Lecture Exam 2 Flashcards
What are the 5 functions of skeletal muscles?
- Produce skeletal movement
- Maintain posture/body position
- Protect & support abdominopelvic cavity
- Regulate entering and exiting material
- Maintain body temperature
What 4 things is gross anatomy the study of?
- Muscle fibre organization
- Associated connective tissue
- Associated nerves
- Associated blood vessels
What 3 things is microscopic anatomy the study of?
- Myofibrils
- Myofilaments
- Sarcomeres
What are the 4 types of skeletal muscle fibre organization?
- Parallel (fusiform)
- Convergent (triangular)
- Circular (sphincteral)
- Pennate (featherlike)
Describe the parallel (fusiform) skeletal muscle organization.
Thick belly with tapered ends, fascicles run parallel to muscle axis and may run entire length of muscle
Describe convergent (triangular) skeletal muscle fibre organization.
A broad area that comes together at a common point; one portion of muscle can be stimulated at a time to change the direction of the pull
Describe the circular (sphincteral) skeletal muscle fibre organization.
A concentric ring that constricts an opening or orifice when contracting
Describe pennate (featherlike) skeletal fibre muscle organization. What are the 3 variations?
Fibres that form an oblique angle to the tendon of the muscle.
1. Unipennate
2. Bipennate
3. Multipennate
Describe each unipennate, bipennate, and multipennate skeletal muscle fibre organization.
Unipennate: fibres on the same side of tendon
Bipennate: fibres on both side of tendon
Multipennate: tendon branches within muscle
What are the 4 things tendons attach to?
- Bones
- Cartilage
- Ligaments
- Fascia
What is an aponeurosis?
A broad, flat tendon
What is the new terminology for the ‘origin’ of a muscle?
Axial skeleton: inferior attachment
Appendicular: proximal attachment
What is the new terminology for the ‘insertion’ of a muscle?
Axial: superior attachment
Appendicular: distal attachment
What are the two methods of describing muscle action?
- Reference to the associated bone region
- Reference to specific joint
Describe agonist, antagonist, and synergistic primary muscle actions
Agonist: prime mover; muscles for intended movement
Antag. muscle oppose intended movement
Syner. stabilizer; assist agonist
What does the term profundas mean?
deep
What does the term rectus mean?
Straight, parallel
What does the term caoitis mean?
Head
What does the term genio mean?
chin
What does the term palpebrae mean?
Eyelid
What are the 6 muscles of the mouth region of facial expression?
- Orbicularis oris m.
- Zygomaticus minor m.
- Zygomaticus major m.
- Buccinator m.
- Risorius m.
- Mentalis m.
What is the action of the orbicularis oris m.?
Compresses and purses lips
What is the action of the zygomaticus minor m.?
Retracts and elevates upper lip
What is the action of the zygomaticus major m.?
Retracts and elevates corner of mouth
What is the action of the buccinator m.?
Compresses cheek
What is the action of the risorius m.?
Draws corner of mouth laterally
What is the action of the mentalis m.?
Protrude and evert lower lip
What are the 2 muscles of the eye region of facial expression?
- Orbicularis oculi m.
- Corrugator supercilli m.
What is the action of the orbicularis oculi m.?
Closes eye
What is the action of the corrugator supercilli m.?
Pulls skin inferiorly and medially
What are the 2 muscles of the nose region of facial expression?
- Procerus m.
- Nasalis m.
What is the action of the procerus m.?
Wrinkles nose
What is the action of the nasalis m.?
Compresses bridge, depresses tip of nose, elevates corner of nostrils
What are the 2 muscles of the scalp region of facial expression (name all divisions for each)?
- Occipitofrontalis m. (frontal & occipital belly)
- Auricularis (ante., post., super.)
What is the action of the frontal belly of the occipitofrontalis m.?
raises eyebrows, wrinkles forehead
What is the action of the occipital belly of the occipitofrontalis m.?
Tenses and retracts scalp
What is the muscle and action of the neck region of facial expression?
- Platysma: tenses skin of neck; pulls lower lip inferiorly
What are the two muscles of mastication?
- Masseter
- Temporalis
What is the action of the masseter m.?
Close jaw, assists in protraction, retraction and side to side movement of the mandible
What is the action of the temporalis m.?
Closes jaw, assists in retracting and moving mandible side to side
What are the 2 muscles that move the head and neck?
- Sternocleidomastoid m.
- Scalene m.
What is the origin of the sternocleidomastoid m.?
Sternal head (manubrium); clavicular head (clavicle)Wh
What is the insertion of the sternocleidomastoid m.?
Mastoid process of temporal bone
What is the action (unilateral and bilateral) of the sternocleidomastoid m.?
Uni: laterally flexes head to same side; rotates head opposite side
Bi: flexes neck, protracts head; aids in inhalation
What is the action of the scalene m.?
Flexes and side bends the neck; elevates ribs 1-2 (inhalation)
What are the 3 layers of muscles of the vertebral column? What types of muscles are in each layer?
- Superficial intrinsic muscles
- Intermediate intrinsic muscles
- Deep intrinsic muscles
What are the 2 muscles of the vertebral column?l delete
- Serratus posterior superior m.
- Serratus posterior inferior m.
What is the superficial intrinsic back muscle? What are its actions (unilateral & bilateral)
- Splenius capitis m.
Uni: rotates and laterally flexes neck
Bi: extends head and neck
What are the 2 intermediate intrinsic back muscle?
- Iliiocostalis thoracis m.
