musculature and innervation of pectoral limb

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Biology 223 Human Anatomy and Physiology ! Week 6; Lecture 2; Wednesday Dr. Stuart S. Sumida Musculature and Innervation of Pectoral Limb

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Page 1: Musculature and Innervation of Pectoral Limb

Biology 223Human Anatomy and Physiology !Week 6; Lecture 2; WednesdayDr. Stuart S. Sumida

Musculature and Innervation of Pectoral Limb

Page 2: Musculature and Innervation of Pectoral Limb

Triceps =

Quadriceps

Cranial/dorsal

Page 3: Musculature and Innervation of Pectoral Limb

Pectoral Group =Adductors

Cranial/ventral

Page 4: Musculature and Innervation of Pectoral Limb

Glutei =Deltoid

Caudal/dorsal

Extensors =Extensors

Page 5: Musculature and Innervation of Pectoral Limb

Hamstrings =brachii

Caudal/ventral

Flexors =Flexors

Page 6: Musculature and Innervation of Pectoral Limb

Upper Limb Complications

Page 7: Musculature and Innervation of Pectoral Limb

1.Upper limb is not as

firmly attached, so has extra muscles to hold

it in place

Page 8: Musculature and Innervation of Pectoral Limb

2.There are several large, fan shaped

muscles that do not exist in the lower limb

Page 9: Musculature and Innervation of Pectoral Limb

3There is more

migration of tissues during early

development, making the 4 quadrants more

complex

Page 10: Musculature and Innervation of Pectoral Limb

4.There is a large

muscle that was not originally

appendicular, so it has an unusual innervation

and placement

Page 11: Musculature and Innervation of Pectoral Limb

Branchial (Gill Slit) Muscles

AttachingScapula to Body

Wall

Page 12: Musculature and Innervation of Pectoral Limb

TrapeziusIn more primitive species used for opening and closing gills - aBRANCHIALmuscle.

In humans, used to move scapula and keep head up

Page 13: Musculature and Innervation of Pectoral Limb

Trapezius

Origin:Occipital bone,Spines of C7 and T1-12

Insertion:AcromionSpine of scapulaLateral 1/3 of clavicle

Page 14: Musculature and Innervation of Pectoral Limb

Trapezius

Innervation:Accessory Nerve (Cranial Nerve XI)

