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Organization of the Upper Limb Robert S. Staron, Ph.D. August Immersion

upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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 the

Upper Limb

Robert S. Staron, Ph.D.

August Immersion

Page 2: upper limb organization - Ohio UniversityAug 04, 2011  · 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 ed Grant’s Atlas 8th ed

Page 3: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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

Muscles

Dorsal muscle mass forms

extensors and supinators in

upper limb, extensors and

abductors in lower limb.

Ventral muscle mass forms

flexors and pronators in

upper limb and flexors and

adductors in lower limb.

Morphogenesis guided by CT,

not myoblasts

Split into individual muscles,

cell death involved

Carlson l999 Human Embryology Larsen 1993

Page 5: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles . median n. (C5-T1)

1) trapezius m.

2) latissimus dorsi m.

3) levator scapulae m.

4) rhomboideus major m.

5) rhomboideus minor m.

6) serratus anterior m.

1) infraspinatus m.

2) supraspinatus m.

3) subscapularis m.

4) teres minor m.

5) teres major m.

6) deltoid m.

Extrinsic shoulder mm. Intrinsic shoulder mm.

Anterior thorax mm.

1) pectoralis major and minor mm.

2) subclavius m.

Page 9: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles . median n. (C5-T1)

brachium

biceps brachii m.

long head

short head

brachialis m.

coracobrachialis m.

triceps brachii m.

lateral head

medial head

long head

anconeus m.

antr compartment postr compartment

Page 14: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · Netter’s Atlas of Human Anatomy 2nd ed flex carpi ulnaris m. medial ½ FDP + 14 intrinsic hand muscles . median n. (C5-T1)

antebrachium

pronator teres m.

flex. carpi radialis m.

palmaris longus m.

flex. carpi ulnaris m.

flex. digit. superf. m.

flex. digit. profund. m.

flex. pollicis longus m.

pronator quadratus m.

brachioradialis m.

ext. carpi radialis longus m.

ext. carpi radialis brevis m.

ext. carpi ulnaris m.

extensor digitorum m.

extensor digiti minimi m.

extensor indicis m.

abd pollicis longus m.

ext. pollicis longus/brevis m.

supinator m.

antr compartment postr compartment

Page 19: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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 hand muscles

Page 21: upper limb organization - Ohio UniversityAug 04, 2011  · 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 hand muscles

Page 22: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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 muscles

7 interosseii mm. (4 dorsal/3 palmar)

4 lumbrical mm. (1, 2, 3, 4)

palmaris brevis m.

adductor pollicis m.

three thenar mm. (OP, abd.PB, FPB)

three hypothenar mm. (ODM, abd.DM, FDMB)

Page 24: upper limb organization - Ohio UniversityAug 04, 2011  · 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 muscles

7 interosseii mm. (4 dorsal/3 palmar)

4 lumbrical mm. (1, 2, 3, 4)

palmaris brevis m.

adductor pollicis m.

three thenar mm. (OP, abd.PB, FPB)

three hypothenar mm. (ODM, abd.DM, FDMB)

(median n.) (ulnar n.)

Page 25: upper limb organization - Ohio UniversityAug 04, 2011  · 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: upper limb organization - Ohio UniversityAug 04, 2011  · 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