- Longissimus thoracis m.
What is the action of the erector spinae?
Extend all vertebral spine; elevates and depresses ribs
What are the 5 deep intrinsic back muscles?
- Semispinalis m.
- Multifidus m.
- Rotatores m.
- Interspinales m.
- Intertransversarii m.
What is the collective action of all the deep intrinsic back muscles?
Stabilizes and provide delicate adjustment of vertebrae; slightly extends and rotates vertebrae
What are the 4 muscles or respiration?E
- External intercostalis m.
- Internal intercostalis m.
- Transversus thoracic m.
- Diaphragm m.
What is the action of the external intercostalis m.?
Elevates ribs
What is the action of the internal intercostalis m.?
Depresses ribs
What is the action of the transversus thoracic m.?
Minimal significance; depresses rib
What is the action of the diaphragm m.?
Contraction expands thoracic cavity; compresses abdominopelvic cavity
What are the 5 muscles of the abdominal wall?
- Rectus abdominis m.
- Pyramidalis m.
- External abdominal oblique m.
- Internal abdominal oblique m.
- Transversus abdominis m.
What is the collective function of the muscles of the abdominal wall?
Support and protect abdominal organs; increase abdominal pressure
What is the origin of the rectus abdominis m.?
Superior surface of pubis
What is the insertion of the rectus abdominis m.?
Costal cartilages of ribs 5-7; xiphoid process
What is the action of the rectus abdominis m.?
Flexes vertebral column; resists vertebral motion; forced exhalationW
Where is the pyramidalis m. in relation to the rectus abdominis m.?
anterior
What percent of the population is the pyramidalis m. absent in?
~20%
What is the insertion of the pyramidalis m.?
Linea alba
What is the origin of the pyramidalis m?
Pubic crest and symphysis
What is the action of the pyramidalis m.?
Tenses linea alba
What is the origin of the external abdominal oblique m.?
External and inferior borders of ribs 5-12
What is the insertion of the external abdominal oblique m.?
Linea alba and iliac crest
What is the action of the external abdominal oblique m.?
Depresses ribs, flexes and laterally rotates vertebral column to the opposite side
What is the origin of the internal abdominal oblique m.?
Thoracolumbar fascia; inguinal ligament; iliac crest
What is the insertion of the internal abdominal oblique m.?
Linea alba, pubis, inferior surfaces of ribs 9-12/costal cartilages
What is the action of the internal abdominal oblique m.?
Depresses ribs, flexes, laterally rotates vertebral column to the same side
What is the origin of the transversus abdominis m.?
cartilages of ribs 7-12; iliac crest; thoracolumbar fascia
What is the insertion of the transversus abdominis m.?
Linea alba and pubis
What is the action of the transversus abdominis m.?
Compresses abdomen; forced exhalation
What are the 7 muscles that move the pectoral girdle?
- Trapezius m.
- Levator scapulae m.
- Rhomboideus minor m.
- Rhomboideus major m.
- Pectoralis minor m.
- Subclavius m.
- Serratus anterior m.
What are the 5 muscles (along with the rotator cuff muscles) that move the arm?
- Pectoralis major m.
- Sternalis m.
- Coracobrachialis m.
- Deltoid m.
- Latissimus dorsi m.
What are the 6 rotator cuff muscles?
- Supraspinatus m.
- Infraspinatus m.
- Teres minor m.
- Subscapularis m.
- Teres major m.
What is the origin of the trapezius m.?
Occipital protuberance; ligamentum nuchae; SP C7-T12
What is the insertion of the trapezius m.?
Lateral 1/3 clavicle; spine/acromion of scapula
What are the actions of the 4 different fibres of the trapezius muscles?
Sup.: elevate scapula; extends/ flexes neck laterally;
Middle: retract scapula
Infer: depress scapula
collectively: lateral rotation of scapula
What are the 3 muscle fibres of the trapezius muscle?
- Superior fibres
- Middle fibres
- Inferior fibres
What is the origin of the levator scapulaem.?
TP C1-C4
What is the insertion of the levator scapulae m.?
Upper 1/4 medial border of scapula
What is the action of the levator scapulae m.?
Elevates and medially rotates scapula; extends and bends neck laterally
What is the origin of rhomboideus minor m.?
SP C7-T1
What is the insertion of the rhomboideus minor m.?
mid portion medial border of scapula
What is the action of the rhomboideus minor m.?
Elevates, retracts (adducts) and slightly medially rotates scapula
What is the origin of rhomboideus major m.?
SP T2-T5
What is the insertion of the rhomboideus major m.?
Lower medial border of scapula
What is the action of the rhomboideus major m?
Elevates, retracts (adducts) and medially rotates scapula
What is the origin of pectoralis minor?
Superior margin of ribs 3-5
What is the insertion of pectoralis minor m.?
Coracoid process of scapula
What is the action of the pectoralis minor m.?
Depresses, protracts and internally rotates scapula
What is the origin of the subclavius m.?
1st rib and costal cartilages
What is the insertion of the subclavius m.?
Subclavian groove of the clavicle
What is the action of the subclavius m?
Stabilizes and depresses clavicle
What is the origin of the serratus anterior m.?
Anterior superior margin of first 8/9 ribs
What is the insertion of the serratus anterior m.?
Medial border of scapula
What is the action of the serratus anterior m.?
Stabilizes, abducts (protracts) and laterally rotates scapula
What is the origin of pectoralis major m.?
Clavicle, sternum, and costal cartilages of true ribs
What is the insertion of the pectoralis major m.?
