Muscles Flashcards
Trapezius innervation
Motor: accessory nerve
Also receives proprioceptor fibers from C3 and C4 spinal nerves
Trapezius origin
Medial 1/3 of superior nuchal line (on skull), external occipital protuberance (also on skull), nuchal ligament, spinous processes of C7-T12
Trapezius attachment
Lateral 3rd clavicle, acromium and scapular spine
List Trapezius actions on __________:
On scapula*
Elevation/depression
Protraction/retraction
Upward rotation/downward rotation
Latissimus dorsi innervation
Thoracodosal nerve (C6-C8)
Latissimus Dorsi origin
Spinous processes T7-12, thoracolumbar fascia, iliac crest, inferior 3-4 ribs
Latissimus Dorsi insertion
Floor of intertubercular sulcus of humerus
Latissimus Dorsi actions
Extends humerus
Adductor humerus
Medially rotates humerus
Levator scapulae innervation
Dorsal scapular nerve (C5) and cervical spinal nerves (C3, C4)
Levator Scapulae origin
Transverse processes of C1-C4
Levator Scapulae insertion
Medial superior scapula
Levator scapulae action
Elevates scapula and rotates it downward
Rhomboid minor innervation
Dorsal scapular nerve
Rhomboid minor origin
Nuchal ligament, C7-T1 spinous processes
Rhomboid minor insertion
Medial scapula at spine border
Rhomboid major innervation
Dorsal scapular nerve
Rhomboid major origin
Spinous processes T2-T5
Rhomboid major insertion
Medial scapular border
Rhomboid major and minor action
Elevates scapula
Retracts scapula
Rotates scapula downward
Supraspinatus innervation
Supraspinatus nerve
Supraspinatus origin
Supraspinous fossa of the scapula
Supraspinatus attachment
Greater tubercle of the humerus
Supraspinatus action
Stabilizes the glenohumeral joint
Abducts the arm 0-15 degrees, and assists the deltoid for 15-90 degrees
Infraspinatous innervation
Suprascapular nerve
Infraspinatus origin
Infraspinous fossa of the scapula
Infraspinatus insertion
Greater tubercle of the humerus
Infraspinatus action
Stabilizes the glenohumeral joint
Laterally rotates the arm
Subscapularis innervation
Upper and lower subscapular nerve
Subscapularis origin
Subscapular fossa, costal surface of the scapula
Subscapularis insertion
Lesser tubercle of the humerus
Subscapularis action
Stabilizes the glenohumeral joint
Medially rotates the arm
Teres minor innervation
Axillary nerve
Teres minor origin
Posterior surface of the scapula adjacent to itslateral border
Teres minor insertion
Greater tubercle of the humerus
Teres minor action
Stabilizes the glenohumeral joint
Laterally rotates the arm
Serratus posterior superior muscle innervation
Intercostal nerves
Serratus posterior superior muscle origin
Lower part of the ligamentum nuchae and the cervical and thoracic spines (C7-T3)
Serratus Posterior Superior muscle insertion
Ribs 2-5
Serratus posterior superior action
Elevates ribs 2-5
Serratus posterior inferior muscle innervation
Intercostal nerves
Serratus posterior inferior muscle origin
Thoracic and lumbar spines (T11-L3)
Serratus posterior inferior muscle insertion
Ribs 9-12
Serratus posterior inferior muscle action
Depresses ribs 9-12
Splenius capitis innervation
Posterior rami of spinal nerves C3 and C4
Splenius capitis origin
Lower aspect of the ligamentum nuchae and the spinous processes of C7-T3/4 vertebrae
Splenius capitis insertion
Mastoid process and the occipital bone of the skull
Splenius capitis action
Rotate head to the same side
Also acts with splenius cervicis to extend the head and neck
Splenius cervicis innervation
Posterior rami of the lower cervical spinal nerves
Splenius cervicis origin
Spinous processes of T3-T-6 vertebrae
Splenius cervicis insertion
Transverse processes of C1-3/4
Splenius cervicis action
Rotate the head to the same side
Also acts with the splenius capitis to extend the head and neck
Muscles included in the erector spinae
Iliocostalis m, longissimus m, and spinalis m
Common origin of erector spinae muscles
Common tendinous origin that arises from:
