The biggest bother for me has been the brachioradialis. When the forearm is pronated but the brachioradialis is relaxed, the muscle seems to fold in a bizarre fashion that threw me until I revisited Eliot Goldfinger's book. This muscle will take some getting used to, but I think I have the rest of the arm pretty well memorized. Once I focused my attention to the influence that epicondyles had on the behavior of flexors and extensors, everything clicked. But when I attempted to show this visually by drawing it, I decided it would be clearer to simply describe the origins and insertions with text. So, below is a short list of what I now know about the surface muscles of the arm. I'll be referring back to this list for future figures, but I consider my study of the shoulder and elbow to be more-or-less complete. What remains is to work the knowledge into future figures so that I truly understand how these muscles move.
For the next week, I'll study the hand and try to memorize the names of the mess of flexors and extensors in the forearm.
Scapula
Height = Half the height of head.
Width = Approximately width of head.
Supraspinatus (Deep) originates on
medial edge of scapula above spine of scapula and inserts through acromion
process onto top of head of humerus.
Infraspinatus originates below spine of
scapula on media edge down to Teres Major and inserts onto head of humerus.
Teres Minor originates between
Infraspinatus and Teres Major on lateral edge of scapula and inserts onto head
of humerus, below Infraspinatus.
Teres Major originates on medial end of
bottom of scapula and inserts onto opposite side of humerus (~1/4 way down).
Humerus
Length = Height of head.
Deltoid -- Posterior origins start at edge
of Trapezius (~1/8 way down spine of scapula), Acromial origins wrap across
acromial process, Anterior origins end 1/3 of way across clavicle. Each inserts
onto deltoid tuberosity (opposite radial groove).
Triceps -- Lateral and Medial heads
originate ~1/6 of way down humerus, Long head originates from lateral edge of
scapula, next to Teres Minor. Each inserts onto olecranon process (elbow).
Triceps tendon starts ~1/3 way down humerus, creating noticeable flat indentation
down to elbow when strained.
Biceps -- Both originate from coracoid
process and insert onto radial tuberosity (just past head of radius). Long head
originates through intertubercular groove.
Coracobrachialis originates from coracoid
process and inserts into radial groove (opposite deltoid tuberosity, 1/2 way down
humerus).
Brachialis originates 1/2 way down
anterior humerus, just below deltoid tuberosity), and inserts just past
olecranon process onto ulna.
Pronator Teres originates from medial
epicondyle of humerus and inserts 1/2 way down radius. Twisting of forearm
strains Pronator Teres, which in turn pulls on Bicipital Aponeurosis
(stretching biceps).
Ulna
Length = Height of head.
Shape = Slight S-curve
Does not rotate.
Compresses muscles during extreme
flexion of forearm.
Radius
Length = Height of head.
Shape = Slight C-curve
Rotates around ulna.
Brachioradialis + Extensor Carpi
Radialis Longus both originate from lateral epicondyle of humerus to ~1/4 up
humerus, between triceps and brachialis. Bracioradials inserts onto radial styloid process. Radialis Longus inserts onto posterior side of index metacarpal.
Flexor group (fingers) originates from
medial epicondyle of humerus and inserts onto styloid process of ulna across
onto posterior center of wrist.
Extensor group (fingers) originates from
lateral epicondyle of humerus and inserts onto styloid process of radius across
anterior wrist onto styloid process of ulna.
(Both epicondyles of humerus pull groups upon flexion and push groups upon extension of
forearm.)
Abductor Pollicis Longus and Brevis
originate 1/2 of way up radius (spanning 1/3 of radius) and insert past head of
ulna onto end of thumb.
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