Difference between revisions of "Canine Forelimb - Anatomy & Physiology"

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==Structures of the Proximal Forelimb and Shoulder==
 
==Structures of the Proximal Forelimb and Shoulder==
  
 
===[[Forelimb - Anatomy & Physiology#Scapula|Scapula]]===
 
===[[Forelimb - Anatomy & Physiology#Scapula|Scapula]]===
  
The Scapula forms the basis of the shoulder region, providing points of attachment of extrinsic and intrinsic muscles. It is held in place by a synsarcosis of muscles and does not form a conventional articulation with the trunk.
+
The Scapula forms the basis of the shoulder region, providing points of attachment of extrinsic and intrinsic muscles. It is held in place by a synsarcosis of muscles and does not form a conventional articulation with the trunk. The spine culminates in the '''acromion'''. The scapular cartilage is comprised of only a very narrow rim.
*The spine culminates in the '''acromion'''.
 
*The articular surface of the glenoid cavity and continues round onto the supraglenoid tubercle.
 
*The scapular cartilage is comprised of only a very narrow rim.
 
  
 
===[[Forelimb - Anatomy & Physiology#Clavicle|Clavicle]]===
 
===[[Forelimb - Anatomy & Physiology#Clavicle|Clavicle]]===
Line 16: Line 12:
 
===[[Forelimb - Anatomy & Physiology#Humerus|Humerus]]===
 
===[[Forelimb - Anatomy & Physiology#Humerus|Humerus]]===
  
The Humerus is the long bone of the forearm, articulating with the scapula to form the shoulder and the radius and ulna to form the elbow. In situ, it lies obliquely along the ventral thorax and is more horizontal in larger species.
+
The Humerus is the long bone of the forearm, articulating with the scapula to form the shoulder and the radius and ulna to form the elbow. In situ, it lies obliquely along the ventral thorax and is more horizontal in larger species. The greater tubercle is not separated into two parts like in other species. In dogs and cats, it articulates with the ulna medially via a '''trochlea''' and the radius laterally via a '''capitulum'''.
 
 
*The greater tubercle is not seperated into two parts like in other species
 
*In dogs and cats, it articulates with the ulna medially via a trochlea and the radius laterally via a '''capitulum'''
 
  
 
===[[Forelimb - Anatomy & Physiology#Radius|Radius]]===
 
===[[Forelimb - Anatomy & Physiology#Radius|Radius]]===
  
*A radial tuberosity provides a site of attachment for brachialis and biceps brachii. This roughened area is very variable in size in dogs and can be non-exsistent.
+
A radial tuberosity provides a site of attachment for brachialis and biceps brachii mm. This roughened area is very variable in size in dogs and can be non-existent.
  
 
===[[Forelimb - Anatomy & Physiology#Ulna|Ulna]]===
 
===[[Forelimb - Anatomy & Physiology#Ulna|Ulna]]===
  
*The ulna shaft tapers distally, lying oblique to the radius, i.e. the proximal end lies medial and the distal end lateral to the radius.
+
The ulna shaft tapers distally, lying oblique to the radius, i.e. the proximal end lies medial and the distal end lateral to the radius. There is a distinct gap between it and the radius, which is filled by the pronator quadratus muscle. The distal styloid process is blunt and articulates with the ulnar carpal bone, accessory carpal bone and ulnar notch of the radius.
*There is a distinct gap between it and the radius, which is filled by the pronator quadratus muscle.
 
*The distal styloid process is blunt and articulates with the ulnar carpal bone, accessory carpal bone and ulnar notch of the radius.
 
  
 
==Joints of the Proximal Forelimb==
 
==Joints of the Proximal Forelimb==
 
===[[Forelimb - Anatomy & Physiology#Shoulder Joint|Shoulder Joint]]===
 
===[[Forelimb - Anatomy & Physiology#Shoulder Joint|Shoulder Joint]]===
  
*The joint capsule barely extends past the areas of articulation, except where it continues distally into the intertubercular groove of the humerus. This provides cushioning and synovial support for the bicipital tendon.
+
The joint capsule barely extends past the areas of articulation, except where it continues distally into the intertubercular groove of the humerus. This provides cushioning and synovial support for the bicipital tendon. The bicipital tendon and the joint capsule pouch are held in place by the '''transverse humeral retinaculum''', which lies between the greater and lesser tubercles of the humerus.
*The bicipital tendon and the joint capsule pouch are held in place by the '''transverse humeral retinaculum''', which lies betwwen the greater and lesser tubercles of the humerus.
 
