Final Muscle Attachments, Actions, & Innervations Flashcards
Latissimus dorsi attachments
from… lower thoracic spinous processes, thoracolumbar fascia & iliac crest
to… floor of intertubercular sulcus of the humerus
Latissimus dorsi actions
adduction
extension
medial rotation of humerus
Latissimus dorsi innervation
thoracodorsal nerve (C6-8)
Levator scapulae attachments
from… transverse processes of C1-C4
to… superior angle and superomedial border of the scapula
Levator scapulae actions
elevation of scapula
downward rotation of scapula
Levator scapulae innervation
dorsal scapular nerve (C4-C5)
sensory: direct branches of C3-4
Pectoralis major attachments
from… clavicle, costal cartilages, sternum & aponeurosis of the external oblique
to… the lateral lip of of the intertubercular sulcus of the humerus
Pectoralis major actions
humeral adduction
humeral flexion
humeral medial rotation
Sternocostal portion: assists with extension of the flexed arm
Pectoralis major innervations
lateral & medial pectoral nerves
(clavicular head C5-7; sternocostal head C8-T1)
Pectoralis minor attachments
from… outer surfaces of ribs 3-5
to… the coracoid process
Pectoralis minor actions
anterior tilt of scapula
assists with depression of the shoulder
forced inspiration
Pectoralis minor innervations
medial & lateral pectoral nerves
(C5-T1)
Rhomboids attachments
major: from… spinous processes T2-5; minor: from… ligamentum nuchae & spinous processes C7-T1
to… medial border of scapula
Rhomboids actions
scapular retraction
scapular elevation (upper)
scapular downward rotation
Rhomboids innervation
PNS: dorsal scapular nerve (CNS: C4-C5)
sensory: direct branches of C3-4
Serratus anterior attachments
from… the outer surfaces & superior borders of upper eight-ten ribs
to… the costal surfaces of the medial border of the scapula
Serratus anterior actions
scapular protraction
upward rotation of the scapula
Serratus anterior innervation
long thoracic nerve (C5-7)
Subclavius attachments
from… 1st rib & cartilage
to… the undersurface of the clavicle
Subclavius actions
depresses clavicle
stabilizes clavicle
Subclavius innervation
subclavian nerve (C5-6)
Trapezius attachments
from… superior nuchal line, external occipital protuberance, ligamentum nuchae, & cervical & thoracic spinous processes
to… clavicle, acromion & scapular spine
Trapezius actions
scapular elevation (upper)
scapular depression (lower)
scapular retraction (middle)
scapular upwards rotation (upper & lower)
Trapezius innervation
accessory nerve (CN XI),
(sensory: C3-4)
Deltoid attachments
from… clavicle, acromion process & spine of the scapula
to… deltoid tuberosity of the humerus
Deltoid actions
flexion & medial rotation (anterior) of humerus
abduction (primarily middle) of humerus
extension & lateral rotation of humerus
horizontal extension (posterior) of humerus
Deltoid innervations
axillary nerve
(spinal: C5-C6)
Supraspinatus attachments
from… medial 2/3 of the supraspinous fossa
to… superior facet of the greater tubercle of the humerus & to shoulder joint capsule
Supraspinatus actions
initiates humeral abduction
laterally rotates humerus
stabilizes glenohumeral joint (reinforces superior aspect of joint capsule)
Supraspinatus innervations
suprascapular nerve (C4-6)
Infraspinatus attachments
from… the medial 2/3 of the infraspinous fossa
to… the middle facet of the greater tubercle of the humerus & to shoulder joint capsule
Infraspinatus actions
lateral rotation of humerus
stabilizes glenohumeral joint
Infraspinatus innervations
PNS: suprascapular nerve
CNS: C5-6
Teres minor attachments
from… the upper 2/3 of the dorsal surface of the lateral border of the scapula
to… the inferior facet of the greater tubercle of the humerus & to shoulder joint capsule
Teres minor actions
lateral rotation of humerus
stabilizes glenohumeral joint
Teres minor innervations
axillary nerve (sensory C5-C6)
Subscapularis attachments
from… the subscapular fossa
to… the lesser tubercle of the of the humerus
Subscapularis actions
medial rotation of humerus
stabilizes glenohumeral joint
Subscapularis innervations
Upper and lower subscapular nerve (C5-6)
Teres major attachments
from… the dorsal surface of the inferior angle scapula & lower 1/3 of the lateral border of the scapula
to… the medial lip of the intertubercular sulcus of the humerus
