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Humerus Arm Anatomical Neck Arm

Humerus Arm Anatomical Neck Arm

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Published by mcwnotes

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Published by: mcwnotes on Sep 21, 2009
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10/19/2012

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Structure
RegionSystem
Blood Supply
Origin / InsertionActionClinical Correlation
armSkeletal420, 421
humerus - capitulum
armSkeletal420, 421armSkeletal420, 421armSkeletal420, 421armSkeletal420, 421
humerus - head
armSkeletal420, 421armSkeletal420, 421armSkeletal420, 421armSkeletal420, 421armSkeletal420, 421armSkeletal420, 421armSkeletal420, 421armSkeletalcommon site of fracture420, 421
Innervation
(what itinnervates)
Netter Plate#'s
humerus -anatomical neck 
Lateral side of distal humerusand articulation point for thehead of the radius.
humerus -coronoid fossa
Anterior fossa just above thetrochlea for coronoid processof ulna to articulate withduring full flexion of the elbow
humerus -deltoidtuberosity
Lateral tuberosity wheredeltoid inserts, approximatelyat the midpoint of thehumerus.
humerus -greater tubercle
3 of 4 rotator cuff muscletendons insert here—supraspinatus, infraspinatus,and teres minorArticulate with glenoid fossa.Directed upward, medially,and posteriorly
humerus –intertubercular(bicipital) sulcushumerus -lateralepicondyle
Point of origin for extensors(including supinator), oftencalled the common extensororigin The common extensor origin is the site of pain in individuals lateral epicondylitis(commonly called “tennis elbow”). It isthought to primarily be a chronic overuseinjury with any motions causing repetitivewrist extension and/or forearm supination.Pain is often worst 1-2 cm distal to thelateral epicondyle.
humerus - lessertubercle
Projects anteriorly fromhumerus, insertion site for thesubscapularis muscle of therotator cuff 
humerus -medialepicondyle
Point of origin for flexors andpronator teres. Ulnar nerveruns in a groove behind thisstructureMedial epicondylitis (commonly called“little league elbow” or “golfer’s elbow”) isdue to repetitive motions causing wristflexion and/or forearm pronation.
humerus -olecranon fossa
Posterior fossa on back sidedistal humerus for olecranonprocess of ulna to articulatewith during full extension of the elbow
humerus - radialgroovehumerus -surgical neck 
between thetubercles andshaft
 
armSkeletal420, 421
basilic vein
armVascular429, 479, 480
brachial artery
armVascular429, 433, 473
cephalic vein
armVascular429, 479, 480armVascular429arm - extensionMuscularRadial (C7)chief extensor of forearm431-433arm - extensionMuscularRadial (C7)431-433arm - extensionMuscularRadial (C7)chief extensor of forearm431-433arm - flexionMuscular431-433arm - flexionMuscular431-433
brachialis m.
arm - flexionMuscular431-433arm - flexionMuscular431-433axilla / shoulderInnervation429, 430
deltoid m.
axilla / shoulderMuscular423-429
teres major m.
axilla / shoulderMuscular174-177
clavicle
axilla / shoulderSkeletal419-423axilla / shoulderSkeletal419-423
humerus -trochlea
Spool-shaped or pulley-like;articulates with proximal end(trochlear notch) of ulnaused to take blood pressure readings. It ispalpated and traced to the cubital fossa,and the bell of the stethoscope is placedover this spotPICC lines (peripherally inserted centralcatheters) are one way of administeringchemotherapy, iv nutrition (TPN), and long-term antibiotics.
profunda brachii(deep brachial)arterytriceps brachiim. - lateral head
ranc oprofunda brachiia.upper humerus (longitudinal) /olecranon of ulna
triceps brachiim. - long head
branch of profunda brachiia.lateral border (superior)humerus / olecranon of ulnachief extensor of forearm;resists dislocation of humerus(especially important duringabduction)
triceps brachiim. - medial head
branch of profunda brachiia.lower half & upper medialhumerus / olecranon of ulna
biceps brachiim. - long head
Musculocutaneous (C5,C6)branches of brachial a.supraglenoid tubercle (neck of scapula / radial tuberositysupinates forearm and, whensupine, flexes forearm
biceps brachiim. - short head
Musculocutaneous (C5,C6)branches of brachial a.coracoid process / radialtuberosity(see long head); also resistsdislocation of shoulderMusculocutaneous (C6)radial recurrenta., branches of brachial a.distal half of humerus / ulnartuberosity and coronoidprocessflexes forearm in all positions(strongest flexor of the elbow joint)
coracobrachialism.
Musculocutaneous (C6)muscularbranches of brachial a.coracoid process / medial,middle of humerushelps flex shoulder and adductarm; resists dislocation of shoulder
intercostobrachial nerve
 the uppermedial andposterioraspects of theanterior andposteriorbranches of axillary (C5-C6)posteriorcircmflex, deltoidbranch of thoracoacromiallateral third of clavicle, spineand acromion of scapula /deltoid tuberosity of humerusanterior – humeral flexor,medial rotator; middle –humeral abductor; posterior –humeral extensor, lateralrotatorInferiorSubscapular(C6-C7)circumflexscapularposterior surface of inferiorangle of scapula / medial lip of intertubercular grooveadducts and medially rotatesarm
coracoacromialligament
 
axilla / shoulderSkeletal419-423
glenoid labrum
axilla / shoulderSkeletal420-421axilla / shoulderSkeletal420-421axilla / shoulderSkeletal420-421axilla / shoulderSkeletal420-421axilla / shoulderSkeletal420-421
scapula - spine
axilla / shoulderSkeletal420-421axilla / shoulderSkeletal420-421axilla / shoulderSkeletal420-421axilla / shoulderSkeletal423, 425, 427axilla / shoulderVascular
axillary artery
axilla / shoulderVascular
axillary vein
axilla / shoulderVascular429axilla / shoulderVascular427, 429, 434axilla / shoulderVascularaxilla / shoulderVascular427, 429, 434
subclavian vein
axilla / shoulderVascular429axilla / shoulderVascular427, 429, 434axilla / shoulderVascular427, 429axilla / shoulderVascular427-429, 434axilla / shoulderVascular427, 429, 434axilla / shoulderbackInnervation
coracoclavicularligamentscapua -acromionrocessscapula -coracoid processscapula -glenoid cavity-infraspinousscapua -suprascapularnotchscapua -supraspinoussuperiortransversescapularligament
over the suprascapular notchof the scapula. Nerve runsunder, vessels over
aneror umeracircumflex
from lateral border of the 1
st
rib ascontinuation of subclavian a., ending atinferior border of the teres major427, 429, 433,434
lateral thoracicartery humeralcircumflex
427, 429, 432,434
subclavianarterysubscapulararterysuprascapulararterythoracoacromialarterythoracodorsalarteryQuadrangularSpace
Space between the verticallyrunning long and lateral headsof the triceps brachii and thehorizontally running teresminor and major. Traversed by posterior circumflex humeralartery and axillary n
accessory nerve(CN XI)
trapezius,stemocleidomastoid m.

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