  
 
===[[Forelimb - Anatomy & Physiology#Elbow Joint|Elbow Joint]]===
 
===[[Forelimb - Anatomy & Physiology#Elbow Joint|Elbow Joint]]===
  
*The radius articulates with the capitulum and lateral trochlear surface of the humeral condyle. Whilst the medial part articulates with the trochlear notch of the ulna.
+
The radius articulates with the capitulum and lateral trochlear surface of the humeral condyle. Whilst the medial part articulates with the trochlear notch of the ulna. To allow the radius to rotate slightly the radial head has a marginal band of cartilage making the articular circumference. It faces the radial notch of the ulna between the medial and lateral coronoid processes. The joint capsule runs from just proximal to the articular surface of the condyle of the humerus to the periphery of the olecranon fossa; it pouches between the ulna and radius, and under the tendinous attachments of some muscles.
*To allow the radius to rotate slightly the radial head has a marginal band of cartilage making the articular circumference. It faces the radial notch of the ulna bewteen the medial and lateral coronoid processes.
+
 
*The joint capsule runs from just proximal to the articular surface of the condyle of the humerus to the periphery of the olecranon fossa; it pouches between the ulna and radius, and under the tendinous attachments of some muscles.
+
'''Collateral ligaments''' are paired and lie medially and laterally. They both attach proximally to the epicondyle and distally to the tuberosities of the radius and ulna.  
*'''Collateral ligaments''' - are paired and lie medially and laterally; they both proximally attach to the epicondyle and distally attaches to the tuberosities of the radius and ulna.  
+
 
*'''Annular ligament''' of the radius - attaches to the sides of the coronoid process of the ulna. This runs deep to the collateral ligaments and forms a ring for the radial head to turn in during pronation and supination.  
+
'''Annular ligament''' of the radius attaches to the sides of the coronoid process of the ulna. This runs deep to the collateral ligaments and forms a ring for the radial head to turn in during pronation and supination.  
*The radius and ulna are joined mid-shaft by the '''interosseous ligament'''; the remainder is filled by the interosseous membrane.
+
 
 +
The radius and ulna are joined mid-shaft by the '''interosseous ligament''', the remainder is filled by the interosseous membrane.
  
 
==Structures of the Distal Forelimb==
 
==Structures of the Distal Forelimb==
Line 51: Line 42:
  
 
Carpal bones comprise two rows:
 
Carpal bones comprise two rows:
*Proximally - the radial and intermediate bones are fused to form the '''radial''' carpal bone. The accessory carpal bone articulates with both the ulnar carpal bone and the distal ulna.  
+
 
*Distally -  bones I-IV are present
+
Proximally - the radial and intermediate bones are fused to form the '''radial''' carpal bone. The accessory carpal bone articulates with both the ulnar carpal bone and the distal ulna.  
 +
 
 +
Distally -  bones I-IV are present.
  
 
===[[Forelimb - Anatomy & Physiology#Metacarpal bones|Metacarpal Bones]]===
 
===[[Forelimb - Anatomy & Physiology#Metacarpal bones|Metacarpal Bones]]===
Line 59: Line 52:
  
 
==Joints of the Distal Forelimb==
 
==Joints of the Distal Forelimb==
 +
 
===[[Forelimb - Anatomy & Physiology#Carpal Joint|Carpal Joint]]===
 
===[[Forelimb - Anatomy & Physiology#Carpal Joint|Carpal Joint]]===
  
*The '''synovial membranes''' form three compartments corresponding to each joint. The proximal is the largest whilst the middle carpal and carpometacarpal sacs communicate and extend into the intermetacarpal articulations.
+
The '''synovial membranes''' form three compartments corresponding to each joint. The proximal is the largest whilst the middle carpal and carpometacarpal sacs communicate and extend into the intermetacarpal articulations. The fibrous joint capsule is common to all three joints and attaches to the individual bones and various intercarpal ligaments. The '''extensor retinaculum''' is fibrous collagenous tissue on the dorsal aspect that allows passage of the extensor tendons. On the palmar aspect lies the '''palmar carpal fibrocartilage''', that provides attachment for some metacarpal bones. Paired '''collateral ligaments''' bridge the sides of the three main articulations.  
*The fibrous joint capsule is common to all three joints and attaches to the individual bones and various intercarpal ligaments.
+
 
*The '''extensor retinaculum''' is fibrous collagenous tissue on the dorsal aspect that allows passage of the extensor tendons.
+
The  '''flexor retinaculum''' is the carpal fascia on the palmar aspect, and lies between the accessory carpal bone and the medial aspect of the carpus. This with the joint capsule and medial surface of the accessory carpal bone, makes up the '''carpal canal'''. It houses just the deep digital flexor tendon in the dog. The intermetacarpal joints, are tight joints between the proximal ends of the metacarpals. The joint capsules are continuous with that of the carpal joint. They are held together by the '''interosseous metacarpal ligaments'''.
*On the palmar aspect lies the '''palmar carpal fibrocartilage''' that provides attachment for some metacarpal bones.
 
*Paired '''collateral ligaments''' bridge the sides of the three main articulations.
 
*The  '''flexor retinaculum''' is the carpal fascia on the palmar aspect and lies between the accessory carpal bone and the medial aspect of the carpus. This with the joint capsule and medial surface of the accesory carpal bone makes up the '''carpal canal'''. It houses just the deep digital flexor tendon in the dog.
 
