Midterm (muscles) Flashcards
Type of muscle?
Origine/insertion?
Innervation?
Trapezius m.
Type : Extrinsic Back Muscle
Origin
• Base of skull (occipital bone)
• C1–T12 SPs
Insertion
• Lateral 1/3 of clavicle
• Acromion process of scapula
• Spine of the scapula
Innervation
• Spinal accessory n. (CN XI)
Actions :
Elevation of scapula
Shoulder shrugging
Retraction of scapula
Latissimus dorsi m.
Type : Extrinsic Back Muscle
Origin • T7–T12 SPs • Thoracolumbarfascia • Posterior 1/3 of iliac crest • Ribs 9-12 • Inferior angle of scapula
Insertion
• Floor of the intertubercular groove of humerus (anterior)
Innervation
• Thoracodorsal n.
Action :
Medial rotation of arm
Arm extension
ADD of arm
Levator scapulae m.
Type : Extrinsic Back Muscle
Origin
• C1–C4 TPs
Insertion
• Superior angle of scapula
Innervation
• Dorsal scapular n.
Action :
Elevate scapula
Rhomboid minor m.
Type : Extrinsic Back Muscle
Origin
• C7–T1 SPs
Insertion
• Medial border of scapula
• Superior to spine of scapula
Innervation
• Dorsal scapular n.
Action :
Retraction of scapula
Rhomboid major m.
Type : Extrinsic Back Muscle
Origin
• T2–T5 SPs
Insertion
• Medial border of scapula (inferior to spine of scapula)
Innervation
• Dorsal scapular n.
Action :
Retraction of scapula
Triangle of Auscultation in the Back?
- Trapezius m.
- Rhomboid major m.
- Latissimus dorsi m.
Serratus posterior superior m.
Type : Superficial Intrinsic Back Muscle
Origin
• C7–T3 SPs
Insertion
• Ribs 2–4
Innervation
• Intercostal n. (anterior rami)
Action :
Forced inhalation
Serratus posterior inferior m.
Type : Superficial Intrinsic Back Muscle
Origin
• T11-L2 SPs
Insertion
• Ribs 8–12
Innervation
• Intercostal n. (anterior rami)
Action :
Forced inhalation
Splenius capitis m.
Type : Superficial Intrinsic Back Muscle
Origin
• Nuchal ligament
• C7–T3 SPs
Insertion
• Occipital bone (mastoid
process)
Innervation
• Posterior rami of spinal nerves
Action :
Cervical extension
Ipsilateral cervical rotation
Splenius cervicis m.
Type : Superficial Intrinsic Back Muscle
Origin
• T3–T6 SPs
Insertion
• C1–C3 TPs
Innervation
• Posterior rami of spinal nerves
Action :
Cervical extension
Ipsilateral cervical rotation
Group?
Regions of the spine?
Iliocostalis m.
Type : Intermediate Intrinsic Back Muscle
Group : Erector spinae group
Regions : ce, t, l
Origin
• Sacrum
• Iliac crest
• Thoracolumbarfascia
Insertion
• Angles of ribs
Innervation
• Posterior rami of spinal nerves
Group?
Regions of the spine?
Longissimus m.
Type : Intermediate Intrinsic Back Muscle
Group : Erector spinae group
Regions : ca, ce, t
Origin
• Sacrum
• Iliac crest
• Lumbar vertebrae (TPs and SPs)
Insertion
• TPs
• Mastoid process (occipital bone)
Innervation
• Posterior rami of spinal nerves
Group?
Regions of the spine?
Spinalis m.
Type : Intermediate Intrinsic Back Muscle
Group : Erector spinae group
Regions : ce, t
Origin
• Nuchal ligament
• SPs
Insertion
• SPs
Innervation
• Posterior rami of spinal nerves
Group?
Regions of the spine?
Semispinalis m.
Type : Deep Intrinsic Back Muscle (1st Layer)
Group : Transversospinalis group
Regions : ca, ce, t (4-6)
Origin
• C4–T12 TPs
Insertion
• Occipital bone (ca only)
• C2–T4 SPs
Innervation
• Posterior rami of spinal nerves
Action : Controlateral rotation (little bit)
Group?
Regions of the spine?
Multifidis m.
