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==Structures of the Proximal Forelimb and Shoulder==
 
==Structures of the Proximal Forelimb and Shoulder==
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===Radius and Ulna===
 
===Radius and Ulna===
   −
These are complete bones in the ox but are entirely fused. There is a proximal and distal '''interosseous spac'''e which are the only two places where the shafts are seperated. The ulna's proximal end is caudal to the radius and it's distal end forms the '''lateral styloid process''', distal to the radius and articulating with the ulnar carpal bone.
+
These are complete bones in the ox but are entirely fused. There is a proximal and distal '''interosseous space''' which are the only two places where the shafts are separated. The ulna's proximal end is caudal to the radius and its distal end forms the '''lateral styloid process''', distal to the radius and articulating with the ulnar carpal bone.
    
==Joints of the Proximal Forelimb==
 
==Joints of the Proximal Forelimb==
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===Metacarpal bones===
 
===Metacarpal bones===
   −
These are covered in detail in the [[Bovine Phalanges - Anatomy & Physiology|bovine phalanges]] section.
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These are covered in detail in the [[Bovine Lower Limb - Anatomy & Physiology|bovine lower limb]] section.
    
==Joints of the Distal Forelimb==
 
==Joints of the Distal Forelimb==
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3. The '''carpometacarpal joint''' between the distal carpal bones and the proximal metacarpals.
 
3. The '''carpometacarpal joint''' between the distal carpal bones and the proximal metacarpals.
   −
The joint is a synovial joint, comprised of a common outer fibrous capsule and three inner synovial pouches, one for each joint. '''Collateral ligaments''' extend from the radius to the metacarpal bones on the medial and lateral aspect of the carpus. The carpal canal houses both the deep digital flexor tendon, and the deep branch of the superficial digital flexor.
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The joint is a synovial joint, consisting of a common outer fibrous capsule and three inner synovial pouches, one for each joint. '''Collateral ligaments''' extend from the radius to the metacarpal bones on the medial and lateral aspect of the carpus. The carpal canal houses both the deep digital flexor tendon, and the deep branch of the superficial digital flexor.
    
==Muscles of the Forelimb==
 
==Muscles of the Forelimb==
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These muscle are responsible for joining the forelimb to the trunk, forming a synsarcosis rather than a conventional joint. Collectively, they act to transfer the weight of the body to the forelimbs as well as stabilize the scapula.
 
