解剖學－上肢肌肉 Name
Origin
Insertion
ABD
ADD
Anterior Thoracic Pectoralis minor Subclavius
Rib 1 – 3 Rib 1
Corocoid process Clavicle
Serratus Anterior
Rib 1 – 8
Vertebral Border
Levator Scapulae
C1 – C4 Transverse Process
Superior Angle
Rhomboid Major
T2 – T5 Spinous Process
Rhomboid Minor
C7 – T1 Spinous Process
Trapezius
Occipital Nuchal Line + C7 – T12
Medial border of Scapula Medial border of Scapula Acromion + Spine + Clavivle
Pectoralis major
Sternal End of clavicle + Sternum, Rib 1 – 6
Greater Tubercle crest
ADD
Latissimus dorsi
Thoracolumbar Fascia + T7 – T12, L, Iliac Crest
Intertuberculus sulcus of humerus
ADD
Teres Major
Inferior angle
Crest of lesser tubercle
ADD
Coracobrachialis
Cocacoid process
Humerus shaft
ADD
Deltoid
Clavicle + acromion
Deltoid Tuberosity
Rotator Cuff Subscapularis
Subscapular fossa
Supraspinatus
Supraspinous fossa
Infraspinatus
Infraspinous fossa
Teres Minor
Lateral dorsal border
Lesser Tublercle Greater Tuberlcle (上) Greater Tuberlcle (中) Greater Tuberlcle (下)
Movement EXT FLEX PRO
SUP
ROT DIR
Nerve
↓ Medial / lateral Pectoral N. ↓ Trunk (C5, C6) ↑ Long Thoracic N. (C5-C7)
ABD
Note
+ Protraction 主要 Protraction,穩 定肩胛
Posterior Thoracic ↑ Dorsal Scapulae N. (C3-C5)
ADD ADD
ROT
ADD
ROT
ADD
ROT
Dorsal Scapulae N. (C4, C5) Dorsal Scapulae N. (C4, ↓ C5) ↑, Accessory N. (CN11) + ↓ C3, C4 ↓
Glenohumeral Joint Axial Muscle RM
Lateral + Medial Pectoral N. (C5-8, T1)
+ Latissimus dorsi = Axial Muscle
EXT
RM
Thoracodorsal N. (C6 -8)
Swimmer’s muscle
EXT
RM
Lower scapular N.
FLEX
Others
Anatomy>>Upper Limb [2013.11] NYMU 10001085
Both>15o
FLEX Posterior Anterior
Musculocutaneous N. Post.: LR Ant: MR RM
ABD<15o
ROT
(Syn with Latissimus dorsi) Syn with Pectoralis Major
Axillary N.
Subscapular N. ↑ Suprascapular N.
ADD
LR
Suprascapular N.
ADD
LR
Axillary N.
Pitch (1) Pitch (2)，易受傷 Pitch (3), Hold Glenoid Pitch (3), Hold Glenoid
解剖學－上肢肌肉 Name
Origin
Insertion
ABD
ADD
Movement EXT FLEX PRO
SUP
Nerve
ROT DIR
Note
Arm Musculocutaneous
Flexor Biceps Brachi
short: Corocoid Process Long: Supraglenoid Tubercle
Brachialis
Distal Humerus
Brachioradialis
Lateral Supracondylar Ridge
Radial Tuberosity
FLEX
Coronoid Process of Ulna Styloid Process of Radius
SUP
FLEX
Musculocutaneous N.
FLEX
Radial N.
Triceps Brachi (Lateral) Triceps Brachi (Medial) Anconeus
有 Bicipital Aponeurosis
Radial N. 唯一屈肌
RADIAL N.
Extensor Triceps Brachi (Long)
Musculocutaneous N.
Infraglenoid Tubercle of Scapula
Olecranon
EXT
Radial N.
Posterior Shaft of humerus Olecranon
EXT
Radial N.
Distal to radial groove
Olecranon
EXT
Radial N.
Lateral epicondyle of humerus
Lateral to olecranon
ADD
Ulna ABD
EXT
PRO
MEDIAN N.