Lumbar and lower thoracic vertebrae, sacrum, posterior aspect of iliac crest, sacroiliac and supraspinous ligaments
Erector spinae (I,L,S) muscle innervation
Posterior rami of the spinal nerves
Iliocostalis muscle insertion
Costal angle of the ribs and the cervical transverse processes
Longissimus muscle insertion
Lower ribs, the transverse processes of C2-T12 and the mastoid process of the skull
Semispinalis muscle insertion
Spinous processes of C2-T4 and to the occipital bone of the skull
Action of the erector spinae muscles
Unilaterally - act to laterally flex the vertebral column
Bilaterally - act to extend the vertebral column and head
Multifidus muscle innervation
Posterior rami of the spinal nerves
Multifidus muscle origin
Broad origin - sacrum, posterior iliac spine, common tendinous origin of the erector spinae, mamillary processes of lumbar vertebrae, transverse processes of C4-C7
Multifidus muscle insertion
Spinous processes of the vertebrae
Multifidus muscle action
Stabilizes the vertebral column
Rotatores muscles innervation
Posterior rami of the spinal nerves
Rotatores muscle origin
Vertebral transfers processes
Rotatores muscle insertion
Lamina and spinous processes of the immediately superior vertebrae
Rotatores muscle action
Stabilizes the vertebral column and has a proprioceptive function
Interspinales muscle: describe location and function
Span b/w adjacent spinous processes
Action: stabilize the vertebral column
Intertransversari muscle: describe location and function
Spans b/w adjacent transverse processes
Action: stabilize the vertebral column
Levatores costarum muscle: describe location and function
Origin: transfers processes of C7-T11
Insertion: attaches to the rib immediately below
Action: elevates ribs
Pectoralis major innervation
Lateral and medial pectoral nerves
Pectoralis major origin
Clavicular head: anterior surface of the medial clavicle
Sternocostal head: anterior surface of the sternum, superior six costal cartilages and the aponeurosis of the external oblique muscle
Pectoralis major insertion
Both heads attach to the intertubercular sulcus of the humerus
Pectoralis major action
Adducts and medially rotates the upper limb, draws the scapula anteroinferiorly. The clavicular head also acts to flex the upper limb.
Pectoralis minor innervation
Medial pectoral nerve
Pectoralis minor origin
3rd and 5th ribs
Pectoralis minor insertion
Coracoid process of the scapula
Pectoralis minor action
Stabilizes the scapula by drawing it anteroinferiorly against the thoracic wall
Serratus anterior innervation
Long thoracic nerve
Serratus anterior origins
Lateral aspects of ribs 1-8
Serratus anterior insertion
Costal (rib facing) surface of the medial border of the scapula
Serratus anterior action
Rotates the scapula, allowing the arm to be raised over 90 degrees. Also holds the scapula against the ribcage.
Subclavius innervation
Nerve to subclavius
Subclavius origin
Junction of the 1st rib and its costal cartilage
Subclavius insertion
Inferior surface of the middle third of the clavicle
Subclavius action
Anchors and depresses the clavicle
Deltoid innervation
Axillary nerve
Deltoid origin
Scapular spine, acromion, lateral third of clavicle
Deltoid insertion
Humerus (deltoid tuberosity)
Deltoid actions
Flexion, internal rotation, adduction, aBduction, extension, external rotation
Abduction takes over from the supraspinatus which abducts the first 15 degrees
Biceps brachii innervation
Musculocutaneous n.
Biceps tendon reflex tests spinal cord segment C6
Biceps brachii origin
Long head: Supraglenoid tubercle of scapula
Short head: coracoid process of scapula
Biceps brachii insertion
Radial tuberosity and biciptial aponeurosis
Biceps brachii action
Supination of the forearm, flexion of the arm at elbow and shoulder, adduction and internal rotation of the humerus
Brachialis innervation
Musculocutaneous n. (C5-C6) and Radial n. (C7, minor)
Brachialis origin
Humerus (distal half of anterior surface)
Brachialis insertion
Ulnar tuberosity