SRI MUTHUKUMARAN MEDICAL COLLEGE HOSPITAL

AND RESEARCH INSTITUTE

DEPARTMENT OF ANATOMY

GROSS ANATOMY SPOTTERS- UPPER LIMB-

FOR I M.B.B.S
FOR INTERNAL USE BY STUDENTS
OF SMMCH& RI ONLY
 DISCLAIMER
All the pictures in the Spotters
are photographs of the specimens
available in the Department of
Anatomy, Sri Muthukumaran Medical
College Hospital and Research Institute,
Chennai. This is strictly for study
purpose by students only. Unauthorized
copying, publishing or broadcasting in
any form is not permitted.
 SPOTTER UL- 1

A. Identify the pinned structure.

B. Give its nerve supply and insertion.
 ANSWER- SPOTTER UL- 1
A. Pectoralis Major
B. Nerve supply :- Medial and lateral pectoral nerves
Insertion:- Lateral lip of bicipital groove
 SPOTTER UL- 2

A. Identify the pinned structure.

B. Give its attachments, nerve supply and
action.
 ANSWER- SPOTTER UL- 2
A. Biceps brachii
B. Attachments
Origin:- Short head – Tip of coracoid process
Long head - Supraglenoid tubercle of
Scapula
Insertion: Posterior rough part of radial
tuberosity
Nerve supply: Musculocutaneous nerve
Action: Flexor of arm and Supination of forearm
 SPOTTER UL- 3

A. Identify the red starred structure.

B. Give its insertion, nerve supply and action.
C. Clinical importance
 ANSWER- SPOTTER UL- 3
A. Deltoid
B. Insertion:- Deltoid tuberosity of humerus
Nerve supply: Axillary nerve
Action: Acromial fibres – Abduction of arm
from 150 - 90 0
Anterior fibres – Flexion and medial
rotation of arm
Posterior fibres – Extension and
lateral rotation of arm
C. Clinical importance: Intramuscular injections
 SPOTTER UL- 4

A. Identify the pinned structure.

B. Give its attachment, nerve supply and action.
C. Applied Anatomy
 ANSWER- SPOTTER UL- 4
A. Serratus anterior
B. Origin: From the upper eight ribs
Insertion: Costal surface of medial border of scapula
Nerve supply: Nerve to serratus anterior or long
thoracic nerve (C5,C6,C7)
Action: Protraction of scapula
Abduction of shoulder above 900
C. Applied anatomy: Winging of scapula
 SPOTTER UL- 5

A. Identify the yellow starred structure.

B. Give its attachment, nerve supply and action.
 ANSWER- SPOTTER UL- 5
A. Triceps brachii
B. Origin- long head- Infraglenoid tubercle of scapula
lateral head-posterior surface of
humerus above the radial groove
Medial head- Posterior surface of
humerus below the radial groove
Insertion- Superior surface of olecranon
process of ulna
Nerve supply- Radial nerve
Above the radial groove , it supplies long and medial head of
triceps
At the radial groove, it supplies lateral and medial head of
triceps
Action- Extension of arm
 SPOTTER UL- 6

A. Identify the pinned structure.

B. Give its nerve supply and action.
 ANSWER- SPOTTER UL- 6
A. Pronator Quadratus
B. Nerve supply- Anterior interosseous nerve
Action- Pronation of forearm
Bind the lower end of radius and ulna
 SPOTTER UL- 7

A. Identify the pinned structure.

B. Give its nerve supply and action.
 ANSWER- SPOTTER UL- 7
A. First lumbrical
B. Nerve supply – Median nerve
Action- Flexion of metacarpophalangeal
joint and extension of interphalangeal joint
 SPOTTER UL- 8

A. Identify the probed space

B. Mention its boundaries & contents.
 ANSWER- SPOTTER UL- 8
A. Anatomical snuff box
B. Boundaries- anterior- Abductor pollicis longus
and extensor pollicis brevis
Posterior- Extensor pollicis longus
Roof – Skin, superficial fascia containing
cephalic vein and superficial branch of radial
nerve
Floor- Scaphoid and lunate bone
Content: Radial artery
 SPOTTER UL- 9

A. Identify the pinned structure.

B. Give its nerve supply and action
 ANSWER- SPOTTER UL- 9
A. Adductor pollicis
B. Nerve supply- Deep branch of ulnar nerve
Action – Adduction of thumb
 SPOTTER UL- 10

