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Muscle Upper trapezius Levator Scapulae Middle trapezius Lower trapezius Rhomboid Major Rhomboid Minor Serratus Anterior

Pectoralis Minor

Origin Superior nuchal line Ligamentum nuchae Transverse process of upper four cervical vertebrae Spinous prcess of T1 T5 Spinous processes of T6 T12 Spinous processes of T2 5 Ligamentum nuchae Spinous process of c7 T1 Anterior surface of the upper eight or nine pairs of ribs Coracoid process

Insertion Lateral third of clavicle and the acromion process Medial border of scapula at level of the scapular superior angle Superior border of scapula spine Apex or root and inferiorly on the scapular spine Medial border between the root and inferior angle of the scapula Medial border at root of scapula Costal surface and vertebral border of the scapula Second through fifth ribs

Action Elevate the scapula ~ 2 in Elevate the scapula ~ 2 in Adduts the scapula Adduction and depression of the scapula Scapular adduction and downward rotation Scapular adduction and downward rotation Abduction of scapula with accompany upward rotation Rotates the scapula downward and assists serratus anterior during scapula abduction Flexes the humerus in sagittal plane to 180 Medial rotation of humerus Adduction and flexion at shoulder Medial rotation, adduction and extension

Innervation Spinal Accessory CN XI Dorsal Scapular C5 Cervical Nerves C3 C4 Spinal Accessory CN XI Spinal Acessory CN XI Dorsal Scapular C4 C5 Dorsal Scapular C4 C5 Long thoracic C6 and 7 (C5) Medial and lateral pectoral C7 (C6 and C7) Axillary C5 (C6) Musculocutaneous (C5 C7) Thoracodorsal C6 C8

Anterior Deltoid Coracobrachialis Latissimus Dorsi

Anterior and superior surface of lateral third of clavicle Coracoid process of scapula Spinous process of T6 T12 Lx and Sc Ribs 8 12 Thoracolumbar fascia Posterior lip of iliac crest Posterior surface of scapular inferior angle Supraspinatus fossa of scapula Superior lateral surface of the acromion process of the scapula Inferior lip of spine of scapula C: anterior surface of medial half of clavicle S: Anterior surface of sternum, coastal cartilages of upper six pairs of ribs Subscapular fossa of scapula Infrapinatus fossa of scapula Upper portion of lateral border of scapula Long head: supraglenoid tubercle of scapula Short head: coracoid process apex

Deltoid tuberosity of the humerus Medial margin of shaft of humerus Medial lip of intertubercular groove of humerus

Teres Major Supraspinatus Middle Deltoid Muscle Posterior Deltoid Pectoralis Major

Crest of lesser tubercle of humerus Superior surface of greater tubercle of humerus Deltoid tuberosity of the humerus Deltoid tuberosity of humerus C: inferior crest of greater tubercle of humerus S: superior crest of greater tubercle of humerus Lesser tubercle of humerus Posterior on greater tubercle of humerus Inferior on posterior aspect of greater tubercle of humerus Tuberosity of radius and bicipital aponerosis

Shoulder joint adductor or extensor Abduction of shoulder Shoulder abduction Extenion and external rotation Flexion, adduction and medial rotation

Lower subscapular C6 (C7) Suprascapular C5 (C4 and C6) Axillary C5 (C6) Axillary C5 (C6) C: Lateral and medial pectoral C6 (C5) S: Lateral and medial pectoral C7 and C8 (T1) Upper and lower subscapular C6 (C5 and C7) Suprascapular C5 (C6) Axillary C5 (C6) Muscuocutaneous C6 (C5)

Subscapularis Infraspinatus Teres Minor Biceps Brachii

Medial rotation Lateral rotation Lateral rotation Elbow Flexion Shoulder flexion Supination

Brachilalis Brachioradialis Triceps Brachii (long head) Triceps Brachii (lateral head) Triceps Brachii (medial head) Anconeus

Distal half of anterior surface of humerus Proximal two thirds of latereal supracondylar ridge of humerus Infraglenoid tubercle of scapula Lateral and proximal surface of upper one half of humeral shaft above radial groove Distal two thirds of medial and posterior aspect of humerus below radial groove Lateral humeral epicondyle Lateral epicondyle of humerus, radial collateral and annular ligaments, and supinator crest of ulna Proximal portion of medial epicondyle of humerus and medial side of coronoid process of ulna Anterior surface and distal quarter of ulna Common flexor tendon from medial epicondyle of humerus Common flexor tendon from humeral medial epicondyle, medial aspect of olecranon, and proximal border of ulna Common flexor tendon from medial epicondyle Distal third of lateral supracondylar ridge of humerus Common extensor tendon from lateral epicondyle and radial collateral ligament Common extensor tendon from lateral epicondyle of humerus and posterior aspect of ulna Common flexor tendon from medial epicondyle of humerus, ulnar collateral ligament, coronoid process of ulna and oblique line on radius Anterior and medial surfaces of proximal of ulna

