Muscles and Bones of the Thorax, Spine, Hip Flashcards
Actions, Synergists, Origins, Insertions, Innervation
Which muscles Flex the Hip
Psoas Major
Iliacus
Tensor Fasciae Latae
Sartorius
Rectus Femoris
Gluteus Medius (Anterior Fibers)
Gluteus Minimus
Adductors except Gracilis (Assist)
Which Muscles Extend the Hip
- Gluteus Maximus
- Gluteus Medius (posterior fibers)
- Biceps Femoris (Long head)
- Semitendinosus
- Semimembranosus
- Adductor Magnus (posterior fibers)
Which muscles Medially Rotate the Hip (Internal Rotation)
- Gluteus Medius (Anterior fibers)
- Gluteus Minimus
- Tensor Fascia Latae
- Adductors (All)
- Semi/Hamstrings (Assist)
Which muscles are involved in Lateral Rotation of HIp (External Rotation)
- Gluteus Maximus
- Gluteus Medius
- Lateral Rotators
- Psoas major
- Iliacus
- Sartorius
- Biceps femoris (assists, Long head)
Which muscles perform ABduction
- All Glutes (Max, Med, Min)
- Tensor Fascia Latae
- Sartorius
- Piriformis (when hip is flexed!)
Which muscles perform ADduction
- Adductors (All 5 of them - Magnus, Longus, Brevis, Pectineus, Gracilis)
- Gluteus Maximus (lower fibers)
Which muscles perform Knee Flexion (Bend)
- Hamstrings (Bicep Fem, Semis)
- Gracilis
- Sartorius
(others we haven’t studied)
Which muscles perform Knee Extension
Quads
Which muscles — Medial Rotation of Flexed Knee
- Semitendinosus
- Semimembranosus
- Gracilis
- Sartorius
(All 3 that attach as Pes + Membranosus)
Which muscle - Lateral Rotation of Flexed Knee
Biceps Femoris
Which muscles - Anterior Tilt of Pelvis (Downward Rotation)
- Psoas Major
- Iliacus
Latissimus dorsi (assists)
Which muscles - Posterior Tilt of Pelvis (Upward Rotation)
- Biceps Femoris
- Semitendinosus
- Semimembranosus
- Rectus abdominis (Maybe)
Psoas Minor (if you have it)
Lateral Tilt of Pelvis
- Quadratus Lumborum (unilaterally)
- Latissimus Dorsi assists (but we haven’t studied this yet)*
Vertebral Column Flexion
- Rectus Abdominis
- External Oblique (bilaterally)
- Internal Oblique (bilaterally)
Not primary
- Psoas major (with insertion fixed)
- Iliacus (with insertion fixed)
Vertebral Column Extension
- Longissimus (bilaterally)
- Iliocostalis (bilaterally)
- Mutifidi (bilaterally)
- Rotatores (bilaterally)
- Semispinalis capitis
- Spinalis (bilaterally)
- Quadratus Lumborum (assists)
- Interspinalis (ALL THIS DOES)
- Intertransversarii (bilaterally)
Vertebal Column Rotation
External Oblique (to the opposite side) Internal Oblique (to the same side) Multifidi (to the opposite side) Rotatores (to the opposite side)
Lateral flexion of vertebral column (Unilateral / side bend)
- Iliocostalis (Both)
- External Oblique
- Internal Oblque
- Longissimus
- Quadratus Lumborum
- Psoas Major (assists)
- Intertransversarii
- Spinalis
Muscles of inhalation
- Diaphragm
- External Intercostals (assists)
- Serratus posterior superior
- Quadratus lumborum
(and a bunch we haven’t studied yet - scalene, SCM, pecs, subclavius)
Muscles of exhalation
- (relaxation of diaphragm)
- Internal intercostals (assists)
- Serratus posterior inferior
- Quadratus Lumborum
- External, Internal Obliques (by compressing abdominals) Transverse Abdominals (by compressing)
Where do all of the Lateral Rotators insert?