Lateral lip of intertubercular groove of humerus
What is the action of the pectoralis major m.?
Flexes, adducts and medially rotates arm
What direction does the sternalis m. run?
Parallel to the sternum margin
What two muscles is the sternalis m. theoretically part of?
- Pectoralis major m.
- Rectus abdominis m.
What percent of people have the sternalis muslce?
3-8%
What is the origin of the coracobrachialis m.?
Coracoid process of scapula
What is the insertion of the coracobrachialis m.?
Medial margin of shaft of humerus
What is the action of the coracobrachialis m.?
Adducts and flexes arm
What is the origin of the deltoid muscle m.?
Clavicle; acromion and spine of scapula
What is the insertion of the deltoid m.?
deltoid tuberosity of humerus
What is the action of the deltoid m.?
Whole muscle abducts arm; may flex/extend/rotate arm medially and laterally
What is the origin of the latissimus dorsi m.?
SP T7-T12; ribs 8-12; iliac crest; thoracolumbar fascia
What is the insertion of the lattisimus dorsi m.?
Intertubercular groove of humerus
What is the action of the latissimus dorsi m.?
Extends, adducts, medially rotates arm, draws shoulders back and downward
What is the origin of the supraspinatus m.?
Supraspinous fossa
What is the insertion of the supraspinatus m.?
Superior portion of greater tubercle of humerus
What is the action of the supraspinatus m.?
abducts arm (10-15 degrees)
What is the origin of the infraspintus m.?
infraspinous fossa m
What is the insertion of the infraspinatus m.?
Posterior mid-portion of greater tubercle of humerus
What is the action of the infraspinatus m.?
laterally rotates arm, may assist in adduction
What is the origin of teres minor m.?
Axillary border of scapula
What is the insertion of the teres minor m.?
Posterior inferior portion of greater tubercle of humerus
What is the action of teres minor m.?
Adducts and laterally rotates arm
What is the origin of subscapularis m.?
Subscapular fossa
What is the insertion of the subscapularis muscle?
Lesser tubercle of humerus
what is the action fo the subscapularis m.?
Adducts and medially rotates arm
What is the origin of teres major m.?
Dorsal surface of inferior angle of scapula
What is the insertion of the teres major m.?
Medial lip of intertubercular groove of humerus
What is the action of the teres major m.?I
Adducts, extends, and medially rotates arm
What are the 3 muscles responsible for lateral humeral rotation?
- Infraspinatus m.
- Teres minor m.
- Deltoid m.
What are the 5 muscles responsible for medially humeral rotation?
- Subscapularis m.
- deltoid m.
- pectorals major m.
- latissimus dorsi m.
- Teres major m.
What are the 3 muscles that move the forearm?
- Biceps brachii m.
- Brachialis m.
- Triceps brachii m.
What is the origin of the long head of the biceps brachii m.?
Supraglenoid tubercle
What is the origin of the short head of the biceps brachii m.?
coracoid process
What is the insertion of the biceps brachii m.?
Radial tuberosity and bicipital aponeurosis
What is the action of the biceps brachii m.?
Flexes and supinates forearm; flexes arm
What is the origin of the brachialis m.?
Distal 1/2 anterior surface of humerus
What is the insertion of the brachialis m.?
Coronoid process and tuberosity of ulna
What is the action of the brachialis m.?
Flexes forearm
Where is the brachialis m. located is relation to the bicep brachii m.?
Underneath the bicep muscles
What is the origin of the long head of the triceps brachii m.?
Infraglenoid tubercle of scapula
What is the origin of the medial and lateral heads of the triceps brachii m.?
posterior shaft of humerus
What is the insertion of the triceps brachii m.?
Olecranon process of ulna
What is the action of the triceps brachii m.?
Extends forearm; long head extends and adducts arm
What does a muscle compartment contain?
Functionally related muscles w/ associated nerves and blood vessels
What are the two muscle compartments and what divides them?
- Anterior compartment
- Posterior compartment
Divided by deep fascia
What 3 muscles are in the anterior compartment of muscles that move the forearm? What is the general name for these muscles?
- Biceps brachii m.
- Brachialis m.
- Coracobrachialis m.
Flexor muscles
What are the two muscles in the posterior compartment of the arm? What is the general term for these muscles?
- Triceps brachii m.
- Aconeus m.
Extensor muscles
What are the two types of forearm musculature?
- Extrinsic muscles
- Intrinsic muscles
What is the attachment point of the extrinsic muscles of the forearm?
Proximal forearm
What is the attachment point for the intrinsic muscles of the forearm?
Solely within the hand
What are the anterior actions of the forearm musculature?
pronation and flexion
What are the posterior actions of the forearm musculature?
supination and extension
What is the common origin of the anterior forearm musculature?
Medial epicondyle of humerus
There are 2 layers of anterior forearm muscles (superficial and 2nd layer), what are the 4 muscles in this layer?
- Pronator teres m.
- Flexor carpi radialis m.
- Palmaris longus m.
- Flexor carpi ulnaris m.
What is the insertion of the pronator teres m.?
Lateral mid radius
What is the action of the pronator teres m.?
Pronates forearm
What is the insertion of the flexor carpi radialis m.?
Base of 2nd and 3rd MC
What is the action of the flexor carpi radialis?
Flexes and abducts hand
What is the insertion of the palmaris longus m?
Flexor retinaculum & palmar aponeurosis
What is the action of the palmaris longus m.?
Flexes wrist and tightens palmar aponeurosis
What is the insertion of the flexor carpi ulnaris m.?
