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*Bolded=Chief muscle for movement Scapula Scapula Rotators -Trapezius (upper fibers; laterally, allowing abduction of arm)> CN11 (Accessory) -Levator Scapulae (Medial rotation, glenoid tilted inferiorly)> Dors Scap, C5 -Rhomboids (Medial rotation)> Dors Scap, C5 -Serratus Anterior (Lateral rotation, allowing abduction of arm)> Long Thoracic nerve, C5-7 Scapula Elevators -Trapezius (Upper fibers)> CN 11 -Levator Scapulae> Dors Scap C5 -Rhomboids> Dors Scap C5 Scapula Depression -Trapezius (Lower fibers)> CN 11 - Serratus Anterior> Long Thoracic nerve, C5-7 Scapular Protraction -Pect minor> Medial Pect, C8-T1 -Serratus Anterior> Long Thoracic nerve, C5-7 Scapular Retraction - Trapezius (Medial fibers)> CN 11 -Rhomboids> Dors Scap C5 -----------------------------------------------------------------------------------------------------------Shoulder Stabilizers *Rotator Cuff Muscles draw humerus to glenoid fossa strengthening the joint, prevent superior and posterior displacement of the humerus *Long head Triceps stabilize abducted humerus Stabilize/pull shoulder joint down -Pect minor> Medial Pect, C8-T1 -Subclavius > Nerve Subclavian, C5-6 -----------------------------------------------------------------------------------------------------------Arm Flexion -Pect Major> Med (C8-T1) and lateral pect (C5-7) -Deltoid (Anterior Fibers) -Bicep Brachii (Short Head; weak)> musculocutaneous (C5-C7) -Coracobrachialis> musculocutaneous (C5-C7) Arm Extension -Lat D> Thoracodorsal N, C6-8 -Deltoid (Posterior Head) -Teres Major (From flexed position)> Lower subscap C5-6 -Tricep (Long head)> Radial (C5-T1, but tricep mostly c5/c6) Arm Medial Rotation -Lat D> Thoracodorsal N, C6-8 -Deltoid (Anterior head)> Axillary C5-6 -Teres Major> Lower Subscap, C5-6 -Subscapularis> Upper and Lower subscap, C5-6 -Pect Major> Med (C8-T1) and lateral pect (C5-7) Arm Lateral Rotation -Deltoid (Posterior head)> Axillary C5-6 -Infraspinatus> Suprascap, C5-6 -Teres Minor> Axillary C5-6 Arm Adduction -Lat D> Thoracodorsal N, C6-8 -Teres Major> Lower Subscap, C5-6 -Pect Major> Med (C8-T1) and lateral pect (C5-7) Arm Abduction (Movement corresponds to Abduction of Scapula) -Deltoid (Medial head)> Axillary C5-6 -Supraspinatus (Prevents deltoid from pulling humerus under acromion)> Suprascap, C5-6 *serratus anterior and Upper fibers trap laterally rotate scapula for this movement -----------------------------------------------------------------------------------------------------------Forearm Flexion -Bicep Brachii (Long Head)> musculocutaneous (C5-C7) -Brachialis (Strongest)> musculocutaneous (C5-C7) -Brachoradialis (Weak)> Radial, C5-T1 Forearm Extension -Tricep > Radial, C5-T1 -Anconeus (Accessory extensor)> Radial, C5-T1 Forearm Pronation -Pronator Teres> Median -Pronator Quadratus> Anterior Inter Forearm Supinator -Bicep Brachii (Long head, supinatos when forearm flex)> musculocutaneous (C5-C7) -Supinator (Supinates flex or extension of forearm)> Deep Radial -----------------------------------------------------------------------------------------------------------Wrist Flexion -FCR> Median -Palmeris Longus> Median -FCU> Ulnar C8-T1 -FDS> Median -FDP> Median/Ulnar Wrist Extension -ECRL (Synergist with flexion of fingers extends hand to provide stronger flexion)> Radial -ECRB (Synergist with flexion