Muscles Exam 3 Flashcards
External oblique origin
lower ribs
External oblique insertion
rectus sheath and the hip
External oblique innervation
ventral nerves
External oblique action
bilateral flex at the trunk
unilateral ab/adduct and rotate
when External oblique inserts on the ribs
respiration - pull rib cage down and compress abdomen to exhale
internal oblique origin
vertebral column via thoracolumbar fascia; hips
internal oblique insertion
lower ribs, rectus sheath
internal oblique innervation
ventral rami
internal oblique action
bilateral flex at the trunk
unilateral ab/adduct rotate
respiration - pull rib cage down and compress abdomen to exhale
transverses abdominus origin
lower ribs, vertebral column via thoracolumbar fascia; hips
transverses abdominus insertion
rectus sheath
transverses abdominus innervation
ventral rami
transverses abdominus action
unilateral ab/adduct; rotate
respiration: compress abdomen to exhale
rectus abdominus origin
pubic symphysis
rectus abdominus insertion
lower ribs; xiphoid
rectus abdominus innervation
ventral rami
rectus abdominus action
bilateral flexion at the trunk
respiration - pull rib cage down and compress abdomen to exhale
Coccygeus (ishiococcygeus) proximal attachment
ischial spine
Coccygeus (ishiococcygeus) distal attachment
inferior end of the sacrum and coccyx
Coccygeus (ishiococcygeus) innervation
beaches of S4 and S5 spinal nerves
Coccygeus (ishiococcygeus) action
forms small part of pelvic diaphragm that supports pelvic viscera, flexes coccyx
levator ani is composed of what 3 muscles
puborectalis
pubococcygeus
iliococcygeus
levator ani proximal attachment
body of pubis
tendinous arch of obturator fascia
ischial spine
levator ani distal attachment
coccyx
levator ani innervation
nerve to levator ani (branches of S4)
levator ani action
forms most of pelvic diaphragm
- supports pelvic viscera and resists increases in intra-abdominal pressure
puborectalis
forms puborectal sling between 2 pubic bones and rectum
- functions as the external anal sphincter
pubococcygeus
pubis to coccyx
iliococcygeus
tendinous arch (ileum and pubis) to coccyx
bulbospongiosus (male) proximal attachment
perineal body
bulbospongiosus (male) distal attachment
surrounds the bulb of penis, inserting in the perineal membrane
bulbospongiosus (female) proximal attachment
perineal body
bulbospongiosus (female)
enclosing the bulk of the vagina and greater vestibular gland inserting on the pubic arch
bulbospongiosus innervation
deep perineal nerve (S2-4)
bulbospongiosus action
responsible for ejaculation
- supports and fixes the perineal body/pelvic floor
- assits in erection
ischiocavernosus proximal attachment
ischial tuberosity
ischiocavernosus distal attachment
encloses the crus of the penis and clitoris
ischiocavernosus innervation
deep perineal nerve (S2-4)
ischiocavernosus action
covers the erectile tissues
superficial transverse perineal proximal attachment
ischial ramus and ischial tuberosity
superficial transverse perineal distal attachment
perineal body
superficial transverse perineal innervation
Deep perineal nerve (S2-4)
superficial transverse perineal action
stabilizes perineal body
deep transverse perineal proximal attachment
Ischiopubic ramus and ischial tuberosity
deep transverse perineal distal attachment
perineal body
deep transverse perineal innervation
Deep perineal nerve (S2-4)
deep transverse perineal action
Supports structures below the urogenital hiatus
external urethral sphincter (males) attachment
Surrounds urethra superior to the perineal membrane
- ascends anterior aspect of the prostate
external urethral sphincter (females) attachment
Surrounds urethra superior to the perineal membrane
- some fibers also enclose the vagina (urethrovaginal sphincter)
external urethral sphincter innervation
Dorsal nerve of the penis or clitoris, Deep perineal nerve (S2-4)
external urethral sphincter action
continence
pectinous proximal attachment
superior pubis ramus
pectinous distal attachment
pectinate line of the femur
pectinous action
flex, adduct, internal rotation of the hip
pectinous innervation
DUAL INNERVATED
femoral and obturator n. L2,3
illiopsoas is made of what 2 muscles
iliacus and the psoas major
illiopsoas - psoas major proximal attachment
bodies and transverse processes of T12-L5
illiopsoas - illiacus proximal attachment
iliac crest