Base of 5th MC, pisiform, and hook of hamate
What is the action of the flexor carpi ulnaris m.?
Flexes & adducts hand
What is the muscle of the 2nd layer of the anterior forearm musculature?
Flexor digitorum superficialis m.
What is the insertion of the flexor digitorum superficialis m.?
Middle phalanx digits 2-5
What is the action of the flexor digitorum superficialis m.?
Flexes digits 2-5 at MP and PIP joints; flexes wrist
What is the common origin of the posterior forearm musculature?
Lateral epicondyle of humerus
What are the 3 muscles that move the forearm?
- Biceps brachii m.
- Brachialis m.
- Triceps brachii m.
What is the origin of the long head of the biceps brachii m.?
Supraglenoid tubercle
What is the origin of the short head of the biceps brachii m.?
coracoid process
What is the insertion of the biceps brachii m.?
Radial tuberosity and bicipital aponeurosis
What is the action of the biceps brachii m.?
Flexes and supinates forearm; flexes arm
What is the origin of the brachialis m.?
Distal 1/2 anterior surface of humerus
What is the insertion of the brachialis m.?
Coronoid process and tuberosity of ulna
What is the action of the brachialis m.?
flexes forearm
Where is the brachialis m. located in reference to the bicep?
Underneath the bicep
What is the origin of the long head of the triceps brachii m.?
Infraglenoid tubercle of scapula
What is the origin of the lateral/medial heads of the triceps brachii m.?
posterior shaft of humerus
What is the insertion of the triceps brachii m.?
Olecranon process of ulna
What is the action of the triceps brachii m.?
Extends forearm; long heads extends and adducts arm
What are the 2 muscle compartments of the muscles that move the forearm? What is the general term for the muscles in each compartment?
- ante. compartment: flexors
- Post. compartment: extensors
What are the 3 anterior compartment flexor muscles that move the forearm?
- Biceps brachii m.
- Brachialis m.
- Coracobrachialis m.
What are the 3 posterior compartment flexor muscles that move the forearm?
- Triceps brachii m.
- Anconeus m.
What is the attachment of the extrinsic muscles of the forearm musculature?
Proximal forearm
What is the attachment of the intrinsic muscles of the forearm musculature?
Solely within the hand
There are 2 deep fascia partitions in the forearm musculature (ante. & post.); what are the actions of each compartment?
Ante.: Pronation and flexion
Post.: Supination and extension
What is the common origin of the forearm musculature?
Medial epicondyle of humerus
What are the 4 muscles of the 1st (superficial) layer of the anterior forearm musculature?
- Pronator teres m.
- Flexor carpi radialis m.
- Palmaris longus m.
- Flexor carpi ulnaris m.
What is the insertion of the pronator teres m.?
lateral mid-radius
What is the action of the pronator teres m.?
pronates forearm
What is the insertion of the flexor carpi radialis m.?
Base of 2nd and 3rd MC
What is the action of the flexor carpi radialis m.?
flexes and abducts hand
What is the insertion of the palmaris longus m.?
flexor retinaculum and palmar aponeurosis
What is the action of the palmaris longus m.?
flexes wrist and tightens palmar aponeurosis
What is the insertion of the flexor carpi ulnaris m.?
Base of 5th MC pisiform and hook of hamate
What is the action of the flexor carpi ulnaris m.?
flexes and adducts hand
What is the muscle of the 2nd layer of the anterior forearm musculature?
Flexor digitorum superficialis m.
What is the insertion of the flexor digitorum superficialis m.?
Middle phalanx digits 2-5
What is the action of the flexor digitorum superficialis m.?
Flexes digits 2-5 at MP and PIP joints; flexes wrist
What is the common origin of the posterior forearm musculature?
Lateral epicondyle of humerus
What are the 7 muscles of the 1st layer of the post. forearm musculature?
- Brachioradialis m.
- Extensor carpi radialis longus m.
- Extensor carpi radialis brevis m.
- Extensor digitorum communis m.
- Extensor digiti minimi m.
- Extensor carpi ulnaris m.
- Anconeus m.
What is the insertion of the brachioradialis m.?
Styloid process of radius
What is the action of the brachioradialis m.?
flexes forearm
What is the insertion of the extensor carpi radialis longus m.?
base of 2nd MC
What is the action of the extensor carpi radialis longus m.?
Extends and abducts hand
What is the insertion of the extensor carpi radialis brevis m.?
Base of 3rd MC
What is the action of the extensor carpi radialis brevis m.?
extends and abducts hand
What is the insertion of the extensor digitorum communis m.?
extensor expansions digits 2-5
What is the action of the extensor digitorum communis m.?
extends wrist, extends MP, PIP, and DIP joints of digits 2-5
What is an extensor expansion?
triangular aponeurosis covering the head of the metacarpals, continuing to the distal phalanx as three distinct bands
What is the insertion of the extensor digiti minimi m.?
Extensor expansion 5th digit
What is the action of the extensor digiti minimi m.?
extends 5th digit at MP, PIP, and DIP joints
What is the insertion of the extensor carpi ulnaris m.?
Base of 5th MC
What is the action of the extensor carpi ulnaris m.?
extends and adducts hand
What is the insertion of the anconeus m.?
Olecranon, proximal 1/4 shaft of ulna
What is the action of the anconeus m.?
Extends forearm
What are the 2 fascia’s of the wrist?
