Muscle Attachments Flashcards
Pectoralis Major Sternal Head PA
- Anterior manubrium and body of sternum
- anterior costal cartilages 1-6
Pectoralis Major Sternal Head DA
Lateral lip of intertubercular groove of humerus
Pectoralis Major Sternal Head action
Shoulder adduction, shoulder extension, shoulder IR
Pectoralis Major Sternal Head nerve supply
Medial and lateral pectoral nerves (C5-T1)
Pectoralis Major clavicular head PA
Medial 1/2 anterior clavicle
Pectoralis Major clavicular head DA
Lateral lip of intertubercular groove of humerus
Pectoralis Major clavicular head actions
Add, flex, ext, IR
Pectoralis Major clavicular head nerve supply
medial and lateral pectoral nerves (C5-T1)
Latissimus dorsi PA
(SIR)
- spinous processes of T6-S5 vertebrae
- iliac crest
- ribs 9-12
Latissimus dorsi DA
Floor of intertubercular groove of humerus
Latissimus dorsi actions
add, ext, IR
Latissimus dorsi nerve supply
thoracodorsal nerve (C6-8)
Trapezius PA
- external occipital protuberance of skull
- superior nuchal line of skull
- acromion of scapula
- ligametume nuchae
- spinous processes of C7-T12 vertebrae
Trapezius DA
- Lateral 1/3 clavicle
- acromian process
- medial end of spine of scapula
Trapezius actions
scapula elevation, depression, retraction, ER
Trapezius nerve supply
accessory nerve, anterior rami of 3rd and 4th cervical nerves
Rhomboid Major PA
spinous processes of T2-T5 vertebrae
Rhomboid Major DA
Medial border of scapula between base of spine and the inferior angle
Rhomboid Major actions
Retraction, IR
Rhomboid Major nerve supply
dorsal scapular nerve (C4-5)
Rhomboid minor PA
spinous process of C7-T1 vertebrae
Rhomboid minor DA
Medial border of scapula at base of spine
Rhomboid minor actions
Retraction, IR
Rhomboid minor nerve supply
Dorsal scapular nerve (C4-5)
*same as rhomboid major
Levator Scap PA
Transverse processes of C1-C3 vertebrae
Levator Scap DA
Medial border of scapula between superior angle and base of spine
Levator Scap actions
Elevatio, IR
Levator Scap nerve supply
- anterior rami of 3rd and 4th cervical nerves
- dorsal scapular nerve (C5)
Pectoralis Minor PA
Anterior surface to ribs 3-5
Pectoralis Minor DA
coracoid process
Pectoralis Minor actions
protraction, depression, IR
Pectoralis Minor nerve supply
Medial and lateral pectoral nerves (C5-T1)
Serratus anterior PA
anterior surface of ribs 1-8
Serratus anterior DA
Inferomedial border of scapula
Serratus anterior actions
Protraction, ER
Serratus anterior nerve supply
long thoracic nerve (C5-7)
Deltoid PA
- lateral 1/3 clavicle (anterior fibres)
- acromion process of scapula (middle fibres)
- spine of scapula (posterior fibres)
Deltoid DA
- deltoid tuberosity of humerus
Deltoid actions
abd, flex, Ext, IR, ER
Deltoid nerve supply
Axillary nerve (C5-6)
Coracobrachialis PA
Coracoid process
Coracobrachialis DA
medial side mid-shaft humerus
Coracobrachialis actions
Add, Flex
Coracobrachialis nerve supply
Musculocutaneous nerve (C5-7)
Teres major PA
Posterior surface of scapula near inferior angle
Teres major DA
medial lip of intertubercular groove of humerus
Teres major actions
Add, IR
Teres major nerve supply
Lower subscapular nerve (C5-7)
ROTATOR CUFF
Teres Minor PA
Lateral border of the scapula
ROTATOR CUFF
Teres Minor DA
- greater tubercle of the humerus
- capsule of the shoulder joint
ROTATOR CUFF
Teres Minor actions
ER
ROTATOR CUFF
Teres Minor nerve supply
Axillary nerve (C5-6)
ROTATOR CUFF
Subscapularis PA
subscapular fossa of scapula (anterior)
ROTATOR CUFF
Subscapularis DA
- lesser tubercle of the humerus
