CAFE

모든 근육과 TrP탐구

주관절 주변 근육 정리(수정중)

작성자이영호|작성시간15.06.07|조회수2,000 목록 댓글 1

1. 주관절의 구조

가. 동영상 : https://www.youtube.com/watch?feature=player_embedded&v=3l3-5Ij3JZ8

나. 구조 개요 : http://cafe.naver.com/panicbird/131

다. 촉진 : http://cafe.naver.com/panicbird/132

 

2. 주관절의 운동

 

가. 팔꿈치 굴곡 150도

 

 

 

 

나. 신전 0도

 

 

다.  forearm 회내 80도

 

 

라. 회외 80도

 

 

3. 주관절 주변의 근육

 가. anterior superficial

 

- Biceps brachii

Biceps brachii

 

Location of biceps. Two different colors represent two different bundles which compose biceps.
  Short head
  Long head

File:Animation triceps biceps.gif 

Details
Latin musculus biceps brachii
Origin Short head: coracoid process of the scapula.
Long head: supraglenoid tubercle
Insertion Radial tuberosity and bicipital aponeurosis into deep fascia on medial part of forearm
Brachial artery
Musculocutaneous nerve (C5–C6)
Actions Flexes elbow, flexes and abducts shoulder and supinates radioulnar joint in the forearm
Antagonist Triceps brachii muscle

 

 

- Pronator teres muscle

Pronator teres muscle
Pronator-teres.png
Anterior view of the left forearm. Superficial muscles. (Pronator teres colored at center.)
Details
Latin Musculus pronator teres
Origin humeral head: medial supracondylar ridge of humerus (common flexor tendon)
ulnar head: coronoid process of ulna
Insertion Middle of the lateral surface of the body of the radius
ulnar artery and radial artery
median nerve
Actions pronation of forearm, flexeselbow
Antagonist Supinator muscle

 

 

- Palmaris longus muscle

Palmaris longus muscle
Gray1231.png
Front of right upper extremity. (Palmaris longus labeled at bottom, second from left.)

 

Details
Latin musculus palmaris longus
Greek Μακρύς παλαμικός μυς
Origin medial epicondyle of humerus(common flexor tendon)
Insertion palmar aponeurosis
ulnar artery
median nerve
Actions wrist flexor
Antagonist Extensor carpi radialis brevis,Extensor carpi radialis longus,Extensor carpi ulnaris

 

 

-Flexor carpi radialis muscle

Flexor carpi radialis muscle
Flexor-carpi-radialis.png
Anterior view of the left forearm. Superficial muscles. (Flexor carpi radialis and its tendon visible in blue.)
Gray1231.png
Anterior view of right upper extremity. (Flex. carp. rad. labeled at upper left.)
Details
Latin musculus flexor carpi radialis
Origin medial epicondyle of humerus(common flexor tendon)
Insertion Bases of second and third metacarpal bones
Radial Artery
Median nerve
Actions Flexion and abduction at wrist
Antagonist Extensor carpi ulnaris muscle

 

 

- Flexor carpi ulnaris

Flexor carpi ulnaris
FCU.png
Dorsal (left) and ventral (right) views of deep muscles of the forearm. FCU is visible in blue.
Details
Latin musculus flexor carpi ulnaris
Origin medial epicondyle (common flexor tendon) and medial margin on olecranon of ulna
Insertion pisiform, hook of the hamate,base of the fifth metacarpal bone
ulnar artery
muscular branches of ulnar nerve
Actions flexion and adduction of wrist
Antagonist Extensor carpi radialis brevis muscle, Extensor carpi radialis longus muscle

 

 

- Flexor digitorum superficialis

Flexor digitorum superficialis
Gray421.png
Transverse section across distal ends ofradius and ulna. (Flexor dig. subliminis labeled at center top.)
Details
Latin musculus flexor digitorum superficialis
Origin medial epicondyle of the humerus (common flexor tendon) as well as parts of theradius and ulna.
Insertion anterior margins on the bases of the middle phalanges of the four fingers
ulnar artery
median nerve
Actions flexor of fingers (primarily atproximal interphalangeal joints)
Antagonist Extensor digitorum muscle