illiopsoas distal attachment
lesser trochanter
illopsoas action
flex at the hip
acts on lumbar as a bilateral flexor, unilateral ab/adductor and rotator
illiopsoas innervation
psoas major: ventral rami L1,2,3
illiacus: femoral n. L2,3
psoas minor proximal attachment
T12-L1 vertebra
psoas minor distal attachment
pubic bone
psoas minor action
flexes the lumbar intervertebral joints and is a unilateral ab/adductor and rotator
does NOT cross the hip
psoas minor innervation
ventral rami L1,2
sartorius proximal attachment
ASIS
sartorius distal attachment
medial tibia
sartorius action
flexes, abducts, externally rotates at the hip
flexes at the knee
what are all of the quad muscles
rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius
rectus femoris proximal attachment
anterior inferior iliac spine
rectus femoris distal attachment
quadriceps tendon to patella
rectus femoris action
flex at the hip (primary)
extend at the knee
rectus femoris innervation
femoral n. L2,3,4
vastus lateralis proximal attachment
greater trochanter
vastus lateralis distal attachment
quadriceps tendon to the patella
vastus lateralis action
knee extension
stabilizes patella
vastus lateralis innervation
femoral n. L2,3,4
vastus medialis proximal attachment
intertrochanteric line
vastus medialis distal attachment
quadriceps tendon to patella
vastus medialis action
knee extension, stabilizes the patella
vastus medialis innervation
femoral n. L2,3,4
vastus intermedius proximal attachment
anterior femur
vastus intermedius distal attachment
quadriceps tedon to patella
vastus intermedius action
knee extension
stabilizes the patella
vastus intermedius innervation
femoral n. L2,3,4
articularis genu attachments
femour to super patella bursa
articularis genu actions
as quads contract to extend lower leg, this muscle will pull super patellar bursa up
what are the anterior thigh muscles
- pectineus
- iliopsoas
- psoas minor
- sartorius
- rectus femoris
- vastus lateralis
- vastus medialis
- vastus intermedius
what are the medial thigh muscles
- adductor longus
- adductor brevis
- adductor magnus
- gracilis
- obturator externus
adductor longus proximal attachment
body of pubic bone
adductor longus distal attachment
linea aspira
adductor longus action
at the hip.. adducts, flexes, internally rotates
adductor longus innervation
obturator n. L2,3,4
adductor brevis proximal attachment
inferior pubic body and ramus
adductor brevis distal attachment
linea aspira and pectinate line
adductor brevis action
adducts, flexes, and internally rotates at the hip
adductor brevis innervation
obturator n. L2,3,4
adductor magnus
anterior proximal attachment
ischiopubic ramus
adductor magnus
anterior distal attachment
adductor tubercle
adductor magnus
anterior action
hip adductor, flexor, internal rotator
adductor magnus
anterior innervation
obturator n. L2,3,4
adductor magnus
posterior proximal attachment
ischial tuberosity
adductor magnus
posterior distal attachment
adductor tubercle of the femur
adductor magnus
posterior innervation
tibial n L4
adductor magnus
posterior action
hip extensor, adducts a little
gracilis proximal attachment
inferior pubic ramus
gracilis distal attachment
medial tibia
gracilis action
flexion and IR of knee
hip adduction
obturator externus proximal attachment
external surface of obturator membrane
obturator externus distal attachment
greater trochanter
-passes posterior to neck of femur
obturator externus innervation
obturator n. L2,3,4
obturator externus action
hip ER
glute max proximal attachment
sacrum, PSIS, and coccyx
glute max distal attachment
deep - gluteal line of the femur
superficially - goes to form IT band and attach distally to Gerdy tubercle
glute max innervation
inferior gluteal n. L5, S1,2
glute max action
hip extension and ER
abduction when acting with TFL
glute med proximal attachment
ala of illium
glute med distal attachment
greater trochanter
glute med action
anteriorly - flex and IR
midline - abducts, stabilizes hip at stance phase when you are unbalanced at hip
posteriorly - extend and ER
glute med innervation
superior gluteal n. L5 S1
glute min proximal attachment
ala of ilium
glute min distal attachment
greater trochanter
glute min action
anteriorly - flex and IR
midline - abducts
posteriorly - extend and ER
glute min innervation
superior gluteal n. L5,S1
tensor fascia lata (TFL) proximal attachment
