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Deep Muscles of the Back “I Love Spaghetti – Some More Ragu”: Iliocostalis, Longissimis, Spinalis – Semispinalis, Multifidus, Rotatores Brachial Plexus "Really Thirsty? Drink Cold Beer" or “Randy Travis Drinks Cold Beers” Roots, Trunks, Divisions, Cords, Branches “MARMU” (terminal nerves): Musculocutaneous, Axillary, Radial, Median, Ulnar Muscles Inserting into Humerus "A lady between two majors" Pectoralis major attaches to lateral lip of bicipital groove, the teres major attaches to medial lip of bicipital groove, and the latissimus dorsi attaches to the floor of bicipital groove. The "lati" is between two "majors" Carpal Bones (4 proximal, lateral to medial; 4 distal, lateral to medial) "Some Lovers/Lions Try Positions That They Can't Handle": Scaphoid, Lunate, Triquetrum, Pisiform, Trapezoid, Trapezium, Capitate, Hamate. “TrapeziUM at the thUMb" “TrapeziOID is inSIDE" “Flexor carpi superficialis splits in two, to permit profundus to pass through” Radial Nerve Innervations "BEST": Brachioradialis, Extensors, Supinator, Triceps. Median Nerve Innervations "2LOAF": Lateral 2 Lumbricals, Opponens pollicis, Abductor pollicis brevis, Flexor pollicis brevis. Rotator Cuff Muscles (3 greater tubercle; 1 lesser tubercle) “SITS”: Superspinatus, Infraspinatus, Teres minor, Subscapularis Transverse Scapular Ligament Army over (bridge), Navy under (bridge) Artery goes over and Nerve goes under the ligament Cubital Fossa (lateral to medial) “TAN”: Tendon (biceps brachii), Artery (brachial), Nerve (medial) Hand “PAD”: Palmar (hand) muscles ADduct “DAB”: Dorsal (hand) muscles ABduct “All For One And One For All” (medial to lateral): Abductor digiti minimi, Flexor digiti minimi, Opponens digiti minimi, Adductor policis, Opponens pollicis, Flexor pollicis brevis, Abductor pollicis brevis
Axillary Artery Branches “Save The Lions And Protect Species”: Supreme/Superior Thoracic Artery, Thoracoacromial Artery, Lateral Thoracic, Anterior Circumflex Humeral, Posterior Circumflex Humeral, Subscapular (thoracodorsal and circumflex scapular) Thoracoacromial Artery Branches "CAlifornia Police Department": Clavicular, Acromial, Pectoral, Deltoid Pectoral Nerves "Lateral is less, medial is more" Lateral pectoral nerve goes through pectoralis major, while medial pectoral nerve goes though both pectoralis major and minor. Deep Posterior Leg Muscles “Down The Hatch”: flexor Digitorum longus, Tibialis posterior, flexor Hallucis longus Medial Malleolus (anterior to posterior) “Tom, Dick, And Very Nervous Harry”: Tibialis posterior, flexor Digitorum longus tendon, posteriotibial Artery, posteriotibial Vein, tibial Nerve, flexor Hallucis longus SGT FOS (connections to pes anserinus) Sartorius (Femoral nerve), Gracilis (Obturator nerve), SemiTendinosus (Sciatic nerve) Femoral Triangle Boundaries “So I May Always Love Sally”: Superiorly – Inguinal ligament, Medially – Adductor longus, Laterally – Sartorius Order of Structures in Femoral Triangle / Groin (lateral to medial) "NAVEL": Nerve, Artery, Vein, Empty space, Lymphatics Leg Anterior Compartment "The Hospitals Are Not Dirty Places": Tibialis anterior, extensor Hallucis longus, anterior tibial Artery, deep fibular Nerve, extensor Digitorum longus, Peronius tertius Cruciate Ligament Paths and Insertions “PAMs ApPLes”: Posterior [passes] Anteriorly [and inserts] Medially; Anterior [passes] Posteriorly [and inserts] Laterally Terrible (Unhappy) Triad Knee Injury (American football injury) “ATM” for money-maker: Anterior cruciate ligament, Tibial (medial) collateral ligament, Medial meniscus Leg Nerves “FED”: Fibular nerve Everts and Dorsiflexes the foot “TIP”: Tibial nerve Inverts and Plantarflexes the foot