 

 

나. anterior deep

 

- Pronator quadratus muscle

Pronator quadratus muscle
Pronator-quadratus.png
Anterior view of left forearm. Deep muscles. (Pronator quadratus visible at bottom-center right.)
Details
Latin Musculus pronator quadratus
Origin medial, anterior surface of the ulna
Insertion lateral, anterior surface of the radius
anterior interosseous artery
median nerve (anterior interosseous nerve)
Actions pronates the forearm
Antagonist Supinator muscle

 

 

-Flexor digitorum profundus muscle

Flexor digitorum profundus muscle
Flexor-digitorum-profundis.png
Ventral view of the deep muscles of the forearm. FDP is shown in blue.
Details
Latin Musculus flexor digitorum profundus
Origin upper 3/4 of the volar and medial surfaces of the body of the ulna, interosseous membrane and deep fascia of the forearm
Insertion base of the distal phalanges of the fingers
anterior interosseous artery
median (anterior interosseous),muscular branches of ulnar
Actions flex hand and bothinterphalangeal joints
Antagonist Extensor digitorum muscle

 

 

- Flexor pollicis longus muscle

Flexor pollicis longus muscle
FPL.png
Front of the left forearm. Deep muscles. (Flexor pollicis longus is shown in blue)
Details
Latin Musculus flexor pollicis longus
Origin The middle 2/4 of the volarsurface of the radius and the adjacent interosseus membrane.
Insertion The base of the distal phalanxof the thumb
Anterior interosseus artery
Anterior interosseous nerve(branch of median nerve) (C8, T1)
Actions Flexion of the thumb.
Antagonist Extensor pollicis longus muscle,Extensor pollicis brevis muscle

 

 

 

다. posterior superficial

 

_ Triceps Brachii

 

Triceps Brachii
Triceps brachii.png
Triceps brachii seen from behind.
Triceps brachii muscle06.png
Triceps brachii seen from behind. Three different colors represent three different bundles which compose triceps.
  Long head.
  Lateral head.
  Medial head.
Details
Latin Musculus triceps brachii
Origin Long head: infraglenoid tubercle of scapula
Lateral head: above the radial sulcus
Medial head: below the radial sulcus
Insertion Olecranon process of ulna
Deep brachial artery
Radial nerve and axillary nerve (long head)
Actions Extends forearm, long head extends,adducts arm, Extends shoulder
Antagonist Biceps brachii muscle

 

 

- Brachioradialis muscle

Brachioradialis muscle
Brachioradialis.png
Anterior view of muscles of the left forearm with brachioradialis shown in blue
Gray417 color.PNG
Cross-section through the middle of the forearm. Brachioradialis labeled at center left, sixth from the top.
Details
Latin musculus brachioradialis
Origin Lateral supracondylar ridge of thehumerus
Insertion Distal radius (radial styloid process)
Radial recurrent artery
Radial nerve
Actions Flexion of elbow and supination

 

 

- Extensor carpi radialis longus

Extensor carpi radialis longus
ECR-longus.png
Superficial muscles of the forearm. Extensor carpi radialis longus visible in blue.
Gray422.png
Transverse section across the wrist and digits. (Ext. carp. rad. long. labeled at center left.)
Details
Latin musculus extensor carpi radialis longus
Origin lateral supracondylar ridge
Insertion 2nd metacarpal
radial artery
radial nerve
Actions extensor at the wrist joint,abducts the hand at the wrist
Antagonist Flexor carpi ulnaris muscle

 