- capsule of shoulder jt
ROTATOR CUFF
Subscapularis actions
IR
ROTATOR CUFF
Subscapularis NS
upper and lower subscapular nerves (C5-7)
ROTATOR CUFF
Supraspinatus PA
Supraspinous fossa of scapula
ROTATOR CUFF
Supraspinatus DA
- greater tubercle of the humerus
- capsule of shoulder jt
ROTATOR CUFF
Supraspinatus actions
Abd
ROTATOR CUFF
Supraspinatus NS
suprascapular nerve (C5-6)
ROTATOR CUFF
Infraspinatus PA
Infraspinous fossa of scapula
ROTATOR CUFF
Infraspinatus DA
- greater tubercle of humerus
- capsule of shoulder jt
ROTATOR CUFF
Infraspinatus actions
ER
ROTATOR CUFF
Infraspinatus NS
suprascapular nerve (C5-6)
MUSCLES OF THE ARM
Biceps Brachii short head PA
coracoid process
MUSCLES OF THE ARM
Biceps Brachii short head DA
- radial tuberosity
- deep fasica of ulnar side of forearm via the bicipital aponeurosis
MUSCLES OF THE ARM
Biceps Brachii short head actions
flex, supination
MUSCLES OF THE ARM
Biceps Brachii short head nerve supply
musculocutaneous nerve
Biceps brachii long head PA
- supraglenoid tubercle of scapula
- superior part of glenoid labrum
Biceps Brachii long head DA
- radial tuberosity
- deep fascia of ulnar side of forearm via the bicipital aponeurosis
Biceps brachii long head actions
- shoulder flex
- elbow flex (more efficient when elbow is pronated)
- forearm supination
Biceps brachii long head NS
musculocutaneous nerve
Triceps brachii long head PA
- infraglenoid tubercle of scapula
- inferior part of glenoid labrum
Triceps brachii long head DA
- olecranon process of ulna
- posterior capsule of elbow joint
triceps brachii long head Actions
shoulder ext, shoulder add
triceps brachii long head nerve supply
radial nerve
triceps brachii long head nerve supply
radial nerve
triceps brachii lateral head PA
posterior shaft of humerus lateral to the spiral groove
triceps brachii lateral head DA
- olecranon process of ulna
- posterior capsule of elbow jt
triceps brachii lateral head actions
shoulder add
shoulder ext
elbow ext
triceps brachii lateral head actions
shoulder add
shoulder ext
elbow ext
triceps brachii lateral head NS
radial
triceps brachii medial head PA
- posterior shaft of the humerus medial to the spiral groove
triceps brachii medial head DA
- olecranon process of ulna
- posterior capsule of elbow jt
triceps brachii medial head actions
elbow ext
(although, hard to separate the other actions so can just say do all)
triceps brachii medial head NS
radial
Brachialis PA
distal 2/3 of anterior shaft of humerus
Brachialis DA
- ulnar tuberosity
- coracoid process of ulna
Brachialis actions
elbow flex
Brachialis NS
musculocutaneous nerve
Brachioradialis PA
Lateral supracondylar ridge of humerus
Brachioradialis DA
Distal radius just proximal to the styloid process
Brachioradialis actions
- elbow flex
- forearm pronation (to neutral)
- forearm supination (to neutral)
brachioradialis NS
radial nerve
MUSCLES OF THE FOREARM
Anconeus PA
- lateral epicondyle of humerus
- posterior capsule of elbow jt
Anconeus DA
- proximal 1/4 posterior ulna
- lateral surface of olecranon process of ulna
Anconeus actions
elbow ext (weak)
Anconeus NS
radial nerve
Pronator teres PA
- medial supracondylar ridge of humerus
- medial epicondyle of humerus
- medial surface of proximal ulna
Pronator teres DA
- impression for pronator teres on lateral midshaft of radius
Pronator teres actions
elbow flex
forearm pronation
pronator teres NS
median nerve
pronator quadratus PA
distal 1/4 anterior ulna
Pronator quadratus DA
distal 1/4 anterior radius
Pronator quadratus actions
forearm pronation