Action:Extension of the headElevation and depression of scapula

Page 15: Musculature and Innervation of Pectoral Limb

Trapezius

Page 16: Musculature and Innervation of Pectoral Limb

Axial Muscles Attaching

Scapula to BodyWall

Page 17: Musculature and Innervation of Pectoral Limb

SerratusAnterior

Origin:First 9 ribs

Insertion:Medial edge of scapula’s deep surface

Page 18: Musculature and Innervation of Pectoral Limb

SerratusAnterior

Innervation:Long thoracic nerve

Action:Rotates scapula

Primitively a BODY WALL MUSCLE

Page 19: Musculature and Innervation of Pectoral Limb

SerratusAnterior

Page 20: Musculature and Innervation of Pectoral Limb

LevatorScapulae

Origin:Transverse processes of C1-4

Insertion:Medial edge of scapula

Page 21: Musculature and Innervation of Pectoral Limb

LevatorScapulae

Innervation:Ventral Rami of C3 and C4

Action:Retracts scapula Depresses glenoid

Page 22: Musculature and Innervation of Pectoral Limb

RhomdoidiusMajor

Origin:Spines of T2-T5

Insertion:Medial edge of scapula

Page 23: Musculature and Innervation of Pectoral Limb

RhomdoidiusMajor

Innervation:Dorsal Scapula

Action:Retracts scapula Depresses glenoid

Page 24: Musculature and Innervation of Pectoral Limb

RhomdoidiusMinor

Origin:Spines of C7 and T1

Insertion:Medial edge of scapula

Note: minor is superior (cranial), but SMALLER

Page 25: Musculature and Innervation of Pectoral Limb

RhomdoidiusMinor

Innervation:Dorsal Scapula

Action:Retracts scapula Depresses glenoid

Page 26: Musculature and Innervation of Pectoral Limb

Levator Scapulae

Rhomboid Minor

Rhomboid Major

Page 27: Musculature and Innervation of Pectoral Limb

Levator ScapulaeRhom-boids

PecoralisMinor

Depression

Page 28: Musculature and Innervation of Pectoral Limb

Trapezius

Trapezius

SerratusAnterior

Elevation

Page 29: Musculature and Innervation of Pectoral Limb

Dorsal Appendicular

Muscles

Page 30: Musculature and Innervation of Pectoral Limb

Latissimus Dorsi

Origin:Spines of T7-T12Thoracolumbar fascia

Insertion:Humerus: Inertubecular grooveAnd lesser tubecular crest

Innervation:Thoracodorsal Nerve

Page 31: Musculature and Innervation of Pectoral Limb

Latissiumus: Extends, adducts and medially rotates humerus

Pectoralis: is large, fan-shaped muscle opposing it ventrally

Page 32: Musculature and Innervation of Pectoral Limb

Ventral Musculature

Page 33: Musculature and Innervation of Pectoral Limb

The Pectoralis Group is a large, fan-shaped

group that SPANScranial-ventral and

caudal-ventral regions.

Page 34: Musculature and Innervation of Pectoral Limb

Pectoralis Major:

Clavicular Head:Origin: inferior margin of clavicleInsertion: Delto-pectoral crest of HUMERUS

Sternal Head:Origin: Ventro-lateral margin of sternumInsertion: Delto-pectoral crest of HUMERUS

Page 35: Musculature and Innervation of Pectoral Limb

Pectoralis Major:

Clavicular Head:

Origin: inferior margin of clavicle

Insertion: Greater tubercular crest of HUMERUS

Innervation: Medial and lateral pectoral nerves

Page 36: Musculature and Innervation of Pectoral Limb

Pectoralis Major:Sternal Head:DEPRESSOR, ADDUCTOR of humerus

Origin: Ventro-lateral margin of sternum; costal cartilages 1-6

Insertion: Greater tubercular crest of HUMERUS

Innervation: Medial and lateral pectoral nerves

Page 37: Musculature and Innervation of Pectoral Limb

Pectoralis MINOR:Deep to Pec. MajorOrigin:Ribs 3-6.

Insertion: Coracoid Process of Scapula

Innervation:

Function: Stabilization of scapula

Positionally important for understanding location of other structures.

Page 38: Musculature and Innervation of Pectoral Limb

Musculature of the Shoulder:

Muscles Connecting Scapula to Humerus

Page 39: Musculature and Innervation of Pectoral Limb

Elevators TeresMajor

Origin: Lower edge of scapulaInsertion: Lesser tubercular crestAction: Extends, Adducts & Medially rotates humerusInnervation: Lower scapular

Page 40: Musculature and Innervation of Pectoral Limb

ElevatorsSubscapularis

Origin: Deep surface of scapulaInsertion: Lesser tubercleAction: Medially rotates humerusInnervation: Upper and lower scapular

Page 41: Musculature and Innervation of Pectoral Limb

Internal View:

Subscapularis

Page 42: Musculature and Innervation of Pectoral Limb
Page 43: Musculature and Innervation of Pectoral Limb

ElevatorsTeres Minor

Origin: Lower edge of scapulaInsertion: Greater tubercleAction: Laterally rotates humerusInnervation: Axillary

Page 44: Musculature and Innervation of Pectoral Limb

Teres Minor

Page 45: Musculature and Innervation of Pectoral Limb

Elevators

DeltoideusOrigin: Lateral half of clavicle , Scapular spine, acromion processInsertion: Deltoid tuberosity of humerusAction: Abducts humerus (also flexes, extends, rotates and adducts)Innervation: Axillary nerve