Type : Deep Intrinsic Back Muscle (1st Layer)
Group : Transversospinalis group
Regions : ca, ce, t, l (most l) (2-4)
Origin
• TPs
Insertion
• SPs
Innervation
• Posterior rami of spinal nerves
Action : Controlateral rotation (little bit)
Group?
Regions of the spine?
Rotatores m. (longus and brevis)
Type : Deep Intrinsic Back Muscle (1st Layer)
Group : Transversospinalis group
Regions : ca, ce, t, l (most t) (1-2)
Origin
• TPs
Insertion
• SPs
Innervation
• Posterior rami of spinal nerves
Action : Controlateral rotation (little bit)
Group?
Interspinales m.
Types : Deep Intrinsic Back Muscle (2nd Layer)
Group : Segmental group
Origin
• SPs
Insertion
• SPs
Innervation
• Posterior rami of spinal nerves
Action :
Back extension
Group?
Intertransversarii m.
Types : Deep Intrinsic Back Muscle (2nd Layer)
Group : Segmental group
Origin
• TPs
Insertion
• TPs
Innervation
• Anterior AND posterior rami of spinal nerves
Action : Ipsilateral flexion of the back
Group?
Levatores costerum m.
Types : Deep Intrinsic Back Muscle (2nd Layer)
Group : Segmental group
Origin
• TPs
Insertion
• Inferior ribs
Innervation
• Posterior rami of spinal nerves
Action :
Elevate the ribs
Sternocleidomastoid m.
Type : Muscle of the neck
Origin
• Manubrium of sternum
• Clavicle
Insertion
• Mastoid process (occipital bone)
Innervation
• Spinal accessory n. (CN XI)
Action :
Lateral flexion
Contralateral rotation of neck
Flexion of cervical spine
Region?
Obliquus capitis inferior m.
Type : Muscle of the neck
Region : Suboccipital region
Origin
• C2 spinous process
Insertion
• C1 transverse process
Innervation
• C1 posterior ramus (suboccipital n.)
Action :
Ipsilateral rotation
Lateral flexion
Neck extension
Region?
Obliquus capitis superior m.
Type : Muscle of the neck
Region : Suboccipital region
Origin
• C1 TP
Insertion
• Occipital bone
Innervation
• C1 posterior ramus (suboccipital n.)
Action :
Neck extension
Region?
Rectus capitis posterior major m.
Type : Muscle of the neck
Region : Suboccipital region
Origin
• C2 SP
Insertion
• Occipital bone
Innervation
• C1 posterior ramus (suboccipital n.)
Action :
Lateral flexion of the neck
Region?
Rectus capitis posterior minor m.
Type : Muscle of the neck
Region : Suboccipital region
Origin
• C1 posterior arch (SP)
Insertion
• Occipital bone
Innervation
• C1 posterior ramus (suboccipital n.)
Action :
Lateral flexion of the neck
Suboccupital triangle
m. + a. + n. (5)
- Obliquus capitis superior m.
- Rectus capitis posterior major m.
- Obliquus capitis inferior m.
- Vertebral a.
- C1 posterior ramus (suboccipital n.)
Region?
Rectus capitis lateralis m.
Type : Muscle of the neck
Region : Deep anterior (prevertebral) region
Origin
• C1 lateral mass (transverse process)
Insertion
• Occipital bone
Innervation
• C1 anterior ramus
Action :
Neck flexion
Region?
Longus capitis m.
Type : Muscle of the neck
Region : Deep anterior (prevertebral) region
Origin
• C3 – C6 transverse processes
Insertion
• Occipital bone
Innervation
• C1-C3 anterior rami of spinal nerves
Action :
Neck flexion
Region?
Rectus capitis anterior m.
Type : Muscle of the neck
Region : Deep anterior (prevertebral) region
Origin
• C1 lateral mass (transverse process)
Insertion
• Occipital bone
Innervation
• C1 anterior ramus
Action :
Neck flexion
Region?
Parts?
Longus coli m.
Type : Muscle of the neck
Region : Deep anterior (prevertebral) region
3 parts :
• Vertical
• Superior oblique
• Inferior oblique
Origin
• Anterior aspects of vertebral bodies
• Transverse processes
Insertion
• Anterior aspects of vertebral bodies
• Transverse processes
Innervation
• C2-C6 anterior rami of spinal nerves
Action :
Neck flexion
Group?
Anterior scalene m.
