Muscles Flashcards
Insertion of anterior scalene
Anterior scalene tubercle of 1st rib
Innervation of anterior/middle/posterior scalene muscles
Direct branches of cervical and brachial plexus (C3-C6)
Action of scalene muscles
With ribs mobile: Raise upper ribs (inspiration)
With ribs fixed:
-bilateral: flex neck
-unilateral: ipsilateral lateral flexion of cervical spine
Origin of middle scalene
Posterior tubercles of transverse process C3-C7
Insertion of middle scalene
1st rib (posterior to groove for subclavian artery)
Origin of posterior scalene
posterior tubercles of transverse processes C5-C7
Insertion of posterior scalene
Outer surface of 2nd rib
Origin/Insertion of external intercostal muscles
Lower margin of rib (superior) to upper margin of next inferior rib
(fibers run obliquely forward and downward from costal tubercles to chondroosseus junction)
Origin/insertion of internal intercostal muscles
- Lower margin of superior rib to upper margin of inferior rib
- Fibers run obliquely forward and upward from costal angle to sternum
Action of external intercostal muscle
- Raise ribs (inspiration)
- Stabilize intercostal space
- Support chest wall
Action of internal intercostal muscle
- Lower ribs (expiration)
- Stabilize intercostal space
- Support chest wall
Origin of innermost intercostal muscles
Lower margin of upper rib to upper margin of next lower rib
fibers run obliquely forward and upward from costal angle to sternum
Innervation of intercostal muscles (external, internal, innermost internal)
1st to 11th intercostal nerves
T1-T11
Origin/Insertion/Innervation/Action of subcostal muscle
O/I-Lower margin of lower rib to inner surface of 2-3 ribs below
Innerv - adjacent intercostal nerves
Action - lower ribs (expiration
Origin of transversus thoracis muscle
Sternum and xiphoid process (inner surface)
Insertion of transversus thoracis
2nd-6th ribs (costal cartilages and inner surface)
Innervation of transverus thoracis muscle
2nd-6th intercostal nerves
Action of transversus thoracis
Weakly Lower ribs (expiration)
Origin of diaphragm
- 7th -12th ribs (inner surface)
- L1 to L3 vertebral bodies, IV disks
- posterior surface xiphoid process
- anterior longitudinal ligament (as right and left crura)
Insertion of diaphragm
Central tendon of diaphragm
Innervation of diaphragm
Phrenic nerve (C3,C4,C5) - most motor and sensory
*Subcostal and lower intercostal nerves supply sensory innervation to periphery
Origin of anterior scalene
Anterior tubercles of transverse process of C3-C6
Origin of rectus abdominis
Lateral head - From pubic crest to pubic tubercle
Medial head - anterior region of pubic symphysis
Insertion of rectus abdominis
- Costal cartilages of ribs 5-7
- Xiphoid process
Innervation of rectus abdominis
Intercostal nerves (T5-T12)
Action of rectus abdominis
- Flex trunk
- Compress abdomen
- Stabilize pelvis
Origin of external oblique
5th-12th ribs (outer surface)
insertion of external oblique
- Linea alba
- pubic tubercle
- Iliac crest
Innervation of external oblique
Intercostal nerves T7-T12
Action of external oblique
Unilateral: -ipsilateral lateral flexion of trunk -contralateral rotation of trunk Bilateral: -flex trunk, compress abdomen, stabilize pelvis
Origin of internal oblique
- Thoracolumbar fascia (deep)
- Iliac crest
- Anterior superior iliac spine
- Iliopsoas fascia
Insertion of internal oblique
- Linea alba,
- 10th -12th ribs (lower borders)
Innervation of internal oblique
- Intercostal nerves (T1-T11)
- Iliohypogastric nerve
- Ilioinguinal nerve
Action of internal oblique
