Transcript
Class TwoMuscles of the Forearm
SupraspinatusP: Supraspinous Fossa of the scapula
D: Greater tubercle of the humerus
1. Abducts the arm at the shoulder joint
Part of the rotator cuff muscle group
InfraspinatusP: Infraspinous fossa of the scapula
D: Greater tubercle of the humerus
1. Laterally rotates the arm at the shoulder joint
Part of the rotaor cuff muscle group
Teres minorP: Superior lateral border of the scapula
D: Greater tubercle of the humerus
1. Laterally rotates the arm at the shoulder joint
Part of the rotator cuff muscle group
SubscapularisP: Subscapular fossa of the scapula
D: Lesser tubercle of the humerus
1. Medially rotates the arm at the shoulder joint
Part of the rotator cuff muscle group
Teres MajorP: Inferior lateral border of the scapula
D: Medial lip of the bicipital groove of the humerus
1. Medially rotates the arm at the shoulder joint
2. Adducts the arm at the shoulder joint
3. Extends the arm at the shoulder joint
DeltoidP: Lateral clavicle, acromion process, and the spine of the scapula
D: Deltoid tuberosity of the humerus
1. Abducts the arm at the shoulder joint (entire muscle)
2. Flexes the arm at the shoulder joint (anterior deltoid)
3. Extends the arm at the shoulder joint (posterior deltoid)
4. Medially rotates the arm at the shoulder joint (anterior deltoid)
5. Laterally rotates the arm at the shoulder joint (posterior deltoid)
CoracobrachialisP: Coracoid process of the scapula
D: Medial shaft of the humerus
1. Flexes the arm at the shoulder joint
2. Adducts the arm at the shoulder joint
Biceps BrachiiP: Long head: Supraglenoid
tubercle of the scapula
Short head: Coracoid process of the scapula
D: Radial tuberosity
1. Flexes the forearm at the elbow joint (entire muscle)
2. Supinates the forearm at the radioulnar joints (entire muscle)
3. Flexes the arm at the shoulder joint (entire muscle)
BrachialisP: Distal ½ of the anterior shaft of the humerus
D: Ulnar tuberosity
1. Flexes the forearm at the elbow joint
Triceps BrachiiP: Long head: Infraglenoid tubercle of the scapula
Lateral head: Posterior shaft of the humerus
Medial head: Posterior shaft of the humerus
D: Olecranon process of the ulna
1. Extends the forearm at the elbow joint
Pronator Teres MuscleP: Humeral head: Medial
epicondyle of the humerus via common flexor tendon
Unlnar head: Coronoid process of ulna
D: Laterla radius
1. Pronates the forearm at the radioulnar joint
2. Flexes the forearm at the elbow joint
Flexor Carpi RadialisP: Medial epicondyle of the
humerus
D: Radial hand on the anterior side
1. Flexes the hand at the wrist joint
2. Radially deviates (abducts) the hand at the wrist joint
Flexor Carpi Radialis
Palmaris LongusP: Medial epicondyle of the humerus
D: Palm of hand
1. Flexes the hand at the wrist joint
Palmaris Longus
Palmaris Longus Inserts to the palm of the hand
Flexor Carpi UlnarisP: Medial epicondyle of the
humerus
D: Ulnar hand on the anterior side
1. Flexes the hand at the wrist joint
2. Ulnar deviates (adducts) the hand at the wrist joint
Flexor Carpi Ulnaris: Medial epicondyle of the Humerus via the Common Flexor Tendon and the Ulna
BrachioradialisP: Lateral supracondylar ridge of the humerus
D: Styloid process of the radius
1. Flexes the forearm at the elbow joint
Vineyard, Rome, Italy
Flexor Digitorum Superficialis1. Flexes fingers 2-5 at the
metacarpophalangeal and proximal interphalangeal joints
2. Flexes the hand at the wrist
Pronator QuadratusP: Anterior distal ulna
D: Anterior distal radius
1. Pronates the forearm at the radioulnar joints
Flexor digitorum profundus1. Flexes fingers 2-5 at the
metacarpophalangeal and proximal and distal interphalangeal joints
2. Flexes the hand at the wrist
Sicily, Italy
Extensor Carpi Radialis LongusP: Lateral supracondylar ridge of
the humerus
D: Radial hand on the posterior side
1. Extends the hand at the wrist joint
2. Radially deviates (abducts) the hand at the wrist joint
Extensor Digitorum1. Extends fingers 2-5 at the
metacarpophalangeal and proximal and distal interphalangeal joints
2. Extends the hand at the wrist joint
Extensor Carpi Radialis BrevisP: Lateral epicondyle of the
humerus
D: Radial hand on the posterior side
1. Extends the hand at the wrist joint
2. Radially deviates (abducts) the hand at the wrist joint
Extensor Digiti Minimi1. Extends the Little Finger at the
Metacarpophalangeal and Proximal and Distal Interphalangeal Joints
2. Extends the hand at the wrist joint
Extensor Carpi UlnarisP: Lateral epicondyle of the
humerus and the ulna
D: Ulnar hand on the posterior side
