Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed...

Organization of theOrganization of theUpper LimbUpper Limb

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Grant’s Atlas of Anatomy 8th edGrant’s Atlas 8th ed

Antr division:

flexor comp.

Postr division:

ext comp.

Netter’s Atlas of Human Embry 2002

Origin of Limb Origin of Limb MusclesMuscles

Dorsal muscle mass forms Dorsal muscle mass forms extensors and supinators in extensors and supinators in upper limb, extensors and upper limb, extensors and abductors in lower limb.abductors in lower limb.Ventral muscle mass forms Ventral muscle mass forms flexors and pronators in flexors and pronators in upper limb and flexors and upper limb and flexors and adductors in lower limb.adductors in lower limb.Morphogenesis guided by CT, Morphogenesis guided by CT, not myoblasts not myoblasts Split into individual muscles, Split into individual muscles, cell death involvedcell death involved

Carlson l999 Human Embryology Larsen 1993

Hollinshead’s Textbook of Anatomy 5th ed

Grant’s Dissector 13th ed

Brachial Plexus

Netter’s Atlas 2nd ed

1)1) trapeziustrapezius m.m.

2)2) latissimuslatissimus dorsidorsi m.m.

3)3) levatorlevator scapulae m.scapulae m.

4)4) rhomboideusrhomboideus major m.major m.

5)5) rhomboideusrhomboideus minor m.minor m.

6)6) serratusserratus anterior m.anterior m.

1)1) infraspinatusinfraspinatus m.m.

2)2) supraspinatussupraspinatus m.m.

3)3) subscapularissubscapularis m.m.

4)4) teresteres minor m.minor m.

5)5) teresteres major m.major m.

6)6) deltoid m.deltoid m.

Extrinsic shoulder mm. Intrinsic shoulder mm.

Anterior thorax mm.1) pectoralis major and minor mm.

2) subclavius m.

Netter’s Atlas of Human Anatomy 2nd ed

rotator cuff musculature

Netter’s Atlas 2nd ed

Netter’s Atlas 2nd ed

Grant’s Dissector 13th ed

brachiumbrachium

biceps biceps brachiibrachii m.m.

long headlong head

short headshort head

brachialisbrachialis m.m.

coracobrachialiscoracobrachialis m.m.

triceps triceps brachiibrachii m.m.

lateral headlateral head

medial headmedial head

long headlong head

anconeusanconeus m.m.

Antr compartment Postr compartment

musculocutaneous n.

(C5-C7)

Netter’s Atlas of Human Anatomy 2nd ed

biceps brachii m.

brachialis m.

coracobrachialis m.

axillary n. (C5-C6)

radial n. (C5-T1)

Netter’s Atlas of Human Anatomy 2nd ed

deltoid m.teres minor m.

triceps brachii m.anconeus m.

(brachialis m.)

Grant’s Dissector 13th ed

Grant’s Dissector 13th ed

antebrachiumantebrachium

pronatorpronator teresteres m.m.flex. flex. carpicarpi radialisradialis m.m.palmarispalmaris longuslongus m.m.flex. flex. carpicarpi ulnarisulnaris m.m.flex. digit. flex. digit. superfsuperf. m.. m.flex. digit. flex. digit. profundprofund. m.. m.flex. flex. pollicispollicis longuslongus m.m.pronatorpronator quadratusquadratus m.m.

brachioradilisbrachioradilis m.m.ext. ext. carpicarpi radialisradialis longuslongus m.m.ext. ext. carpicarpi radialisradialis brevisbrevis m.m.ext. ext. carpicarpi ulnarisulnaris m.m.extensor extensor digitorumdigitorum m.m.extensor extensor digitidigiti minimiminimi m.m.extensor extensor indicisindicis m.m.abd abd pollicispollicis longuslongus m.m.ext. ext. pollicispollicis longus/brevislongus/brevis m.m.supinatorsupinator m.m.

antr compartment postr compartment

radial n. (C5-T1)

Netter’s Atlas of Human Anatomy 2nd ed

triceps brachii m., anconeus m.

(brachialis m.)

BR, ECRL, ECRB, ED, EDM, supinator, ECU, EI, AbdPL, EPL, EPB

ulnar n. (C7-T1)

Netter’s Atlas of Human Anatomy 2nd ed

flex carpi ulnaris m.

medial ½ FDP

+ 14 intrinsic handmuscles

median n. (C5-T1)

Netter’s Atlas of Human Anatomy 2nd ed

PT, FCR, PL, FDS, lat ½ FDP, FPL, PQ

+ 5 intrinsic handmuscles

Grant’s Atlas of Anatomy 11th ed

intrinsic hand musclesintrinsic hand muscles

7 7 interosseiiinterosseii mm. (4 dorsal/3 mm. (4 dorsal/3 palmarpalmar))4 4 lumbricallumbrical mm. (1, 2, 3, 4)mm. (1, 2, 3, 4)palmarispalmaris brevisbrevis m.m.adductor adductor pollicispollicis m.m.three three thenarthenar mm. (OP, mm. (OP, abd.PBabd.PB, FPB), FPB)three three hypothenarhypothenar mm. (ODM, mm. (ODM, abd.DMabd.DM, FDMB), FDMB)

intrinsic hand musclesintrinsic hand muscles

7 7 interosseiiinterosseii mm. (4 dorsal/3 mm. (4 dorsal/3 palmarpalmar))4 4 lumbricallumbrical mm. (mm. (11, , 22, 3, 4), 3, 4)palmarispalmaris brevisbrevis m.m.adductor adductor pollicispollicis m.m.three three thenarthenar mm. (OP, mm. (OP, abd.PBabd.PB, FPB), FPB)

three three hypothenarhypothenar mm. (ODM, mm. (ODM, abd.DMabd.DM, FDMB), FDMB)

(median n.) (ulnar n.)

upper limb -cutaneous innervation

Netter’s Atlas of Human Anatomy 2nd ed

upper limb –

dermatome pattern

Netter’s Atlas of Human Anatomy 2nd ed