Page 46: Musculature and Innervation of Pectoral Limb

Deltoid

Page 47: Musculature and Innervation of Pectoral Limb
Page 48: Musculature and Innervation of Pectoral Limb

Depressors

Pectoralis Major(Sternal Head)

Origin: Medial half of clavicle, sternum, costal cartilages 1-6Insertion: Greater tubercular crestAction: Medially rotates, flexes and adducts humerus Innervation: Lateral and medial pectoral

Page 49: Musculature and Innervation of Pectoral Limb

Depressors

Supraspinatus

Origin: Supraspinous fossa of scauplaInsertion: Greater tubercle of humerusAction: Abducts humerusInnervation: Subscapular

Page 50: Musculature and Innervation of Pectoral Limb

Depressors

Infraspinatus

Origin: Infraspinous fossa of scapulaInsertion: Greater tubercle of humeusAction: Laterally rotates humerusInnervation: Subscapular

Page 51: Musculature and Innervation of Pectoral Limb
Page 52: Musculature and Innervation of Pectoral Limb

Supraspinatus

Infraspinatus

Teres Minor

Page 53: Musculature and Innervation of Pectoral Limb

Muscles of the Rotator Cuff

Infraspinatus

Teres MinorSubscapularis

Supraspinatus

Page 54: Musculature and Innervation of Pectoral Limb

What You Should Know1 SERIAL HOMOLOGIES

Glutei

Adductors

Quadriceps

Hamstrings

Extensors

Flexors

Deltoid

Pectoral group

Triceps

Brachii

Extensors

Flexors

Page 55: Musculature and Innervation of Pectoral Limb

What You Should Know2: UPPER LIMB COMPLICATIONS• Explain 4 .

• Explain the movements of the scapula

Page 56: Musculature and Innervation of Pectoral Limb

What You Should Know3: UPPER LIMB COMPLICATIONS• Origin, insertion, innervation and action of the

following (Cartmill pages 224-230)

• Trapezius

• Serratus anterior

• Levator scapulae

• Rhomboid major

• Rhomboid minor

• Latissimus Dorsi

• Pectoralis Major (Sternal, Clavicular) and Minor

Page 57: Musculature and Innervation of Pectoral Limb

What You Should Know4. THE SHOULDER

Cartmill pages 231-237

Origin, insertion, innervation and action of the following:

Teres Major Subscapularis

Teres minor Deltoid

Pectoralis Major Supraspinatus

Infraspinatus

Page 58: Musculature and Innervation of Pectoral Limb

Musculature Crossing the Elbow Joint

Page 59: Musculature and Innervation of Pectoral Limb

Muscles moving the elbow all cross the joint and insert on the bones of the forearm.

They may originate from the scapula or the brachium (humerus).

Page 60: Musculature and Innervation of Pectoral Limb

Which muscle is NOT a flexor of the elbow?

A

B

CD

Answer =ACoracobrachialis

Page 61: Musculature and Innervation of Pectoral Limb

The Coracobrachialismakes up part of the mass of the upper arm but doesn’t actually cross the joint (scapula to humerus only).

Page 62: Musculature and Innervation of Pectoral Limb

Origin: coracoid process

Insertion: Humerus

Flexion and adductionof humerus.

Musculocutaneous nerve

Page 63: Musculature and Innervation of Pectoral Limb

Elbow extensors

Triceps brachii

(Radial Nerve)

Page 64: Musculature and Innervation of Pectoral Limb

Triceps =

Quadriceps

Cranial/dorsal

Page 65: Musculature and Innervation of Pectoral Limb

Origin:Long Head: Glenoid FossaMedial & Lateral Heads:Posterior surface of humeral shaft

Insertion:Olecranon process of ulna

Action: Extends elbow

Page 66: Musculature and Innervation of Pectoral Limb

Triceps Long Head

Triceps, Lateral Head

Page 67: Musculature and Innervation of Pectoral Limb

Elbow flexors

Brachii (brachial group)

(Here, spelling counts…)

Page 68: Musculature and Innervation of Pectoral Limb

Hamstrings =brachii

Caudal/ventral

Page 69: Musculature and Innervation of Pectoral Limb

Biceps brachii(musculocutaneous n.)

