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Arm Radiographic Anatomy and MR Atlas

Arm

○ Biceps muscle, short head


IMAGING ANATOMY
– Origin: Coracoid process tip, in common with and
Anatomy Relationships lateral to coracobrachialis tendon
• Proximal muscle insertions – Insertion: Radial tuberosity after joining long head
○ Deltoid muscle – Nerve supply: Musculocutaneous nerve
– Origin: Anterior, middle, and posterior bellies arise – Blood supply: Brachial artery, muscular branches
from clavicle, acromion process, and spine of scapula, – Action: Flexes elbow and shoulder, supinates forearm
respectively ○ Biceps muscle, long head
– Insertion: Muscle bellies merge and insert on deltoid – Origin: Predominantly supraglenoid tubercle; also
tuberosity of humerus, located laterally at superior glenoid labrum and coracoid base
approximate midpoint of humeral length, over – Insertion: Radial tuberosity after joining with short
distance of nearly 5 cm head
– Innervation: Axillary nerve (C5 & C6) – Nerve supply: Musculocutaneous nerve
– Blood supply: Deltoid branch of thoracoacromial – Blood supply: Brachial artery, muscular branches
artery – Action: Flexes elbow and shoulder, supinates forearm
– Action: Anterior belly flexes and medially rotates – Lacertus fibrosus (distal bicipital fascia/aponeurosis)
shoulder, middle belly abducts shoulder, posterior provides traction on deep fascia of forearm
belly extends and laterally rotates shoulder – Variants, biceps muscle: 3rd head in 10% arising at
○ Teres major muscle upper medial aspect of brachialis muscle, 4th head can
– Origin: Dorsal surface of inferior angle of scapula arise from lateral humerus, bicipital groove, or greater
– Insertion: Medial lip of intertubercular groove of tuberosity
humerus (below subscapularis insertion) ○ Brachialis muscle
– Innervation: Lower subscapular nerve (C6 & C7) – Origin: Distal half of anterior humeral shaft and 2
– Blood supply: Subscapular and circumflex scapular intermuscular septa
arteries – Insertion: Tuberosity of ulna and anterior surface of
– Action: Adducts and medially rotates arm coronoid process
○ Pectoralis major muscle – Nerve supply: Musculocutaneous nerve plus branch of
– Origin: Clavicular head arises from anterior surface of radial nerve
medial half of clavicle; sternocostal head arises from – Blood supply: Brachial artery, muscular branches, and
anterior surface of sternum, superior 6 costal recurrent radial artery
cartilages, and aponeurosis of external oblique muscle – Action: Flexes elbow
– Insertion: Lateral lip of intertubercular groove of – Covers anterior aspect of elbow joint
humerus (immediately lateral to teres major insertion) – Variants: Doubled; slips to supinator, pronator teres,
– Innervation: C5, C6, C7, C8, T1 biceps, lacertus fibrosus, or radius
– Blood supply: Pectoral branch of thoracoacromial • Posterior compartment of arm
trunk ○ Triceps muscle, long head
– Action: Adducts and medially rotates humerus, draws – Origin: Infraglenoid tubercle of scapula
scapula anteriorly and inferiorly – Insertion: Proximal olecranon and deep fascia of arm
○ Latissimus dorsi muscle after joining with lateral and medial heads
– Origin:Spinous process of inferior 6 thoracic – Nerve supply: Radial nerve
vertebrae, thoracolumbar fascia, iliac crest, and – Blood supply: Deep brachial artery branches
inferior 3 or 4 ribs – Action: Elbow extension, adducts humerus when arm
– Insertion: Floor of intertubercular groove of humerus is extended
(between pectoralis major and teres major) ○ Triceps muscle, lateral head
– Innervation: Thoracodorsal nerve (C6, C7, C8) – Origin: Posterior and lateral humeral shaft, lateral
– Blood supply: Thoracodorsal artery intermuscular septum
– Action: Extends, adducts, and medially rotates – Insertion: Proximal olecranon and deep fascia of arm
humerus; raises body towards arms when climbing after joining with long and medial heads
• Anterior compartment of arm – Nerve supply: Radial nerve
○ Coracobrachialis muscle – Blood supply: Deep brachial artery branches
– Origin: Coracoid process tip, in common with and – Action: Elbow extension
medial to short head biceps tendon ○ Triceps muscle, medial head
– Insertion: Medial surface of humeral mid shaft, – Origin: Posterior humeral shaft from teres major
between brachialis and triceps muscle origins insertion to near trochlea, medial intermuscular
– Nerve supply: Musculocutaneous nerve, perforates septum
muscle – Insertion: Proximal olecranon and deep fascia of arm
– Blood supply: Brachial artery, muscular branches after joining with lateral and long heads
– Action: Flexes and adducts shoulder, supports – Nerve supply: Radial and branches of ulnar nerve
humeral head in glenoid – Blood supply: Deep brachial artery branches
– Variants: Bony head extending to medial epicondyle, – Action: Elbow extension
short head extending to lesser tuberosity
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