Scrotum Layers (superficial to deep) "Some Dang Englishman Called It The Testis": Skin, Dartos, External spermatic fascia, Cremaster, Internal spermatic fascia, Tunica vaginalis,Testis Innervation of the Penis "S2,3,4 keep the penis off the floor" Refers to the innervation of the penis by branches of the pudendal nerve, which is derived from spinal cord levels S2-4. Point, Shoot, Score Parasympathetic for erection, Sympathetic for ejaculation, Somatomotor for ... Great Vessels "ABC'S": Aortic arch gives off the Brachiocephalic trunk, the left Common carotid, and the left Subclavian artery “Boston College Stinks”: right Brachiocephalic trunk, left Common carotid, left Subclavian artery Portal Triad “DAV”: bile Duct, hepatic Artery, portal Vein Liver Lobes “GQ”: The Gallbladder is next to the Quadrate lobe Pathway After Stomach “Dow Jones Industrial Climbing Average Closing Stock Report”: Duodenum, Jejunum, Ileum, Cecum, Appendix, Colon (ascending/transverse), Sigmoid colon, Rectum Spleen "1,3,5,7,9,11"; It measures 1x3x5 inches, weighs 7 ounces and lies between ribs 9-11. Thoracic Duct "The duck is between two gooses." duck = thoracic duct 2 gooses = azyGOUS vein and esophaGOUS Epidermis "Brent Spiner Gained Lieutenant Commander" Basale, Spinosum, Granulosum, Lucidum, Corneum Nasal Cavity Components "Never Call Me Needle Nose!": external Nares, Conchae, Meatuses, internal Nares, Nasopharynx Scalp Layers (superficial to deep) “SCALP”: Skin, Connective tissue, Aponeurosis, Loose areolar tissue, Pericranium
Horner's Syndrome Symptoms “SPAM”: Sunken eyeballs/Symphathetic plexus (cervical) affected, Ptosis, Anhydrosis, Miosis Bell’s Palsy Symptoms (Unilateral) “BELL’S Palsy”: Blink reflex abnomal, Earache, Lacrimation (deficient, excess), Loss of taste, Sudden onset, Palsy of VII nerve muscles Potentially Absent Muscles “5 P's”: Palmaris longus [upper limb] Plantaris [lower limb] Peroneus tertius [lower limb] Pyramidalis [anterior abdominal wall] Psoas minor [posterior abdominal wall] Facial Bones "Virgil Can Not Make My Pet Zebra Laugh!": Vomer, Conchae, Nasal, Maxilla, Mandible, Palatine, Zygomatic, Lacrimal Deep Tendon Reflexes Root Supply (nursery rhyme) One, two-- buckle my shoe. Three, four-- kick the door. Five, six-- pick up sticks. Seven, eight-- shut the gate. S1,2 = ankle jerk L3,4 = knee jerk C5,6 = biceps and brachioradialis C7,8 = triceps Supraorbital Fissure Structures that pass through it: "Luscious French Tarts Sit Naked In Anticipation Of Sex." Lacrimal nerve, Frontal nerve, Trochlear nerve, Superior branch of oculomotor nerve, Nasociliary nerve, Inferior branch of oculomotor nerve, Abducent nerve, Ophthalmic veins, Sympathetic nerves Cranial Bones "Old People From Texas Eat Spiders" Occipital, Parietal, Frontal, Temporal, Ethnoid, Sphenoid Cranial Nerves I On (Olfactory) I Some (Sensory) II Old (Optic) II Say (Sensory) III Olympus (Oculomotor) III Marry (primarily Motor) IV Towering (Trochlear) IV Money, (primarily Motor) V Tops, (Trigeminal) V But (Both) VI A (Abducens) VI My (primarily Motor) VII Finn (Facial) VII Brother (Both) VIII And (Auditory) VIII Says (Sensory) IX German (Glossopharyngeal) IX Big (Both) X Viewed (Vagus) X Bras (Both) XI Astounding (Accessory) XI Matter (primarily Motor) XII Hops (Hypoglossal) XII More (primarily Motor)
“GHost THought SOmeone STupid SHot Irene”: GenioHyoid, ThyroHyoid, Superior Omohyoid, SternoThyfoid, SternoHyoid, Inferior omohyoid Cervical Plexus – Arrangement of Important Nerves “GLAST”: 4 compass points, clockwise from north on the right side of neck: Great auricular, Lesser occipital, Accessory nerve (pops out between L and S), Supraclavicular, Transverse cervical CN V – V3 Innervated Muscles (Brachial Arch 1 Derivatives) “M.D. My T.V.”: Mastication (masseter, temporalis, pterygoids), Digastric (anterior belly), MYlohyoid, tensor Tympani, tensor Veli palatini V3 Sensory Branches “Buccaneers Are Inferior Linguists”: Buccal, Auriculotemporal, Inferior alveolar, Lingual Facial Expression Muscles (Making A Face To Say PSS) “PSS”: Posterior belly of digastric, Stapedius, Stylohyoid Lacrimal Nerve Course (Story of 8 L’s) L acrimal nerve runs on L ateral wall of orbit above L ateral rectus, then L ets communicating branch join in, then supplies L acrimal gland, then L eaves it and supplies L ateral upper eye L id