*The intermetacarpal joint are tight joints between the proximal ends of the metacarpals. The joint capsules are continuous with that of the carpal joint. They are hold together by interosseous metacarpal ligaments.
 
  
 
==Muscles of the Forelimb==
 
==Muscles of the Forelimb==
 +
 
===[[Forelimb - Anatomy & Physiology#Extrinsic Musculature|Extrinsic Musculature]]===
 
===[[Forelimb - Anatomy & Physiology#Extrinsic Musculature|Extrinsic Musculature]]===
  
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.
+
'''''Trapezius''''':
*Origin: mid-dorsal raphe and supraspinous ligament
+
:Innervated by: Accessory n.
*Insertion: spine of the scapula
+
:Origin: mid-dorsal raphe and supraspinous ligament
*Body: two parts, cervical and thoracic separated by aponeurosis
+
:Insertion: spine of the scapula
*Action: raises scapula against the trunk and swings cranially to advance the limb
+
:Body: two parts, cervical and thoracic separated by aponeurosis
 +
:Action: raises scapula against the trunk and swings cranially to advance the limb.
  
'''''Brachiocephalic m.''''': Accessory n.
+
'''''Brachiocephalic m.''''':
*Two parts separated by the clavicle  
+
:Innervated by: Accessory n.
*Origin: clavicle  
+
:There are two parts separated by the clavicle.
*Insertion: median raphe of the neck and the occipital bone. The ventral part attaches to the mastoid process
+
:Origin: clavicle
*Actions:  
+
:Insertion: median raphe of the neck and the occipital bone. The ventral part attaches to the mastoid process.
**advances the limb and extends the shoulder joint when limb is in motion
+
:Actions: advances the limb and extends the shoulder joint when the limb is in motion; draws the head and neck ventrally when the limb is fixed.
**draws head and neck ventrally when limb is fixed
 
  
'''''Omotransversarius''''': Accessory n.
+
'''''Omotransversarius''''':
*Origin: transverse processes of the atlas
+
:Innervated by: Accessory n.
*Insertion: acromion and distal spine of the scapula
+
:Origin: transverse processes of the atlas
*Action: advancing the limb
+
:Insertion: acromion and distal spine of the scapula
*Innervation
+
:Action: advancing the limb
  
'''''Latissimus dorsi''''': local branch of brachial plexus
+
'''''Latissimus dorsi''''':
*The '''broadest muscle of the back'''
+
:Innervated by: local branch of brachial plexus
*Origin: thoracolumbar fascia  
+
:It is the broadest muscle of the back.
*Insertion: teres tuberosity of the humerus
+
:Origin: thoracolumbar fascia
*Actions: antagonist to the brachiocephalic m.
+
:Insertion: teres tuberosity of the humerus
**cranial fibers strap scapula to the chest
+
:Actions: antagonist to the brachiocephalic m. It retracts the free limb and flexes the shoulder joint. It also draws the trunk forward over the fixed limb.
**retracts free limb and flexes shoulder joint
 
**draws trunk forward over the fixed limb
 
  
'''''Pectoral mm.''''': brachial plexus
+
'''''Pectoral mm.''''':
*Two superficial parts, cranial and caudal
+
:Innervated by: brachial plexus
**Origin: cranial sternum
+
:Two superficial parts; cranial and caudal
**Insertion:
+
:Origin: cranial sternum
***cranial ('''descending'''): crest of the humerus distal to the deltoid tuberosity
+
:Insertion: Cranial ('''descending'''): crest of the humerus distal to the deltoid tuberosity. Caudal ('''transverse'''): covers the elbow joint to insert on the medial fascia of the forearm.
***caudal ('''transverse'''): covers elbow joint to insert on the medial fascia of the forearm
+
:Action: adduct the forelimb, assist in protraction and retraction.
**Action: adduct the forelimb, assist in protraction and retraction
+
:One deep part ('''pectoralis profundus'''), with cranial and caudal parts.
*One deep part ('''pectoralis profundus'''), with cranial and caudal parts
+
::Origin: ventral sternum and adjacent cartilage
**Origin: ventral sternum and adjacent cartilage
+
::Insertions: Cranial (subclavius): supraspinatus m., Caudal (pectoralis ascendens): lesser tubercle of the humerus.
**Insertions:
+
::Actions: slinging trunk between forelimbs, may also retract free limbs. It draws the trunk forward when the limb is fixed.
***cranial (subclavius): supraspinatus m.
 