- Flexor retinaculum
- Extensor retinaculum
Where is the attachment point of the flexor retinaculum of the wrist?
medially to the pisiform, hook of hamate; laterally to scaphoid, and partially to trapezium
What is the extensor retinaculum an continuation of?
The antebrachial fascia of the anterior wrist
What are the 3 groups of intrinsic hand muscle? Which group is the thumb side?1
- Thenar (thumb)
- Hypothenar
- Midpalmar/central group
What is the action of the muscles in the thenar and hypothenar eminence?
Abduct, flex, and perform opposition of digits 1 & 5
What is the action of the muscles in the midpalmar group of the intrinsic hand muscles?
Adduct and abduct digits; assist in flexion of MP joints and extensions of IP joints
What are the 4 muscles that move the thigh?
- Iliacus m.
- Psoas major m.
- Tensor fascia latae m.
- Sartorius
What is the origin of the iliacus m.?
Iliac fossa
What is the insertion of the iliacus m.?
Lesser trochanter of femur
What is the action of the iliacus m.?
Flexes thigh
What is the origin of the psoas major m.?
lateral bodies & TP T12-L5
What is the insertion of the psoas major m.?
lesser trochanter of femur
What is the action of the psoas major m.?
flexes thigh
What is the origin of the tensor fascia latae major m.?
Iliac crest; anterior superior iliac spine
What is the insertion of the tensor fascia latae major m.?
Iliotibial band (tract)
What is the action of the tensor fascia latae major m.?
flexes and medially rotates thigh; tenses which laterally supports knee
Describe the superficial fascia of the iliotibial tract (band)
continuous layer over whole of thigh; contains fat, superficial vessels and nerves
Describe the deep fascia of the ilitibial tract.
layer surrounds muscles and varies in thickness
What is the origin of the sartorius m.?
Ante. sup. iliac spine
What is the insertion of the sartorius m.?
proximal medial shaft of tibia
What is the action of the sartorius m.?
Flexes and laterally/medially rotates thigh
What are the 3 posterior muscles that move the thigh?
- Gluteus maximus m.
- Gluteus medius m.
- Gluteus minimus m.
What is the origin of the gluteus maximus m.?
Iliac crest; sacrum; coccyx
What is the insertion of the gluteus maximus m.?
iliotibial band (80%); gluteal tuberosity (20%) of femur
What is the action of the gluteus maximus m.?
extends and laterally rotates thigh
What is the origin of the gluteus medius m.?
lateral surface of ilium
What is the insertion of the gluteus medius m.?
greater trochanter of femur
What is the action of the gluteus medius m.?
abducts and medially rotates thigh
What is the origin of the gluteus minimus m.?
Lateral surface of ilium
What is the insertion of the gluteus minimus m.?
greater trochanter of femur
What is the action of the gluteus minimus m.?
abducts and medially rotates thigh
What are the 6 deep lateral rotators of the thigh?
- Piriformis m.
- Superior gemellus m.
- Inferior gemellus m.
- Obturator internus m.
- Obturator externes m.
- Quadratus femoris m.
What is the common action of the deep lateral rotators of the thigh?
Provide stability and maintain integrity of the hip joint; assists with lateral rotation of the thigh
What are the attachment points of the piriformis m.?
Anteriolateraly sacrum -> greater trochanter
What is the action of the piriformis m.?
Slight external rotation and abduction
What are the attachment points of the superior gemellus m.?
Ischial tuberosity -> t. of obturator internus
What are the attachment points of the inferior gemellus m.?
Ischial tuberosity -> tendon of obturator internus
What are the attachment points of the obturator internus m.?
Internal margin of obturator foramen -> greater trochanter
What are the attachment points of the obturator externes m.?
External margin of obturator foramen -> trochanteric fossa
What are the attachment points fo the quadratus femoris m.?
Ischial tuberosity -> intertrochanteric crest of femur
What are the 5 adductor muscles of the thigh?
- Pectineus m.
- Adductor longus m.
- Adductor brevis m.
- Adductor Magnus m.
- Gracilis m.
What is the common action of the adductors of the thigh?
Adducts and flexes thigh
What is the origin of the pectineus m.?
Pectineal line of pubis
What is the insertion of the pectineus m.?
pectineal line of femur
What is the origin of the adductor longus m.?
Body of pubis
What is the insertion of the adductor longus m.?
Middle 1/3 linea aspera of femur
What is the origin of the adductor brevis m.?
body and inferior ramus of pubis
What is the insertion of the adductor brevis m.?
proximal 1/3 linea aspera of femur
Where is the adductor brevis m. in relation to the adductor longus and the pectineus?
In between, but deeper
What is the origin of the adductor magnus m.?
Inferior ramus of pubis; ramus and tuberosity of ischium
What is the insertion of the adductor part of the adductor Magnus m.?
linea aspera
What is the insertion of the hamstring part of the adductor Magnus m.?
adductor tubercle and medial epicondyle
What is the action of the adductor part of the adductor Magnus m.?
flexes and weakly laterally rotates thigh
What is the action of the hamstring part of the adductor Magnus m.?
extends and weakly medially rotates thigh
What is the origin of the gracilis m.?
Body and inferior ramus of pubis
What is the insertion of the gracilis m.?
proximal medial shaft of tibia
What is the action of the gracilis m.?
adducts and flexes thigh; flexes and medially rotates thigh
What are the 4 quadricep muscles?
- Rectus femoris m.
- Vastus lateralis m.
- Vastus medialis m.
- Vastus intermedius m.
What is the origin of the rectus femoris m.?
