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{{Short description|Consists of the arm, forearm, and hand}}
{{Infobox anatomy
| Name = Upper limb
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| Lymph =
}}
The '''upper [[Limb (anatomy)|limb]]s''' or '''upper extremityextremities''' isare the region[[forelimb]]s inof aan [[vertebrateupright posture|upright-postured]] animal[[tetrapod]] [[vertebrate]], extending from the [[deltoid muscle|deltoidscapula]]e regionand [[clavicle]]s updown to and including the [[handdigit (anatomy)|digit]]s, including all the [[armmusculature]]s and [[ligament]]s involved with the [[shoulder]], [[axillaelbow]], [[wrist]] and [[shoulderknuckle]] joints.<ref>{{cite web
| title = Upper Extremity
| publisher = [[Medical Subject Headings|MeSH]]
| url = https://www.nlm.nih.gov/cgi/mesh/2011/MB_cgi?mode=&term=Upper+Extremity&field=entry#TreeA01.378.800
| accessdateaccess-date = 26 June 2011
}}</ref> In [[human]]s, each upper limb is divided into the [[shoulder]], [[arm]], [[elbow]], [[forearm]], [[wrist]] and [[hand]],<ref>https://www.kenhub.com/en/library/anatomy/upper-extremity-anatomy</ref> and is primarily used for [[climbing]], [[manual handling of loads|lifting]] and [[dexterity|manipulating]] objects. In [[anatomy]], just as [[arm]] refers to the [[upper arm]], [[leg]] refers to the [[lower leg]].
}}</ref>
 
==Definition==
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| publisher = MeSH
| url = https://www.nlm.nih.gov/cgi/mesh/2011/MB_cgi?mode=&term=ARM
| accessdateaccess-date = 26 June 2011
}}</ref> However, in casual usage, the terms are often used interchangeably. The term "upper arm" is redundant in anatomy, but in informal usage is used to distinguish between the two terms.
 
==Structure==
In the [[Human body#AnatomyCITEREFYaxley2016|human body]], the muscles of the upper limb can be classified by origin, topography, function, or innervation. While a grouping by innervation reveals [[Embryology|embryological]] and [[Phylogenetics|phylogenetic]] origins, the functional-topographical classification below reflects the similarity in action between muscles (with the exception of the shoulder girdle, where muscles with similar action can vary considerably in their location and orientation.<ref name="Thieme-Atlas-256">{{harvnb|Ross|Lamperti|2006| p=256}}</ref>
 
===Musculoskeletal system===
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:; Posterior: [[Supraspinatus]], [[infraspinatus]], [[teres minor]], [[subscapularis]], [[deltoideus]], [[latissimus dorsi]], [[teres major]]
:; Anterior: [[Pectoralis major]], [[coracobrachialis]]
 
====Bones of upper limb====
The bones forming the human upper limb are
* Clavicle
* Scapula
* Humerus
* Radius
* Ulna
* Carpal bones
** Scaphoid
** Lunate
** Triquetral
** Pisiform
** Trapezium
** Trapezoid
** Capitate
** Hamate
* 5 Metacarpal bones
* 14 Phalanges
[[File:Upper Limb Bones with articular cartilage.svg|thumb|Upper limb bones with articular cartilage]]
 