Tuberosity and coronoid process of ulna Base of styloid process of radius Olecranon process of ulna

Elbow Flexion Elbow Flexion Elbow Extension Should Extension Should adduction Elbow extension

Musculocutaneous small branch of radial C6 (C5) Radial C6 (C6 and 7) Radial C7 and 8(C6)

Supinator

Lateral surface of ulnar olecranon process and upper posterior shaft of ulna Lateral surface of upper third of radial shaft

Elbow extension

Radial C7 and 8

Supination of radioulnar joint

Radial C6 (C5)

Pronator Teres

Midradial shaft on lateral side

Pronation

Median C7 (C6)

Pronator Quadratus Flexor Carpi Radialis Flexor Carpi Ulnaris

Anterior surface and distal quarter of radius Base of second and third metacarpal palmar surface Pisiform bone, hamate, and base of fifth metacarpal Palmar fascia Base of second metacarpal, dorsal surface Base of third metacarpal

Pronation Wrist flexion Radial deviation Wrist flexion Ulanr deviation

Median C8 (T1) Median C7 (C6) Ulnar C8 (C7)

Palmaris Longus Extensor Carpi Radialis Longus Extensor Carpi Radialis Brevis Extensor Carpi Ulnaris Flexor Digitorum Superficialis

Wrist flexion Wrist Extension Radial Deviation Wrist Extension Radial Deviation Wrist Extension Ulnar deviation Flexion at PIP, MCP and wrist joints

Median C8 (C7) Radial C6 C7 Radial C7 C8 Radial C8 (C7) Median C8 (C7 and T1)

Base of fifth metacarpal medial side Four tendon slips to each side of middle phalanx of medial four fingers.

Flexor Digitorum Profundus

Four tendon slips to base of each distal phalanx of the medial four fingers

Flexion at DIP joints

Radial two Median Ulnar two Ulnar C8 (T1)

Extensor digitorum Extensor Indicis Extensor digit minimi First and Second Lumbricals Third and fourth lumbrical Dorsal Interossei

Common extensor tendon on lateral epicondyle of humerus Distal posterior surface of ulna Common extensor tendon of lateral epicondyle of humerus Radial side of flexor digitorum profundus tendon to index and middle fingers Adjacent sides of flexor digitorum tendon to ring and little fingers Between each metacarpal on adjacent sides

Found tendos, from second to fifth digit through extensor hood to base of distal phalanx Into extensor hood of index finger with extensor digitorum Into extensor hood of fifth finger with extensor digitorum Radial side of extensor expansion of the medial four fingers Radial side of extensor expansion of the medial four fingers 1,2: radial side of extensor expansion of index and middle fingers 3,4: ulnar side of extensor expansion of middle and ring fingers [base of proximal phalanx] Base of proximal phalanx of fifth finger and ulnar aspect of extensor expansion Ulnar side of extensor expansion and proximal phalanx of index finger Radial side of extensor expansion and proximal phalanx of ring finger Radial side of extensor expansion and proximal phalanx of little finger Base of first MC, radial side Base of proximal phalanx, radial side Base of proximal phalanx of thumb Entire lateral shaft of 1st MC Entire shaft of fifth MC Proximal phalanx of fifth digit

Extensor of finger joints and wrist Extension of 2nd digit and wrist Extension of little finger and wrist. Flexion at MCP joint Extension and PIP DIP joints Extension PIP and DIP joitns Flexion at MCP joint Abduction at MCP joints Flexion at MCP joints Extension at IP joints

Radial C7 (C8) Radial C8 (C7) Radial C7 (C8) Median T1 (C8) Ulnar T1 (C8) Ulnar, deep branch T1 (C8)

Abductor Digit Minimi Palmar interossei

Pisiform bone and tendon of flexor carpi ulnaris Length of 2nd MC Length of radial side of fourth metacarpal Length of radial side of fifth metacarpal

Abduction of little finger Flexion at 5th MCP joint Adduction of MCp joints Flexion of MCP joints Extension of IP joints

Ulnar T1(C8) Ulnar T1 (C8)

Abductor pollicis longus Abductor pollicis brevis Adductor pollicis

Opponens Pollicis Muscle Opponens digit minimi Flexor digit minimi

Posterior aspect of shaft of distal ulna and midradius Anterior aspect of scaphoid, trapezium bones, and flexor retinaculum Capitate and base of 2nd and 3rd MC bones Palmar surface of shaft of 3rd MC Trapezium and flexor retinaculum Hook of hamate and flexor retinaculum Hook of hamate Flexor reticulum

Abduction of joints of thumb and wrist Abduction of thumb

Radial C8 (C7) Medial C8 (T1) Ulnar T1 (C8) Median C8(T1) Ulnar T1 (C8) Ulnar T1 (C8)

Adduction of thumb

Opposition of thumb Flexion at MCP brings digit into opposition with thumb Flexion of fifth MCP