Anterior inferior iliac spine
What is the origin of the vastus lateralis m.?
greater trochanter and linea aspera of femur
What is the origin of the vastus intermedius m.?
Anteriolateral surface of femur
What is the origin of the vastus medalis m.?
Intertrochanteric line and linea aspera of femur
What are the 2 speculated divisions of the vastus medialis m.?
VM Oblique (angle, keep patella straight)
VM Long
What is the insertion of the quadricep muscles?
Tibial tuberosity via patellar lig.
What is the general action of the quadricep muscles?
Extends leg; rectus femoris m. flexes thigh; pinnated m. for force production
What are the 3 hamstring muscles?
- Biceps femoris m.
- Semitendinosus m.
- Semimembranosus m.
What is the origin of the long head of the bicep femoris m.?
Ischial tuberosity
What is the origin of the short head of the bicep femoris m.?
linea aspera of femur
what is the insertion of the biceps femoris m.?
head of fibula
what is the action of the biceps femoris m.?
extends thigh; flexes and laterally rotates leg
what is the origin of the semitendinosus m.?
ischial tuberosity
what is the insertion of the semitendinosus m.?
proximal medial shaft of tibia
Where is the semitendinosus m. in relation to the semimembranosus m.?
Superficial to the semimembranosus m.
what is the origin of the semimembranosus m.?
ischial tuberosity
what is the insertion of the semimembranosus m.?
posterior surface of medial tibial condyle
what is the action of the semimembranosus m.?
both extends thigh; flexes and medially rotates leg
What is the attachment of the pet anserine (goose foot)?
proximal medial shaft of tibia
What are the 3 muscles of the pes anserine? Label them as ante., poste., and intermediate.
- Sartorius: ante
- Gracilis: inter
- Semitendinosus: post
What is the collective action of the pes anserine?
flexes and medially rotates leg
What are the 2 muscles in the lateral compartment of the leg muscles?
- Fibularis longus m.
- Fibularis brevis m.
What is the collective action of the lateral compartment of the leg muscles?
Both evert foot; weakly plnatarflexes
What are the 3 superficial posterior compartment leg muscles?
- Gastrocnemius m.
- Soleus m.
- Plantaris m.
What are the 4 muscles in the deep posterior compartment of the leg muscles?
- Popliteus m.
- Flexor hallucis longus m.
- Flexor digitorum longus m.
- Tibialis posterior m.
What are the 4 muscles in the anterior compartment of the leg muscles?
- Tibialis anterior m.
- Extensor hallucis longus m.
- Extensor digitorum longus m.
- Fibula’s tertius m.
What are the 2 anterior retinaculum of the ankle?
- Superior extensor retinaculum
- Inferior extensor retinaculum
What are the 2 lateral retinacula of the ankle?
- Superior fibular retinaculum
- Inferior fibular retinaculum
What is the medial retinaculum of the ankle?
Flexor retinaculum
What do retinaculums cover?
Tendons
What is the retinaculum of the foot?
Plantar aponeurosis
What fascia forms the plantar aponeurosis?
Deep fascia of leg thickens on the inferior aspect of foot
What is the insertion of the fibularis longus m.?
Base of 1st MT and medial cuneiform
What is the insertion of the fibularis brevis m.?
Base of 5th MT
What is the insertion of the gastrocnemius m.?
Calcaneus via calcanea tendon
What is the action of the gastrocnemius m.?
Plantarflexes foot; flexes knee
What is the insertion of the soleus m.?
calcaneus via calcanea tendon
What is the action of the soleus m.?
Plantarflexes foot
What is the insertion of the plantaris m.?
Calcaneus
What is the action of the plantaris m.?
Weak leg and plantar flexor
What percent of the population is the plantaris m. absent in?
~7-10%
Where is the plantaris m. in relation to the gastrocnemius m.?
Above it on the lateral side
What is the insertion of the popliteus m.?
Posterior proximal tibia
What is the action of the popliteus m.?
weakly flexes leg; medially rotates tibia
What is the insertion of the flexor hallucis longus m.?
Distal phalanx of hallux
What is the action of the flexor hallucis longus m.?
plantarflexes foot; flexes hallux
What is the insertion of the flexor digitorum longus m.?
Distal phalanges digits 2-5
What is the action of the flexor digitorum longus m.?
flexes digits 2-5; plantar flexes foot
What is the insertion of the tibias posterior m.?
Navicular; all cuneiforms, cuboid, and base of MT 2-4
What is the action of the tibialis posterior m.?
Plantarflexes and inverts foot
What type of action does the tibialis posterior m. have with the tibialis anterior m.?
Synergistic action
What is the insertion of the tibialis anterior m.?
First (medial) cuneiform and base of 1st MT
What is the action of the tibialis anterior m.?
dorsiflexes and inverts foot
What muscles serves as the root cause for anterior compartment syndrome?
Tibialis anterior m.
What is the insertion of the extensor hallucis longus m.?
Base of distal phalanx hallux
What is the action of the extensor hallucis longus m.?
dorsiflexes foot; extends hallux
What is the insertion of the extensor digitorum longus m.?
middle and distal phalanges digits 2-5
What is the action of the extensor digitorum longus m.?
dorsiflexes foot; extends digits 2-5
What is the insertion of the fibularis tertius m.?
Base of the 5th MT
What is the action if the fibularis tertius m.?
Dorsiflexes and weakly everts foot
What is the point of attachment for the superior extensor retinaculum of the ankle?
Tibia and fibula
What are the points of attachment of the inferior extensor retinaculum?