- Extensor carpi radialis brevis

Extensor carpi radialis brevis
ECR-brevis.png
Posterior surface of the left forearm. Superficial muscles. The partially obscured extensor carpi radialis brevis is shown in blue.
Details
Latin musculus extensor carpi radialis brevis
Origin humerus at the anterior oflateral epicondyle (common extensor tendon)[1]
Insertion Posterior base of the 3rd metacarpal[1]
radial artery
deep branch of the radial nerve
Actions extensor and abductor of thehand at the wrist joint[1]
Antagonist Flexor carpi ulnaris muscle

 

 

- Extensor digitorum muscle

Extensor digitorum muscle
Extensor digitorum muscle.png
Posterior surface of the forearm. Superficial muscles. Extensor digitorum muscle is labeled in purple.
Gray422.png
Transverse section across the wrist and digits. (Ext. dig. communis labeled at bottom center.)
Details
Latin musculus extensor digitorum
Origin lateral epicondyle (common extensor tendon)
Insertion extensor expansion of middle and distal phalanges of the 2nd, 3rd, 4th, and 5th fingers[1]
posterior interosseous artery
radial nerve
Actions extension of hand, wrist andfingers
Antagonist Flexor digitorum superficialis muscle, Flexor digitorum profundus muscle

 

 

- Extensor digitorum muscle

Extensor digiti minimi

 

Details
Latin musculus extensor digiti minimi
Origin the anterior portion of thelateral epicondyle of thehumerus (common extensor tendon)
Insertion at the extensor expansion, located at the base of theproximal phalanx of digit V on the dorsal side
posterior interosseous artery
posterior interosseous nerve (C7, 8)
Actions extends the wrist and the little finger at all joints
Antagonist Flexor digiti minimi brevis

 

 

- Extensor carpi ulnaris

Extensor carpi ulnaris
Extensor carpi ulnaris muscle.png
Posterior surface of the forearm. Extensor carpi ulnaris labeled in purple at center right.
Details
Latin musculus extensor carpi ulnaris
Origin Common extensor tendon(lateral epicondyle), ulna
Insertion 5th metacarpal
ulnar artery
Deep branch of the radial nerve(C7, C8)
Actions extends and adducts the wrist
Antagonist Flexor carpi radialis

 

 

- Anconeus muscle

Anconeus muscle
Gray1232.png
Back of right upper extremity. (Anconeus labeled at bottom center.)
Musculusanconeus2.png
Posterior surface of the forearm. Superficial muscles. (Anconeus visible at center right.)
Details
Latin Musculus anconeus,
musculus anconaeus
Origin lateral epicondyle of the humerusproximally
Insertion lateral surface of the olecranonprocess and the superior part of the posterior ulna distally
deep brachial artery, recurrent interosseous artery
radial nerve (C7, C8, and T1)
Actions It is partly blended in with thetriceps, which it assists inextension of the forearm. It also stabilizes the elbow duringpronation and supination and pulls slack out of the elbow joint capsule during extension to prevent impingement.

 

 

. posterior deep

 

- Supinator muscle

Supinator muscle
Gray420.png
Posterior view of the supinator. (Right arm.)
Details
Latin musculus supinator
Origin Lateral epicondyle of humerus,supinator crest of ulna, radial collateral ligament, annular ligament
Insertion Lateral proximal radial shaft
Radial recurrent artery
Deep radial nerve
Actions Supinates forearm
Antagonist Pronator teres, pronator quadratus

 

 

4. 주관절의 흔한 질환

http://cafe.naver.com/panicbird/134
nabil 동영상 :  https://www.youtube.com/watch?v=DRywmb1ueOI&feature=player_embedded

 

5. 근막이완

 1) 롤핑

     http://cafe.daum.net/panicbird/OJs0/281

 

 2) CMP

    - http://cafe.daum.net/panicbird/Qibc/88

    - http://cafe.daum.net/panicbird/Qibc/89

 

3) 폼롤러를 이용한 근막이완.....