Various parts of the Greater Trochanter
The Lateral Rotator (aka deep 6) are all innervated by which nerve, except?
Sacral Plexus Except the Obturator Externus, which is innervated by the Obturator nerve and is the only muscle on the Anterior section of the pelvis
What are the actions of the Piriformis and how does it differ from the other Lateral rotators?
Rotate the hip laterally ABDUCT the FLEXED hip
What are the Origins, and Insertions of the Piriformis
- Origin: Anterior surface of the Sacrum
- Insertion: Superior part of the Greater Trochanter
What are the Actions of the Iliopsoas muscles?
Psoas Major, Iliacus:
- Flex the hip
- Laterally Rotate the hip
There are other actions that are listed when the origin is Fixed, however these are not the primary actions. - Flex the Spine (Crunch)
Which muscles does the Femoral nerve Innervate?
- All Quadriceps (Vastus, Rectus)
- Iliac
- Sartorius
- Pectineus (Along with the obturator)
The Psoas Major and Quadratus Lumborum share an innervation, what is it?
Lumbar Plexus
What are the origins and insertions of the Iliopsoas muscles
Origin:
- Psoas Major: Transverse processes of the Lumbar Vertebrae
- Iliacus: The surface of the Iliac Fossa
Insertion:
- Both insert at the Lesser Trochanter
What is the orientation of the Adductors vs. the Lateral Rotators
The Adductors are located Anteriorly The Lateral Rotators are located Posteriorly
Which muscles are deep to the Sciatic Nerve, which muscle lies over it?
The Piriformis lies superficial to the Sciatic Nerve
The other Lateral Rotators: Quadratus Femoris, Obturator, Internus, Obturator Externus, Gemellus Superior and Gemellus Inferior lie deep to the Sciatic Nerve
What are the actions of the Sartorius Muscle
Imagine Crossing and Uncrossing your leg: Flex the hip Laterally rotate the hip Abduct the hip (uncrossing) Flex the knee (crosses the Knee) Medially rotate the flexed knee
What is the AOIN for the TFL and IT
A: Abduct the hip Flex the hip Medially rotate the hip O: Iliac crest (posterior to the ASIS) I: IT Tract (which inserts at the tibial tubercle distally) N: Superior Gluteal Nerve
Which muscles are innervated by the Superior Gluteal Nerve
Gluteus Minimum Gluteus Medius Tensor Fasciae Latae
What are the actions of the Adductor muscles? How does the Gracilis differ (and why)
- Adduct the hip
- Medially Rotate the hip
- Assist to flex the hip (except Gracilis)
- Extend the hip (Adductor magnus only)
Gracilis
- Flex the knee
- Medially rotate the knee - Only one to cross the knee joint, inserts at the PAT
Which muscles insert at the Pes Anserinus Tendon — what actions do they have in common because of this insertion?
Sartorius Gracilis Semitendinous They all Flex the knee and Medially rotate the flexed knee
Which muscles are innervated by the OBTURATOR Nerve
All Adductors (The Magnus also innervates at Sciatic, The Pectineus also at the Femoral) Obturator Externus
At which bone do all of the Adductors Originate?
Various landmarks of the PUBIS Adductor Magnus also attaches at the ischium and ischial tuberoristy cause he a big boy
What actions do the Hamstrings share, which actions are different?
All Hamstring Muscles:
- Flex the Knee
- Extend the hip (long head of Biceps)
- Tilt pelvis Posteriorally
Bicep Fem -
- Laterally rotate the **flexed knee***
Short head:
- Assist to laterally rotate the hip
Semis
- Medially rotate the flexed knee Assist to medially rotate the hip
What bony landmark do all of the Hamstring muscles originate at?
- Ischial Tuberosity
- Except Short head of BF: Lateral lip of linea aspera
Which nerve innervates the Hamstring muscles?
