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Upper Limb Muscles Overview

Jun 25, 2025

Overview

This lecture provides strategies and mnemonics to help remember the skeletal muscles of the upper limb, organized into logical muscle groups for easier study.

Back Muscles

  • Trapezius originates from the skull and thoracic vertebrae, inserts on scapula and clavicle, and moves the shoulder in multiple ways.
  • Latissimus dorsi (lats) is the widest muscle, spanning back and inserting on the humerus, important for arm movement.
  • Rhomboid major and minor retract the scapula; major is rhomboid-shaped and minor is above it, more cylindrical.
  • Levator scapulae elevates the scapula, attaching from high cervical vertebrae to upper scapula.

Chest Muscles

  • Pectoralis major (large, superficial) and pectoralis minor (smaller, deep) move the arm and shoulder.
  • Serratus anterior has a jagged edge, aids in protracting the scapula.
  • Intercostal muscles are located between the ribs, aiding respiration.

Shoulder Muscles

  • Deltoid is triangular, covering the shoulder, main abductor of the arm.
  • Rotator cuff muscles (SITS): Supraspinatus (above scapular spine), Infraspinatus (below spine), Teres minor (small, angled), Subscapularis (under scapula).
  • Teres major is a larger, powerful mover of the arm, not part of the rotator cuff.

Upper Arm Muscles

  • Biceps brachii (two-headed) flexes the elbow; triceps brachii (three-headed) extends it.
  • Coracobrachialis attaches from coracoid process to humerus, aids in flexion and adduction.
  • Brachialis is a deep elbow flexor.
  • Brachioradialis connects upper arm to radius, aids in forearm flexion.
  • Anconeus is a small accessory elbow extensor.

Forearm Muscles (Anterior)

  • Flexor carpi radialis and ulnaris flex the wrist on respective sides.
  • Palmaris longus has a long tendon, often absent in some people.
  • Pronator teres/pronator quadratus pronate the forearm.
  • Flexor digitorum superficialis/profundus flex fingers at different depths.
  • Flexor pollicis longus flexes the thumb.

Forearm Muscles (Posterior)

  • Extensor carpi ulnaris/radialis (longus and brevis) extend the wrist on respective sides.
  • Extensor digitorum extends the fingers; extensor digiti minimi extends the pinky.
  • Extensor indicis extends the index finger.
  • Abductor pollicis longus and extensor pollicis longus/brevis move and extend the thumb.
  • Supinator muscle supinates the forearm near the elbow.

Hand Muscles

  • Thenar mass: Flexor pollicis brevis, opponens pollicis, adductor pollicis, abductor pollicis brevis control thumb movements.
  • Hypothenar mass: Opponens digiti minimi, flexor digiti minimi brevis, abductor digiti minimi control pinky.
  • Palmaris brevis tenses the palm's connective tissue.
  • Lumbricals flex MCP joints and extend IP joints, forming an "L" shape.
  • Palmar interossei adduct fingers (PAD); dorsal interossei abduct fingers (DAB).

Key Terms & Definitions

  • Scapula — shoulder blade bone.
  • Humerus — upper arm bone.
  • Rotator cuff — group of four shoulder-stabilizing muscles: supraspinatus, infraspinatus, teres minor, subscapularis.
  • Pronate/Supinate — rotate forearm so palm faces down/up.
  • Thenar/Hypothenar — muscle masses at thumb/pinky side of palm.
  • Lumbricals — hand muscles that flex MCP and extend IP joints.
  • Interossei — muscles between hand bones, controlling finger movement.

Action Items / Next Steps

  • Review muscle names and their actions, focusing on origins, insertions, and innervations.
  • Practice palpating major muscles on yourself to reinforce learning.
  • Watch suggested supplementary videos for deeper understanding of muscle groups.