Palpation And Muscle Anatomy - Shoulder, Arm, Forearm And Hand - Mak 121

Front 1

Supraspinatus attachments?

Back 1

- Supraspinous Fossa of scapula
- Superior aspect of greater tubercle of humerus

Front 2

Supraspinatus ACTIONS?

Back 2

- ABduct shoulder
- Humerus stabilization


Prone with arm alongside body. Partner slightly ABducts and relaxes shoulder.

Front 3

Infraspinatus attachments?

Back 3

- Infraspinous fossa of the scapula
- Greater tubercle of the humerus

Front 4

Infraspinatus ACTIONS?

Back 4

- Lateral rotation
- Extend shoulder
- ADduct shoulder
- Horizontally ABduct shoulder


Prone with arm off the side of the table.
Partner raises and lowers elbow 1 inch.

Front 5

Teres Minor attachments?

Muscle fiber direction?

Back 5

- Superior half of of lateral border of scapula
- Greater tubercle of the humerus

- Fibers run parallel to the pine of the scapula

Front 6

Teres Minor ACTIONS?

AROM and PROM?

Back 6

- Lateral rotation
- Extension
- ADduction
- Horizontal ABduction




Prone with arm off the side of the table.
Partner swings arm up towards head.

Front 7

Subscapularis attachments?

Muscle fiber direction?

Back 7

- Subscapular fossa of the scapula
- Lesser tubercle of the humerus

- Fibers fill out the entire inside of the scapula and run tightly towards humerus

Front 8

Subscapularis ACTIONS?

AROM and PROM?

Back 8

- Medial rotation
- ADduction


Sidelying with flexed shoulder and arm forward.
Partner gently rotates shoulder.

Front 9

Rhomboid Major attachments?

Muscle fiber direction?

Back 9

- Spinous processes T2 - T5
- Medial border of the scapula between the spine of the scapula and inferior angle

- Fibers run parallel to ribs

Front 10

Rhomboid Major ACTIONS?

AROM and PROM?

Back 10

- Retraction
- Downward rotation
- Elevation


Prone, with arm on back.
Partner lifts elbow towards ceiling.

Front 11

Rhomboid Minor attachments?


Fiber direction?

Back 11

- Spinous processes C7 - T1
- Upper portion of medial border of the scapula, across from spine of scapula


- Fibers run parallel to ribs

Front 12

Brachialis attachments?


Fiber direction?

Back 12

- Distal half of anterior surface of humerus
- Tuberocity and coronoid process of ulna


- Fibers run parallel to humerus

Front 13

Brachialis ACTIONS?

AROM and PROM?

Back 13

- Flexing the elbow


Sitting, with right elbow flexed and hand extended.
Shake hand with Partner and push against hand. (from deltoid down to below elbow on outside)

Front 14

Brachioradialis attachments?

Fiber direction?

Back 14

- Lateral supracondylar ridge of humerus
- Styloid process of radius
- Fibers run parallel to radius

Front 15

Brachioradialis ACTIONS?

AROM and PROM?

Back 15

- Flex elbow
- Assist in supination and pronation


Sitting, with right elbow flexed and hand extended.
Shake hand with Partner. Or have partner push fist from underneath table.

Front 16

Rhomboid Minor ACTIONS?

AROM and PROM?

Back 16

- Retraction
- Downward rotation
- Elevation


Prone, with arm on back.
Partner lifts elbow towards ceiling.

Front 17

Flexor Carpi Radialis attachments?

Fiber direction?

Back 17

- Common flexor tendon from medial epicondyle of humerus
- Bases of 2nd and 3rd metacarpals


- Fibers run diagonal from inside elbow to thumb

Front 18

Flexor Carpi Radialis ACTIONS?

AROM and PROM?

Back 18

- Flex wrist
- Flex elbow
- ABduct wrist


Sitting, with right elbow flexed and hand extended.
Shake hands with partner. Have partner resist. (the tendon closest to the thumb).

Front 19

Extensor Digitorum attachments?

Fiber direction?

Back 19

- Common extensor tendon from the lateral epicondyle of humerus
Middle and distal phalanges of 2nd - 5th fingers


- Fibers run parallel to radius

Front 20

Extensor Digitorum ACTIONS?

AROM and PROM?

Back 20

- Extend 2-5 fingers
- Assist with extending wrist


Sitting, with right elbow flexed and hand extended.
Shake hands with partner. Have partner wiggle fingers as if typing. Have partner do 'death claw'.