***caudal (pectoralis ascendens): lesser tubercle of the humerus
 
**Actions:  
 
***slinging trunk between forelimbs
 
***may also retract free limbs
 
***draw trunk forward when limb is fixed
 
  
'''''Serratis ventralis''''': branch of brachial plexus
+
'''''Serratis ventralis''''':
*Origin: C4 to 10th rib
+
:Innervated by: branch of brachial plexus
*Insertion: medial scapula and scapular cartilage
+
:Origin: C4 to 10th rib
*Action: supporting the weight of the trunk
+
:Insertion: medial scapula and scapular cartilage
**reinforced by strong fascia
+
: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.
**cervical portion can retract the limb
 
**caudal portion can advance the limb
 
  
'''''Rhomboids''''': brachial plexus
+
'''''Rhomboids''''':
*Origin: nuchal ligament, 4th - 6th thoracic spine
+
:Innervated by: brachial plexus
*Insertion: dorsal border and adjacent scapula
+
:Origin: nuchal ligament, 4th - 6th thoracic spine
*Action: retracting the limb, may also raise limb
+
:Insertion: dorsal border and adjacent scapula
 +
:Action: retracting the limb, may also raise limb.
  
 
===[[Forelimb - Anatomy & Physiology#Intrinsic Musculature|Intrinsic Musculature]]===
 
===[[Forelimb - Anatomy & Physiology#Intrinsic Musculature|Intrinsic Musculature]]===
 +
 
====Muscles of the Shoulder====
 
====Muscles of the Shoulder====
 +
 
These muscles are grouped:
 
These muscles are grouped:
*Lateral:'''Supraspinatus ''' and '''Infraspinatus''', Suprascapular n. of the brachial plexus
+
 
**Origin: the fossae of the scapula
+
<u>'''Lateral'''</u>
**Insertion: both tubercles of the humerus
+
 
**Action: brace the shoulder  
+
'''''Supraspinatus''''' and '''''Infraspinatus''''':
**Clinical significance: bursa between the tendon of the infraspinatus and lateral tubercle of the humerus can be the site of inflammation
+
:Innervated by: Suprascapular n. of the brachial plexus
*Medial:
+
:Origin: the fossae of the scapula
**'''Supscapularis''': Subscapular n. from the brachial plexus
+
:Insertion: both tubercles of the humerus
***Origin: Deep surface of the scapula
+
:Action: brace the shoulder
***Insertion: medial tubercle of the humerus
+
:Clinical significance: the bursa between the tendon of the infraspinatus and lateral tubercle of the humerus, can be the site of inflammation.
***Action: braces medial shoulder joint, potential adductor
+
 
**'''Coracobrachialis''': Musculocutaneous n. of the brachial plexus
+
<u>'''Medial'''</u>
***Origin: medial supraglenoid tubercle
+
 
***Insertion: proximal shaft of the humerus
+
'''''Supscapularis''''':
***Action: fixator
+
:Innervated by: Subscapular n. from the brachial plexus
*Caudal (Flexors): Axillary n. of the brachial plexus
+
:Origin: Deep surface of the scapula
**'''Deltoids'''
+
:Insertion: medial tubercle of the humerus
***Origin: acromion, the length of the scapular spine
+
:Action: braces medial shoulder joint, potential adductor
***Insertion: deltoid tuberosity on the humerus, fascia of the lateral arm
+
 
***Action: Flexor of Shoulder, Abductor and outward rotator of the arm
+
'''''Coracobrachialis''''':
**'''Teres Major'''
+
:Innervated by: Musculocutaneous n. of the brachial plexus
***Origin: dorsal part of the caudal scapula  
+
:Origin: medial supraglenoid tubercle
***Insertion: teres tuberosity midway down humerus
+
:Insertion: proximal shaft of the humerus
 +
:Action: fixator
 +
 
 +
<u>'''Caudal (Flexors)'''</u>
 +
 
 +
'''''Deltoids''''':
 +
:Innervated by: Axillary n. of the brachial plexus
 +
:Origin: acromion, the length of the scapular spine
 +
:Insertion: deltoid tuberosity on the humerus, fascia of the lateral arm
 +
:Action: Flexor of Shoulder, Abductor and outward rotator of the arm
 +
 
 +
'''''Teres Major''''':
 +
:Innervated by: Axillary n. of the brachial plexus
 +
:Origin: dorsal part of the caudal scapula
 +
:Insertion: teres tuberosity midway down humerus
  
 
====[[Forelimb - Anatomy & Physiology#Muscles of the Elbow|Muscles of the Elbow]]====
 
====[[Forelimb - Anatomy & Physiology#Muscles of the Elbow|Muscles of the Elbow]]====
''Extensors'': Radial n. from the brachial plexus
 
*'''Triceps brachii''': Has four heads in the dog
 
**Long head: caudal margin of the scapula
 
**Lateral, medial, and accessory heads: shaft of the humerus
 
**Insertion: olecranon, protected by tricipital bursa against the bone and subcutaneous bursa against the skin
 
*'''Tensor fasciae antebrachii'''
 
