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Department of Neuroscience: Human Structure Module
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  9. Bones of the Upper Limb

Bones of the Upper Limb

Listed in Proximal to Distal Order

BoneStructureDescriptionNotes
clavicle an "S" shaped bone located between the sternum and the scapulait articulates medially with the manubrium of the sternum and laterally
with the acromion process of the scapula; it forms a strut that supports the
upper limb; it is frequently fractured; it is the first bone to begin ossification
during development
 sternal extremitythe thickened proximal end of the clavicleit is triangular in cross-section; it articulates with the clavicular notch
of the sternum through a synovial joint with two joint cavities separated by
an articular disk; the sternoclavicular joint has the action of a ball and
socket joint, but not the physical shape of one
 acromial extremitythe flattened lateral end of the clavicleit is marked on its inferior surface at the junction of the medial 2/3 and
the lateral 1/3 by a roughened area for attachment of the coracoclavicular
ligament; it articulates with the coracoid process of the scapula through a
syndesmosis; it articulates with the acromion process of the scapula through
a synovial joint; due to the shape of the distal clavicle, the acromion process
passes inferior to the clavicle in acromioclavicular dislocations
scapula the bone of the shoulderthe scapula floats in a sea of muscles, so it is difficult to fracture;
it articulates with only one bone - the clavicle at the coracoclavicular and
acromioclavicular joints
superior borderthe superior edge of the scapulathe superior border of the scapula is marked by the scapular notch laterally
medial borderthe border of the scapula that runs from the superior angle to the inferior
angle
it is an important site of muscle attachments for the intermediate layer
of back muscles
superior anglethe angle of the scapula formed at the union of the superior and medial
borders
it is the attachment site for the levator scapulae m.
lateral borderthe portion of the scapula that runs inferomedially from the infraglenoid
tubercle to the inferior angle
it is an important site of muscle attachments for the teres major m., teres
minor m. and the long head of the triceps brachii m.; it has a groove for passage
of the circumflex scapular a.
inferior anglethe angle of the scapula formed by the union of the medial and lateral bordersthe inferior angle of the scapula often has a slip of origin of the latissimus
dorsi attached to it
glenoid cavitythe articular surface located at the junction of the superior and lateral
borders of the scapula
it articulates with the head of the humerus; it is deepened by a fibrocartilaginous
rim called the glenoid labrum
supraglenoid tuberclea projection of bone located superior to the glenoid cavityit is the attachment site for the tendon of the long head of the biceps
brachii m.
infraglenoid tuberclea projection of bone located inferior to the glenoid cavityit is the attachment site of the tendon o of the long head of the triceps
brachii m.
spinea heavy ridge that runs from the medial border of the scapula to the acromion
process
it supports the acromion process; it divides the posterior surface of the
scapula into a supraspinatous fossa and an infraspinatous fossa
scapular notcha notch on the superior border of the scapula located medial to the attachment
of the coracoid process
it is bridged by the superior transverse scapular ligament; the suprascapular
a. passes superior to the superior transverse scapular ligament and the suprascapular
n. passes inferior to it (Army goes over the bridge, Navy goes
under the bridge)
coracoid processa beak-like process that projects anteriorly from the lateral end of the
superior border of the scapula
it is the attachment site for the short head of the biceps brachii m., the
coracobrachialis m., the pectoralis minor m. and the coracoacromial and coracoclavicular
ligaments
acromiona broad, flat process located at the lateral end of the scapular spine it articulates with the clavicle through a synovial joint (acromioclavicular
joint)
supraspinatous fossaa broad depression located superior to the spine of the scapula it is the site of origin of the supraspinatus m.
infraspinatous fossaa broad depression located inferior to the spine of the scapulait is the site of origin of the infraspinatus m.
humerus the bone of the arm (brachium)the humerus articulates proximally with the scapula at the glenoid fossa;
it articulates distally with the radius and ulna at the elbow joint
headthe smooth, rounded proximal end of the ulnait articulates with the glenoid cavity of the scapula to form the shoulder
joint
anatomical neckthe constricted region located inferolateral to the headit is located at the circumference of the smooth articular surface of the
head
surgical neckthe proximal part of the shaft of the humerusit is located inferior to the greater and lesser tubercles; it is a site
of frequent fracture; fractures of the surgical neck of the humerus endanger
the axillary n. and the posterior circumflex humeral a.
greater tuberclethe large projection located lateral to the head of the humerus it is the attachment site of the supraspinatus, infraspinatus & teres minor
mm.
lesser tuberclethe projection located lateral to the head of the humerus on the anterior
surface
it is the insertion site of the subscapularis m.