====Arm====
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The [[wrist]] ({{lang-la|carpus}}),<ref name="Thieme-Atlas-208" /> composed of the [[carpal bones]], articulates at the wrist joint (or [[radiocarpal joint]]) proximally and the [[carpometacarpal joint]] distally. The wrist can be divided into two components separated by the [[midcarpal joint]]s. The small movements of the eight carpal bones during composite movements at the wrist are complex to describe, but flexion mainly occurs in the midcarpal joint whilst extension mainly occurs in the radiocarpal joint; the latter joint also providing most of adduction and abduction at the wrist.
<ref name="Sellers-8">{{harvnb|Sellers|2002| pp=8–9}}</ref>
[[File:3D Medical Animation Human Wrist.jpg|alt=3D Medical Animation still shot of Human Wrist|thumb|228x228px|3D Medicalmedical Animationanimation still shot of Humanhuman Wristwrist]]
How muscles act on the wrist is complex to describe. The five muscles acting on the wrist directly&nbsp;— [[flexor carpi radialis]], [[flexor carpi ulnaris]], [[extensor carpi radialis longus muscle|extensor carpi radialis]], [[extensor carpi ulnaris]], and [[palmaris longus]]&nbsp;— are accompanied by the tendons of the extrinsic hand muscles (i.e. the muscles acting on the fingers). Thus, every movement at the wrist is the work of a group of muscles; because the four primary wrist muscles (FCR, FCU, ECR, and ECU) are attached to the four corners of the wrist, they also produce a secondary movement (i.e. ulnar or radial deviation). To produce pure flexion or extension at the wrist, these muscle therefore must act in pairs to cancel out each other's secondary action. On the other hand, finger movements without the corresponding wrist movements require the wrist muscles to cancel out the contribution from the extrinsic hand muscles at the wrist.
<ref name="Sellers-8" />
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* The [[median nerve]] innervates all the muscles of the [[anterior compartment of the forearm]] except [[flexor carpi ulnaris]] and the ulnar part of the [[flexor digitorum profundus]]. It also innervates the three [[thenar]] muscles and the first and second [[Lumbricals of the hand|lumbricals]].
* The [[ulnar nerve]] innervates the muscles of the forearm and hand not innervated by the median nerve.
* The [[Axillary nerve|axillary nerve]] innervates the [[deltoid muscle|deltoid]] and [[teres minor]].
* The [[radial nerve]] innervates the posterior muscles of the arm and forearm
 
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* [[Median antebrachial vein]]
* [[Dorsal venous arch]]
 
As for the upper limb blood supply, there are many anatomical variations.<ref>[https://www.bjbms.org/ojs/index.php/bjbms/article/view/4643 Konarik M, Musil V, Baca V, Kachlik D. Upper limb principal arteries variations: A cadaveric study with terminological implication. Bosn J of Basic Med Sci. 2020;20(4):502-13.] DOI: https://doi.org/10.17305/bjbms.2020.4643 PMID 32343941 PMCID: PMC7664784</ref>
 
==Other animals==
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<ref name="Gough-Palmer-etal" />
 
The [[arboreal]] [[two-toed sloth]], a [[South America]]n mammal in the order [[pilosaPilosa]], have limbs so highly adapted to hanging in branches that it is unable to walk on the ground where it has to drag its own body using the large curved claws on its foredigits.
<ref name="Gough-Palmer-etal" />
 
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==See also==
* [[Human skeletal changes due to bipedalism]]
* [[Human leg#Structure|Lower limb]]
 
==Notes==
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==References==
{{Refbegin|30em}}
* {{cite journal | reflast1 = harvGough-Palmer | first1 = Antony L
| last1 = Gough-Palmer | first1 = Antony L
| last2 = Maclachlan | first2 = Jody
| last3 = Routh | first3 = Andrew
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| doi = 10.1148/rg.282075061 | url = http://radiographics.rsna.org/content/28/2/501.full.pdf | pmid=18349453
}}
* {{cite book | refeditor1-last = harvRoss | editor1-first = Lawrence M
| editor1-last = Ross | editor1-first = Lawrence M
| editor2-last = Lamperti | editor2-first = Edward D
| title = Thieme Atlas of Anatomy: General Anatomy and Musculoskeletal System
| publisher = Thieme | year = 2006 | isbn = 1-58890-419-9
}}
* {{cite web | reflast = harvSellers | first = Bill
| last = Sellers | first = Bill
| title = Functional Anatomy of the Upper Limb | year = 2002
| url = http://mac-huwis.lut.ac.uk/~wis/lectures/ | accessdateaccess-date = 19 June 2011
}}
* {{cite book | reflast = harvSeiden | first = David
| last = Seiden | first = David
| title = [[USMLE Step 1]] Anatomy Notes
| publisher = Kaplan Medical | year = 2002