**Origin: tendon and lateral surface of the latissimus dorsi
 
  
 +
<u>1. '''Extensors''' </u>
 +
 +
'''''Triceps brachii''''':
 +
:Innervated by: Radial n. from the brachial plexus
 +
:Has four heads in the dog
 +
:Origin:
 +
::Long head: From the caudal border of the scapula
 +
::Lateral, medial, and accessory heads: From the shaft of the humerus
 +
:Insertion: olecranon, protected by tricipital bursa against the bone, and subcutaneous bursa against the skin
 +
 +
'''''Tensor fasciae antebrachii''''':
 +
:Innervated by: Radial n. from the brachial plexus
 +
:Origin: tendon and lateral surface of the latissimus dorsi
 +
 +
<u>2. '''Flexors'''</u>
  
''Flexors'': Musculocutaneous n. from the brachial plexus
+
'''''Biceps brachii''''':
*'''Biceps brachii'''
+
:Innervated by: Musculocutaneous n. from the brachial plexus
**Origin: supraglenoid tubercle of the scapula
+
:Origin: supraglenoid tubercle of the scapula
**Insertion: medial tuberosity of proximal radius and adjacent ulna
+
:Insertion: medial tuberosity of proximal radius and adjacent ulna
**Runs through the intertubercular groove of the humerus
+
:Runs through the intertubercular groove of the humerus
*'''Brachialis'''
+
 
**Origin: proximocaudal humerus
+
'''''Brachialis''''':
**Insertion: spirals to insert just proximal to biceps
+
:Innervated by: Musculocutaneous n. from the brachial plexus
 +
:Origin: proximocaudal humerus
 +
:Insertion: spirals to insert just proximal to biceps
  
 
====[[Forelimb - Anatomy & Physiology#Muscles of Supination and Pronation|Muscles of Supination and Pronation]]====
 
====[[Forelimb - Anatomy & Physiology#Muscles of Supination and Pronation|Muscles of Supination and Pronation]]====
''Supinators'': Radial n. from the brachial plexus
 
*'''Brachioradialis'''
 
**Origin: lateral epicondyle of the humerus
 
**Insertion: distal part of medial radius
 
**Often much reduced and sometimes absent
 
*'''Supinator'''
 
**Deep to extensor muscles,  passing from lateral humeral epicondyles to upper medial radius
 
  
''Pronators'': Median n. from the brachial plexus
+
<u>1. '''Supinators'''</u>
*'''Pronator teres'''
+
 
**Origin: medial epicondyle of the humerus
+
'''''Brachioradialis''''':
**Insertion: dorsal surface and medial border of radius
+
:Innervated by: Radial n. from the brachial plexus
*'''Pronator quadratus'''
+
:Origin: lateral epicondyle of the humerus
**Origin: palmar surface of radius and interosseous ligament
+
:Insertion: distal part of the medial radius
**Insertion: interosseous border of the ulna
+
:Often much reduced, and sometimes absent
 +
 
 +
'''''Supinator''''':  
 +
:Innervated by: Radial n. from the brachial plexus
 +
:Deep to the extensor muscles, passing from the lateral humeral epicondyles to the upper medial radius
 +
 
 +
<u>2. '''Pronators'''</u>
 +
 
 +
'''''Pronator teres''''':
 +
:Innervated by: Median n. from the brachial plexus
 +
:Origin: medial epicondyle of the humerus
 +
:Insertion: dorsal surface and medial border of radius
 +
 
 +
'''''Pronator quadratus''''':
 +
:Innervated by: Median n. from the brachial plexus
 +
:Origin: palmar surface of radius and interosseous ligament
 +
:Insertion: interosseous border of the ulna
  
 
====[[Forelimb - Anatomy & Physiology#Muscles of the Carpal and Digital Joints|Muscles of the Carpal and Digital Joints]]====
 
====[[Forelimb - Anatomy & Physiology#Muscles of the Carpal and Digital Joints|Muscles of the Carpal and Digital Joints]]====
''Extensors'': Radial n. from the brachial plexus
 
*Craniolateral position on the forearm
 
*Almost all originate from the lateral epicondyle of the humerus
 
*'''Extensor carpi radialis''': most medial, inserts on middle metacarpal bone
 
*'''Ulnaris lateralis''': most lateral, inserts on accessory carpal bone and 5th metacarpal
 
*'''Extensor carpi obliquus''': aka '''abductor pollicis longus'''
 
**Origin: cranial radius
 
**Insertion: 1st metacarpal
 
*Last two may also serve in medial deviation of the paw
 
*'''Common Digital Extensor'''
 
**Insertion: extensor process of the distal phalanx of each digit
 
**Sends a medial branch to dew caw
 
*'''Lateral Digital Extensor'''
 
**Insertion: dorsal proximal phalanges of 3rd to 5th digit
 
  
''Flexors'': Median or Ulnar n. of the brachial plexus
+
<u>1.'''Extensors'''</u>
*Caudal position on the forearm
 
*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'''
 
**It divides into four branches which insert on the middle phalanges of all digits
 
*'''Deep Digital Flexor'''
 