Forearm - Anterior Superficial
Common Flexor Tendon Medial Epicondyle Pronater Teres Coronoid process (Short) Medial epicondyle of Flexor carpi radialis Humerus Medial epicondyle of Palmaris longus Humerus Medial epicondyle of Flexor carpi ulnaris Humerus + Posterior surface of ulna Medial Common Flexor Tendon Medial epicondyle Flexor digitorum + Coronoid process of superficialis Ulna Deep Direct From Forearm Flexor pollicis longus Anteromedial of Radius Flexor digitorium Anteromedial of Ulna profundus Pronater Quadratus Ulna
Anatomy>>Upper Limb [2013.11] NYMU 10001085
Radial N.
Mid-shaft of Radius 2, 3 Metacarpal
FLEX ABD
Palmar aponeurosis Pisiform, Hamate, 5 Metacarpal
PRO
Median N.
FLEX
Median N.
FLEX
Tense Median N.
FLEX
Ulnar N.
為 Ulnar 支配之屈肌
2-5 Middle phalanges
FLEX
Median N.
Wrist, MP, PIP
1 Distal phalanges
FLEX
Wrist, MP, PIP, DIP
2-5 Distal phalanges
FLEX
Radius
FLEX
Median N. Ulnar N. (Medial) Median N. (Lateral) Median N.
ADD
PRO
解剖學－上肢肌肉 Name
Origin
Insertion
ABD
ADD
EXT
Movement FLEX PRO
SUP
Common Extensor Tendon Humeral Extensor carpi radialis (Longus) 2 Metacarpal supracondylar ridge Extensor carpi radialis (Brevis) Lateral Epicondyle 3 Metacarpal
ABD
EXT
Radial N.
ABD
EXT
Radial N. Deep Br. Radial N. posterior interosseous Radial N. Radial N. posterior interosseous
Extensor digitorum
Lateral Epicondyle
2-5 distal phalanges ABD
EXT
Extensor digiti minimi
Lateral Epicondyle
5 distal phalanges
EXT
Extensor carpi ulnaris
Lateral Epicondyle
5 metacarpal
Supinator Abductor pollicis longus Extensor pollicis brevis Extensor pollicis longus Extensor indicis
Nerve
Note
RADIAL N.
Forearm - Posterior Superficial
Deep
ROT DIR
Direct From Forearm Humerus Lateral epicondyle Posterior Forearm (上) (Radial + Ulna) Posterior Forearm (中) Posterior Forearm (中) Posterior Forearm (下)
Anatomy>>Upper Limb [2013.11] NYMU 10001085
ADD
EXT
Proximal Radius 1 Metacarpal + Trapezium
SUP ABD
1 Proximal
EXT
1 Distal
EXT
2 Distal
EXT
Radial N. posterior interosseous Radial N. posterior interosseous Radial N. posterior interosseous Radial N. posterior interosseous Radial N. posterior interosseous
也可以 ABD 手指
Snuff box Snuff box Snuff box (MP, IP) MP, PIP, DIP
解剖學－上肢肌肉 Name
Origin
Insertion
Intrinsic Muscles Thenar Group Abductor pollicis brevis
Flexor Retinaculum 1 Proximal (Lateral)
Flexor pollicis brevis
Flexor Retinaculum 1 Proximal (Lateral)
Opponens pollicis Adductor pollicis Hypothenar Abductor digiti minimi Flexor digiti minimi brevis Opponens digiti minimi
ABD
5 Proximal
EXT
SUP
ROT
DIR
ABD FLEX
Flexor Retinaculum 1 Metacarpal + Trapezium Capitate, 2-4 1 Medial Metacarpal Pisiform Hamate + Flexor Retinaculum Hamate + Flexor Retinaculum
ADD
Movement FLEX PRO
OPP ADD
OPP
ABD
Nerve
Median N. Superficial: Median N. Deep: Ulnar Deep Br. Superficial: Median N. Deep: Ulnar Deep Br.
Note
Carpo-M, MP MP Joint
Ulnar N. Deep Br. Ulnar N.
5 Proximal
FLEX
5 Metacarpal Medial
Ulnar N. OPP
Ulnar N.
Mid-Palmar Lumbricals Dorsal interossei Palmar interossei
Tendons of Flexor 2-5 Proximal digitorum profundus Extensor Exapansion 2, 4 - Proximal *1 Inter-Metacarpals 3 - Proximal *2 1, 2, 4, 5 Metacarpal 1, 2, 4, 5 Proximal
Anatomy>>Upper Limb [2013.11] NYMU 10001085
PIP, DIP ABD ADD
MP
Lateral - Median N. Medial - Ulnar N.
2, 3 - Unipennate 4, 5 - Bipennate
Ulnar N.
bipennate
Ulnar N.