intertubercular groovethe groove on the anterior surface of the humerus that is located between
the crest of the greater tubercle and the crest of the lesser tubercle
it is occupied by the tendon of the long head of the biceps brachii m.;
the transverse humeral ligament spans the intertubercular groove and holds
the biceps tendon in place; it is the attachment site for the tendon of the
pectoralis major (lateral lip), teres major (medial lip), and latissimus dorsi
(floor)
crest of the greater tuberclethe ridge of bone on the anterior surface of the humerus extending inferiorly
from the greater tubercle
it forms the lateral lip of the intertubercular groove; it is the attachment
site for the transverse humeral ligament and the pectoralis major m.
crest of the lesser tuberclethe ridge of bone on the anterior surface of the humerus extending inferiorly
from the lesser tubercle
it forms the medial lip of the intertubercular groove; it is the attachment
site for the transverse humeral ligament and the teres major m.
deltoid tuberositythe roughened process on the lateral surface of the mid-shaft of the humerusit is the insertion site of the deltoid m.
radial groovethe groove that spirals around the posterior surface of the shaft of the
humerus
it is a depression for the radial n. and the deep brachial vessels; fracture
of the humerus at mid-shaft can injure the radial nerve and deep brachial vessels
because they are in contact with bone at this location
medial supracondylar ridgea narrow ridge running proximally from the medial epicondyle of the humerusthe pronator teres m. takes origin from the common flexor tendon near the
most inferior part of the medial supracondylar ridge
lateral supracondylar ridgea narrow ridge running proximally from the lateral epicondyle of the humerusit is the site of origin of the brachioradialis m. and the extensor carpi
radialis longus m.
lateral epicondylea knob-like projection on the lateral side of the humerus proximal to the
capitulum
it is the site of attachment of the common extensor tendon which is the
origin of several forearm extensor muscles (extensor carpi radialis brevis
m., extensor digitorum m., extensor digiti minimi m., extensor carpi ulnaris
m. and supinator m.); inflammation of the attachment of the common extensor
tendon is called lateral epicondylitis which is also known as "tennis
elbow"
medial epicondylea knob-like projection on the medial side of the humerus proximal to the
trochlea
it is the attachment site of the common flexor tendon which is the origin
for the superficial group of forearm flexor muscles (pronator teres m., flexor
carpi radialis m., palmaris longus m., flexor carpi ulnaris m. and flexor digitorum
superficialis m.); inflammation of the attachment of the common flexor tendon
is called medial epicondylitis which is also known as "tennis elbow";
the ulnar nerve is in contact with bone as it courses posterior to the medial
epicondyle where it is susceptible to injury from blunt trauma or fracture
coronoid fossathe depression on the anterior surface of the humerus located proximal to
the trochlea near the elbow
it accommodates the coronoid process of ulna when the elbow is flexed
radial fossathe depression on the anterior surface of the humerus located proximal to
the capitulum near the elbow
it accommodates the head of the radius when the elbow is flexed
olecranon fossathe depression on the posterior surface of the humerus located just proximal
to the elbow
it accommodates the olecranon process of the ulna when the elbow is extended
capitulumthe rounded process that caps the distal end of the lateral condyle of the
humerus
it articulates with the head of the radius; capitulum means "little
head"
trochleathe grooved process that caps the distal end of the medial condyle of the
humerus
it articulates with the trochlear notch of the ulna; the shape of the trochlea
and the trochlear notch limits side-to-side movement and guarantees a hinge
action; trochlea means "pulley"
ulna the bone on the medial side of the forearm (antebrachium)the ulna articulates proximally with the trochlea of the humerus and the
head of the radius; it articulates distally with the ulnar notch of the radius
olecranon the proximal end of the ulnait is the insertion site of the tendon of the triceps brachii m.; when the
elbow is extended, the olecranon of the ulna engages the olecranon fossa of
the humerus
trochlear notchthe crescent shaped notch on the anterior surface of the proximal end of
the ulna
it is located between the olecranon and the coronoid process; it articulates
with the trochlea of the humerus; a ridge within the trochlear notch fits into
the groove in the trochlea of the ulna which limits side-to-side movement and
guarantees a hinge action
coronoid processthe anterior projection of bone located distal to the trochlear notchit is the insertion site of the brachialis m.