**Passes through carpal canal before branching and continues to palmar distal phalanges
 
  
''Interosseus muscles''
+
They are located at the craniolateral position on the forearm. They almost all originate from the lateral epicondyle of the humerus and are all innervated by the radial n. from the brachial plexus.
*Support metacarpophalnageal joints
+
 
*Arise from palmar proximal metacarpal bones and insert on sesamoid bones within the joints, continued by ligaments to phalanges
+
'''''Extensor carpi radialis'''''
 +
:The most medial, inserts on middle metacarpal bone.
 +
 +
'''''Ulnaris lateralis'''''
 +
:The most lateral, inserts on accessory carpal bone and 5th metacarpal.
 +
 
 +
'''''Extensor carpi obliquus''''' (aka '''''abductor pollicis longus''''')
 +
:Origin: cranial radius
 +
:Insertion: 1st metacarpal
 +
 
 +
Last two may also serve in medial deviation of the paw.
 +
 
 +
 
 +
'''''Common Digital Extensor'''''
 +
:Insertion: extensor process of the distal phalanx of each digit
 +
:Sends a medial branch to the dew caw.
 +
 
 +
'''''Lateral Digital Extensor'''''
 +
:Inserts on the dorsal proximal phalanges of the 3rd to 5th digit.
 +
 
 +
 
 +
<u>2. '''Flexors'''</u>
 +
 
 +
They are at the caudal position on the forearm, originate from the caudal medial epicondyle of the humerus and all are innervated by the median or ulnar n. of the brachial plexus.
 +
 
 +
'''''Flexor carpi radialis'''''
 +
:The most medial, inserts on the upper 2nd/3rd metacarpal bone.
 +
 
 +
'''''Flexor carpi ulnaris'''''
 +
:The most lateral, inserts on the accessory carpal bone.
 +
 
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'''''Superficial Digital Flexor'''''
 +
:It divides into four branches, which insert on the middle phalanges of all digits.
 +
 
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'''''Deep Digital Flexor'''''
 +
:Passes through the carpal canal before branching, and continues to the palmar distal phalanges.
 +
 
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'''''Interosseus muscles'''''
 +
:Support the metacarpophalnageal joints. They arise from the palmar proximal metacarpal bones, and insert on the sesamoid bones within the joints. They are continued by ligaments to the phalanges.
  
 
==Vasculature of the Forelimb==
 
==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]]'''
 
  
[[Category:Musculoskeletal System - Anatomy & Physiology]]
+
'''[[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]]'''
 +
 
 +
 
 +
{{Learning
 +
|dragster = [[:Category:Canine Thoracic Limb Dragster|Canine muscular anatomy]]
 +
|CAL = [[Canine Radiographic Anatomy resource|Canine Radiographs programme, look at complete canine skeleton]]
 +
|OVAM = [http://www.onlineveterinaryanatomy.net/content/muscle-flashcards-forelimb-extrinsics-quicktime Muscle flashcards - extrinsic musculature of the canine forelimb]<br>[http://www.onlineveterinaryanatomy.net/content/muscle-flashcards-shoulder-quicktime Muscle flashcards - muscles of the canine shoulder]<br>[http://www.onlineveterinaryanatomy.net/content/muscle-flashcards-elbow-quicktime Muscle flashcards - muscles of the canine elbow]<br>[http://www.onlineveterinaryanatomy.net/content/muscle-flashcards-antebrachium-quicktime Muscle flashcards - muscles of canine antebrachium]
 +
}}
 +
 
 +
==Webinars==
 +
<rss filterout="equine horse feline">https://www.thewebinarvet.com/orthopaedics/webinars/feed</rss>
 +
 
 +
 
 +
[[Category:Musculoskeletal System - Anatomy & Physiology]][[Category:Dog - Musculoskeletal System]]
 +
[[Category:A&P Done]]

Latest revision as of 15:55, 27 October 2022


Structures of the Proximal Forelimb and Shoulder

Scapula

The Scapula forms the basis of the shoulder region, providing points of attachment of extrinsic and intrinsic muscles. It is held in place by a synsarcosis of muscles and does not form a conventional articulation with the trunk. The spine culminates in the acromion. The scapular cartilage is comprised of only a very narrow rim.

Clavicle

In the cat, a remnant of bone may remain embedded in the fibrous intersection in the brachiocephalicus, which may prove misleading in radiographic images.

Humerus

The Humerus is the long bone of the forearm, articulating with the scapula to form the shoulder and the radius and ulna to form the elbow. In situ, it lies obliquely along the ventral thorax and is more horizontal in larger species. The greater tubercle is not separated into two parts like in other species. In dogs and cats, it articulates with the ulna medially via a trochlea and the radius laterally via a capitulum.

Radius

A radial tuberosity provides a site of attachment for brachialis and biceps brachii mm. This roughened area is very variable in size in dogs and can be non-existent.