Tibial Branch of Sciatic Nerve Except Short head of BF: Peroneal Branch
What are the insertions for the Hamstring muscles?
- BF: Head of FIBula
- ST: Pes Anserinus Tendon
- SM: MEDial condyle of the TIBIA
What are the actions of the Quads?
- Extend the Knee
- Rectus Femoris also FLEXES the hip
What are the origins and insertions and innervations of the Quads?
O:
- RF: AIIS
- Vlat: Gluteal Tuberosity, Lateral Linea Aspera, Greater Trochanter
- Vmed: Medial Linea Aspera
- Vint: Anterior/Lateral Shaft of Femur
I: Tibial Tuberosity
N: FEMORAL
All of the Gluteus muscles Originate at the Gluteal Surface of the Ilium and Insert at the Greater Trochanter except? Where does this muscle O and I?
Gluteus Maximus
O: Iliac crest, coccyx, sacrum, ligaments
I: IT band, Gluteal Tuberosity (of Femur)
What are the actions of the Gluteus muscles?
ALL:
Abduct the hip
Maximus:
- Laterally Rotate the Hip,
- Extend the Hip
- Lower Fibers: ADDuct the hip
Medius:
Anterior Fibers:
- FLEX the hip,
- MEDIALLY rotate the hip
Posterior Fibers:
- EXTEND the hip,
- Laterally Rotate the hip
Minimus: (in opposition to the Maximus - Anterior side of Gr. Troch)
- FLEX the hip,
- MEDIALLY rotate the hip
What is the AOIN for the Intertransversarii
A:
- Extend the Spine,
- Flex the Spine to the same side (Transverse)
O/I: Transverse processes of Cervical and Lumbar
N: Dorsal and Ventral Rami / Spinal
What is the AOIN for the Interspinalis
A: Extend the spine (THAT’S IT!)
O/I: Spinous processes of Cervical and Lumbar
N: Dorsal Rami /Spinal
Which bony landmarks do the Serratus Posterior and Inferior originate and insert?
Originate on Spinous Process (fixed)
Insert on the Ribs (moving)
Which muscles are innervated by the Intercostals?
Intercostal Muscles
Abdominal Muscles (except Pyramidalis)
What is the innervation of the Serratus Posterior muscles
Spinal Nerves (1-4 Superior, 9-12 Inferior)
Where do the Intercostals Originate and Insert
O: Inerior border of rib above
I: Superior border of rib below
What is the AOIN for the Diaphragm?
A: Draw down the central tendon to expand lungs
O: Ribs, Spin, Lumbar, Xiphoid
I: Central Tendon
N: PHRENIC NERVE
What are the Actions of the Internal and External Obliques?
Both:
- Laterally Flex Spine to SAME side (Unilaterally)
- Flex the vertebral column (CRUNCH)
- Compress the abdominal contents
External: Rotate to the OPPOSITE side
Internal: Rotate to the SAME side
What are the Origins and Insertions of the Internal and External Obliques
Internal Oblique: (Crunch Pulls Ribs to Hip, Compresses)
- O: Inguinal Ligament, Iliac crest, Thorocolumbar
- I: Lower 3 Ribs, Linea Alba
External Oblique: (Crunch pulls HIPS to RIBS)
- O: Lower 8 Ribs (LOTS OF RIB)
- I: Iliac Crest, Linea Alba
What is the actions and attachments for the Transverse Abominis
A: Compress Abdominal Contents
O: Lateral Inguinal Ligament, Iliac Crest, Thorocolumnbar, Internal surface of lower 6 ribs
(ADD THE O of bothe the Int/Ext)
I: Linea Alba
What are the actions and insertions of the Rectus Abdominis
A:
- Flex the Spine,
- Tilt the pelvis posteriorly
O: Pubic Crest, Pubic Symphysis (FIXED ON GROUND DURING CRUNCH)
I: Xiphoid Process, Cart. Of 5-7 Ribs (RIBS MOVE TOWARD HIPS)
What is the AOIN for the Quadratus Lumborum
Unilaterally:
- Laterally tilt (elevate) the pelvis
- Laterally flex to the same side
- Assist to Extend the vertibral column
Bilaterally: Fix the last rib
O: Posterior Iliac Crest
I: Last rib and transverse process of Lumbar 1-4
N: Lumbar Plexus
What are the actions and Innervation of the suboccipitals
Actions:
RCPS, RCPI, OCS: Rock and tilt the head to extension RCPS, OCI: Rotate to the same side
OCI Doesn’t attach to head.