1st cuneiform and tibia to calcaneus
What are the points of attachment of the superior fibular retinaculum?
fibula malleolus to calcaneus
What are the points of attachment of the inferior fibular retinaculum?
lateral extension of inferior extensor retinaculum
What are the points of attachment of the flexor retinaculum?
tibia malleolus and calcaneus
Describe the 2 functional divisions of the nervous system.
Sensory: towards CNS
Motor: away from CNS
What are the 2 types of cells that form nervous tissue?
- Neurons
- Neuroglia
What is the function of neurons?
Initiate, transmit, and receive nerve impulses
Are neurons electrically excitable or non-excitable?
Electrically excitable
Can neurons divide?
No; they just die
What is the function of neuroglia cells?
Support and protect neurons
Compare the abundance and volume of neuroglia to neurons
Neuroglia 5X more abundant; 1/2 the volume of neurons
Can neuroglia divide?
Yes
What are the 4 neuron variations (sensory nerves)?
- Anaxonic neuron
- Bipolar neuron
- Pseudounipolar neurons
- Multipolar neuron
What are the 2 neuroglia cells of the PNS?
- Satellite cells
- Schwann cells
What are the 4 neuroglia cells of the CNS?
- Ogliodendrocyte cells
- Astrocyte cells
- Microglia cells
- Ependymal cells
What part of the ogliodendrocyte in the PNS contains the nucleus? What does the nucleus contain?
Cell body. Contains code for division
What are the 4 features of the spinal cord?
- Through foramen magnum
- Extends from brain to L1 vertebrae
- 45 cm; 1/4” thick
- Conus medullaris (end)
At what age does the conus medullaris stop growing at?
Age 4
What are the 5 subdivisions of the spinal cord?
- Cervical part
- Thoracic part
- Lumbar part
- Sacral part
- Coccygeal part
In relation to the vertebrae, where is the lumbar, sacral, coccygeal part of the spinal cord?
Below T12 and above L1
What is a rootlet?
Collection of axons continuously entering or leaving spinal cord
What is a definition of a root in the spinal cord?
Collection of 8-12 rootlets
What is the definition of a spinal nerve?
Anterior and posterior roots unite
What is the Claude equine?
A collection of roots extending from conus medullaris
How many pairs of spinal nerves are there?
31
How may pair of spinal nerves are in the cervical part of the spinal cord?
8
How may pair of spinal nerves are in the thoracic part of the spinal cord?
12
How may pair of spinal nerves are in the lumbar part of the spinal cord?
5
How may pair of spinal nerves are in the sacral part of the spinal cord?
5
How may pair of spinal nerves are in the coccygeal part of the spinal cord?
1
What is the filum terminale? Where does it adhere to?
Thread of fibrous tissue that provides longitudinal support for the cord. Adheres to coccyx
What is another name for the film terminale?
Coccygeal lig.
What do spinal cord enlargements give rise to?
Nerves plexuses for the arm and legs
What are the two main spinal cord enlargements?
- Cervical enlargement
- Lumbosacral enlargement
Where is the cervical enlargement of the spinal cord located?
In the inferior cervical part of the spinal cord
What does the cervical enlargement of the spinal cord innervate?
The upper limbs
Where is the lumbosacral enlargement located?
Through lumbar and sacral parts
What does the lumbosacral spinal enlargement innervate?
The lower limbs
What are the vertebrae segments of the cervical and lumbosacral enlargements of the cord?
C: C4-T1
LS: T4-L11
What 4 things are the 4 parts of the white matter of the spinal cord?
- Posterior funicular
- Lateral funicular
- White commissure
- Anterior funicular
What are the 4 things parts of the grey matter of the spinal cord?
- Posterior horn
- Grey commissure
- Lateral horn
- Anterior horn
What is generally contained in the white matter of the spinal cord?
Myelinated axons
What is generally contained within the grey matter of the spinal cord?
Dendrites and cell bodies; unmyelinated axons
What are the 4 components within a typical (mixed) spinal nerve?
- Somatic sensory neurons
- Visceral sensory neurons
- Autonomic motor neurons
- Somatic motor neuron
What root do the somatic and visceral sensory nerves pass through?
Posterior root
What root do the autonomic and somatic motor neurons pass through?
Anterior root
What horn of the grey matter of the spinal cord do somatic sensory neurons originate from?
Posterior horn
What horn of the grey matter of the spinal cord do visceral sensory neurons originate from?
Posterior horn (anterior of somatic sensory division)
What horn of the grey matter of the spinal cord do autonomic motor neurons originate from?
Lateral horn
What horn of the grey matter of the spinal cord do somatic motor neurons originate from?
Anterior horn
Does the cervical & thoracic parts of the spine have a larger proportion of white matter or grey matter?
White matter
Does the lumbar parts of the spine have a larger proportion of white matter or grey matter?
Grey matter
What is the general function of spinal cord meninges?
Protects and encapsulates the spinal cord
What are the 6 spinal cord meninges?
- Pia mater
- Arachnoid mater
- Dura mater
- Epidural space
- Subdural space
- Subarachnoid space
Where does the Pia mater adhere to? What is it composed of?
Adheres directly to spinal cord; elastic and collagen fibres
What are denticulate ligaments?
Pair, lateral triangular extensions from spinal nerve
What is an arachnoid trabeculae?
Fine, spider web-like fibres from the arachnoid to pia mater
Describe the location of the dura mater? What is this single-layer tissue composed of?