Type : Muscle of the neck
Group : Scalene muscle group
Origin
• C3 – C6 transverse processes
Insertion
• Rib 1
Innervation
• C3 – C8 anterior rami of spinal nerves
Action :
Ipsilateral flexion of the neck
Group?
Middle scalene m.
Type : Muscle of the neck
Group : Scalene muscle group
Origin
• C1 – C7 transverse processes
Insertion
• Rib 1
Innervation
• C3 – C8 anterior rami of spinal nerves
Action :
Ipsilateral flexion of the neck
Group?
Posterior scalene m.
Type : Muscle of the neck
Group : Scalene muscle group
Origin
• C1 – C7 transverse processes
Insertion
• Rib 2
Innervation
• C3 – C8 anterior rami of spinal nerves
Action :
Ipsilateral flexion of the neck
False ribs
8-10
True ribs
1-7
Floating ribs
11-12
Landmark for jugular notch?
T2
Landmark for Manubriosternal joint?
T4/T5
Landmark for Xiphisternal joint?
T9
What type of joint is the Manubriosternal joint?
Symphisis
What type of joint is the Costochondral joint?
Synchondrosis
What type of joint is the Sternocostal joint?
Synovial
What type of joint is the Interchondral joint?
Synovial
What type of joint is the Xiphisternal joint?
Synchondrosis
What is the name of the rib b/t T5 and T6?
Rib 6
What type of joint is the Costotranverse joint?
Synovial
Who are the atypical ribs?
What makes them atypical?
Rib 1
• Articulates w/ T1 only
• No costal groove
• Flat and very small
Rib 2
• Smaller than others (> than Rib 1)
Rib 10
• Articulates w/ T10 only
Rib 11 and 12 : • Only articulate w/ T11 ant T12 (respectively) • Short • No necks or tubercules • No costotransverse joints)
External intercostal m.
Type : Muscle of the Thoracic Wall
Origin and insertion :
• Between adjacent ribs
Innervation :
• Intercostal n.
Where is VAN in relation w/ ribs?
Rib is superior to VAN. Up to down: Rib 1 Veine 1 Artery 1 Nerve 1 Muscle Rib 2
Internal intercostal m.
Type : Muscle of the Thoracic Wall
Origin and insertion :
• Between adjacent ribs
Innervation :
• Intercostal n.
Innermost intercostal m.
Type : Muscle of the Thoracic Wall
Origin and insertion :
• Between adjacent ribs
Innervation :
• Intercostal n.
Transversus thoracis m.
Type : Muscle of the Thoracic Wall
Origin
• Sternum
Insertion :
• Ribs 2-6
Innervation :
• Intercostal n.
Action :
Depression of the ribs
Subcostal m.
Type : Muscle of the Thoracic Wall
Origin and insertion :
• Between non-adjacent ribs
Innervation :
• Intercostal n.
Action :
Depression of the ribs
Landmarks for diaphragm?
Right dome : above rib 5
Left dome : below rib 5
Innervation for diaphragm?
Phrenic n.
C2-C4-C5 keep the diaphragm alive
Name of the fascia right under skin in the abdominal wall?
Camper’s fascia
Name of the fascia right above the rectus sheath in the abdominal wall?
Scarpa’s fascia
Name of the fascia right under the rectus sheath in the abdominal wall?
Transversalis fascia
External oblique m.
Type : Anterolateral Abdominal Wall
Origin :
• Ribs 5-12
Insertion :
• Linea alba (anterior rectus sheath (aponeurosis))
• Iliac crest (anterior part)
• Public bone
Innervation
• Intercostal n.
Action :
Unilaterally : lateral ipsilateral flexion and contralateral rotation of the trunk
Internal oblique m.
Type : Anterolateral Abdominal Wall
Origin :
• Thoracolumbar fascia (deep)
• Iliac crest
Insertion :
• Linea alba (anterior rectus sheath (aponeurosis))
• Lower ribs (ribs 10-12)
Innervation • Intercostal n. • Subcostal n. (T12 anterior ramus) • Iliohypogastric n. (L1) • Ilioinguinal n. (L1)
Action :
Unilaterally : lateral ipsilateral flexion and contralateral rotation of the trunk
Transversus abdominis m.