 

 

6. 주요 근육 스트레칭 

 

1) 스트레칭 기본개념

*** 각 동작은 5초씩 3회가 기본(7초가 넘어가면 보상기전이 발생하므로)

*** 모든 동작은 다음 동작을 위한 예비동작 임, 건너 뛰지 말 것

 http://cafe.daum.net/panicbird/QtNi/299

 

 

2) biceps brachii

- 능동

Stretching routine recommended for  squash,  volleyball,  weight training,  tennis,  triathlon,  baseball,  softball,  boxing,  padel tennis,  fencing,  hockey,  arms,  pectoral,  pectoralis,  biceps brachii.

Stretching routine recommended for  snowboarding,  golf,  skiing,  boxing,  kitesurfing,  fencing,  arms,  fast,  chair,  office,  trapezius,  rhomboid,  deltoid,  biceps brachii.

 

- 수동

long head

 

short head

 

 

 

3) triceps brachii

 - 능동

Stretching routine recommended for  volleyball,  weight training,  tennis,  skiing,  triathlon,  martial arts,  baseball,  rugby,  softball,  american football,  kitesurfing,  fencing,  cervical,  arms,  chair,  office,  cervicalgia,  triceps brachii.

 

- 수동

 

 

 

 

4) extensor, flexor muscle

- 능동

 

 

- 수동

http://cafe.daum.net/panicbird/RUDq/79

 

 

 

5) supinator

- 능동

supinator stretching에 대한 이미지 검색결과

 

-수동

 

 

 

 

 

6) pronator

-능동

 

- 수동

 

 

 

7. 관절가동  

1) 총괄

 http://cafe.daum.net/panicbird/OUdz/3

 

2) radiohumeral mobilization, compression, distraction

https://www.youtube.com/watch?v=mxkGPEyEYC4&feature=player_embedded

https://www.youtube.com/watch?v=EuMgwnPXlEw&feature=player_embedded

https://www.youtube.com/watch?v=ELrw7cmiU8s&feature=player_embedded

 

3)  humeroulnar distraction, mobilization

https://www.youtube.com/watch?v=r6DOE1xDTjo&feature=player_embedded

https://www.youtube.com/watch?v=8IH6njiDlC4&feature=player_embedded

 

4) proximal radioulnar joint mobilization

https://www.youtube.com/watch?v=IiBJPVgO0zA&feature=player_embedded

 

5) 기타

http://cafe.daum.net/panicbird/QzIa/54

 

 

8. 인대 약침, 가열식 화침

 http://cafe.daum.net/panicbird/RNu8/21

 

9. stabilizing ex.

 가. biceps brachii

1) chin-up



 

2) biceps curl



 

나.triceps brachii

http://cafe.daum.net/panicbird/RUDq/36

triceps brachii exercises에 대한 이미지 검색결과

triceps brachii exercises에 대한 이미지 검색결과

 

다. flexor, extensor

elbow exercises에 대한 이미지 검색결과

라. pronator, supinator

팔꿈치 운동에 대한 이미지 검색결과

 

10. 근력 불균형 검사

1)근력 검사의 고려사항

http://cafe.daum.net/panicbird/QzZ4/15

 

 

2) 굴곡 검사

 

 

 

 3) 신전 검사

 

 

 

 

 4) 회내 검사

 5) 회외 검사

 

 

 

11. isolation ex.

 stabilizing ex. 참조

 

 

 

 

12. functional ex.

 

tennis elbow rehab exercises에 대한 이미지 검색결과

tennis elbow rehab exercises에 대한 이미지 검색결과

 

 

 

무릎꿇고 팔굽혀펴기에 대한 이미지 검색결과

 

 

13. 정렬운동

 여러 운동 참조......

 

14. 행동수정

 충분한 휴식

 자가 스트레칭

 아이스팩

 손목 신전이나 굴곡 제한(물건을 들 때 손 바닥을 위로하여 굴곡하며 들기 등) 등

 

 

 

 

 

 

 

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