N: Suboccipitals
Which suboccipitals share the same attachment point?
Obliquus Capitus Inferior and Superior both attach to the Transverse process of C1
What are the origins and insertions of the Rectus Capitos Posterior Major and Minor
Origin:
- Major: Spinous C2 (bigger)
- Minor: Spinous C1 (smaller)
Insertion: Inferior Nuchal line of Occiput
What are the actions of the Splenii (Splenius Capitis, Splenius Cervicis)
Bilaterally:
- Rotate to the same side,
- Flex to the Same side
Unilaterally: Extend the HEAD and NECK
What are the origins, insertions, and innervation of the Splenii?
O: Capitis: Ligamentum Nuchae and Spinous Process Cervicis: Spinous Process T3-T6
I: Capitis: Mastoid Process and Lateral portion of sup. Nuchal line Cervicis: Transverse Process C1-C3 N: Cervical
What are the Transversospinalis Muscles from Superficial to Deep?
Semispinalis Multifidi Rotatores
What are the actions and innervation of the Mutifidi and Rotatores
Unilaterlly: Rotate to OPPOSITE side
Bi: Extend the verterbral column
N: Posterior Rami of Spinal Nerve
What is the AOIN of the Semispinalis Capitis
A: Extend the vertebral column AND HEAD
O: TRANSVERSE PROCESS (C4-T5)
I: B/T Nuchal LInes N: Cervical
What are the origins and insertionso of the Multifidi and Rotatores
O:
M: Sacrum and Transverse Process (R: Only Transverse Process)
I: Spinous Process M: Go 2-4 at a time, R: 1-2 at a time
What are the muscles of the Erector Spinae from Lateral to Medial?
Iliocostalis Longissimus Spinalis
What are the Actions and the Innervation of the Erector Spinae Group?
Unilaterally: Flex to the Same Side
Bilaterally: Extend the spine
N: Posterior Rami of Spinal Branch
What is the origin and insertion of the Iliocostalis
O: RIBS (COSTALIS) 1-12, Common Tendon (Thorocolumbar)
I: Tranverse processes Lumbar and Cervical, Ribs in thoracic
What are the origins and insertions for the Longissimus?
O: Common Tendon, up through Tranverse Processes of Thoracic Vert.
I: Ribs, Transverse Proccess, Mastoid Process (All the way up the spine to the Head)
What are the origins and insertions of the Spinalis?
Most medial - right along the spine in the Lamina grove
O: SPINOUS process of upper lumblar, lower thoracic, C7, ligamentum nuchae
I: Spinous processes from throacic to C2
What is the Bone pictured here?
What are the key bony landmarks?
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Sternum -
- Manubrium
- Jugular Notch
- Clavicular Notches
- Synchondrosis of the first rib
- Sternal Angle (joint)
- Costal Notches
- Xiphoid Process
What is the bone(s) pictured here?
What are the different types?
What are the associated Bony landmarks, be able to locate them on the image?
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- True Rib 1-7
- False Ribs 8-12
- Floating Ribs 11-12 (no neck/tubercle)
1st Rib Only: Scalene Tubercle and Grooves for Subclavian Artery and Vein
Typical Ribs:
- Head
- Neck
- Tubercle
- Costal Angle (most curved)
- Costal Groove
Costal Margin (Costal cartilage of 8,9,10)