of fingers extends hand to provide stronger flexion)> Deep, Radial -ED (When fingers are extended)> Post Inter (Radial) -ECU (Synergist with flexion of fingers extends hand to provide stronger flexion)> Post Inter (Radial) Wrist Flexion Abduction -FCR> Radial Wrist Extension Abduction -ECRL> Radial -ECRB> Deep, Radial Wrist Flexion Adduction -FCU> Ulnar Wrist Extension Adduction -ECU> Post Inter (Radial) -----------------------------------------------------------------------------------------------------------MCP=Metacarpophalangeal, PIP=prox interphalangeal, DIP=Distal interphal CMC=Carpometacarpal Flexion of MCP -FDS (Digits 2-5)> Median -FDP (Digits 2-5)> Median digits 2/3, Ulnar digits 4/5 -Lumbricals (Digits 2-5)*> Deep Ulnar Nerve -FDM (Digit 5)> Ulnar -FPB (Digit 1)> Recurrent (Median) -APB (Digit 1 and also at CMC)> Recurrent (Median) -FPL (Digit 1)> Anterior Int (Median) Extension MCP -ED (Digits 2-5)> Post Inter (Radial) -EDM (Digit 5)> Post Inter (Radial) -EI (Digit 2)> Post Inter (Radial) -EPB (Digit 1 and also at CMC)> Post Inter (Radial) -EPL (Digit 1 and also at CMC)> Post Inter (Radial) Flexion of PIP -FDS (Digits 2-5)> Median -FDP (Digits 2-5)> Median digits 2/3, Ulnar digits 4/5 -FDM (Digit 5)> Ulnar -FPL (Digit 1)> Anterior Int (Median) Extension PIP -ED (Digits 2-5)> Post Inter (Radial) -EDM (Digit 5)> Post Inter (Radial) -EI (Digit 2)> Post Inter (Radial) -Lumbricals (Digits 2-5)> Deep Ulnar -EPL (Digit 1, at IP)> Post Inter (Radial) Flexion of DIP -FDP (Digits 2-5)> Median digits 2/3, Ulnar digits 4/5 -FPL (Digit 1)> Anterior Int (Median) Extension DIP -ED (Digits 2-5)> Post Inter (Radial) -EDM (Digit 5)> Post Inter (Radial) -EI (Digit 2)> Post Inter (Radial) -Lumbricals (Digits 2-5)*> Deep Ulnar Rotation of Thumb -OP> Recurrent (Median) -----------------------------------------------------------------------------------------------------------Hypothenar *Skin pulled toward medial palm deepening palm –Palmaris Brevis *Digit 5 pulled anteriorly for opposition by ODM -----------------------------------------------------------------------------------------------------------Hand abduction -Dorsal Interossei (Digits 2, 3*-2 insert here, 4)> Deep Ulnar -ADM (Digit 5)> Ulnar -APL (Digit 1, at CMC)> Post Inter (Radial) - APB (Digit 1 at CMC, MCP)> Recurrent (Median) Hand Adduction -Palmer Interossei (Digits 2, 4, 5)> Deep Ulnar -AP (Digit 1)> Deep Ulnar -----------------------------------------------------------------------------------------------------------Back Illiocostalis, longissimus and spinalis extend trunk and head/neck contracted bilaterally, rotate when contract unilaterally Splenius capitis, semisplenius capitis extend head/neck contracted bilaterally, rotate when contract unilaterally Obliquus capitis superior & inferior, Rectus Capitis post. Major & minor extend head at alantoaxial joint, *suboccipital nerve innervation to all -----------------------------------------------------------------------------------------------------------Sensory/Cutaneous Arm: Superior/Upper Lateral Cut Nerve Axillary Intercostobrachialis nerve Superior Medial portion of arm from lateral cutaneous branch (T-2) Medial Brachial Cut Medial cord Posterior Cut of arm Radial Inferior lateral Cut Radial Forearm Lateral Musculocutaneous Musculo Medial Antebrachial Cut Medial cord Posterior Cut of forearm Radial