Teres major actions
humeral adduction
medial rotation of humerus
extension of humerus
Teres major innervations
lower subscapular nerve (C5-6)
Anconeus attachments
From… lateral epicondyle of humerus
to… lateral surface of the olecranon process
Anconeus actions
Extension of elbow
Anconeus innervation
Radial nerve (C7-8)
Biceps brachii attachments
From… coracoid process (short head) and supraglenoid tubercle (long head) of scapula
to… the radial tuberosity and the deep antebrachial fascia (through the bicipital aponeurosis)
Biceps brachii actions
Flexion of the shoulder and elbow
supination of the forearm
Biceps brachii innervation
Musculocutaneous nerve (C5-6)
Brachialis attachments
From… the distal anterior shaft of the humerus and lateral/medial intermuscular septa
to… the coronoid process and ulnar tuberosity
Brachialis actions
Flexion of the elbow
Brachialis innervation
Musculocutaneous and small branch from radial nerve (C5-6)
Coracobrachialis attachments
From… the coracoid process
to… the proximal medial shaft of the humerus
Coracobrachialis actions
Flexion of shoulder
adduction of the shoulder
Coracobrachialis innervation
Musculocutaneous nerve (C6-7)
Triceps Brachii attachments
From… the infraglenoid tubercle of the scapula (long head), and proximal posterolateral (lateral head) and distal posteromedial (medial head) shaft of the humerus
to… the olecranon process of the ulna
Triceps Brachii actions
Extension of the shoulder (long head)
extension of the elbow (long, lateral and medial heads)
Triceps Brachii innervation
Radial nerve (C6-T1)
Abductor pollicis longus attachments
from… proximal posterior radius, ulna & interosseous membrane
to… the base of the 1st metacarpal & trapezium
Abductor pollicis longus actions
abducts thumb
extends thumb at carpometacarpal joint
abducts hand at wrist (radial deviation)
Abductor pollicis longus innervation
PNS: radial nerve
CNS: C6-8
Brachioradialis attachments
from… the lateral supracondylar ridge of the humerus
to… the distal radius lateral to the styloid process
Brachioradialis actions
flexes the elbow
Brachioradialis innervation
PNS: radial nerve
CNS: C5-6
Extensor carpi radialis brevis attachments
from… lateral epicondyle of the humerus (common extensor origin)
to… the base of the 3rd metacarpal
Extensor carpi radialis brevis actions
extends hand at wrist
abducts hand at wrist (radial deviation)
Extensor carpi radialis brevis innervation
PNS: radial nerve
CNS: C6-8
Extensor carpi radialis longus attachments
from… the lateral supracondylar ridge of the humerus
to… the base of the 2nd metacarpal
Extensor carpi radialis longus actions
extends hand at wrist
abducts hand at wrist (radial deviation)
assists in flexion of the elbow
Extensor carpi radialis longus innervations
PNS: radial nerve
CVS: C6-8
Extensor carpi ulnaris attachments
from… the lateral epicondyle of the humerus (common extensor origin)
to… the base of the 5th metacarpal
Extensor carpi ulnaris actions
extends hand at wrist
adducts hand at wrist (ulnar deviation)
Extensor carpi ulnaris innervations
PNS: radial nerve
CNS: C6-8
Extensor digitorum attachments
from… the lateral epicondyle of the humerus (common extensor origin)
to… the extensor expansions of digits 2-5
Extensor digitorum actions
extends phalanges (primarily at metacarpophalangeal, secondarily at interphalangeal)
extends hand at wrist
Extensor digitorum innervations
PNS: radial nerve
CNS: C6-8
Extensor digiti minimi attachments
from… the lateral epicondyle of the humerus (common extensor origin)
to… the digital expansion of the 5th digit
Extensor digiti minimi actions
extends 5th digit (metacarpophalangeal & interphalangheal)
Extensor digiti mini innervations
PNS: radial nerve
CNS: C7-8
Extensor indicis attachments
from… the posterior surface of the ulna & interosseous membrane
to… the digital expansion of the 2nd digit
Extensor indicis actions
extends 2nd digit (metacarpophalangeal & interphalangeal
Extensor indicis innervations
PNS: radial nerve
CNS: C7-8
Extensor pollicis brevis attachments
from… the posterior radial surface & interosseous membrane
to… the base of the 1st proximal phalanx
Extensor pollicis brevis actions
extends thumb (metacarpophalangeal)
extends CMC joint
abducts CMC joint
Extensor pollicis brevis innervations
PNS: radial nerve
CNS: C6-8