Ulna

The ulna shaft tapers distally, lying oblique to the radius, i.e. the proximal end lies medial and the distal end lateral to the radius. There is a distinct gap between it and the radius, which is filled by the pronator quadratus muscle. The distal styloid process is blunt and articulates with the ulnar carpal bone, accessory carpal bone and ulnar notch of the radius.

Joints of the Proximal Forelimb

Shoulder Joint

The joint capsule barely extends past the areas of articulation, except where it continues distally into the intertubercular groove of the humerus. This provides cushioning and synovial support for the bicipital tendon. The bicipital tendon and the joint capsule pouch are held in place by the transverse humeral retinaculum, which lies between the greater and lesser tubercles of the humerus.

Elbow Joint

The radius articulates with the capitulum and lateral trochlear surface of the humeral condyle. Whilst the medial part articulates with the trochlear notch of the ulna. To allow the radius to rotate slightly the radial head has a marginal band of cartilage making the articular circumference. It faces the radial notch of the ulna between the medial and lateral coronoid processes. The joint capsule runs from just proximal to the articular surface of the condyle of the humerus to the periphery of the olecranon fossa; it pouches between the ulna and radius, and under the tendinous attachments of some muscles.

Collateral ligaments are paired and lie medially and laterally. They both attach proximally to the epicondyle and distally to the tuberosities of the radius and ulna.

Annular ligament of the radius attaches to the sides of the coronoid process of the ulna. This runs deep to the collateral ligaments and forms a ring for the radial head to turn in during pronation and supination.

The radius and ulna are joined mid-shaft by the interosseous ligament, the remainder is filled by the interosseous membrane.

Structures of the Distal Forelimb

Carpal Bones

Carpal bones comprise two rows:

Proximally - the radial and intermediate bones are fused to form the radial carpal bone. The accessory carpal bone articulates with both the ulnar carpal bone and the distal ulna.

Distally - bones I-IV are present.

Metacarpal Bones

These are covered in detail in the canine phalanges section.

Joints of the Distal Forelimb

Carpal Joint

The synovial membranes form three compartments corresponding to each joint. The proximal is the largest whilst the middle carpal and carpometacarpal sacs communicate and extend into the intermetacarpal articulations. The fibrous joint capsule is common to all three joints and attaches to the individual bones and various intercarpal ligaments. The extensor retinaculum is fibrous collagenous tissue on the dorsal aspect that allows passage of the extensor tendons. On the palmar aspect lies the palmar carpal fibrocartilage, that provides attachment for some metacarpal bones. Paired collateral ligaments bridge the sides of the three main articulations.

The flexor retinaculum is the carpal fascia on the palmar aspect, and lies between the accessory carpal bone and the medial aspect of the carpus. This with the joint capsule and medial surface of the accessory carpal bone, makes up the carpal canal. It houses just the deep digital flexor tendon in the dog. The intermetacarpal joints, are tight joints between the proximal ends of the metacarpals. The joint capsules are continuous with that of the carpal joint. They are held together by the interosseous metacarpal ligaments.

Muscles of the Forelimb

Extrinsic Musculature

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:

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.

Brachiocephalic m.:

Innervated by: Accessory n.
There are two parts separated by the clavicle.
Origin: clavicle
Insertion: median raphe of the neck and the occipital bone. The ventral part attaches to the mastoid process.
Actions: advances the limb and extends the shoulder joint when the limb is in motion; draws the head and neck ventrally when the limb is fixed.

Omotransversarius:

Innervated by: Accessory n.
Origin: transverse processes of the atlas
Insertion: acromion and distal spine of the scapula
Action: advancing the limb

Latissimus dorsi:

Innervated by: local branch of brachial plexus
It is the broadest muscle of the back.
Origin: thoracolumbar fascia
Insertion: teres tuberosity of the humerus
Actions: antagonist to the brachiocephalic m. It retracts the free limb and flexes the shoulder joint. It also draws the trunk forward over the fixed limb.

Pectoral mm.:

Innervated by: brachial plexus
Two superficial parts; cranial and caudal
Origin: cranial sternum
Insertion: Cranial (descending): crest of the humerus distal to the deltoid tuberosity. Caudal (transverse): covers the elbow joint to insert on the medial fascia of the forearm.
Action: adduct the forelimb, assist in protraction and retraction.
One deep part (pectoralis profundus), with cranial and caudal parts.
Origin: ventral sternum and adjacent cartilage
Insertions: Cranial (subclavius): supraspinatus m., Caudal (pectoralis ascendens): lesser tubercle of the humerus.
Actions: slinging trunk between forelimbs, may also retract free limbs. It draws the trunk forward when the limb is fixed.

Serratis ventralis:

Innervated by: branch of 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.

Rhomboids:

Innervated by: brachial plexus
Origin: nuchal ligament, 4th - 6th thoracic spine
Insertion: dorsal border and adjacent scapula
Action: retracting the limb, may also raise limb.