ASIS, anterior iliac crest
tensor fascia lata (TFL) distal attachment
Gerdy’s tubercle via the IT band
tensor fascia lata (TFL) innervation
superior gluteal n L5, S1
tensor fascia lata (TFL) action
hip flexion
when synergized with glut max it will abduct
what are the superficial gluteal muscles
- glute max
- glute med
- glute min
- TFL
what are the deep gluteal muscles
- piriformis
- obturator interns
- superior and inferior gemelli
- quadrates femoris
- obturator externus
piriformis proximal attachment
sacrum
piriformis distal attachment
greater trochantor
piriformis innervation
ventral rami S1,2
piriformis action
hip ER, abduction
obturator internus proximal attachment
obturator foramen
obturator internus distal attachment
greater trochantor
obturator internus innervation
L5,S1 ventral rami
obturator internus action
hip ER, abduction
superior gemelli proximal attachment
ischial spine
inferior gemelli proximal attachment
ischial tuberosity
superior and inferior gemelli innervation
L5, S1 ventral rami
superior and inferior gemelli distal attachment
tendons merge with obturator internus to attach to the greater trochantor
superior and inferior gemelli action
hip ER and abduction
quadrates femoris proximal attachment
ischial tuberosity
quadrates femoris distal attachment
intertrochanteric crest
quadrates femoris action
hip ER
quadrates femoris innervation
nerve to quadrates femoris L5, S1
what are the hamstring muscles
- semitendinosis
- semimembranosis
- biceps femoris
semitendinosis proximal attachment
ischial tuberosity
semitendinosis distal attachment
pes anserine
semitendinosis innveration
tibial n. L5, S1,2
semitendinosis action
hip extension
knee flexion
IR of the foot
semimembranosis proximal attachment
ischial tuberosity
semimembranosis distal attachment
medial condyle of the tibia
semimembranosis action
hip extension
knee flexion
IR of foot
biceps femoris - short head proximal attachment
linea aspira
biceps femoris - short head distal attachment
fibula
biceps femoris - long head proximal attachment
ischial tuberosity
biceps femoris - long head distal attachment
lateral condyle of the tibia and fibula
biceps femoris - long head innervation
tibial n. L5, S1,2
biceps femoris - short head innervation
fibular n. L5, S1,2
biceps femoris action
Hip extension
knee flexion and ER
tibialis anterior - proximal attachment
tibia, fibula, interosseous membrane
tibialis anterior - distal attachment
base of first metatarsal
tibialis anterior - innervation
deep fibular n. L4,5
tibialis anterior - action
dorsiflex at ankle
inversion at intertarsal joints
extensor digitorum longus - proximal attachment
tibia, fibula, interosseous membrane
extensor digitorum longus - distal attachment
extensor expansion digit 2-5
extensor digitorum longus - innervation
deep fibular n. L4,5
extensor digitorum longus - action
dorsiflex at ankle
extension at digits 2-5
extensor hallucis longus - proximal attachment
tibia, fibula, interosseous membrane
extensor hallucis longus- distal attachment
big toe extensor expansion
extensor hallucis longus - innervation
deep fibular n. L2-5
extensor hallucis longus - action
dorsiflex at the ankle
inversion at the intertarsals
extends at digit 1
fibulas tertius - proximal attachment
fibula
fibulas tertius - distal attachment
base of 5th metatarsal
fibulas tertius - innervation
deep fibular n. L2-5
fibulas tertius action
dorsiflexes at the ankle
everts at intertarsals
fibularis longus - proximal attachment
fibula
fibularis longus - distal attachment
base of 1st metatarsal and medial cuneiform
fibularis longus innervation
superficial fibular n. L5, S1,2
fibularis longus action
eversion at intertarsals
plantar flexion at ankle
maintains the transverse arch at intertarsals
fibularis brevis - proximal attachment
fibula
fibularis brevis - distal attachment
base of 5th metatarsal
fibularis brevis - innervation
superficial fibular n. L5, S1,2
fibularis brevis action
plantar flexion at ankle
eversion at intertarsals
gastrocnemius - proximal attachment
medial and lateral condyles of the femur
gastrocnemius - distal attachment
calcaneus and calcaneal tendon
gastrocnemius - innervation
tibial n. S1,2
gastrocnemius action
flex at the knee (synergizes with the hamstrings)
plantar flexion at the ankle
soleus - proximal attachment
tibia, fibula, interosseous membrane
soleus - distal attachment
