arm & cubital region
TRANSCRIPT
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Upper limbArm & Cubital region
黃敏銓
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ArmLateral intermuscular septum
Medial intermuscular septum
Anterior (flexor) compartment: stronger
Posterior (extensor) compartment
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Coracobrachialis
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Origin:coracoid process (apex)
Insertion:mid-shaft of humerus (medial side)
Function: helps flex and adduct armstabilize glenohumeral joint
Innervation: musculocutaneous nerve
Coracobrachialis
Serve as a shunt muscle, when carrying a heavy suitcase: deltoid, long head of the triceps, coracobrachialis
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Biceps brachii
Origin:long head: supraglenoid tubercleshort head: coracoid process (apex)
Insertion:radial tuberosity
Function: powerful flexor of forearm accessory flexor of armsupinator of forearm
Innervation: musculocutaneous nerve
Long head of biceps brachii
Short head of biceps brachii
Bicipital aponeurosis
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Brachialis
Origin:distal half of humerus (anterior)
Insertion:tuberosity of ulna
Function: pure flexor of forearm, in all directions
Innervation: musculocutaneous nerve
Brachialis
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Triceps brachiiOrigin:1. long head: infraglenoid tubercle2. lateral head: humerus (posterior,
superior to radial groove)
3. medial head: humerus (posterior) Insertion: OlecranonFunction:
extensor of forearmlong head: extend and adduct arm
Innervation: radial nerve
Lateral head of triceps brachii
Medial head of triceps brachii
Long head of triceps brachii
Radial groove of humerus
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Brachial artery
Radial artery
Ulnar artery
Axillary artery
Profunda brachii artery
Bicipital aponeurosis
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Superior ulnar collateral
Posterior ulnar recurrent artery
Inferior ulnar collateral
Anterior ulnar recurrent
Radial collateral
Middle collateral
Interosseous recurrent
Profunda brachii arteryHumeral nutrient artery
Brachial artery
Radial artery
Radial recurrent
Ulnar artery8
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Basilic vein
Cephalic vein
Paired brachial veins
Axillary vein
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Musculocutaneous nerve
Lateral cutaneous nerve of forearm
Median nerve
Ulnar nerve
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Inferior lateral cutaneous nerve of arm
Posterior cutaneous nerve of forearm
Radial nervePosterior cutaneousnerve of arm
Superior lateral cutaneous nerve of arm(from axillary nerve)
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Cubital fossa
Lateral epicondyle Medial epicondyle
Brachioradialis
Pronator teres
BrachialisCubital fossa
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Tendon (biceps brachii)
Brachial artery
Median nerveBiceps brachii
Radial artery
Ulnar artery
Bicipital aponeurosis
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Radial nerve
Superficial branch
Deep branch
Median cubitalvein
Basilic veinCephalic vein
Lateral cutaneousnerve of forearm
Medial cutaneousnerve of forearm
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Superficial back Scapular region
黃敏銓
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Upper limb
Shoulder:upper limb →trunk and neck
Bone:ClavicleScapulaProximal end of humerus
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Movements of the scapulaElevation Protraction Upward rotation
Depression Retraction Downward rotation
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Medial posterior cutaneous branchLateral posterior cutaneous branch18
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Shoulder
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Superficial muscles:
Trapeziusscapula and clavicle → trunk
Deltoidscapula and clavicle → humerus
Deep to trapezius:
Levator scapulae
Rhomboid minor
Rhomboid major
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TrapeziusOrigin:
Skull, vertebrae C1-T12Insertion:
Spine of scapula, acromion, clavicleFunction:
Elevator of scapulaAbduction of humerus above horizontalMiddle fibers: retract scapulaLower fibers: depress scapula
Innervation:Accessory nerve (CN XI)Anterior rami of C3 and C4
Accessory nerveSuperficial branch of transverse cervical artery
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Deltoid
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Origin:spine of scapula, acromion, clavicle
Insertion:deltoid tuberosity of humerus
Function: 1. major abductor of arm>15°2. anterior part: flex and medially
rotate arm3. posterior fibers: extend and
laterally rotate armInnervation:
axillary nerve
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Levator scapulae
Origin:transverse processes of C1 to C4
Insertion:scapula: superior angle to root of spine
Function: scapula: elevation and downward rotationneck: extension and lateral flexion
Innervation: dorsal scapular nerveanterior rami of cervical (C3 and C4) nerves
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Rhomboid minor
Origin:lower end of ligamentum nuchaetransverse processes of C7 and T1
Insertion:scapula: smooth triangular area at root of spine
Function:scapula: elevation, retraction, downward rotation
Innervation:dorsal scapular nerve
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Rhomboid major
Origin:transverse processes of T2 to T5
Insertion:scapula: from insertion of rhomboid minor
to inferior angleFunction:
scapula: elevation, retraction, downward rotationInnervation:
dorsal scapular nerve24
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Elevate ribs2nd to 5th intercostal nerves
Origin: nuchal ligament, C7-T3 spinous processes
Origin: T11-L2 spinous processes
Insertion: superior borders of 2nd to 4th ribs
Insertion: inferior borders of 8th to 12th ribs
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Depress ribsT9-T12 thoracic nerves
Serratus posterior superior
Serratus posterior inferior
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Posterior scapular regionSupraspinatus
InfraspinatusTeres minor
Teres major
Long head of triceps brachii
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Supraspinatus
SupraspinatusOrigin:
supraspinous fossa(medial 2/3)
Insertion:greater tubercle (superior facet)
Function:abduction of am (15°)
Innervation: suprascapular nerve
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Infraspinatus
Infraspinatus
Origin:Infraspinous fossa(medial 2/3)
Insertion:greater tubercle (middle facet)
Function:Powerful lateral rotator of the humerus
Innervation: suprascapular nerve 28
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Teres minor
Teres minor
Origin:lateral upper 2/3 of scapula
Insertion:greater tubercle (inferior facet)
Function:lateral rotation of arm
Innervation: axillary nerve
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Teres major
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Teres major
Origin:Inferior angle (posterior) of scapula
Insertion:Medial lip of intertubercularsulcus of humerus
Function:Medial rotation and adductionhelp extension
Innervation: Inferior subscapular nerve
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Long head of triceps brachii
Long head of triceps brachii
Origin:Infraglenoid tubercle on scapula
Insertion:Olecranon process of ulna
Function:Arm: adductor and extensorForearm: extensor
Innervation: Radial nerve
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Supraspinatus
InfraspinatusTeres minor
Rotator cuff muscles
Subscapularis
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Gateways to the posterior scapular regionSuprascapular nerve
Suprascapular artery
Axillary nerve
Posterior circumflex humeral artery
Circumflex scapular artery
Profunda brachii artery
Radial nerve
Transverse scapular ligament
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Arterial anastomoses around the shoulder
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Thyrocervical trunk
Suprascapular artery
Deep branch of transverse cervical artery(dorsal scapular artery) Circumflex scapular artery
Profunda brachii artery
Anterior circumflex humeral artery
Posterior circumflex humeral artery
Thoracodorsal artery