Intrinsic Musculature

Muscles of the Shoulder

These muscles are grouped:

Lateral

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: the bursa between the tendon of the infraspinatus and lateral tubercle of the humerus, can be the site of inflammation.

Medial

Supscapularis:

Innervated by: Subscapular n. from the brachial plexus
Origin: Deep surface of the scapula
Insertion: medial tubercle of the humerus
Action: braces medial shoulder joint, potential adductor

Coracobrachialis:

Innervated by: Musculocutaneous n. of the brachial plexus
Origin: medial supraglenoid tubercle
Insertion: proximal shaft of the humerus
Action: fixator

Caudal (Flexors)

Deltoids:

Innervated by: Axillary n. of the brachial plexus
Origin: acromion, the length of the scapular spine
Insertion: deltoid tuberosity on the humerus, fascia of the lateral arm
Action: Flexor of Shoulder, Abductor and outward rotator of the arm

Teres Major:

Innervated by: Axillary n. of the brachial plexus
Origin: dorsal part of the caudal scapula
Insertion: teres tuberosity midway down humerus

Muscles of the Elbow

1. Extensors

Triceps brachii:

Innervated by: Radial n. from the brachial plexus
Has four heads in the dog
Origin:
Long head: From the caudal border of the scapula
Lateral, medial, and accessory heads: From the shaft of the humerus
Insertion: olecranon, protected by tricipital bursa against the bone, and subcutaneous bursa against the skin

Tensor fasciae antebrachii:

Innervated by: Radial n. from the brachial plexus
Origin: tendon and lateral surface of the latissimus dorsi

2. Flexors

Biceps brachii:

Innervated by: Musculocutaneous n. from the brachial plexus
Origin: supraglenoid tubercle of the scapula
Insertion: medial tuberosity of proximal radius and adjacent ulna
Runs through the intertubercular groove of the humerus

Brachialis:

Innervated by: Musculocutaneous n. from the brachial plexus
Origin: proximocaudal humerus
Insertion: spirals to insert just proximal to biceps

Muscles of Supination and Pronation

1. Supinators

Brachioradialis:

Innervated by: Radial n. from the brachial plexus
Origin: lateral epicondyle of the humerus
Insertion: distal part of the medial radius
Often much reduced, and sometimes absent

Supinator:

Innervated by: Radial n. from the brachial plexus
Deep to the extensor muscles, passing from the lateral humeral epicondyles to the upper medial radius

2. Pronators

Pronator teres:

Innervated by: Median n. from the brachial plexus
Origin: medial epicondyle of the humerus
Insertion: dorsal surface and medial border of radius

Pronator quadratus:

Innervated by: Median n. from the brachial plexus
Origin: palmar surface of radius and interosseous ligament
Insertion: interosseous border of the ulna

Muscles of the Carpal and Digital Joints

1.Extensors

They are located at the craniolateral position on the forearm. They almost all originate from the lateral epicondyle of the humerus and are all innervated by the radial n. from the brachial plexus.

Extensor carpi radialis

The most medial, inserts on middle metacarpal bone.

Ulnaris lateralis

The most lateral, inserts on accessory carpal bone and 5th metacarpal.

Extensor carpi obliquus (aka abductor pollicis longus)

Origin: cranial radius
Insertion: 1st metacarpal

Last two may also serve in medial deviation of the paw.


Common Digital Extensor

Insertion: extensor process of the distal phalanx of each digit
Sends a medial branch to the dew caw.

Lateral Digital Extensor

Inserts on the dorsal proximal phalanges of the 3rd to 5th digit.


2. Flexors

They are at the caudal position on the forearm, originate from the caudal medial epicondyle of the humerus and all are innervated by the median or ulnar n. of the brachial plexus.

Flexor carpi radialis

The most medial, inserts on the upper 2nd/3rd metacarpal bone.

Flexor carpi ulnaris

The most lateral, inserts on the accessory carpal bone.

Superficial Digital Flexor

It divides into four branches, which insert on the middle phalanges of all digits.

Deep Digital Flexor

Passes through the carpal canal before branching, and continues to the palmar distal phalanges.

Interosseus muscles

Support the metacarpophalnageal joints. They arise from the palmar proximal metacarpal bones, and insert on the sesamoid bones within the joints. They are continued by ligaments to the phalanges.

Vasculature of the Forelimb

Arteries of the Forelimb

Veins of the Forelimb

Lymphatics of the Forelimb



Canine Forelimb - Anatomy & Physiology Learning Resources
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Drag and Drop (Dragster)
Test your knowledge using drag and drop boxes
Canine muscular anatomy
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Computer Aided Learning
Selection of relevant programmes to enhance your knowledge
Canine Radiographs programme, look at complete canine skeleton
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OVAM
Anatomy Museum Resources
Muscle flashcards - extrinsic musculature of the canine forelimb
Muscle flashcards - muscles of the canine shoulder
Muscle flashcards - muscles of the canine elbow
Muscle flashcards - muscles of canine antebrachium


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