These muscle are responsible for joining the forelimb to the trunk, forming a synsarcosis rather than a conventional joint. Collectively, they act to transfer the weight of the body to the forelimbs as well as stabilize the scapula.
   −
'''Trapezius''': Accessory n.
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'''''Trapezius''''':
 +
:Innervated by: Accessory n.
 +
:Origin: mid-dorsal raphe and supraspinous ligament.
 +
:Insertion: spine of the scapula.
 +
:Body: two parts, cervical and thoracic separated by aponeurosis.
 +
:Action: raises scapula against the trunk and swings cranially to advance the limb.
   −
Origin: mid-dorsal raphe and supraspinous ligament.
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'''''Brachiocephalic m.''''':
 +
:Innervated by: Accessory n.
 +
:The two parts are separated by the clavicle, where it exists.
 +
:Origin: occipital bone, nuchal ligament and the mastoid process.
 +
:Insertion: deltoid tuberosity and fascia of the limb.
 +
:Actions: advances the limb and extends the shoulder joint when limb is in motion. Draws the head and neck ventrally when the limb is fixed.
   −
Insertion: spine of the scapula.
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'''''Omotransversarius''''':
 +
:Innervated by: Accessory n.
 +
:Origin: transverse processes of the atlas.
 +
:Insertion: acromion and spine of scapula.
 +
:Action: advancing the limb.
   −
Body: two parts, cervical and thoracic separated by aponeurosis.
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'''''Latissimus dorsi''''':  
 +
:Innervated by: local branch of brachial plexus
 +
:The broadest muscle of the back.
 +
:Origin: thoracolumbar fascia.
 +
:Insertion: teres tuberosity of the humerus.
 +
:Actions: antagonist to the brachiocephalic m. The cranial fibers strap the scapula to the chest. It retracts the free limb and flexes shoulder joint. It draws the trunk forward over the fixed limb.
   −
Action: raises scapula against the trunk and swings cranially to advance the limb.
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'''''Pectoral mm.''''':
 +
:Innervated by: brachial plexus
 +
:Two superficial parts, cranial and caudal, these aren't very distinct in the ox.
 +
:Origin: cranial sternum.
 +
:Insertion:
 +
::cranial ('''descending'''), crest of the humerus distal to the deltoid tuberosity.
 +
::caudal ('''transverse'''): covers elbow joint to insert on the medial fascia of the forearm.
 +
:Action: adduct the forelimb and assist in protraction and retraction.  
   −
'''Brachiocephalic m.''': Accessory n.
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'''''Serratis ventralis''''':  
 +
:Innervated by: branch of the brachial plexus.
 +
:Origin: C4 to 10th rib.
 +
:Insertion: medial scapula and scapular cartilage.
 +
:Action: supporting the weight of the trunk. It is reinforced by strong fascia. The cervical portion can retract the limb and the caudal portion can advance the limb.
   −
The two parts are separated by the clavicle, where it exists.
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'''''Rhomboids''''':
 +
:Innervated by: brachial plexus
 +
:Origin: nuchal ligament.
 +
:Insertion: dorsal border and adjacent scapula.
 +
:Action: retracting the limb, may also raise the limb.
   −
Origin: occipital bone, nuchal ligament and the mastoid process.
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===Intrinsic Musculature===
 +
==Muscles of the Shoulder==
   −
Insertion: deltoid tuberosity and fascia of the limb.
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These muscles are grouped:
   −
Actions: advances the limb and extends the shoulder joint when limb is in motion. Draws the head and neck ventrally when the limb is fixed.
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===1. Lateral===
   −
'''Omotransversarius''': Accessory n.
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'''''Supraspinatus''''' and '''''Infraspinatus''''':
 +
:Innervated by: Suprascapular n. of the brachial plexus.
 +
:Origin: the fossae of the scapula.
 +
:Insertion: both tubercles of the humerus.
 +
:Action: brace the shoulder.
 +
:Clinical significance: bursa between the tendon of the infraspinatus and lateral tubercle of the humerus can be the site of inflammation.
   −
Origin: transverse processes of the atlas.
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===2. Medial===
   −
Insertion: acromion and spine of scapula.
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'''''Supscapularis''''':
 +
:Innervated by: Subscapular n. from the brachial plexus.
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:Origin: Deep surface of the scapula.
 +
:Insertion: medial tubercle of the humerus.
 +
:Action: braces medial shoulder joint, potential adductor.
   −
Action: advancing the limb.
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'''''Coracobrachialis''''':
 +
:Innervated by: Musculocutaneous n. of the brachial plexus.
 +
:Origin: medial supraglenoid tubercle.
 +
:Insertion: proximal shaft of the humerus.
 +
:Action: fixator.
   −
'''Latissimus dorsi''': local branch of brachial plexus
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===3. Caudal (Flexors)===
   −
The broadest muscle of the back.
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'''''Deltoids''''':
 +
:Innervated by: Axillary n. of the brachial plexus.
 +
:Origin: Two heads of origin; the caudal border and spine of the scapula and the acromion.
 +
:Insertion: deltoid tuberosity on the humerus.
 +
:Action: Flexor of Shoulder.
   −
Origin: thoracolumbar fascia.  
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'''''Teres Major''''':
 +
:Innervated by: Axillary n. of the brachial plexus.
 +
:Origin: dorsal part of the caudal scapula.
 +
:Insertion: teres tuberosity midway down humerus.
   −
Insertion: teres tuberosity of the humerus.
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'''''Teres Minor''''':  
 +
:Innervated by: Axillary n. of the brachial plexus.
   −
Actions: antagonist to the brachiocephalic m. The cranial fibers strap the scapula to the chest. It retracts the free limb and flexes shoulder joint. It draws the trunk forward over the fixed limb.
     −
'''Pectoral mm.''': brachial plexus
     −
Two superficial parts, cranial and caudal, these aren't very distinct in the ox.
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There are no defined extensors of the shoulder. Those involved (brachiocephalic m., biceps brachii, supraspinatus, and ascending pectorals) have other, more primary roles.
   −
Origin: cranial sternum.
     −
Insertion:
  −
1. cranial ('''descending'''), crest of the humerus distal to the deltoid tuberosity.
  −
2. caudal ('''transverse'''): covers elbow joint to insert on the medial fascia of the forearm.
     −
Action: adduct the forelimb and assist in protraction and retraction.
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==Muscles of the Elbow==
   −
'''Serratis ventralis''': branch of the brachial plexus.
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===Extensors===
   −
Origin: C4 to 10th rib.
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'''''Triceps brachii''''':  
 +
:Innervated by: Radial n. from the brachial plexus
 +
:Has three heads, the medial branch is the most developed. The long head is at the caudal margin of the scapula; The lateral, medial, and accessory heads are at the shaft of the humerus.
 +
:Insertion: olecranon, proteced by tricipital bursa against the bone and subcutaneous bursa against the skin.
   −
Insertion: medial scapula and scapular cartilage.
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'''''Tensor fasciae antebrachii''''':  
 +
:Innervated by: Radial n. from the brachial plexus.
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:Overlies the triceps extending from the scapula to the olecranon.
   −
Action: supporting the weight of the trunk. It is reinforced by strong fascia. The cervical portion can retract the limb and the caudal portion can advance the limb.
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===Flexors===
   −
'''Rhomboids''': brachial plexus,
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'''''Biceps brachii''''':
 