A. Identify the red starred structure.

B. Give its insertion, nerve supply and action
 ANSWER- SPOTTER UL- 10
A. Lattismus dorsi
B. Insertion – Floor of bicipital groove or
intertubercular sulcus
Nerve supply – Thoracodorsal nerve
(C6,C7,C8)
Action- Adduction, extension and medial
rotation of arm
 SPOTTER UL- 11

A. Identify the tied structure

B. Which muscle divides it?
C. What is its extent and what is it a
continuation of?
D. Name the branches.
 ANSWER- SPOTTER UL- 11
A. Axillary artery
B. Pectoralis minor divides the muscle into three parts
C. Extent- Outer border of first rib to lower border of teres
major
It is a continuation of subclavian artery
D. Branches
I part- 1.superior thoracic artery
II part- 1. lateral thoracic artery 2.acromiothoracic artery
III part- 1. Subscapular artery
2. Anterior circumflex humeral artery
3. Posterior circumflex humeral artery
 SPOTTER UL- 12

A. Identify the tied structure

B. What is its extent and what is it a continuation of?
C. Name the terminal branches .
D. Name the branches in the arm.
E. Give its clinical importance
 ANSWER- SPOTTER UL- 12
A. Brachial artery
B. Extent- Lower border of teres major to the level
of neck of radius. It is a continuation of axillary
artery
C. Terminal branches- Radial and ulnar artery
D. Branches in the arm- 1. Profunda brachii, 2.
Superior ulnar collateral 3. Inferior ulnar
collateral 4. Muscular branches 5. Nutrient
artery to humerus
E. Clinical importance – To record Blood pressure
 SPOTTER UL- 13

A. Identify the tied structure.

B. Name the branches.
C. Give its clinical importance
 ANSWER- SPOTTER UL- 13
A. Radial artery
B. Branches- 1. Radial recurrent artery
2. Muscular branches
3. Palmar carpal branch
4. Superficial palmar branch
C. Clinical importance- To record pulse rate
 SPOTTER UL- 14

A. Identify the tied structure

B. Name the branches.
 ANSWER- SPOTTER UL- 14
A. Ulnar artery
B. Branches 1. Anterior and posterior ulnar
recurrent 2. Common interosseous artery
3. Muscular branches
4. Palmar and dorsal carpal branch
 SPOTTER UL- 15

A. Identify the tied structure

B. Give its formation & branches.
 ANSWER- SPOTTER UL- 15
A. Superficial palmar arch
B. Formation-Formed by superficial palmar
branch of ulnar artery and completed by
superficial palmar branch of radial artery
Branches- digital branches for the medial
3 ½ fingers
 SPOTTER UL- 16

A. Identify the tied structure

B. Name the muscles supplied by it.
 ANSWER- SPOTTER UL- 16
A. Anterior interosseous nerve
B. Muscles Supplied by it
1. Lateral half of Flexor digitorum profundus
2. Flexor pollicis longus
3. Pronator quadratus
 SPOTTER UL- 17

A. Identify the tied structure

B. Name the muscles supplied by it & give its
root value.
 ANSWER- SPOTTER UL- 17
A. Axillary nerve
B. Muscles supplied by it
1. Deltoid 2. Teres Minor
Root value – Anterior primary rami of C5, C6
 SPOTTER UL- 18

A. Identify the tied structure

B. What is it a branch of?
C. Give its root value .
 ANSWER- SPOTTER UL- 18
A. Median nerve in arm
B. It is a branch from medial and lateral cord of
brachial plexus
C. Ventral primary rami of C5,C6,C7,C8 and T1
 SPOTTER UL- 19

A. Identify the tied structure

B. Name the muscles supplied by it
 ANSWER- SPOTTER UL- 19
A. Median nerve in forearm
B. Muscles supplied by it
1. Pronator teres
2. Flexor carpi radialis
3. Palmaris longus
4. Flexor digitorum superficialis
 SPOTTER UL- 20

A. Identify the tied structure

B. Name the muscles supplied by it & give its
root value
 ANSWER- SPOTTER UL- 20
A. Musculocutaneous nerve
B. Muscles supplied by it
1. Coracobrachialis 2. Biceps brachii 3.
Brachialis
Root value- Anterior primary rami of C5,C6,C7
 SPOTTER UL- 21

