AP 1 M5 5.2: Anatomy of the Muscular System Part II: Muscles of the Upper and Lower Extremities Flashcards
muscles on the posterior thorax
The muscles on the posterior thorax assist in movement of the shoulder girdle. The trapezius is a large muscle that acts on the shoulder as well as the neck and upper spine. The trapezius is superficial to the remaining muscles shown
Muscles of the Shoulder Girdle Continued
The shoulder is a ball and socket joint, which permits many types of movement. The glenoid cavity of the scapula is very small compared to the head of the humerus. The large bony structure of the shoulder requires many ligaments and layers of muscle for stability.
rotator cuff
A muscle grouping known as the rotator cuff is necessary to stabilize the humeral head inside the shoulder joint.
Rotator cuff is made up of the “SITS” muscles
The rotator cuff is made up of the “SITS” muscles: supraspinatus, infraspinatus, teres minor, and subscapularis.
Muscles of the Lower Extremity
Several movements are important to clarify when discussing muscles of the lower extremity.
Hip extension
Hip extension involves moving the thigh posteriorly (or backward movement of the thigh)
Hip flexion
Hip flexion is moving the thigh anteriorly (or forward movement of the thigh)
Knee extension
Knee extension means to straighten the knee, or to increase the angle of the joint.
Knee flexion
Knee flexion is bending the knee (decreasing the angle of the joint)
Lateral rotation
Lateral rotation (external rotation) refers to rotation away from the center of the body.
Internal rotation
Internal rotation (medial rotation) refers to rotation towards the central axis of the body.
Gluteal Muscles of the Thigh
The gluteal muscles extend and rotate the hip joint. Gluteus maximus is a large, superficial muscle covering the posterior thigh.
hip
The hip is a ball and socket joint, permitting many ranges of movements, such as adduction, abduction, extension, flexion, and rotation. The “hip” refers to the ball and socket joint. Thigh movements refer to movement of the femur. A muscle can have multiple actions, depending on the location and orientation of the muscle fibers. For example, gluteus maximus can abduct and extend at the hip joint. In addition, a muscle may act on multiple joints. For example, the biceps femoris crosses the hip joint and knee joint. At the hip, biceps femoris enables hip extension, while at the knee it enables knee flexion.
Trapezius (upper, middle, lower)
Muscles of the Shoulder and Upper Extremity
Origin: occipital bone, spinous process of T1-12
Insertion: lateral clavicle, acromion, and scapular spine of scapula
Action: rotation, retraction, elevation, depression of scapula; extends neck and stabilizes shoulder
Innervation: Accessory nerve (Cranial Nerve 11)
Levator scapulae
Muscles of the Shoulder and Upper Extremity
Origin: transverse process of C1-4
Insertion: medial border of scapula
Action: elevates scapula
Innervation: dorsal scapular nerve
Rhomboids (major, minor)
Muscles of the Shoulder and Upper Extremity
Origin: spinous process (minor: C7-T1) (major: T2-5)
Insertion: medial border of scapula
Action: retraction of scapula
Innervation: dorsal scapular nerve
Pectoralis minor
Muscles of the Shoulder and Upper Extremity
Origin: ribs 3-5
Insertion: coracoid process of scapula
Action: elevates ribs, draws scapula down and medially
Innervation: medial pectoral nerve
Serratus Anterior
Muscles of the Shoulder and Upper Extremity
Origin: upper 8-9 ribs
Insertion: medial border of scapula
Action: protraction of scapula
Innervation: long thoracic nerve
Deltoid (anterior, posterior, middle)
Muscles of the Shoulder Girdle Continued
Origin: clavicle and scapula
Insertion: deltoid tuberosity of humerus
Action: abduction at shoulder (whole muscle)
Innervation: axillary nerve
Pectoralis major
Muscles of the Shoulder Girdle Continued
Origin: ribs 2-6, body of sternum
Insertion: greater tubercle of humerus
Action: flexion, adduction and medial rotation at shoulder
Innervation: pectoral nerves
Supraspinatus (above spine of scapula)
Muscles of the Shoulder Girdle Continued
Origin: supraspinatus fossa of scapula
Insertion: greater tubercle of humerus
Action: abduction at the shoulder
Innervation: suprascapular nerve
Infraspinatus (below spine of scapula)
Muscles of the Shoulder Girdle Continued
Origin: infraspinatus fossa of scapula
Insertion: greater tubercle of humerus
Action: lateral rotation at shoulder
Innervation: suprascapular nerve
Teres Minor
Muscles of the Shoulder Girdle Continued
Origin: lateral border of scapula
Insertion: greater tubercle of humerus
Action: lateral rotation at shoulder
Innervation: axillary nerve
Teres Major – not part of the rotator cuff
Muscles of the Shoulder Girdle Continued
Origin: inferior angle of scapula
Insertion: intertubercular groove of humerus
Action: extension, adduction, and medial rotation at shoulder
Innervation: lower subscapular nerve
Subscapularis – along inner surface of the scapula
Muscles of the Shoulder Girdle Continued
Origin: subscapular fossa of scapula
Insertion: lesser tubercle of humerus
Action: medial rotation at the shoulder
Innervation: subscapular nerves
Latissimus Dorsi
Muscles of the Shoulder Girdle Continued
Origin: spinous process of inferior thoracic and lumbar vertebrae, ribs 8-12
Insertion: intertubercular groove of humerus
Action: extension, adduction, and medial rotation at shoulder
Innervation: thoracodorsal nerve
Coracobrachialis
Muscles of the Shoulder Girdle Continued
Origin: coracoid process of scapula
Insertion: medial shaft of humerus
Action: adduction and flexion at shoulder
Innervation: musculocutaneous nerve
Biceps brachii
Muscles of the Forearm and Elbow
Origin: short head- coracoid process; long head- supraglenoid tubercle of scapula
Insertion: tuberosity of radius
Action: flexion at elbow and shoulder; supination
Innervation: musculocutaneous nerve
Brachialis
Muscles of the Forearm and Elbow
Origin: anterior/distal surface of humerus
Insertion: tuberosity of ulna
Action: flexion at elbow
Innervation: musculocutaneous nerve and radial nerve
Brachioradialis
Muscles of the Forearm and Elbow
Origin: lateral epicondyle of humerus
Insertion: lateral aspect of styloid process of radius
Action: flexion at elbow
Innervation: radial nerve
Triceps (long head, lateral head, medial head)
Muscles of the Forearm and Elbow
Origin:
Lateral head – superior, lateral margin on humerus
Long head – infraglenoid tubercle of scapula
Medial head – posterior surface of humerus
Insertion: olecranon of ulna
Action: extension at elbow
Innervation: radial nerve
Pronator Teres
Muscles of the Forearm and Elbow
Origin: medial epicondyle of humerus
Insertion: mid-lateral surface of radius
Action: pronation
Innervation: median nerve
Flexor carpi radialis
Superficial Flexors
Action: wrist flexion, radial deviation of the hand
Innervation: median nerve