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:Innervated by:Musculocutaneous n. from the brachial plexus.
Origin: nuchal ligament.
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:Origin: supraglenoid tubercle of the scapula.
 
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:Insertion: medial tuberosity of proximal radius and adjacent ulna. It runs through the intertubercular groove of the humerus.
Insertion: dorsal border and adjacent scapula.
  −
 
  −
Action: retracting the limb, may also raise the limb.
  −
 
  −
===Intrinsic Musculature===
  −
====Muscles of the Shoulder====
  −
 
  −
These muscles are grouped:
     −
==1. Lateral==
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'''''Brachialis''''':
 +
:Innervated by: Musculocutaneous n. from the brachial plexus.
 +
:Origin: proximocaudal humerus.
 +
:Insertion: spirals to insert next to biceps.
   −
'''Supraspinatus ''' and '''Infraspinatus''': Suprascapular n. of the brachial plexus.
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==Muscles of the Carpal and Digital Joints==
   −
Origin: the fossae of the scapula.
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===Extensors===
   −
Insertion: both tubercles of the humerus.
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All have innervation from the radial n. from the brachial plexus. They have a craniolateral position on the forearm and almost all of them originate from the lateral epicondyle of the humerus.
   −
Action: brace the shoulder.
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'''''Extensor carpi radialis'''''
 +
:The most medial, inserts on 2nd/3rd metacarpal bone.
 
   
 
   
Clinical significance: bursa between the tendon of the infraspinatus and lateral tubercle of the humerus can be the site of inflammation.
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'''''Ulnaris lateralis'''''
 +
:The most lateral, inserts on accessory carpal bone.
   −
==2. Medial==
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'''''Extensor carpi obliquus''''' (aka- abductor pollicis longus)
 +
:Origin: cranial radius.
 +
:Insertion: most medial metacarpal bone .
   −
'''Supscapularis''': Subscapular n. from the brachial plexus.
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'''''Common Digital Extensor'''''
 +
:Insertion: extensor process of the distal phalanx of each digit.
   −
Origin: Deep surface of the scapula.
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'''''Lateral Digital Extensor'''''
 +
:Insertion: dorsal proximal phalanges.
   −
Insertion: medial tubercle of the humerus.
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'''''Medial Digital Extensor'''''
 +
:Insertion: middle and distal phalanges.
   −
Action: braces medial shoulder joint, potential adductor.
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===Flexors===
   −
'''Coracobrachialis''': Musculocutaneous n. of the brachial plexus.
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All innervated by the median or ulnar n. of the brachial plexus. Have a caudal position on the forearm and originate from the caudal medial epicondyle of the humerus.
   −
Origin: medial supraglenoid tubercle.
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'''''Flexor carpi radialis'''''
 +
:The most medial, inserts on upper 2nd/3rd metacarpal bone.
   −
Insertion: proximal shaft of the humerus.
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'''''Flexor carpi ulnaris'''''
 +
:The most lateral, inserts on the accessory carpal bone.
   −
Action: fixator.
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'''''Superficial Digital Flexor'''''
 +
:Insertion: palmar surface of middle phalanges.
   −
==3. Caudal (Flexors)==
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'''''Deep Digital Flexor'''''
 +
:Passes through carpal canal before branching and continues to palmar distal phalanges.
   −
'''Deltoids''': Axillary n. of the brachial plexus.
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'''''Interosseus muscles'''''
 +
:This is covered in more detail in the [[Bovine Lower Limb - Anatomy & Physiology|bovine lower limb]] section.
   −
Origin: Two heads of origin; the caudal border and spine of the scapula and the acromion.
+
==Vasculature of the Forelimb==
 