Unilateral: -Ipsilateral lateral flexion of trunk -Ipsilateral rotation of trunk Bilateral: -Flex trunk, compress abdomen, stabilize pelvis
Origin of transversus abdominis
- Thoracolumbar fascia (deep)
- Iliopsoas fascia
- Anterior Superior Iliac Spine
- Iliac crest
- 7th-12th costal cartilages
Insertion of transversus abdominis
- Linea alba
- Pubic crest
Innervation of transversus abdominis
- Intercostal nerves (T7-T12)
- Iliohypogastric nerve (of lumbar plexus)
- Ilioinguinal nerve
Action of transversus abdominis
Unilateral: ipsilateral rotation of trunk
Bilateral: compresses abdomen
Origin of psoas major
Superficial: -T12-L4 vertebral bodies -Associated IV discs Deep: L1-L5 (transverse processes)
Insertion of psoas major
- Femur (lesser trochanter)
- Joint insertion as illiopsoas muscle
Innervation of psoas major
Direct branches from lumbar plexus
Muscles of the pelvic diaphragm
Levator ani, coccygeus
Origin of coccygeus
Sacrum (inferior end)
Insertion of coccygeus
Ischial Spine
Innervation of coccygeus
Direct branches of sacral plexus (S4-S5)
Action of coccygeus
Supports pelvic viscera; flexes coccyx
Pelvic Wall muscles
Piriformis, Obturator internus
Origin of piriformis
Sacrum (Pelvic surface)
Insertion of piriformis
Femur (apex of greater trochanter)
Innervation of piriformis
Direct branches of sacral plexus (S1-S2)
Action of piriformis
Hip joint: external rotation, stabilization, abduction of flexed hip
Origin of obturator internus
Obturator membrane and bony boundaries of obturator foramen
Insertion of obturator internus
Femur (Medial surface of greater trochanter)
Innervation of obturator internus
Direct branches of sacral plexus (L5-S1)
Action of obturator internus
Hip joint: external rotation, Abduction of flexed hip
Origin of superficial transverse perineal
Ischial ramus
Insertion of superficial transverse perineal
Perineal body
Innervation of superficial transverse perineal
Pudendal nerve (S2-S4)
Action of superficial transverse perineal
- Hold pelvic organs in place
- Close urethra
Origin/Insertionof Bulbospongious
Runs anteriorly from perineal body to clitoris (females) or Penile raphe (males)
Innervation of bulbospongiosus
Pudendal nerve (S2-S4)
Action of bulbospongiosus
Females - compress greater vestibular gland
Males - assist in erection
Origin of ischocavernosus
Ischial ramus
Insertion of ischiocavernosus
Crus of clitoris or penis
Innervation of ischiocavernosus
Pudendal nerve (S2-S4)
Action of ischiocavernosus
Maintains erection by filling corpus cavernosum of penis or clitoris with blood
Origin/Insertion of external anal sphincter
Encircles anus (Runs posteriorly from perineal body to anococcygeal ligament)
Innervation of external anal sphincter
Pudendal nerve (S2-S4)
Action of external anal sphincter
Closes anus
Origin of Levator Ani
Body of pubis, Ischial spine, Tendinous arch of levator ani, Sacrum (inferior end)
Insertion of levator ani
Anus, Anococcygeal ligament, Perineal body, Rectum, Walls of vagina and prostate, Coccyx
Action of levator ani
Support pelvic viscera and decrease intraabdominal pressure
Innervation of levator ani
Nerve to levator ani (S4), Inferior anal nerve
Origin of SCM
Manubrium of sternum, medial 1/3 clavicle
Insertion of SCM
Mastoid process of temporal bone, lateral superior nuchal line
Innervation of SCM
Spinal accessory nerve (CN XI), Branches of cervical plexus C2-C3
Action of SCM
Unilateral - ipsilateral lateral flexion of head, contralteral rotation
Bilateral - extends head
Suprahyoid muscles
Digastric, Stylohyoid, Mylohyoid, Geniohyoid
Origin of anterior belly of digastric
Mandible (Digastric fossa)
Insertion of anterior belly of digastric
Hyoid bone
