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Sample Chapter 10 from the Textbook (35559.0K) - McGraw-Hill

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344 PART 2 Support and Movement<br />

Table <strong>10</strong>.17 Muscles of <strong>the</strong> Forearm Acting on <strong>the</strong> Wrist, Hand, and Fingers (see figures <strong>10</strong>.25 and <strong>10</strong>.26)<br />

Muscle Origin Insertion Nerve Action<br />

Anterior Forearm<br />

Flexor carpi radialis<br />

(kar′pī rā-dē-ā′lis)<br />

Flexor carpi ulnaris<br />

(kar′pī ŭl-nā′ris)<br />

Flexor digitorum profundus<br />

(dij′i-tōr′ŭm prō-fŭn′dŭs)<br />

Flexor digitorum superficialis<br />

(dij′i-tōr′ŭm soo′per-fish-ē-ā′lis)<br />

Flexor pollicis longus<br />

(pol′i-sis lon′gŭs)<br />

Palmaris longus<br />

(pawl-mār′is lon′gŭs)<br />

Posterior Forearm<br />

Abductor pollicis longus<br />

(pol′i-sis lon′gŭs)<br />

Extensor carpi radialis brevis<br />

(kar′pī rā-dē-ā′lis brev′is)<br />

Extensor carpi radialis longus<br />

(kar′pī rā-dē-ā′lis lon′gus)<br />

Extensor carpi ulnaris<br />

(kar′pī ŭl-nā′ris)<br />

Extensor digiti minimi<br />

(dij′i-tī min′i-mī )<br />

Extensor digitorum<br />

(dij′i-tōr′ŭm)<br />

Medial epicondyle of<br />

humerus<br />

Medial epicondyle of<br />

humerus and ulna<br />

Second and third metacarpal<br />

bones<br />

Pisiform, hamate, and fifth<br />

metacarpal bones<br />

Median<br />

Ulnar<br />

Ulna Distal phalanges of digits 2–5 Ulnar and<br />

median<br />

Medial epicondyle of<br />

humerus, coronoid<br />

process, and radius<br />

Flexes and abducts wrist<br />

Flexes and adducts wrist<br />

Flexes fingers at metacarpophalangeal<br />

joints and interphalangeal joints<br />

and wrist<br />

Middle phalanges of digits 2–5 Median Flexes fingers at interphalangeal joints<br />

and wrist<br />

Radius Distal phalanx of thumb Median Flexes thumb<br />

Medial epicondyle<br />

of humerus<br />

Posterior ulna and<br />

radius and interosseous<br />

membrane<br />

Lateral epicondyle<br />

of humerus<br />

Lateral supracondylar<br />

ridge of humerus<br />

Lateral epicondyle<br />

of humerus and ulna<br />

Lateral epicondyle<br />

of humerus<br />

Lateral epicondyle<br />

of humerus<br />

Palmar fascia Median Tenses palmar fascia; flexes wrist<br />

Base of first metacarpal bone Radial Abducts and extends thumb;<br />

abducts wrist<br />

Base of third metacarpal bone Radial Extends and abducts wrist<br />

Base of second metacarpal bone Radial Extends and abducts wrist<br />

Base of fifth metacarpal bone Radial Extends and adducts wrist<br />

Phalanges of digit 5 Radial Extends little finger and wrist<br />

Extensor tendon expansion<br />

over phalanges of digits 2–5<br />

Extensor indicis (in′di-sis) Ulna Extensor tendon expansion<br />

over digit 2<br />

Extensor pollicis brevis<br />

(pol′i-sis brev′is)<br />

Extensor pollicis longus<br />

(pol′i-sis lon′gŭs)<br />

Radial<br />

Radial<br />

Extends fingers and wrist<br />

Extends forefinger and wrist<br />

Radius Proximal phalanx of thumb Radial Extends and abducts thumb;<br />

abducts wrist<br />

Ulna Distal phalanx of thumb Radial Extends thumb<br />

Intrinsic Hand Muscles<br />

The intrinsic hand muscles are entirely within <strong>the</strong> hand<br />

(table <strong>10</strong>.18; figure <strong>10</strong>.27). Abduction of <strong>the</strong> fingers is accomplished<br />

by <strong>the</strong> dorsal interossei (in′ter-os′e-ī) and <strong>the</strong> abductor digiti<br />

minimi, whereas adduction is a function of <strong>the</strong> palmar interossei.<br />

The flexor pollicis brevis, <strong>the</strong> abductor pollicis brevis, and<br />

<strong>the</strong> opponens pollicis form a fleshy prominence at <strong>the</strong> base of <strong>the</strong><br />

thumb called <strong>the</strong> <strong>the</strong>nar (thē′nar) eminence (figure <strong>10</strong>.27a). The<br />

abductor digiti minimi, flexor digiti minimi brevis, and opponens<br />

digiti minimi constitute <strong>the</strong> hypo<strong>the</strong>nar eminence on <strong>the</strong> ulnar<br />

side of <strong>the</strong> hand (figure <strong>10</strong>.27c). The <strong>the</strong>nar and hypo<strong>the</strong>nar muscles<br />

are involved in controlling <strong>the</strong> thumb and little finger.<br />

ASSESS YOUR PROGRESS<br />

22. Name <strong>the</strong> seven muscles that attach <strong>the</strong> scapula to <strong>the</strong> thorax.<br />

What muscles attach <strong>the</strong> arm to <strong>the</strong> thorax?<br />

23. List <strong>the</strong> muscles forming <strong>the</strong> rotator cuff, and describe <strong>the</strong>ir function.<br />

24. What muscles cause flexion and extension of <strong>the</strong> shoulder?<br />

Adduction and abduction of <strong>the</strong> arm? What muscle abducts<br />

<strong>the</strong> arm to 90 degrees? Above 90 degrees?<br />

25. What muscles cause rotation of <strong>the</strong> arm?<br />

26. List <strong>the</strong> muscles that cause flexion and extension of <strong>the</strong> elbow.<br />

Where are <strong>the</strong>se muscles located?<br />

27. What muscles produce supination and pronation of <strong>the</strong><br />

forearm? Where are <strong>the</strong>se muscles located?<br />

28. Describe <strong>the</strong> muscle groups that cause flexion and extension<br />

of <strong>the</strong> wrist.

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