Extensor pollicis longus attachments
from… the middle 1/3rd of the posterior surface of the ulna & interosseous membrane
to… the base of the 1st distal phalanx
Extensor pollicis longus actions
extends thumb (CMC & metacarpophalangeal & interphalangeal)
Extensor pollicis longus innervations
radial nerve
(C6-8)
Flexor carpi radialis attachments
from… the medial epicondyle (common flexor origin)
to… the palmar aspect of the base of the 2nd metacarpal
Flexor carpi radialis actions
flexes hand at wrist
abducts hand at wrist (radial deviation)
may assist in pronation of forearm & flexion of the elbow
Flexor carpi radialis innervation
PNS: median nerve
CNS: C6-8
Flexor carpi ulnaris attachments
from… the medial epicondyle (common flexor origin) of the humerus & proximal ulnar shaft
to… the pisiform
Flexor carpi ulnaris actions
flexes hand at wrist
adducts hand at wrist (ulnar deviation)
assists in flexion of the elbow
Flexor carpi ulnaris innervations
PNS: ulnar nerve
CNS: C7-T1
Flexor digitorum profundus attachments
from… the anterior proximal two thirds of the ulna & interosseous membrane
to… the base of the distal phalanges of digits 2-5
Flexor digitorum profundus actions
flexion of digits 2-5 (metacarpophalangeal & distal interphalangeal & proximal interphalangeal)
flexion of hand at wrist
Flexor digitorum profundus innervations
PNS: median (anterior interosseous nerve; 2nd & 3rd digits) & ulnar (4th & 5th digits) nerves
CNS: C7-T1
Flexor digitorum superficialis attachments
from… the medial epicondyle (common flexor origin) of the humerus
to… the sides of the middle phalanges of digits 2-5
Flexor digitorum superficialis actions
flexion of digits (metacarpophalangeal & proximal interphalangeal)
flexes hand at wrist
Flexor digitorum superficialis innervations
PNS: median nerve
CNS: C7-T1
Flexor pollicis longus attachments
from… the anterior surface off the radius & interosseous membrane
to… the base of the distal phalanx of the thumb
Flexor pollicis longus actions
flexes thumb (metacarpophalangeal & interphalangeal)
Flexor pollicis longus innervations
PNS: median nerve (anterior interosseous nerve)
CNS: C7-T1
Palmaris longus attachments
from… the medial epicondyle of the humerus (common flexor origin)
to… the palmar aponerousis
Palmaris longus actions
flexes hand at wrist
tenses palmar fascia
Palmaris longus innervations
PNS: median nerve
CNS: C7-8
Pronator quadratus attachments
from… the anterior surface of the distal ulna
to… the anterior surface of the distal radius
Pronator quadratus actions
pronates the forearm
Pronator quadratus innervations
PNS: median nerve (anterior interosseous nerve
CNS: C8-T1
Pronator teres attachments
from… the medial epicondyle & ulnar coronoid process
to… lateral aspect of the radius
Pronator teres actions
pronates forearm
flexes forearm
Pronator teres innervation
PNS: median nerve
CNS C6-7
Supinator attachments
from… the lateral epicondyle of the humerus, radial collateral ligament & supinator crest of the ulna
to… the lateral surface of the proximal radius
Supinator actions
supinates forearm
Supinator innervations
PNS: radial nerve
CNS: C5-6
Abductor digiti minimi attachments
from… the pisiform
to… the ulnar side of the base of the proximal phalanx of the 5th digit
Abductor digiti minimi actions
abducts 5th digit
Abductor digiti minimi innervations
PNS: deep branch of the ulnar nerve
CNS: C8-T1
Abductor pollicis brevis attachments
From… the transverse carpal ligament
to… the radial side of the base of the proximal phalanx of the thumb and tubercle of trapezium
Abductor pollicis brevis actions
abducts the thumb
Abductor pollicis brevis innervations
PNS: recurrent branch of the median nerve
CNS: C6-T1
Adductor pollicis attachments
from… the capitate & 2nd & 3rd metacarpals (oblique head) & the palmar aspect of the 3rd metacarpal (transverse head)
to… the base of the proximal phalanx of the thumb
adductor pollicis actions
adducts the thumb
Adductor pollicis innervations
PNS: deep branch of the ulnar nerve
CNS: C8-T1
Dorsal interossei attachments
from… the adjacent sides of the metacarpals
to… the proximal phalangeal bases & dorsal digital expansions of digits 2-4
Dorsal interossei (hand) actions
abducts (MCP) of digits 2-4
flexes (MCP) of digits 2-4
extends (IP) of digits 2-4
Dorsal interossei innervations