Origin:Short head: coracoid processLong head; glenoid fossa

Insertion:Proximal radius

Action:Flexes elbowsupinates

Page 70: Musculature and Innervation of Pectoral Limb

Brachialis(musculocutaneous n.)

Origin:Humeral shaft

InsertionProximal ulna

Action: flexes elbow

Page 71: Musculature and Innervation of Pectoral Limb

Corcobrachialis

Brachialis

Biceps

Page 72: Musculature and Innervation of Pectoral Limb

Brachioradialis(Radial n.* exception)

Origin: distal humerus

Insertion:Styloid process of ulna

Action: Flexes elbow

Page 73: Musculature and Innervation of Pectoral Limb

Brachioradialis

Flexor Carpi RadialisFlexor Digitorum

Superficialis

Flexor Carpi Ulnaris

Page 74: Musculature and Innervation of Pectoral Limb

FLEXORS of the Wrist

Page 75: Musculature and Innervation of Pectoral Limb

Flexors =Flexors

Caudal/ventral

Page 76: Musculature and Innervation of Pectoral Limb

Superficial Layer

Flexor carpi radialisMedian n.Origin: Medial epicondyle of humerusInsertion:Base of 2nd & 3rd metacarpalsAction: Flexes wrist; abducts hand

Page 77: Musculature and Innervation of Pectoral Limb

Superficial Layer

Palmaris longusMedian n.

Origin: Medial epicondyle of humerusInsertion:Palmar aponeurosisAction: Flexes wrist

Page 78: Musculature and Innervation of Pectoral Limb

Superficial Layer

Flexor carpi ulnarisUlnar n.

Origin: Medial epicondyle of humerusInsertion:Pisiform and base of 5th metacarpalAction: Flexes wrist; adducts hand

Page 79: Musculature and Innervation of Pectoral Limb

Intermediate Layer

Flexor digitorumsuperficialisMedian nOrigin: Medial epicondyle of humerusInsertion:Middle phalanges of fingers 2-5Action: Flexes wrist and middle phalanges

Page 80: Musculature and Innervation of Pectoral Limb

Deep Layer

Flexor pollicis longusMedian n

Origin: Anterior surface of radiusInsertion:Distal phalanx of thumbAction: Flexes distal phalanx of thumb

Page 81: Musculature and Innervation of Pectoral Limb

Deep Layer

Flexor digitorum profundusMedian n

Origin: Anteromedial surface ulnaInsertion:Distal phalanges of fingers 2-5Action: Flexes distal phalanges

Page 82: Musculature and Innervation of Pectoral Limb

Brachioradialis

Flexor Carpi RadialisFlexor Digitorum

Superficialis

Flexor Carpi Ulnaris

Page 83: Musculature and Innervation of Pectoral Limb

EXTENSORS of the Wrist

Page 84: Musculature and Innervation of Pectoral Limb

Extensors =Extensors

Caudal/dorsal

Page 85: Musculature and Innervation of Pectoral Limb

Superficial

Extensor carpi radialisbrevisRadial n.Origin: Lateral epicondyle of humerusInsertion:Base of 3rd metacarpalAction: Extends and abducts wrist

Page 86: Musculature and Innervation of Pectoral Limb

Superficial

Extensor digitorum minimiRadial n.

Origin: Lateral epicondyle of humerusInsertion:Distal phalange of little fingerAction: Extends little finger

Page 87: Musculature and Innervation of Pectoral Limb

Superficial

Extensor digitorumRadial n.

