gross anatomy muscle guide Flashcards
Latissimus Dorsi
Origin-spinous processes of the t7-t12; thoracolumbar facia; iliac crest, inferior 3 or 4 ribs
Insertion-floor of intertubercular groove of humerous
Innervation-thoracodorsal nerve ( C6,C7,C8)
Action-extends,adducts, and medically rotates humerous
- posteriorly tilts scapula
Trapezius
Origin-medial third of superior nuchal line, external occipital protuberance, nuchal ligament, spinous processes of C7-T12 vertebrae
Insertion-lateral third of the clavicle, acromion, spine of scapula
Innervation - spinal accessory nerve (CN XI) (motor fibers) C3/C4 spinal nerves (pain and proprioceptive fibers)
Action-upper trapezius: elevates scapula
- lower trapezius: depresses and adducts and posteriorly lilts the scapula - middle trapezius: adducts scapula - upper and lower trapezius: together, upwardly rotates scapula - scApula fixed: upper trap ipsilat laterally flexes, contralat rotates head &neck, bilat extends head and neck.
Rhomboid Major
Origin - spinous process of T2-5
Insertion - medial border of scapula from level of spine to inferior angle
Innervation - dorsal scapular nerve (C4 & C5)
Action- adducts,elevates, and downwardly rotates scapula
- stabilizes scapula on thoracic wall
Rhomboid Minor
Origin- nuchal ligament , spinous processes ofC7 mad T1 vertebrae
Insertion-medial end of scapular spine
Innervation - dorsal scapular nerve (C4, C5)
Action- adducts elevates and downwardly rotates scapula
- stabilizes scapula on the thoracic wall
Levator Scapulae
Origin-posterior tubercles of transverse processes of C1-C4 vertebrae
Insertion-medial border of scapula, superior to root of the scapular spine
Innervation-dorsal scapular nerve (C5) cervical nerves (C3,C4)
Action-elevates and downwardly rotates scapula
- scapula fixed: ipsilat laterally rotates & flexes, bilat extends head and neck
Serratus Posterior Superior
Origin-nuchal ligament, spinous process of C7-T3 vertebrae
Insertion - superior borders of 2nd to 4th ribs
Innervation - ventral rami T2-T5 thoracic spinal nerves
Action-elevates ribs
Serratus Posterior Inferior
Origin- spinous processes of T11-L1 vertebrae
Insertion-inferior borders of 8th to 12th ribs near their angles
Innervation - ventral rami of T9-T12 thoracic spinal nerves
Action- depresses ribs
Splenius Capitis
Origin-nuchal ligament and spinous processes of C7-T3 or T4 vertebrae
Insertion - fibers run superiorlaterally to mastoid process (of temporal bone) and lateral third of superior nuchal line ( of occipital bone)
Innervation-dorsal rami of spinal nerves
Action- ipsilat laterally rotates and flexes head and neck
- bilat extends head and neck
Splenius Cervicis
Origin-nuchal ligament and spinous processes of C7-T6 vertebrae
Insertion-tuber les of transverse processes of C1-C3 vertebrae
Innervation-dorsal rami of spinal nerves
Action- ipsilat laterally flexes and rotates neck and head
- bilat extends head and neck
Iliocostalis
Origin-Aries by broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacroiliac ligaments, sacral and inferior lumbar spinous processes and supraspinous ligament
Insertion-lumborum, thoracic cervicis fibers run superiorly to angles of lower ribs and cervical transverse processes
Innervation- dorsal rami of spinal nerves
Action-ipsilat laterally flexes trunk
- bilat extends trunk
Longissimus
Origin-Aries by broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacroiliac ligaments, sacral and inferior lumbar spinous processes and supraspinous ligament