PNS: Deep branch of the ulnar nerve
CNS: C8-T1
Flexor digiti minimi brevis attachments
from… the hamate
to… the ulnar side of the base of the proximal phalanx of the 5th digit
Flexor digiti minimi brevis actions
Flexes MCP of the 5th digit
Flexor digiti minimi brevis (hand) innervations
PNS: deep branch of the ulnar nerve
CNS: C8-T1
Flexor pollicis brevis attachments
from… the transverse carpal ligament & trapezium
to… the radial side of the base of the proximal phalanx of the thumb; deep head blends with opponens pollicis
Flexor pollicis brevis actions
Flexes MCP of thumb
Flexor pollicis brevis innervations
PNS: Superficial head: recurrent branch of the median nerve
………Deep head: deep branch of the ulnar nerve
CNS: Superficial head: (C6-T1)
………Deep head: (C8-T1)
Lumbricals attachments
from… the tendons of the flexor digitorum profundus
to… the radial side of the dorsal digital expansions of digits 2-5
Lumbricals actions
flexes MCP joints of digits 2-5
extends IP joints of digits 2-5
Lumbricals (hand) innervations
PNS: deep branch of the ulnar nerve (3rd & 4th (CNS: C8-T1)) & median nerve (1st & 2nd CNS: (C7-T1))
Opponens digiti minimi attachments
from… the hook of the hamate
to… the ulnar margin of the shaft of the 5th metacarpal
Opponens digiti minimi actions
opposition of the 5th digit to the thumb
Opponens digiti minimi innervations
PNS: deep branch of the ulnar nerve
CNS: C8-T1
Opponens pollicis attachments
from… the transverse carpal ligament & trapezium
to… the palmar surface of the 1st metacarpal
Opponens pollicis actions
opposition of the thumb to the 5th digit
Opponens pollicis innervations
PNS: recurrent branch of the median nerve
CNS: C6-T1
Palmar interossei attachments
from… the palmar aspects of metacarpals 2, 4 & 5
to… the dorsal digital expansions of digits 2, 4, & 5
Palmar interossei actions
adducts MCP of digits 2, 4, & 5
flexes MCP of digits 2, 4, & 5
extends IP of digits 2, 4, & 5
Palmar interossei innervations
PNS: deep branch of the ulnar nerve
CNS: C8-T1
Buccinator attachments
from… alveolar processes of the maxilla & mandible, pterygoid Hamulus & pterygomandibular raphe
to… angle of mouth
Buccinator function
compresses the cheek (when blowing)
Buccinator innervation
buccal branch of the facial n
Depressor anguli oris attachments
from… mandible
to… angle of mouth
Depressor anguli oris function
depresses angle of mouth laterally (frown, sadness)
Depressor anguli oris innervation
buccal & mandibular branch of the facial n.
Depressor labii inferioris attachments
from… oblique line of mandible
to… skin of lower lip
Depressor labii inferioris function
depresses lower lip (pouting, sadness)
Depressor labii inferioris innervation
mandibular branch of the facial nerve
Frontalis attachments
from… the superficial fascia of the eyebrows
to… the epicranial aponeurosis
Frontalis function
protracts the scalp or elevates eyebrows & nose (surprise or curiosity)
Frontalis innervation
temporal branch of the facial nerve
Levator labii superioris attachments
from… the inferior orbital margin
to… the lateral aspect of the upper lip
Levator labii superioris function
raises & everts upper lip (showing sadness)
Levator labii superioris innervation
buccal & zygomatic branches of the facial nerve
Nasalis attachments
from… the maxilla lateral & inferior to the nasal notch
to… the bridge & ala of the nose
Nasalis function
Transverse fibers compress & alar fibers widen the nasal aperture (flaring nostrils during anger or exertion)
Nasalis innervation
buccal branch of facial nerve
Orbicularis oculi attachments
from… orbital margin & medial palpebral ligament
to… superficial fascia of the eyelid
Orbicularis oculi function
a palpebral sphincter (closes eyes, winking)
Orbicularis oculi innervation
temporal & zygomatic branches of the facial nerve
Orbicularis oris attachments
from… angle of mouth
to… the superficial fascia of the upper lip
Orbicularis oris function
an oral sphincter (closes mouth, kissing)
Orbicularis oris innervation
buccal & mandibular branches of the facial nerve
Platysma attachments
from… the lower border of the mandible
to… the superficial fascia of the skin of the neck overlying the clavicle
Platysma function
wrinkles the anterior nuchal skin (conveying tension or stress)
Platysma innervation
cervical branch of the facial nerve