosseous membrane

Insertion: Extensor expansion, base of middle and distal phalanges

Nerve: Radial, deep branch, posterior interosseous nerve C7, C8

Action: Extends little finger

 

Muscle: Extensor digitorum

Origin: Lateral epicondyle of humerus

Insertion: Extensor expansion, base of middle and digital phalanges

Nerve: Radial, deep branch, posterior interosseous nerve C7, C8

Action: Extends fingers and hand at wrist

 

Muscle: Extensor indicis

Origin: Posterior surface of ulna and interosseous membrane

Insertion: Extensor expansion of index finger

Nerve: Radial, deep branch, posterior interosseous nerve C7

Action: Extends index finger; helps extend hand

 

Muscle: Extensor pollicis brevis

Origin: Interosseous membrane and posterior surface of middle third of radius

Insertion: Base of proximal phalanx of thumb

Nerve: Radial, deep branch, posterior interosseous nerve C7, C8

Action: Extends proximal phalanx of thumb and abducts hand

 

Muscle: Extensor pollicis longus

Origin: Interosseous membrane, middle third of posterior surface of ulna

Insertion: Base of distal phalanx of thumb

Nerve: Radial, deep branch, posterior interosseous nerve C7, C8

Action: Extends distal phalanx of thumb and abducts hand

 

Muscle: Supinator

Origin: Lateral epicondyle of humerus, radial collateral and anular ligaments, crest of ulna

Insertion: Lateral side of upper part of radius

Nerve: Radial, deep branch, C5, C6

Action: Supinates forearm

 

Muscles Of The Hand

 

Muscle: Abductor digiti minimi

Origin: Pisiform, pisohamate ligament, flexor retinaculum

Insertion: Medial side of base of proximal phalanx of little finger

Nerve: Ulnar, deep branch, C8, T1

Action: Abducts little finger

 

Muscle: Abductor pollicis brevis

Origin: Flexor retinaculum, scaphoid and trapezium

Insertion: Lateral side of base of proximal phalanx of thumb

Nerve: Median, recurrent branch, C8, T1

Action: Abducts thumb

 

Muscle: Adductor pollicis

Origin: Capitate and bases of second and third metacarpals, (oblique head); palmar surface of third metacarpal (transverse head)

Insertion: Medial side of base of proximal phalanx of the thumb

Nerve: Ulnar, deep branch, C8, T1

Action: Adducts thumb towards middle digit

 

Muscle: Dorsal interossei (4)

Origin: Adjacent sides of metacarpal bones

Insertion: Extensor expansions and bases of phalanges of digits 2-4

Nerve: Ulnar, deep branch, C8, T1

Action: Abducts fingers, flexes metacarpophalangeal joints; extends interphalangeal joints

 

Muscle: Flexor digiti minimi brevis

Origin: Flexor retinaculum and hook of hamate

Insertion: Medial side of base of proximal phalanx of little  finger

Nerve: Ulnar, deep branch, C8, T1

Action: Flexes proximal phalanx of little finger

 

Muscle: Flexor pollicis brevis

Origin: Flexor retinaculum and trapezium

Insertion: Base of proximal phalanx of thumb

Nerve: Median, recurrent branch, C8, T1

Action: Flexes thumb

 

Muscle: Lumbricals (4)

Origin: 1-2 lateral, 3-4 medial side of tendons of flexor digitorum profundus

Insertion: Lateral side of extensor expansion

Nerve: Median (two lateral), ulnar (two medial)

Action: Flexes metacarpophalangeal joints, extends interphalangeal joints

 

Muscle: Opponens digiti minimi

Origin: Flexor retinaculum and hook of hamate

Insertion: Medial side of fifth metacarpal

Nerve: Ulnar, deep branch, C8, T1

Action: Opposes little finger with thumb

 

Muscle: Opponens pollicis

Origin: Flexor retinaculum and tubercle of scaphoid and trapezium

Insertion: Lateral side of first metacarpal

Nerve: Median, recurrent branch, C8, T1

Action: Opposes thumb to other digits

 

Muscle: Palmar interossei (3)

Origin: Palmar surface of 2nd, 4th, and 5th metacarpals (unipennate muscles)

Insertion: Bases of proximal phalanges on same sides as their origins; extensor expansion

Nerve: Ulnar, deep branch, C8, T1

Action: Adducts fingers; flexes metacarpophalangeal joints; extends interphalangeal joints

 

Muscle: Palmaris brevis

Origin: Ulnar side of flexor retinaculum, palmar aponeurosis

Insertion: Skin of ulnar side of hand

Nerve: Ulnar, superficial, T1

Action: Wrinkles skin on palmar side of hand

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