Innervation of anterior belly of digastric
Mylohyoid nerve (Branch of CN V3)
Action of anterior belly of digastric
Elevates hyoid bone (swallowing)
Origin of posterior belly of digastric
Mastoid notch of temporal bone
Insertion of posterior belly of digastric
Hyoid bone
Innervation of posterior belly of digastric
Facial nerve (CN VII)
Action of posterior belly of digastric
Elevate hyoid bone (swallowing)
Stylohyoid
Styloid process of temporal bone
Insertion of stylohyoid
Hyoid bone
Innervation of stylohyoid
Facial nerve (CN VII)
Action of stylohyoid
Elevate the hyoid bone (swallowing)
Origin of mylohyoid
Mylohyoid line of mandible
Insertion of mylohyoid
Hyoid bone
Innervation of mylohyoid
Mylohyoid nerve (branch CN V3)
Action of mylohyoid
Draw the hyoid bone forward for swallowing
Open mandible and move it side to side - mastication
Origin of geniohyoid
Mandible
Insertion of geniohyoid
Hyoid bone
Innervation of geniohyoid
Anterior ramus of C1 via hypoglossal nerve
Action of geniohyoid
Draw hyoid bone forward for swallowing
Origin of Omohyoid
Superior border of scapula
Insertion of omohyoid
Hyoid bone
Innervation of omohyoid
Ansa cervicalis (C1-C3)
Action of omohyoid
Depress the hyoid bone (swallowing)
Draw larynx and hyoid down
Origin of sternohyoid
Manubrium of sternum and the SC joint
Insertion of sternohyoid
Hyoid bone
Innervation of sternohyoid
Ansa cervicalis (C1-C3)
Action of sternohyoid
Depress hyoid bone and larynx for swallowing
Origin of sternothyroid
Manubrium of sternum
Insertion of sternothyroid
Thyroid cartilage
Innervation of sternothyroid
Ansa Cervicalis (C2-C3)
Action of sternothyroid
Depress hyoid bone and larynx down for swallowing
Origin of thyrohyoid
Thyroid cartilage
Insertion of thyrohyoid
Hyoid Bone
Innervation of thyrohyoid
C1 Via hypoglossal nerve
Action of thyrohyoid
Depress hyoid bone
Raise larynx for swallowing
Origin of masseter
Anterior 2/3 zygomatic arch
Posterior 2/3 zygomatic arch
Insertion of masseter
Mandibular angle
Innervation of masseter
Mandibular nerve (CN V3)
Action of masseter
Elevate (adduct) and protrude mandible
Origin of temporalis
Temporal fossa
Insertion of temporalis
Coronoid process of mandible
Innervation of temporalis
Mandibular nerve (CN V3)
Action of temporalis
Elevate mandible, Retract mandible
Unilateral - lateral movements -chewing
Origin of lateral pterygoid
Greater wing of sphenoid, Lateral surface of lateral pterygoid plate
Insertion of lateral pterygoid
Articular disc of TMJ Joint, Condylar process of mandible
Innervation of lateral pterygoid
Mandibular nerve (CN V3)
Action of lateral pterygoid
Protrude mandible, lateral movements of mandible (chewing)
Origin of medial pterygoid
Medial surface of lateral pterygoid plate, Maxilla
Insertion of medial pterygoid
Mandibular angle
Innervation of Medial pterygoid
Mandibular Nerve (Cn V3)
Action of medial pterygoid
Elevate mandible
Origin of Eye Muscles
Superior rectus, Medial Rectus, Lateral rectus, Inferior Rectus - Common annular tendon
Superior oblique - Sphenoid bone
Inferior oblique - Medial orbital margin
Insertion of Eye muscles
Sclera of eye
Innervation of eye muscles
Superior rectus, medial rectus, inferior rectus, Inferior oblique - Occulomotor nerve (CN 3)
Lateral rectus - Abducens nerve (CN 6)
Superior oblique - Trochlear nerve (CN 4)
Action of eye muscles
Superior rectus - Elevate, Adduct, Medially Rotate eye
Medial rectus - Adduct eye
Inferior rectus - Depress, Adduct, Laterally rotate eye
Lateral rectus - Abduct eye
Superior oblique - Depress, Abduct, Medially rotate eye
Inferior oblique - Elevate, Abduct, Laterally rotate eye