Insertion- thoracis: ribs between tubercles and angles, and thoracic transverse processes
Cervicis: transverse processes in cervical region
Capitis: mastoid process of temporal bone
Innervation-dorsal rami of spinal nerves
Action-ipsilat laterally flexes trunk
-bilat extends trunk
Spinalis
Origin-arises by a broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacroiliac ligaments, sacral and inferior lumbar spinous processes, and supraspinous ligament
Insertion-thoracis,cervicis,Capitis, fibers run superiorly to spinous processes in upper thoracic region and to cranium
Innervation-dorsal rami of spinal nerve
Action-ipsilat laterally flexes trunk
- bilat extends trunk
Transversospinalis (semispinalis, Multifidus, Rotatores)
Origin-transverse processes
Insertion-spinous processes of more superior vertebrae
Innervation - dorsal rami of spinal nerves
Action-stabilizes vertebrae during local movements of vertebrae column
Semispinalis
Origin-arises from transverse processes of C4-T12 vertebrae
Insertion-thoracis,cervicis, Capitis, fibers run superiormedially to occipital bone and spinous processes in thoracic and cervical regions, spanning 4-6 segments
Innervation-dorsal rami of spinal nerves
Action-stabalizes vertebrae during local movements of vertebral column
Multifidus
Origin-arises from posterior sacrum,posterior superior iliac spine of ilium, aponeurosis of erector spinal, sacroiliac ligaments, mammillary processes of lumbar vertebrae, transverse processes of T1-T3, articular processes of C4-C7
Insertion-thickest in lumbar region, fibers pass obliquely superiormedially to entire length of spinous processes, spanning. 2-4 segments superior to origin.
Innervation-dorsal rami of spinal nerves
Action-stabalizes vertebrae during local movements of vertebral column
Rotatores (brevis and longus)
Origin-arises from transverse processes of vertebrae best developed in thoracic region
Insertion-fibers pass superiormedially to attach to junction of lamina and transverse process or spinous process of vertebra immediately (brevis) or two segments superior (longus) to vertebra attachment
Innervation-dorsal rami of spianal nerves
Action-stabalizes vertebrae during localized movements of spinal column
-assists with and rotary movements of vertebral column
Lateral intertransverse
Origin-transverse process of cervical and lumbar vertebrae
Insertion - transverse processes of adjacent vertebrae
Innervation-dorsal and ventral rami of spinal nerves
Action-ipsilat lateral flexion of vertebral column
-bilat stabilizes vertebral column
Superior Oblique of the head (Obliquus Capitis Superior)
Origin-transverse processes of C1 vertebrae
Insertion-occipital bone between superior and inferior nuchal lines
Innervation-suboccipital nerve (dorsal rami of C1)
Action-ipsilat lateral flexion of head and neck
-bilat extension of head and neck
Rectus Capitis Posterior Major
Origin-spinous process of C2 vertebrae
Insertion-lateral part of inferior nuchal line (of occipital bone)
Innervation-sub occipital nerve (dorsal ramps of C1)
Action-ipsilat rotation of head and neck
- bilat extension of head and neck
Rectus Capitis Posterior Minor
Origin-posterior tubercle of posterior arch of C1vertebrea
Insertion-medial part of inferior nuchal line (of occipital bone)
Innervation-sub occipital nerve (dorsal ramus of C1)
Action-ipsilat rotation of head and neck.