  −
Insertion: deltoid tuberosity on the humerus.
  −
 
  −
Action: Flexor of Shoulder.
     −
'''Teres Major''': Axillary n. of the brachial plexus.
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Click here for information on:  
   −
Origin: dorsal part of the caudal scapula.
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'''[[Arteries of the Forelimb - Anatomy & Physiology|Arteries of the Forelimb]]'''
  −
Insertion: teres tuberosity midway down humerus.
     −
'''Teres Minor''': Axillary n. of the brachial plexus.
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'''[[Veins of the Forelimb - Anatomy & Physiology|Veins of the Forelimb]]'''
   −
There are no defined extensors of the shoulder. Those involved (brachiocephalic m., biceps brachii, supraspinatus, and ascending pectorals) have other, more primary roles.
+
'''[[Lymphatics of the Forelimb - Anatomy & Physiology|Lymphatics of the Forelimb]]'''
   −
====Muscles of the Elbow====
  −
''Extensors'': Radial n. from the brachial plexus
  −
*'''Triceps brachii''': Three heads,the medial branch is the most developed
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**Long head: caudal margin of the scapula
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**Lateral, medial, and accessory heads: shaft of the humerus
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**Insertion: olecranon, proteced by tricipital bursa against the bone and subcutaneous bursa against the skin
  −
*'''Tensor fasciae antebrachii'''
  −
**Overlies triceps extending from scapula to olecranon
      +
==Webinars==
 +
<rss max="10" highlight="bovine lameness arthritis feet">https://www.thewebinarvet.com/orthopaedics/webinars/feed</rss>
   −
''Flexors'': Musculocutaneous n. from the brachial plexus
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[[Category:Musculoskeletal System - Anatomy & Physiology]][[Category:Musculoskeletal Anatomy - Cattle]]
*'''Biceps brachii'''
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[[Category:A&P Done]]
**Origin: supraglenoid tubercle of the scapula
  −
**Insertion: medial tuberosity of proximal radius and adjacent ulna
  −
**Runs through the intertubercular groove of the humerus
  −
*'''Brachialis'''
  −
**Origin: proximocaudal humerus
  −
**Insertion: spirals to insert next to biceps
  −
 
  −
====Muscles of the Carpal and Digital Joints====
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''Extensors'': Radial n. from the brachial plexus
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*Craniolateral position on the forearm
  −
*Almost all originate from the lateral epicondyle of the humerus
  −
*'''Extensor carpi radialis''': most medial, inserts on 2nd/3rd metacarpal bone
  −
*'''Ulnaris lateralis''': most lateral, inserts on accessory carpal bone
  −
*'''Extensor carpi obliquus''': aka '''abductor pollicis longus'''
  −
**Origin: cranial radius
  −
**Insertion: most medial metacarpal bone
  −
*Last two may also serve in medial deviation of the foot
  −
*'''Common Digital Extensor'''
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**Insertion: extensor process of the distal phalanx of each digit
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*'''Lateral Digital Extensor'''
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**Insertion: dorsal proximal phalanges
  −
*'''Medial Digital Extensor'''
  −
**Insertion: middle and distal phalanges
  −
 
  −
''Flexors'': Median or Ulnar n. of the brachial plexus
  −
*Caudal position on the forearm
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*Originate from the caudal medial epicondyle of the humerus
  −
*'''Flexor carpi radialis''': most medial, inserts on upper 2nd/3rd metacarpal bone
  −
*'''Flexor carpi ulnaris''': most lateral, inserts on the accessory carpal bone
  −
*'''Superficial Digital Flexor'''
  −
**Insertion: palmar surface of middle phalanges
  −
*'''Deep Digital Flexor'''
  −
**Passes through carpal canal before branching and continues to palmar distal phalanges
  −
 
  −
''Interosseus muscles''
  −
*This is covered in more detail in the [[Bovine Phalanges - Anatomy & Physiology|bovine phalanges]] section.
  −
 
  −
==Vasculature of the Forelimb==
  −
*'''[[Arteries of the Forelimb - Anatomy & Physiology|Arteries of the Forelimb]]'''
  −
*'''[[Veins of the Forelimb - Anatomy & Physiology|Veins of the Forelimb]]'''
  −
*'''[[Lymphatics of the Forelimb - Anatomy & Physiology|Lymphatics of the Forelimb]]'''
  −
 
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[[Category:Musculoskeletal System - Anatomy & Physiology]]
  −
[[Category:To Do - A&P]]
 

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