upper limb gross anatomy table
TRANSCRIPT
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
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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
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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
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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
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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
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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
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
7272019 Upper Limb Gross Anatomy Table
httpslidepdfcomreaderfullupper-limb-gross-anatomy-table 614
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
7272019 Upper Limb Gross Anatomy Table
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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
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
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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
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
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
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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
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
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
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
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
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
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
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
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