Most external meninges; made of dense fibrous tissue
The dura mater fuses with the epineurium, what is the epineurium?
Connective layer that surrounds spinal nerves
What is the epineurium composed of?
Collagen
Where is the epidural space located? What does it cover?
Between dura mater and periosteum; Covers the inner walls of vertebrae
Describe the location of the subdural space?
Potential space between dura mater and arachnoid
Describe the location of the subarachnoid space.
Real space filled with cerebrospinal fluid that pushes the arachnoid against dura mater
What are the 3 spinal nerves?
- Epineurium
- Perineurium
- Endoneurium
Where is the epineurium located and what is it composed of?
Outer covering of peripheral nerves; made of dense irregular tissue
Where is the perineurium located?
Surround bundles of axons, fascicles
What is the endometrium composed of?
Delicate collagenous & elastic fibres
What are the two rami of the somatic nervous system spinal nerve distribution?
- Dorsal (posterior) ramus
- Ventral (anterior) ramus
What does the dorsal ramus of the somatic nervous system innervate?
Deep muscles and skin of the back
What does the ventral ramus of the somatic nervous innervate?
Large portion of the trunk, upper and lower limbs
What is a nerve plexus?
When nerve join, branch out, then rejoin
What are the 2 main nerve plexuses?
- Cervical plexus
- Brachial plexus
Which spinal nerves are associated with the cervical plexus?
C1-C4 (some C5)
What parts of the body does the cervical plexus supply to?
Anterior neck muscles, skin of the neck, head, shoulders
What is the notable branch of the cervical plexus?
Phrenic nerve
Where does the phrenic nerve receive contributions from?
C3-C5
What part of the body does the phrenic nerve provide nerve supply to?
Diaphragm
Where does the phrenic nerve pass between?
Pleural sac of lungs and pericardial sac of heart
What forms the brachial plexus?
Anterior rami of spinal nerves C5-T1
Where does the brachial plexus innervate?
Pectoral girdle and entire upper limb
In the brachial plexus, the anterior rami of C5-C6 will combine to form what?
Superior trunk
In the brachial plexus, the anterior rami of C8-T1 will combine to form what?
Inferior trunk
In the brachial plexus, the anterior rami of C7 will eventually turn into what?
Middle trunk
In the brachial plexus, what do all the trunks divide into?
Anterior and posterior divisions
In the brachial plexus, what forms the lateral cord?
The fusion of the anterior divisions of the middle and superior trunk (not inferior trunk)
In the brachial plexus, what forms the posterior cord?
The posterior divisions of all 3 trunks
In the brachial plexus, what forms the medial cord?
The anterior division of the inferior trunk
In the brachial plexus, what does the medial cord divide into?
Ulnar nerve and median nerve
In the brachial plexus, what does the lateral cord divide into?
Musculocutaneous nerve and median nerve
In the brachial plexus, what does the posterior cord divide into?
Axillary nerve and radial nerve
In the brachial plexus, which two cords contribute to the formation of the median nerve?
Medial and lateral cord
What nerve is responsible carpal tunnel syndrome?
Median nerve
What nerve causes numbness in the elbow?
Ulnar nerve
What are the 3 anterior nerves of the arm?
- Musculocutaneous nerve
- Median nerve
- Ulnar nerve
What are the 2 posterior nerves of the arm?
- Axillary nerve
- Radial nerve
What is the definition of a dermatome?
Segment of skin supplied by a single spinal nerve
All the spinal nerves except which one innervates a segment of skin?
All except C1
What type of pain are dermatomes involved in?
Referred visceral pain
Which spinal nerve supplies to the shoulder?
C5
Which spinal nerve supplies to the lateral arm & forearm; thumb?
C6
Which spinal nerve supplies to digits 2-3?
C7
Which spinal nerve supplies to the medial arm & forearm; digits 4-5
C8
Which spinal nerve supplies to the anteriolateral arm?
T1
What rami contributes to the lumbar plexus?
Ventral rami of spinal nerves (T12) L1-L4
In the lumbar plexus, what gives rise to many motor branches to the thigh?
Femoral nerve
In the lumbar plexus, what is the longest branch relaying sensory information from the leg?
Saphenous nerve
What rami contributes to the sacral plexus?
Ventral rami of spinal nerves L4-S4
In the sacral plexus, what nerve supplies the posterior thigh, leg, and foot?
Sciatic nerve
In the leg, which nerve feeds all the anterior nerves?
Femoral nerve
What is the largest and longest nerve in the body?
Sciatic nerve
In the leg, what are the 2 divisions of the sciatic that are wrapped in a common sheath?
- Tibial division
- Common fibular division
What nerve does the tibial division of the sciatic nerve give rise to?
Tibial nerve
What nerve does the common fibular division of the sciatic nerve give rise to?
Common fibular nerve
In the lumbosacral plexus, what spinal nerve is responsible for the anterior proximal 1/4 thigh area?
L1
In the lumbosacral plexus, what spinal nerve is responsible for the anterior second 1/4 thigh area?
L2
In the lumbosacral plexus, what spinal nerve is responsible for the anterior third 1/4 thigh area?
L3
In the lumbosacral plexus, what spinal nerve is responsible for the anterior distal 1/4 thigh area?
L4
In the lumbosacral plexus, what spinal nerve is responsible for the anterior leg area?
L5
In the lumbosacral plexus, what spinal nerve is responsible for the posteriolateral thigh & leg area?
S1
In the lumbosacral plexus, what spinal nerve is responsible for the posteriomedial thigh & leg area?
S2