SHOULDER

ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT

DERIVATION
Forward flexion 1. Deltoid (anterior • Lateral third of • Clicumflex • C5, C6 (posterior
fibers) clavicle and deltoid (axillary) cord)
tuberosity
2. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
(clavicular fibers) clavicle and bicipital
groove
3. Coracobrachialis • Coracoid process • Musculocutaneus • C5, C6, C7 (lateral
and middle third of cord)
medial surface of
humeral shaft
4. Biceps (when strong • Supraglenoid • musculocutaneus • C5, C6, C7 (lateral
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Extension 1. Deltoid (posterior • Lateral acromion • Circumilex (axillary) • C5, C6 (posterior
fibers) and deltoid cord)
tuberosity
2. Teres major • Inferior angle of • Subscapular • C5, C6 (posterior
scapula and medial cord)
edge of bicipital
groove of humerus
3. Teres minor • Upper axillary • Circumflex • C5, C6 (Posterior
bborder of scapula (axillary) cord)
and greater tubercle
of humerus
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Extension 4. Latissimus dorsi • Sacrum, illiac crest, • Thoracodorsal • C6, C7, C8
T7-12, inferior angle (posterior cord)
of scapula and
bicipital groove
5. Pectoralis major • Sternal cartilage of • Lateral pectoral • C5, C6 (lateral cord)
(sternocostal fibers) ribs 1-6 and bicipiat • Medial pectoral • C8, T1 (medial cord)
groove
6. Triceps (long head) • Infraglenoid tubercle • radial • C5, C6, C7, C8, 1I
of scapula and (posterior cord)
olecranon
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Horizontal adduction 1. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
clavicle and bicipital
groove
2. Deltoid (anterior • Lateral third of • Circumflex • C5, C6 (posterior
fibers) clavicle and deltoid (axillary) cord)
tuberosity
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Horizontal abduction 1. Deltoid (posterior • Lateral acromion • Circumflex • C5, C6 (posterior
fibers) and deltoid cord)
tuberosity
2. Teres major • Inferior angle of • Subscapular • C5, C6 (posterior
scapula and medial cord)
edge of bicipital
groove of humerus
3. Teres minor • Upper axillary • Circumflex • C5, C6 (brachial
bborder of scapula (axillary) plexus trunk)
and greater tubercle
of humerus
4. infraspinatus • Infraspinatus fossa • suprascapular • C5, C6 (brachial
of scapula and plexus trunk)
greater tubercle of
humerus
ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Abduction 1. Deltoid • Lateral third of • Circumflex • C5, C6 (posterior
clavicle and deltoid (axillary) cord)
tuberosity
2. Supraspinatus • Supraspinous fossa • Suprascapular • C5, C6 (brachial
of scapula and plexus trunk)
greater tubercle of
humerus
3. Infraspinatus • Infraspinatus fossa • Suprascapular • C5, C6 (brachial
of scapula and plexus trunk)
greater tubercle of
humerus
ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Abduction 4. Subscapularis • Subscapular fossa of • Subscapular • C5, C6 (posterior
scapula and lesser cord)
tubercle of humerus
5. Teres minor • Inferior angle of • Circumflex • C5, C6 (posterior
scapula and medial (axillary) trunk)
edge of bicipital
groove of humerus
6. Long head of biceps • Coracoid process • musculocutaneus • C5, C6, C7 (lateral
and tuberosity of cord)
radius
ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Adduction 1. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
clavicle and bicipital
groove
2. Latissimus dorsi • Sacrum, illiac crest, • Thoracodorsal • C6, C7, C8
T7-12, inferior angle (posterior cord)
of scapula and
bicipital groove
3. Teres major • Inferior angle of • Subscapular • C5, C6 (posterior
scapula and medial cord)
edge of bicipital
groove of humerus
4. Subscapularis • Subscapular fossa of • Subscapular • C5, C6 (posterior
scapula and lesser cord)
tubercle of humerus
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Medial rotation 1. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
clavicle and bicipital
groove
2. Deltoid (anterior • Lateral third of • Circumflex • C5, C6 (posterior
fibers) clavicle and deltoid (axillary) cord)
tuberosity
3. Latissimus dorsi • Sacrum, illiac crest, • Thoracodorsal • C6, C7, C8
T7-12, inferior angle (posterior cord)
of scapula and
bicipital groove
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Medial rotation 4. Teres major • Inferior angle of • Subscapular • C5, C6 (posterior
scapula and medial cord)
edge of bicipital
groove of humerus
5. Subscapularis • Subscapular fossa of • subscapular • C5, C6 (posterior
(when arm is by scapula and lesser cord)
side) tubercle of humerus
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Lateral rotation 1. Infraspinatus • Infraspinatus fossa • Suprascapular • C5, C6 (brachial
of scapula and plexus trunk)
greater tubercle of
humerus
2. Deltoid (posterior • Lateral acromion • Circumflex • C5, C6 (posterior
fibers) and deltoid (axillary) cord)
tuberosity
3. Teres minor • Inferior angle of • Circumflex • C5, C6 (posterior
scapula and medial (axillary) cord)
edge of bicipital
groove of humerus
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Elevation of scapula 1. Trapezius (upper • Occiput, C1-7 annd • Accessory • Cranial nerve XI
fibers) lateral clavicle, • C3, C4 nerve roots
acromionc
2. Levator scapula • C3, C4 nerve roots • C3, C4
• Dorsal scapular • C5