Type : Anterolateral Abdominal Wall
Origin :
• Inferior ribs (internal aspects)
• Thoracolumbar fascia (deep)
• Iliac crest
Insertion :
• Linea alba (anterior rectus sheath (aponeurosis))
• Pubic bone
Innervation • Intercostal n. • Subcostal n. (T12 anterior ramus) • Iliohypogastric n. (L1) • Ilioinguinal n. (L1)
Action :
Forced exhalation
Rectus abdominis m.
Type : Anterolateral Abdominal Wall
Origin :
• Pubic bone
• Pubic symphysis
Insertion :
• Xiphoid process
• Cartilage of ribs 5-7
Innervation
• Intercostal n.
• Subcostal n. (T12 anterior ramus)
Action
• Flexion of lumbar spine
What is the landmark for the arcuate line?
Belly button
What is the difference between the rector sheath above and under the arcuate line?
Everything jumps anterior under the arcuate line
What happens to the inferior epigastric a. above the arcuate line?
Goes INTO the muscle
Inferior epigastric a. forms an anastomosis w/ which artery?
Superior epigastric a.
What are the vertebral rami for the :
- Intercostal n.
- Subcostal n.
- Iliohypogastric n.
- Ilioinguinal n.
- Intercostal n. : T7-T11 anterior rami
- Subcostal n. : T12 anterior ramus
- Iliohypogastric n. : L1 anterior ramus
- Ilioinguinal n. : L1 anterior ramus
Psoas minor m.
Type : Posterior Abdominal Wall
Origin
• T12 - L1
Insertion
• Pubic bone (long tendon)
Innervation
• Anterior rami (L2 - L4)
Action :
Hip flexion
Spinal flexion
Psoas major m.
Type : Posterior Abdominal Wall
Origin
• T12 - L5
Insertion
• Iliopsoas m.
Innervation
• Anterior rami (L2 - L4)
Action :
Hip flexion
Spinal flexion
Iliacus m.
Type : Posterior Abdominal Wall
Origin
• Iliac fossa
Insertion
• Iliopsoas m.
Innervation
• Femoral n. (L2 - L4)
Action :
Hip flexion
Spinal flexion
Iliopsoas m.
Type : Posterior Abdominal Wall
Origin
• Psoas major m.
• Iliacus m.
Insertion
• Lesser trochanter of femur
Innervation
• Anterior rami (L2 - L4)
Action :
Hip flexion
Spinal flexion
Quadratus lumborum m.
Type : Posterior Abdominal Wall
Origin
• Rib 12
• L1 - L4 TPs
Insertion
• Iliac crest
Innervation
• T12 - L4 anterior rami
Action :
Unilaterally : Lateral ipsilateral flexion of the spine
Landmark for caval hiatus?
Inferior vena cava –> T8
Landmark for esophageal hiatus?
T10
Landmark for aortic hiatus?
T12
Landmark for median arcuate ligament?
Aortic hiatus
Landmark for medial arcuate ligament?
Psoas major and minor m.
Landmark for lateral arcuate ligament?
Quadratus lumborum m.
Landmark for spine of the scapula?
T3
Landmark for inferior angle of scapula?
T8
What kind of joint is the Sternoclavicular joint?
Synovial (saddle)
Name the ligaments related to the Sternoclavicular joint.
- Anterior sternoclavicular ligament
- Costoclavicular ligament
Which joint increase the ROM of the scapula by 120°?
Glenohumeral joint
What kind of joint is the Acromioclavicular joint?
Synovial (planar)
In which situations can a posterior shoulder dislocation appear?
Stair-falls
Sports injuries
Car accidents
In which situations can anterior shoulder dislocation appear?
Weight-lifting
What kind of joint is the Glenohumeral joint?
Synovial (ball and socket)
What are the ligaments associated w/ the Glenohumeral joint? (4)
- Coracohumeral ligament
- Superior glenohumeral ligament
- Middle glenohumeral ligament
- Inferior glenohumeral ligament
Pectoralis major m.
Type : Muscle of the Shoulder
Group : Anterior Shoulder Muscle
Origin
• Clavicle (head)
• Sternum (head)
• Ribs
Insertion
• Lateral lip of inter tubercular groove
Innervation
• Medial pectoral n.
• Lateral pectoral n.
Action :
ADD of the arm
Shoulder flexion
Medial rotation of shoulder
Pectoralis minor m.
Type : Muscle of the Shoulder
Group : Anterior Shoulder Muscle
Origin
• Ribs 3-5
Insertion
• Coracoid process of scapula
Innervation
• Medial pectoral n.