pronator quadratus nerve supply
median nerve
Supinator PA
- lateral epicondyle of the humerus
- supinator crest and fossa on ulna
- radial collateral and annular ligaments
Supinator DA
- posterior, lateral, and anterior aspects of proximal radius
Supinator action
forearm supination
supinator nerve supply
radial nerve
flexor carpi radialis PA
common flexor origin on medial epicondyle of humerus
flexor carpi radialis DA
bases of metacarpals 2 & 3
flexor carpi radialis actions
- wrist flex
- radial deviation/ wrist abduction
flexor carpi radialis NS
median nerve
palmaris longus PA
common flexor origin on medial epicondyle of humerus
palmaris longus DA
- flexor retinaculum
- palmar aponeurosis
Palmaris longus Actions
wrist flex
palmaris longus NS
median nerve
flexor digitorum superficialis PA
(CUC)
- common flexor origin on medial epicondyle of humerus
- ulnar collateral ligament
- coronoid process of ulna
flexor digitorum superficialis DA
bases of middle phalanges of digits 2-5
flexor digitorum superficialis actions
wrist flex
PIP, MCP flex
flexor digitorum superficialis NS
median nerve
flexor carpi ulnaris PA
(COP)
- common flexor origin on medial epicondyle of humerus
- olecranon process of ulna
- proximal 2/3 posterior ulna
flexor carpi ulnaris DA
- hook of hamate and base of metacarpal 5 (via pisohamate ligament)
flexor carpi ulnaris actions
wrist flex
ulnar deviation (adduction)
flexor carpi ulnaris NS
ulnar nerve
flexor digitorum profundus PA
(MPC)
- coronoid process of ulna
- proximal 3/4 ulna
- middle 1/3 interosseous membrane
flexor digitorum profundus PA
(MPC)
- coronoid process of ulna
- proximal 3/4 ulna
- middle 1/3 interosseous membrane
flexor digitorum profundus PA
(MPC)
- coronoid process of ulna
- proximal 3/4 ulna
- middle 1/3 interosseous membrane
flexor digitorum profundus DA
bases of distal phalanges of digits 2-5
flexor digitorum profundus actions
- wrist flex
- DIP, PIP, MCP flex
flexor digitorum profundus actions
- wrist flex
- DIP, PIP, MCP flex
flexor digitorum profundus NS
ulnar nerve
flexor pollicis longus PA
- anterior surface of radius
- adjacent interosseous membrane
flexor pollicis longus DA
base of distal phalanx of thumb
flexor pollicis longus actions
wrist flex
thumb IP, MCP, CMC flex
flexor pollicis longus nerve supply
median nerve
Extensor carpi radialis longus PA
lateral supracondylar ridge of humerus
Extensor carpi radialis longus DA
base of metacarpal 2
Extensor carpi radialis longus actions
wrist ext
radial deviation
Extensor carpi radialis longus NS
radial nerve
extensor carpi radialis brevis PA
common extensor tendon from lateral epicondyle of humerus
extensor carpi radialis brevis DA
base of metacarpal 3
extensor carpi radialis brevis actions
wrist ext
radial deviation
extensor carpi radialis brevis nerve supply
radial nerve
extensor digitorum PA
common extensor tendon on lateral epicondyle of humerus
extensor digitorum DA
via extensor aponeurosis (dorsal digital expansion) to bases of middle and distal phalanges of digits 2-5
extensor digitorum actions
wrist ext
DIP, PIP, MCP ext
extensor digitorum nerve supply
radial nerve
Extensor digiti minimi PA
common extensor tendon on lateral epicondyle of humerus
Extensor digiti minimi DA
dorsal digital expansion of digit 5
Extensor digiti minimi actions
DIP, PIP, MCP digit 5 ext
Extensor digiti minimi NS
radial nerve
Extensor carpi ulnaris PA
- common extensor tendon on the lateral epicondyle of the humerus
- posterior border of ulna
Extensor carpi ulnaris DA
base of MC 5
Extensor carpi ulnaris actions