3. Rhomboid major • C7-T5 and vertebral • Dorsal scapular • (C4), C5

border of scapula
4. Rhomboid minor • C7-T5 and vertebral • Dorsal scapular • (C4), C5
border of scapula
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Depression of scapula 1. Seratus anterior • Outer surface of • Long thoracic • C5, C6, (C7)
upper eight ribs and
anterior surface of
vertebral border of
scapula
2. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
clavicle and bicipital
groove
3. Pectoralis minor • Ribs 3-5 and • Medial pectoral • C8, T1 (medial cord)
coracoid process
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Depression of scapula 4. Latissimus dorsi • Sacrum, illiac crest, • Thoracodorsal • C6, C7, C8
T7-12, inferior angle (posterior cord)
of scapula and
bicipital groove
5. Trapezius (lower • T5-l2 and root of • Accessory • Cranial nerve XI
fibers) spine of scapula • C3, C4 nerve roots • C3, C4
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Protraction (forward 1. Seratus anterior • Outer surface of • Long thoracic • C5, C6 (C7)
movement) of scapula upper eight ribs and
anterior surface of
vertebral border of
scapula
2. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
clavicle and bicipital
groove
3. Pectoralis minor • Ribs 3-5 and • Medial pectoral • C8, TI (medial cord)
coracoid process
4. Latissimus dorsi • Sacrum, illiac crest, • thoracodorsal • C6, C7, C8
T7-12, inferior angle (posterior cord)
of scapula and
bicipital groove
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Retraction (backward 1. Trapezius • Occiput, C1-7 annd • Accessory • Cranial nerve XI
movement) of scapula lateral clavicle,
acromion
2. Rhomboid major • C7-T5 and vertebral • Dorsal scapular • (C4), C5
border of scapula
3. Rhomboid minor • C7-T5 and vertebral • Dorsal scapular • (C4), C5
border of scapula
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Lateral (upward) 1. Trapezius (upper • Occiput, C1-7 annd • Accessory • Cranial nerve XI
roration of inferior and lower fibers) lateral clavicle, • C3, C4 nerve root • C3, C4
angle of scapula acromion (upper)
• T5-l2 and root of
spine of scapula
(lower)
2. Serratus anterior • Outer surface of • Long thoracic • C5, C6, (C7)
upper eight ribs and
anterior surface of
vertebral border of
scapula
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Medial (downward) 1. Levator scapulae • C1-4 and medial, • C3, C4 nerve roots • C3, C4
rotation of inferior superior angle of • Dorsal scapular • C5
angle of scapula scapula
2. Rhomboid major • C7-T5 and vertebral • Dorsal scapular • (C4), C5
border of scapula
3. Rhomboid minor • C7-T5 and vertebral • Dorsal scapular • (C4), C5
border of scapula
4. Pectoralis minor • Ribs 3-5 and • Medial pectoral • C8, T1 (medial cord)
coracoid process
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Flexion of elbow 1. Brachialis • Lower half of • Musculocutaneous • C5, C6, (C7)
anterior shaft of
humerus and
tuberosity of ulna,
coronoid process of
ulna
2. Biceps brachii • Supraglenoid • Musculocutaneous • C5, C6
tubercle of scapula
and tuberosity of
radius
3. Brachioradialis • Lateral, distal • Radial • C5, C6, (C7)
humerus and styloid
process of radius
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Flexion of elbow 4. Pronator teres • Medial epicondyle of • Median • C6, C7
humerus and middle
of lteral shaft of
radius
5. Flexor carpi ulnaris • Humeral head- • ulnar • C7, C8
medial epicondyle of
humerus and
pisiform, hamate,
base of fiifth
metacarpal
• Ulnar head- proximal
posterior ulna,
olecranon process of
ulna and pisiform,
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Extension of elbow 1. Triceps • Infraglenoid tubercle • radial • C6, C7, C8
of scapula and
olecranon
2. anconeus • O: epicondilus
lateralis humeri,
kapsul sendi siku,
lig. Collaterale
radiale
• i: facies posterior
ulnae tepat di
sebelah distal
olecranon