Front 21

Levator Scapula attachments?

Back 21

- Transverse processes C1- C4
- Superior angle of the scapula to the root of the spine of the scapula

Front 22

Levator Scapula ACTIONS unilaterally?

Back 22

- Elevation of the scapula
- Downward rotation of the
- Laterally flex head/neck to same side
- Rotating head/neck to same side

Front 23

Levator Scapula ACTIONS bilaterally?

Back 23

Extend head/neck

Front 24

Coracobrachialis attachments?

Back 24

- Coracoid process
- Medial surface of mid-humeral shaft

Front 25

Coracobrachialis ACTIONS?

Back 25

-Flex shoulder
ADduct shoulder

Front 26

Pronator Teres attachments?

Back 26

- Medial epicondyle of humerus
- Coronoid process of ulna

Front 27

Pronator Teres ACTIONS?

Back 27

- Pronate forearm
- Assist with Flexing elbow

Front 28

Supinator attachments?

Back 28

- Proximal radius and ulna
- Lateral surface of radius

(ulna in notes?)

Front 29

Supinator ACTIONS?

Back 29

- Supinates the forearm

Front 30

Palmaris Longus attachments?

Back 30

- Common flexor tendon of the medial epicondyle - HUMERUS
- Flexor retinaculum and palmar aponeurosis

Front 31

Palmaris Longus ACTIONS?

3

Back 31

- Tenses aoponeurosis in palm
- Assists with flexing wrist
- Assists with flexing elbow

Front 32

Flexor Carpi Ulnaris attachments?

Back 32

HUMERAL HEAD:
- Common flexor tendon of HUMERUS
- Pisiform
ULNAR HEAD:
- Posterior surface of proximal half of ULNAR shaft
- Pisiform

Front 33

Flexor Carpi Ulnaris ACTIONS?

Back 33

- Flex wrist
- ADduct wrist
- Assist to flex elbow

Front 34

Flexor digitorum superficialis attachments?

Back 34

- Common flexor tendon of HUMERUS
- 4 tendons of middle phalanges of 2-5 fingers

Front 35

Flexor digitorum superficials ACTIONS?

Back 35

- Flex 2-5 fingers
- Flex wrist

Front 36

Flexor digitorum profundis attachments?

Back 36

-Proximal 3/4 surface of ULNA
- 4 tendons of distal PHALANGES of 2- 5 fingers

Front 37

Flexor digitorum profundis ACTIONS?

Back 37

- Flex 2-5 fingers

Front 38

Flexor pollicis longus attachments?

Back 38

- Anterior surface of RADIUS
- Interosseous membrane

Front 39

Flexor pollicis longus ACTIONS?

Back 39

Flex thumb

Front 40

Anconeus attachments?

Back 40

- Lateral epicondyle of HUMERUS
- Olecraneon process
- Lateral edge of ULNAR shaft

Front 41

Anconeus ACTIONS?

1

Hint: Only muscle that does this

Back 41

Extend elbow

Front 42

Extensor carpi radialis longus attachments?

Back 42

- Lateral epicondyle of HUMERUS
- Base of 2nd METACARPAL

Front 43

Extensor carpi radialis longus ACTIONS?

3

Back 43

- Extend wrist
- ABduct wrist
- Assist with flexing elbow

Front 44

Extensor carpi radialis brevis attachments?

Back 44

- Lateral supercondylar ridge of HUMERUS
- - Base of 3rd METACARPAL

Front 45

Extensor carpi radialis brevis ACTIONS?
3

Back 45

- Extend wrist
- ABduct wrist
- Assist with flexing elbow

Front 46

Extensor carpi ulnaris attachments?

Back 46

- Common tendon of HUMERUS
- Base of 5th METACARPAL
-

Front 47

Extensor carpi ulnaris ACTIONS?

2

Back 47

- Extend wrist
- ADduct wrist

Front 48

Extensor indicis attachments?

Back 48

- Posterior distal shaft of ULNA
- Interosseous membrane

Front 49

Extensor indicis ACTIONS?

2

Back 49

- Extend index finger
- ADduct index finger

Front 50

Abductor pollicis longus attachments?

Back 50

- Posterior distal shaft of ULNA
- Interosseous membrane
- Base of 1st METACARPAL

Front 51

Abductor pollicis longus ACTIONS?

Back 51

- Extend thumb
- ABduct thumb