wrist ext
ulnar deviation
Extensor carpi ulnaris NS
radial
Abductor pollicis longus PA
- proximal posterior ulna
- middle 1/3 posterior radius
Abductor pollicis longus DA
base of MC 1
Abductor pollicis longus actions
thumb CMC abd
Abductor pollicis longus NS
radial
Extensor pollicis longus PA
middle 1/3 posterior ulna
Extensor pollicis longus DA
base of distal phalanx of thumb
Extensor pollicis longus actions
- wrist ext
- thumb IP, MCP, CMC ext
Extensor pollicis longus nerve supply
radial nerve
Extensor pollicis brevis PA
- middle part of posterior radius
- adjacent interosseous membrane
Extensor pollicis brevis DA
base of proximal phalanx of thumb
Extensor pollicis brevis actions
- wrist ext
- thumb MCP, CMC ext
Extensor pollicis brevis NS
radial nerve
extensor indicis PA
- distal posterior ulna
- adjacent interosseous membrane
extensor indicis DA
dorsal digital expansion of digit 2
extensor indicis actions
- wrist ext
- DIP, PIP, MCP ext (dig 2)
extensor indicis NS
radial nerve
MUSCLES OF THE HAND
THENAR EMINENCE
Flexor pollicis brevis PA
- flexor retinaculum
- distal row of carpal bones
Flexor pollicis brevis DA
base of proximal phalanx of thumb
Flexor pollicis brevis actions
thumb MCP, CMC flex
Flexor pollicis brevis nerve supply
median nerve
Abductor pollicis brevis PA
- flexor retinaculum
- tubercles of scaphoid & trapezium
Abductor pollicis brevis DA
base of proximal phalanx of thumb
Abductor pollicis brevis actions
thumb MCP, CMC abd
Abductor pollicis brevis NS
median nerve
Opponens pollicis PA
- flexor retinaculum
- tubercle of trapezium
Opponens pollicis DA
anterolateral surface of shaft of MC 1
Opponens pollicis actions
Thumb MCP opposition
Opponens pollicis NS
median nerve
MUSCLES OF THE HYPOTHENAR EMINENCE
Flexor digiti minimi PA
hook of hamate
Flexor digiti minimi DA
base of proximal phalanx of digit 5
Flexor digiti minimi actions
MCP, CMC digit 5 flex
Flexor digiti minimi NS
ulnar nerve
Abductor digiti minimi PA
- pisiform
- tendon of flexor carpi ulnaris
Abductor digiti minimi DA
- dorsal digital expansion of digit 5
- proximal phalanx of digit 5
Abductor digiti minimi actions
MCP, CMC digit 5 abduction
Abductor digiti minimi NS
ulnar nerve
Opponens digiti minimi PA
- hook of hamate
- flexor retinaculum
Opponens digiti minimi DA
medial surface of shaft of MC 5
Opponens digiti minimi actions
CMC digit 5 opposition
Opponens digiti minimi NS
ulnar nerve
Adductor Pollicis PA
- bases of metacarpals 2-4
- shaft of MC 3
- trapezoid & capitate
Adductor Pollicis DA
base of proximal phalanx of thumb
Adductor Pollicis actions
Thumb MCP, CMC add
Adductor Pollicis NS
ulnar nerve
Lumbricals PA
tendons of flexor digitorum profundus
Lumbricals DA
via lateral sides of dorsal digit expansion (extensor aponeurosis) to bases of distal phalanges of digits 2-5
Lumbricals actions
PIP, DIP ext
MCP flex
Lumbricals NS
ulnar nerve
Dorsal interossei PA
adjacent sides of MC’s of digits 1-5
Dorsal interossei DA
dorsal digital expansion of digits 2-4
Dorsal interossei actions
PIP, DIP ext
MCP abduction
Dorsal interossei NS
ulnar nerve
Palmar interossei PA
shaft of MC of digits 1, 2, 4&5
Palmar interossei DA
- dorsal digital expansion of digits 1,2,4 & 5
- proximal phalanx of digits 1, 2, 4 & 5
Palmar interossei actions
MCP flex
MCP add
Palmar interossei NS
ulnar nerve
Palmaris brevis PA
palmar aponeurosis
Palmaris brevis DA
skin of medial border of hand
Palmaris brevis actions
wrinkles skin of hypothenar eminence, deepens hollow of hand, helps for grip
Palmaris brevis NS
ulnar nerve