1. Extends the hand at the wrist joint
2. Ulnar deviates (adducts) the hand at the wrist joint
SupinatorP: Lateral epicondyle of the
humerus and proximal ulna
D: Proximal radius
1. Supinates the forearm at the radioulnar joints
The Thenar Group:
• Abductor Pollicis Brevis
• Flexor Pollicis Brevis
• Opponens Pollicis
Thenar Muscle Group
The Hypothenar GroupThe Hypothenar GroupAbductor Digiti Minimi ManusFlexor Digiti Minimi ManusOpponens Digiti Minimi
Hypothenar Muscle Group
The Central Compartment The Central Compartment GroupGroupAdductor PollicisLumbricals ManusPalmar InterosseiDorsal Interossei Manus
A Superficial Fascial A Superficial Fascial MuscleMusclePalmaris Brevis
Venice, ItalyVenice, Italy
Have the client seatedPartially flex forearm and have the forearm half
way between pronation and supination.Place palpating hand on the proximal anterior
medial forearmHave the client further flex or pronate the forearm
and feel for contraction of the pronator teresThe proximal attachment is the medial epicondyle
of the humerus and the distal attachment is the lateral radius underneath the brachioradialis
Client seatedPlace palpating hand across anterior wristHave client actively flex and radially deviate
the hand at the wrist joint and feel for the distal tendon on the radial side just lateral to the palmaris longus
Palpate proximally toward the medial epicondyle
It is difficult to palpate the proximal tendon because it blends with the common flexor tendon of the elbow
Have client seatedPlace palpating hand on anterior wristAsk the client to cup the hand (bring thenar
and hypothenar eminence together)Ask client to flex the hand at the wrist joint
against resistance with the fingers fully extended; feel for the distal tendon of the palmaris longus in the center of the wrist.
Palpate proximally to the common flexor tendon of the elbow
Have client seatedPlace palpating hand across anterior wristHave client actively flex and ulnar deviate the
hand at the wrist joint and feel for the distal tendon on the medial side of the anterior wrist.
Palpate proximally toward the medial epicondyle and the common flexor tendon of the elbow.
Have client seated with forearm flexed at the elbow 90 degrees, and in a position halfway between pronation and supination.
Place palpating hand on lateral forearm.Resist client from further flexing the forearm
and feel for contraction of the brachioradialis.Palpate distally to the styloid process of the
radius and proximally to the lateral supracondylar ridge of the humerus.
Have client seated (This is a difficult muscle to palpate).
Place palpating hand distally on the lateral anterior forearm.
Find the radial pulse and then palpate on either side of it to locate the pronator quadratus.
Resist the client from actively pronating the forearm at the radioulnar joints and feel for contraction of the muscle.
Have client seated Place palpating hand posterior to
brachioradialisAsk client to make a fist in a slightly extended
position and feel for contraction of the muscle.
Continue palpating proximally toward the lateral supracondylar ridge of the humerus.
Continue palpating distally to the 2nd metacarpal
Client seatedPinch the radial group of forearm muscles with your
thumb on one side and your fingers on the other and slightly pull them away from forearm.
The fingers on the posterior aspect of the radial group are on the extensor carpi radialis brevis
Have client actively extend and/or radially deviate the hand at the wrist to feel for contraction of the muscle.
The distal tendon can be palpated by having the client make a fist with the wrist slightly extended. Attaches to 3rd metacarpal.
Have client seatedPlace palpating hand directly posterior to the
shaft of the ulna and feel for the belly of the extensor carpi ulnaris.
Continue palpating proximally toward the lateral epicondyle of the humerus and distally toward the 5th metacarpal.
Have the client extend and ulnar deviate the wrist to further bring out this muscle.
Have the client seated with the forearm passively flexed, pronated, and resting on the lap
Pinch the radial group of the forearm muscles with your thumb on one side and your fingers on the other side.
Palpate deeper against the radius between the radial group of the forearm and the extensor digitorum to locate the radial attachment of the supinator
Have client slowly supinate the forearm and feel for contraction of the supinator
Palpate proximally toward the lateral epicondyle and ulnar attachment.
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