Origin: Lateral epicondyle of humerusInsertion:Distal phalange of fingers 2-4Action: Extends fingers and wrist; abduct fingers

Page 88: Musculature and Innervation of Pectoral Limb

Extensor CarpiRadialis

Abductor Pollicis LongusExtensor Retinaculum

Extensor CarpiUlaris

Extensor Indicis

Extensor Digitorum

Superficialis

Page 89: Musculature and Innervation of Pectoral Limb

Deep

Extensor indices

Radial n.Origin: Posterior surface of distal ulnaInsertion:Extensor expansion of index fingerAction: Extends index finger

Page 90: Musculature and Innervation of Pectoral Limb

Deep

Extensor pollicis longusRadial n.

Origin: Dorsal shaft of radius and ulnaInsertion:Base of distal phalanx of thumbAction: Extends thumb

Page 91: Musculature and Innervation of Pectoral Limb

Deep

Extensor pollicis brevisRadial n.

Origin: Dorsal shaft of radius and ulnaInsertion:Base of proximal phalanx of thumbAction: Extends thumb

Page 92: Musculature and Innervation of Pectoral Limb

Deep

Abductor pollicis longusRadial n.

Origin: Posterior surface of radius and ulnaInsertion:Base of 1st metacarpalAction: Abducts and extends thumb

Page 93: Musculature and Innervation of Pectoral Limb

Muscles of Pronation

and Supination

Page 94: Musculature and Innervation of Pectoral Limb

Deep

Abductor pollicis longusRadial n.

Origin:Posterior surface of radius and ulnaInsertion:Base of 1st metacarpalAction: Abducts and extends thumb

Page 95: Musculature and Innervation of Pectoral Limb

Supination:Movement of the radius and ulna

Lateral rotation of the arm so palm faces superiorally

(anatomical position)

Page 96: Musculature and Innervation of Pectoral Limb

Ulna and Radius are parallel

Page 97: Musculature and Innervation of Pectoral Limb

Pronation:

Opposite of supinationMedial rotation of the arm so palm faces inferiorallyRelaxed position

Page 98: Musculature and Innervation of Pectoral Limb

Ulna and Radius are crossed

Page 99: Musculature and Innervation of Pectoral Limb

Supination

SupinatorRadial n.Origin: Lateral epicondyle of humerusInsertion:Proximal end of radiusAction: Supinates forearm

Page 100: Musculature and Innervation of Pectoral Limb

Supinator

Page 101: Musculature and Innervation of Pectoral Limb

Supination

Biceps brachiimusculocutaneous n.

Origin:Short head: coracoid processLong head; glenoid fossaInsertion:Proximal radiusAction:Flexes elbowsupinates

Page 102: Musculature and Innervation of Pectoral Limb

Pronation

Pronator teresMedian n.

Origin:Medial condyle of humerusCoronoid process of ulnaInsertion:Lateral radius (midshaft)Action:Pronates forearm

Page 103: Musculature and Innervation of Pectoral Limb

Pronation

Pronator quadratusMedian n.Origin:Distal portion of anterior ulnarshaftInsertion:Distal surface of anterior radiusAction:Pronates forearm

Page 104: Musculature and Innervation of Pectoral Limb

Pronator Teres

PronatorQuadratus

Page 105: Musculature and Innervation of Pectoral Limb

What You Should Know1: Muscles Crossing the Elbow Joint• Flexors (ventral)

• Extensors (dorsal)

2: Muscles Crossing the Wrist Joint

Flexors (ventral)

Extensors (dorsal)

Page 106: Musculature and Innervation of Pectoral Limb

What You Should Know3: Muscles of Elbow Extension,

Flexion• Origin and Insertion

• Innervation

3: Muscles of Pronation and Supination

• Origin and Insertion

• Innervation

Page 107: Musculature and Innervation of Pectoral Limb

What You Should Know3: Serial Homologs of Major Groups

4: Functions of all Muscles Presented

5: A Summary of these muscles are in the Laboratory Manual and Cartmill’sText.