• Lateral pectoral n.
Action :
Protraction of scapula
Subclavius m.
Type : Muscle of the Shoulder
Group : Anterior Shoulder Muscle
Origin
• Rib 1
Insertion
• Inferior surface of clavicle
Innervation
• N. to subclavius
Action :
Stabilization
Depression of clavicle
Serratus anterior m.
Type : Muscle of the Shoulder
Group : Lateral Shoulder Muscle
Origin
• Lateral aspects of ribs
Insertion
• Medial border of scapula
Innervation
• Long thoracic n.
Action :
Protraction of scapula
Fibers?
Deltoid m.
Type : Muscle of the Shoulder
Group : Lateral Shoulder Muscle
3 fibers
• Posterior
• Middle
• Anterior
Origin
• Pectoral girdle
Insertion
• Deltoid tuberosity
Innervation
• Axillary n.
Action :
Ant. fibers : shoulder flexion
Middle fibers : ABD
Post. fibers : shoulder extension
Subscapularis m.
Type : Muscle of the Shoulder
Group : Rotator Cuff Muscles (anterior)
Origin
• Subscapular fossa
Insertion
• Lesser tubercle of humerus
Innervation
• Upper subscapular n.
• Lower subscapular n.
Action :
Medial rotation of shoulder
Supraspinatus m.
Type : Muscle of the Shoulder
Group : Rotator Cuff Muscles (posterior)
Origin
• Supraspinous fossa
Insertion
• Greater tubercle of humerus (superior facet)
Innervation
• Suprascapular n.
Infraspinatus m.
Type : Muscle of the Shoulder
Group : Rotator Cuff Muscles (posterior)
Origin
• Infraspinous fossa
Insertion
• Greater tubercle of humerus (middle facet)
Innervation
• Suprascapular n.
Teres minor m.
Type : Muscle of the Shoulder
Group : Rotator Cuff Muscles (posterior)
Origin
• Lateral border of scapula
Insertion
• Greater tubercle of humerus (inferior facet)
Innervation
• Axillary n.
Teres major m.
Type : Muscle of the Shoulder
Group : Posterior shoulder muscles
Origin
• Lateral border of scapula
• Inferior angle of scapula
Insertion
• Medial lip of inter tubercular groove
Innervation
• Lower subscapular n.
Action :
ADD of arm
Medial rotation of shoulder
Extension of arm
What are the landmarks for the triangular space?
- Teres minor m.
- Teres major m.
- Long head of biceps brachii m.
What pass through the triangular space?
Circumflex scapular a.
What pass through the quadrangular space?
- Axillary n.
- Posterior humeral circumflex a.
What are the landmarks for the quadrangular space?
- Teres minor m.
- Humerus
- Long head of biceps brachii m.
- Teres major m.
What are the landmarks for the triangular interval?
- Humerus
- Long head of biceps brachii m.
- Teres major m.
What pass through the triangular interval?
- Radial n.
- Deep brachial a.
Biceps brachii m.
Type : Muscle of the Arm
Group : Anterior compartment
Origin
• Long head : supraglenoid tubercle of scapula
• Short head : coracoid process
Insertion
• Radial tuberosity
• Bicipital aponeurosis
Innervation
• Musculocutaneous n.
Action :
Flexion at elbow
Supanation of forearme
Flexion of arm at shoulder
Coracobrachialis m.
Type : Muscle of the Arm
Group : Anterior compartment
Origin
• Coracoid process
Insertion
• Shaft of humerus (anterior)
Innervation
• Musculocutaneous n.
Action :
Flexion of shoulder
Brachialis m.
Type : Muscle of the Arm
Group : Anterior compartment
Origin
• Shaft of humerus (anterior)
Insertion
• Ulnar tuberosity
Innervation
• Musculocutaneous n.
Mvt : MAIN flexor of elbow
Triceps brachii m.
Type : Muscle of the Arm
Group : Posterior compartment
Origin
• Long head : infraglenoid tubercle of scapula
• Lateral head : surgical neck of humerus (posterior)
• Medial head : shaft of humerus (posterior)
Insertion
• Olecranon process
Innervation
• Radial n.
What are the landmarks for the apex (superior) of the axilla? (3)
- Clavicle
- Rib 1
- Superior border of scapula