calcaneous, calcaneal tendon
soleus innervation
tibial n. S1,2
soleus action
plantar flex at the ankle
popliteus - proximal attachment
lateral condyle of the femur
popliteus - distal attachment
tibia
attaches to lateral meniscus
popliteus - innervation
tibial n. L4,5 S1
popliteus action
external rotation of femur (MAIN)
flexion at the knee
internal rotation of tibia
(counterrotation of femur and tibia to unlock the knee)
tibialis posterior - proximal attachment
tibia, fibula, interosseous membrane
tibialis posterior - distal attachment
cuboid, cuneiforms, bases of middle metatarsals 2-4
tibialis posterior innervation
tibial n. L4,5
tibialis posterior action
plantarflex at the ankle
invert at intertarsals
helps maintain transverse arch
flexor hallicis longus -proximal attachment
fibula, interosseous membrane
flexor hallicis longus - distal attachment
distal phalange of digit 1
flexor hallicis longus innervation
tibial n. S2,3
flexor hallicis longus action
plantar flex at ankle
flex digit 1 (toe off when you walk)
invert at intertarsals
flexor digitorum longus- proximal attachment
more tibia, fibula, interosseous membrane
flexor digitorum longus- distal attachment
base of distal phalange of digit 2-5
flexor digitorum longus innervation
tibial n. S2,3
flexor digitorum longus action
plantar flex at ankle
flex at digits 2-5
inversts at intertarsals
abductor hallucis proximal attachment
calcaneous
abductor hallucis distal attachment
base of 1st proximal phalange
abductor hallucis innervation
tibial n. S2,3
abductor hallucis action
maintain the longitudinal arch, can abduct the big toe
what is the main action of the intrinsic foot muscles
maintain the arches of the foot
flexor digitorum brevis proximal attachment
calcaneous
flexor digitorum brevis distal attachment
middle phalange of 205
flexor digitorum brevis innervation
tibial n. S2,3
flexor digitorum brevis action
maintain longitudinal arch
abductor digiti minimi proximal attachment
calcaneous
abductor digiti minimi distal attachment
lateral base of 5th proximal phalange
abductor digiti minimi innervation
tibial n. S2,3
abductor digiti minimi action
maintain longitudinal arch, abducts digit 5
quadrates plantae proximal attachment
calcaneous
quadrates plantae distal attachment
tendon of flexor digitorum longus
quadrates plantae innervation
tibial n. S2,3
quadrates plantae action
pulls flexor digitorum lnogus tendon laterally for better force production
lumbricles proximal attachment
tendon of flexor digitorum longus
lumbricles distal attachment
extensor expansion of digits 2-3
lumbricles innervation
tibial n. S2,3
lumbricles action
flex at MCP joints
- on dorsal of foot it will extend IP
flexor hallucis brevis proximal attachment
lateral cuneiform cuboid
flexor hallucis brevis distal attachment
base of proximal phalange
flexor hallucis brevis innervation
medial plantar n S2,3
flexor hallucis brevis action
flex at MTP joint of digit 1
adductor hallucis proximal attachment
transverse head: MTP capsule digits 2-5
oblique head: base of MTP 2-4
adductor hallucis distal attachment
base of 1st distal phalange
adductor hallucis innervation
lateral plantar n. S2,3
adductor hallucis action
maintain transverse arch
- adducts big toe
flexor digiti minimi brevis proximal attachment
base of 5th metatarsal
flexor digiti minimi brevis distal attachment
base of proximal phalange of digit 5
flexor digiti minimi brevis innervation
lateral plantar n S2,3
flexor digiti minimi brevis action
flexes proximal phalange of digit 5
plantar interossi (PADS) proximal attachment
base of metatarsals 3-5
plantar interossi (PADS) distal attachment
base of 3-5 phalange
plantar interossi (PADS) innervation
tibial n. S2,3
plantar interossi (PADS) action
adducts 3,4,5
dorsal interossi (DABS) proximal attachment
sides of metatarsals 1-5
dorsal interossi (DABS) distal attachment
sides of digits 1-5
dorsal interossi (DABS) innervation
tibial n S2,3
dorsal interossi (DABS) action
abduct AND adducts digit 2
abducts digits 3,4
extensor digitorum brevis proximal attachment
calcaneous
extensor digitorum brevis distal attachment
extensor expansion of digits 2-5
extensor digitorum brevis innervation
deep fibular n L5, S1
extensor digitorum brevis action
extends digits 2-4
extensor hallucis brevis proximal attachment
calcaneous
extensor hallucis brevis distal attachment
proximal phalange of digit 1