-bilat extension of head and neck
Infraspinatus ( rotator cuff muscle SITS)
Origin-infraspinatus fossil of scapula
Insertion-middle facet of greater tubercle of humerous
Innervation- suprascapular nerve (C5, C6)
Action-laterally rotates humerous
- stabilizes humeral head in glenoid fossa
Teres Minor ( rotator cuff muscle SITS)
Origin-middle part of lateral border of scapula
Insertion-inferior facet of greater tubercle of humerous
Innervation - Axillary nerve (C5, C6)
Action-laterally rotates humerous
-stabalizes humeral head in glenoid fossa
Supraspinatus (rotator cuff muscle SITS)
Origin-supraspinous fossa of scapula
Insertion- superior facet of greater tubercle of humerus
Innervation-suprascapular nerve (C4, C5, C6)
Action-initiates abduction of humerous
-stabalizes humeral head in glenoid fossa
Subscapularis (rotator cuff muscle SITS)
Origin- subscapular fossa ( most of anterior surface of scapula)
Insertion- lesser tubercle of humerous
Innervation- upper and lower subscapular nerves (C5, C6, C7)
Action- adducts and medially rotates humerous
- stabilizes humeral head in glenoid fossa
Teres Major
Origin- posterior surface of inferior angle of scapula
Insertion- medial lip of intertubercular groove of humerous
Innervation-lower subscapular nerve ( C5, C6*)
Action- adducts and medially rotates humerus
Deltoid
Origin- lateral third of clavicle, acromion,spine of scapula
Insertion- deltoid tuberosity of humerus
Innervation - axillary nerve (C5*, C6)
Action- anterior flexes and medially rotates humerus
- middle abducts humerus - posterior extends and laterally rotates humerus
Triceps Brachii
Origin- long head, infraglenoid tubercle of scapula
- lateral head, posterior surface of humerus, superior to radial groove - medial head, posterior surface of humerus, inferior to radial groove
Insertion- proximal end of olecranon of ulna and fascia of forearm
Innervation- radial nerve (C6, C7, C8)
Action- extends forearm
- long head extends humerus and resists dislocation of glenohumeral joint
Anconeus
Origin- lateral epicondyle of humerus
Insertion- lateral surface of olecranon and superior part of posterior surface of ulna
Innervation- radial nerve (C7,C8,T1)
Action- extends forearm, stabilizes elbow joint, abducts ulna durning pronation
Pectoralis Major
Origin-clavicular head, anterior surface of medial half of clavicle
- sternocostal head, anterior surface of sternum superior six costa cartilages
Insertion-lateral lip of intertubercular groove of humerus
Innervation- lateral and medial pectoral nerves; clavicular head (C5, C6), sternocostal head (C7, C8*, T1)
Action- horizontally adducts and medially rotates humerus
- clavicular fibers horizontally adducts humerus - sternocostal fibers horizontally adducts and extends humerus from a flexed position
Pectorals Minor
Origin- 3rd to 5th ribs near their costal cartilages
Insertion- medial border and superior surface of coracoid process of scapula
Innervation- Medial pectoral nerve (C8, T1)
Action- anteriorly tilts and depresses scapula
Subclavius
Origin- Junction of 1st rib and its costal cartilage
Insertion- Inferior surface of middle third of clavicle
Innervation- Nerve of subclavius (C5*, C6)
Action- Stabilizes and depresses calvicle
Serratus Anterior
Origin- External and lateral surface of 1st-8th ribs
Insertion- Anterior surface of medial border of scapula
Innervation- Long thoracic nerve (C5, C6, C7)
Action- Upwardly rotates and abducts scapula
- Stabilizes scapula on thoracic wall
Coracobrachialis
Origin- Coracoid process of scapula
Insertion- middle third of medial surface of humerus
Innervation- Musculocutaneous nerve (C5, C6*,C7)
Action- Flexes and adducts humerus
- Resists dislocation of gelnohumeral joint
Brachialis
Origin- distal half of anterior surface of humerus
Insertion- Coronoid process and tuberosity of the ulna
