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Organization of the Organization of the Upper Limb Upper Limb www.fisiokinesiterapia.biz

Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

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Page 1: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

Organization of theOrganization of theUpper LimbUpper Limb

www.fisiokinesiterapia.biz

Page 2: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

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

Page 3: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

Antr division:

flexor comp.

Postr division:

ext comp.

Netter’s Atlas of Human Embry 2002

Page 4: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

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

Page 5: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

Hollinshead’s Textbook of Anatomy 5th ed

Page 6: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

Grant’s Dissector 13th ed

Page 7: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

Brachial Plexus

Netter’s Atlas 2nd ed

Page 8: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

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.

Page 9: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

Netter’s Atlas of Human Anatomy 2nd ed

Page 10: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

rotator cuff musculature

Netter’s Atlas 2nd ed

Page 11: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

Netter’s Atlas 2nd ed

Page 12: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

Grant’s Dissector 13th ed

Page 13: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

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

Page 14: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

musculocutaneous n.

(C5-C7)

Netter’s Atlas of Human Anatomy 2nd ed

biceps brachii m.

brachialis m.

coracobrachialis m.

Page 15: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

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.)

Page 16: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

Grant’s Dissector 13th ed

Page 17: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

Grant’s Dissector 13th ed

Page 18: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

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

Page 19: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

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

Page 20: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

ulnar n. (C7-T1)

Netter’s Atlas of Human Anatomy 2nd ed

flex carpi ulnaris m.

medial ½ FDP

+ 14 intrinsic handmuscles

Page 21: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

median n. (C5-T1)

Netter’s Atlas of Human Anatomy 2nd ed

PT, FCR, PL, FDS, lat ½ FDP, FPL, PQ

+ 5 intrinsic handmuscles

Page 22: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

Grant’s Atlas of Anatomy 11th ed

Page 23: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

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)

Page 24: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

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.)

Page 25: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

upper limb -cutaneous innervation

Netter’s Atlas of Human Anatomy 2nd ed

Page 26: Organization of the Upper Limb - Fisiokinesiterapia · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles. median n. (C5-T1)

upper limb –

dermatome pattern

Netter’s Atlas of Human Anatomy 2nd ed