A. Identify the tied structure

B. Name any three muscles supplied by it.
 ANSWER- SPOTTER UL- 21
A. Posterior interosseous nerve
B. Any three muscles supplied by it
1. Supinator
2. Abductor pollicis longus
3. Extensor pollicis brevis
 SPOTTER UL- 22

A. Identify the tied structure above the forceps

B. Name the muscles supplied by it at this level
C. Give its root value
D. What structure accompanies it
 ANSWER- SPOTTER UL- 22
A. Radial nerve in spiral groove
B. Muscles Supplied by it at this level:
Lateral and medial head of triceps, Anconeus
C. Root value: Anterior primary rami of
C5,C6,C7, C8 and T1
D. Structure accompanied by it: Profunda
brachii vessels
 SPOTTER UL- 23

A. Identify the tied structure

B. Give its area of supply
 ANSWER- SPOTTER UL- 23
A. Superficial branch of radial nerve
B. Area of supply: lateral half of dorsum of
hand and lateral three and half digits till
distal interphalangeal joint
 SPOTTER UL- 24

A. Identify the tied structure

B. Give its root value.
 ANSWER- SPOTTER UL- 24
A. Ulnar nerve in arm
B. Root value : Anterior primary rami of C8, T1
 SPOTTER UL- 25

A. Identify the tied structure

B. Name the muscles supplied by it
 ANSWER- SPOTTER UL- 25
A. Ulnar nerve in forearm
B. Muscles supplied by it:
1. Flexor carpi ulnaris
2. Medial half of flexor digitorum profundus
 SPOTTER UL- 26

A. Identify the pinned structure

B. Name the structure passing through
4th compartment
 ANSWER- SPOTTER UL- 26
A. Extensor Retinaculum
B. Strutures passing through fourth
compartment
1. Extensor digitorum
2. Extensor indicis
3. Posterior interosseous nerve
4. Anterior interosseous artery
 SPOTTER UL- 27

A. Identify the pinned structure

B. Name its attachment
C. Name the structure passing below it &
give its applied aspect
 ANSWER- SPOTTER UL- 27
A. Flexor retinaculum
B. Attachment:
Medially : pisiform and hook of hamate
Laterally : Tubercle of scaphoid and crest of
trapezium
C. Structures passing below it
1.Median nerve 2. Tendon of flexor digitorum
superficialis 3. Tendon of flexor digitorum
profundus 4. Tendon of flexor pollicis longus 5.
median nerve 6. Radial bursa 7.Ulnar bursa
D. Applied Anatomy: Carpal Tunnel Syndrome
 SPOTTER UL- 28

A. Identify the probed space

B. Mention its boundaries
C. Give its contents
 ANSWER- SPOTTER UL- 28
A. Lower triangular space
B. Boundaries:
Medial – long head of triceps
Lateral- Shaft of humerus
Above- Teres major
C. Content – radial nerve and profunda brachii
vessels
 SPOTTER UL- 29

A. Identify the yellow starred space

B. Mention its boundaries
C. Give its contents
 ANSWER- SPOTTER UL- 29
A. Quadrangular space
B. Boundaries
Superior- subscapularis in front, Teres minor
behind
Inferior- teres major
Medial- Long head of triceps
Lateral- surgical neck of humerus
C. Contents – axillary nerve and posterior
circumflex humeral vessels
 SPOTTER UL- 30

A. Identify the probed space

B. Mention its boundaries
C. Give its contents
 ANSWER- SPOTTER UL- 30
A. Upper triangular space
B. Boundaries
Medial: Teres Minor
Lateral: Long head of triceps
Inferior: Teres major
C. Content: Circumflex scapular artery
 SPOTTER UL- 32

A. Identify the tied structure

B. Give its formation & branches
 ANSWER- SPOTTER UL- 32
A. Superficial palmar arch
B. Formation-Formed by superficial palmar
branch of ulnar artery and completed by
superficial palmar branch of radial artery
Branches- digital branches for the medial
3 ½ fingers
 SPOTTER UL- 32
Identify the spaces marked *, #, $.

*
$ #
 ANSWER SPOTTER UL- 33
* - Upper triangular space
# - Lower triangular space
$ - Quadrangular space