Innervation- Musculocutaneous nerve (C5, C6) and radial nerve (C7)
Action- flexes elbow in all positions
Biceps Brachii
Origin- Short head: coracoid process of scapula
-Long head: supraglenoid tubercle of scapula
Insertion- Radial tuberosity: facia of forearm via bicipital aponurosis
Innervation- Musculocutaneous nerve (C5, C6*)
Action- supinates forarm and flexes elbow
- resists dislocation of glenohumeral joint
Pronator Teres
Origin- Ulnar head: coronoid process of ulna
Humeral head: medial epicondyle of humerus (via common flexor tendon)
Insertion- lateral surface of radius
Innervation- Median nerve (C6, C7*)
Action- pronates forearm and flexes elbow
Flexor Carpi Radialis (FCR)
Origin- Medial epicondlye of humerus (via common flexor tendon)
Insertion- base of 2nd metacapal
Innervation- Median nerve (C6, C7*)
Action- flexes and radially deviates wrist
- weakly flexes elbow
Palmaris Longus
Origin- medial epicondyle of humerus (via common flexor tendon)
Insertion- flexor retinaculum and palmar aponeurosis
Innervation- Median nerve (C7, C8)
Action- Tenses palmar aponeurosis
- Flexes wrist, weakly flexes elbow
Flexor Carpi Ulnaris (FCU)
Origin- Humeral head: medial epicondyle of humerus (via common flexor tendon)
Ulnar Head: olecranon and posterior border of ulna
Insertion- pisiform, hook of hamate, 5th metacarpal
Innervation- Ulnar nerve (C7, C8*)
Action- Flexes and ulnarly deviates wrist
- weakly flexes elbow
Flexor Digitorum Superficialis (FDS)
Origin- Humeroulnar head: medial epicondyle (via common flexor tendon) and coronoid process of ulna
Radial Head: anterior proximal radius
Insertion- Shafts of middle phalanges of 2nd-5th digits
Innervation- Media nerve (C7, C8, T1)
Action- Flexes PIP and MCP joints for 2nd-5th digits
- Flexes wrist - Weakly flexes elbow
Flexor Digitorum Profundus (FDP)
Origin- proximal medial and anterior ulna, interosseous membrane
Insertion- Base of distal phalanges of 2nd-5th digits
Innervation- Medial Part: Ulnar nerve (C8, T1)
- Lateral Part: anterior interosseous nerve, from median nerve (C8, T1)
Action- flexes DIP, PIP, and MCP joints for 2nd-5th digits
- flexes wrist
Flexor Pollicis Longus (FPL)
Origin- anteior surface of radius, interosseous membrane
Insertion- base of distal phalanx of the thumb
Innervation- anterior interosseous nerve, from median nerve (C8*, T1)
Action- Flexes IP and MCP of 1st digit (thumb)
-Flexes wrist
Pronator Quadratus
Origin- Distal anterior ulna
Insertion- Distal anterior radius
Innervation- Anterior interosseous nerve, from median nerve (C8*, T1)
Action- Pronates forearm
- stabilizes distal radioulnar joint
Abductor Pollicis Brevis
Origin- Flexor rentinaculum and tubercles of scaphoid and trapezium
Insertion- Lateral side of base of proximal phalanx of thumb
Innervation- recurrent branch of median nerve (C8*, T1)
Action- abducts thumb
- opposes thumb
Opponens Pollicis
Origin- flexor rentinaculum and tubercles of scaphoid and trapezium
Insertion- lateral side of 1st metacarpal
Innervation- Recurrent branch of median nerve (C8*, T1)
Action- opposes thumb
Flexor Pollicis Brevis
Origin- Flexor retinaculum and tubercles of scaphoid and trapezium
Insertion- lateral side of base of proximal phalanx of thumb
Innervation- Superficial head: recurrent branch of median nerve (C8, T1)
-Deep head: deep branch of ulnar nerve (C8, T1)
Action- Flexes MCP of 1st digit (thumb)
Flexor Digiti Mnimi brevis
Origin- hook of hamate and flexor rentinaculum
Insertion- medial side of base of proximal phalanx of 5th digit
Innervation- deep branch of ulnar nerve (C8, T1*)
Action- Flexes MCP of 5th digit
Abductor Digiti Minimi
Origin- Pisiform
Insertion- medial side of base of proximal phalanx of 5th digit
Innervation- Deep branch of ulnar nerve (C8, T1*)
Action- abducts and flexes MCP of 5th digit
Opponens Digiti Minimi
Origin- hook of hamate and flexor rentinaculum