radial notchthe notch on the lateral surface of the humerus located just distal to the
trochlear notch
it accommodates the head of the radius; the annular ligament of the radius
attaches to the anterior and posterior edges of the radial notch of the ulna
to encircle the head of the radius
bodythe long slender midportion of the ulna it is also called the shaft or diaphysis; the interosseous membrane attaches
to the entire length of the interosseous border of the body of the ulna
headthe distal end of the ulnait is small and rounded for articulation with the radius
styloid processa small projection from the distal surface of the head of the ulna it is the site of attachment of the articular disk of the distal radioulnar
joint
radius the bone on the lateral side of the forearm (antebrachium)the radius pivots on its long axis and crosses the ulna during pronation
headthe rounded proximal end of the radiusit has a smooth, rounded surface for articulation with the ulna; the head
of the radius is encircled by the annular ligament (4/5 of a circle) and the
radial notch of the ulna (1/5 of a circle)
neckthe constricted area of the radius located distal to the headthe annular ligament of the radius surrounds the head of the radius, not
the neck of the radius
radial tuberositya roughened area on the anteromedial surface of the radius located just
distal to the neck
it is the insertion site of the tendon of the biceps brachii m.
bodythe long, slender midportion of the radiusit is also known as the shaft or diaphysis; the interosseous membrane attaches
to the entire length of the body of the radius along its interosseous border;
a fracture of the distal end of the body of the radius with a dorsal displacement
of the distal fragment is quite common and is cal a Colles' fracture
ulnar notcha shallow notch located on the medial surface of the distal end of the radiusit articulates with the head of the ulna
styloid processthe distal-most projection from the lateral side of the radiusthe radial styloid process projects lateral to the proximal row of carpal
bones
carpal bones the bones of the wristeight bones arranged in two rows; a pneumonic for memorizing the carpal
bones is " some lovers try positions that they can't handle" - the
first letters of these eight words are the first letters of the names of the
eight carpal bones arranged from lateral to medial, proximal row first: scaphoid,
lunate, triquitrum, pisiform/trapezium, trapezoid, capitate, hamate
proximal row lateral to medial: scaphoid, lunate, triquetrum, pisiformthe scaphoid and lunate bones of the proximal row articulate with the distal
end of the radius
distal row lateral to medial: trapezium, trapezoid, capitate, hamatethe distal row of carpal bones articulates with the metacarpal bones of
the hand
scaphoid the most lateral carpal bone of the proximal rowthe scaphoid bone is located in the floor of the anatomical snuff box; it
is frequently fractured by hyperextension and abduction of the wrist; scaphoid
means "boat-shaped"
lunate the carpal bone located between the scaphoid and triquetrum in the proximal
row
the lunate is so named because it is "moon-shaped" (crescent shaped)
in longitudinal section; the head of the capitate sits within the crescent
of the lunate
triquetrum the most medial bone in the proximal row of carpal bonesit articulates with the pisiform which sits anterior to it
pisiform a sesamoid bone in the tendon of the flexor carpi ulnaris m.it articulates with the um; the pisiform bone provides a protective
function for the flexor carpi ulnaris tendon by bearing the forces generated
by the tendon riding across the triquitrum, especially during wrist extension;
pisiform means "pea-shaped"
trapezium the most lateral carpal bone of the distal rowit forms a saddle joint with the metacarpal bone of the thumb; "the
thumb swings on the trapezium"
trapezoid the carpal bone located between the trapezium and the capitate in the distal
row
the trapezoid is named for its trapezoid shape
capitate the carpal bone located between the trapezoid and the hamate in the distal
carpal row
the capitate is the largest carpal bone; it is named for its rounded head;
forces generated in the hand (as during a punching blow with the fist) are
transmitted through the third metacarpal bone to the capitate and proximally
through the lunate to the radius
hamate the most medial carpal bone in the distal row the hamulus (hook) of the hamate is its distinguishing characteristic;
it is an attachment point of the flexor retinaculum
metacarpal bones the bones located between the carpal bones and the phalanges of the hand
there are a total of five metacarpal bones in the hand; the metacarpals
of the four fingers are bound together by ligaments to form a firm foundation
for finger movements; the metacarpal of the thumb is more independent in its
range of motion
basethe proximal end of the metacarpalit articulates with the distal row of carpal bones
bodythe slender shaft of the metacarpalit is also known as the diaphysis
headthe rounded distal end of the metacarpalit articulates with the proximal phalanx of the corresponding digit
phalanx (phalanges) the distal two or three bones in the digits of the handthere are a total of 14 phalanges in the hand; the thumb has two phalanges
(proximal and distal) and each finger has three phalanges (proximal, middle
and distal); phalanx means "line of soldiers"
basethe proximal end of the phalanxthe base of the proximal phalanx articulates with the head of the corresponding
metacarpal bone; the base of the middle or distal phalanx articulates with
the head of the next most proximal phalanx
bodythe slender shaft of the phalanxalso known as the diaphysis; the body of the distal phalanx is very short
headthe distal end of the phalanxthe proximal, middle and distal phalanges each have a head; the head of
a proximal or middle phalanx articulates with the base of the next most distal
phalanx
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