Insertion- medial border of 5th metacarpal
Innervation- deep branch of ulnar nerve (C8, T1*)
Action- opposes 5th digit
Palmaris Brevis
Origin- Palmar aponeurosis
Insertion- skin of hand on ulnar side
Innervation- superficial branch of ulnar nerve (C8, T1)
Action- tenses skin of palmar fascia
Adductor Pollicis
Origin- Oblique head: base of 2nd and 3rd metacapals, trapezoid and capitate
Transverse head: anterior surface of 3rd metacarpal
Insertion- medial side of base of proximal phalanx of thumb
Innervation- Deep branch of ulnar nerve (C8, T1*)
Action- adducts thumb
Lumbricals (1st and 2nd)
Origin- lateral two tendons of flexor digitorum profundus (as unipennate muscles)
Insertion- lateral sides of extensor expansions of 2nd-3rd digits
Innervation- median nerve (C8, T1*)
Action- flexes MCP joints and extends IP joints of 2nd-3rd digits
Lumbricals (3rd and 4th)
Origin- medial three tendons of flexor digitorum profundus (as biqennate muscles)
Insertion- lateral sides of extensor expansions of 4th and 5th digits
Innervation- deep branch of ulnar nerve (C8, T1*)
Action- Flexes MCP join and extends IP joints of 4th and 5th digits
Dorsal Interossei
Origin- adjacent sides of two metacarpals (as bipennate muscles)
Insertion- bases of proximal phalanges and extensor expansions of 2nd-4th digits
Innervation- deep branch of ulnar nerve (C8, T1*)
Action- abducts 2nd-4th digits from axial line
- acts with lumbricals to flex MCP joints and extend IP joints - 1st dorsal interosseous adducts thumb
Palmar Interossei
Origin- Palmar surfaces of 2nd, 4th, and 5th metacarpals (as unipennate muscles)
Insertion- Bases of proximal phalanges, extensor expansions of 2nd, 4th, and 5th digits
Innervation- deep branch of ulnar nerve (C8, T1*)
Action- adducts 2nd, 4th, and 5th digits towards axial line
- acts with lumbricals to flex MCP joints and extend IP joints
Brachioradialis
Origin- lateral supracondylar ridge of humerus
Insertion- lateral surface of distal radius, proximal to styloid process
Innervation- radial nerve (C5, C6*,C7)
Action- weak flexion of elbow (maximal when forearm in midpronated position)
Extensor Carpi Radialis Longus (ECRL)
Origin- lateral suracondylar ridge of humerus
Insertion- dorsal aspect of base of 2nd metacarpal
Innervation- Radial nerve (C6, C7)
Action- extends and radially deviates wrist (active during fist clenching)
Extensor Carpi Radialis Brevis (ECRB)
Origin- lateral epicondyle of humerus (via common extensor tendon)
Insertion- dorsal aspect of base of 3rd metacarpal
Innervation- deep branch of radial nerve (C7*, C8)
Action- extends and radially deviates wrist (active during fist clenching)
Extensor Digitorum (ED)
Origin-lateral epicondyle of humerus (via commone extensor tendon)
Insertion- extensor expansion of 2nd-5th digits
Innervation- deep branch of radial nerve (C7*, C8)
Action- extends elbow
- extends hand at wrist - extends 2nd-5th digits (primarily at MCP joint, secondarily at IP joint)
Extensor Digiti Minimi (EDM)
Origin- lateral epicondyle of humerus (via common extensor tendon)
Insertion- extensor expansion of 5th digit
Innervation- deep branch of radial nerve (C7*, C8)
Action- extends 5th digit (primarily at MCP join, secondarily at IP joint)
- weak wrist extension
Extensor Carpi Ulnaris (ECU)
Origin- lateral epicondyle of humerus (via common extensor tendon); posterior border of ulna
Insertion- dorsal aspect of base of 5th metacarpal
Innervation- deep branch of radial nerve (C7*, C8)
Action- extends and ulnarly deviates wrist (active during fist clenching)
Supinator
Origin- lateral epicondyle of humerus (via common extensor tendon); radial collateral and anular ligaments; supinator fossa; crest of ulna
Insertion- lateral posterior, and anteior surfaces of proximal third of radius
Innervation- deep branch of radial nerve (C7, C8*)
Action- supinates forearm