Skeletal Muscular System - Appendicular Flashcards
Extrinsic Muscles
Originates outside the limb and Insertions are within the limb
often large dynamic movers
Intrinsic Muscles
muscles that originate and insert within the upper limb itself
Subgroups:
Anterior/Posterior Arm Muscles,
Anterior/Posterior Forearm Muscles,
Muscles of Hand
4 Anterior Axioappendicular
1 Pectoralis Major Muscle
2 Serratus Anterior Muscle
3 Subclavius Muscle
4 Pectoralis Minor Muscle
attached more anteriorly on thoracic wall. Origin on Axial and Inserts on Appendicular (thus the name)
Pectoralis Major
largest/most superficial of anterior axioappendicular muscles
large, dynamic move of upper limb
powerful adduction + medial rotation of the arm
Pectoralis Minor
deep to pectoralis major
Origin: 2-4, sometimes 5 rib
Insert: Coracoid process of Scapula
stabilizes scapula
Subclavius Muscle
directly below scapula
depesses should, stabilizes clavivle during mvmt of upper limb
Serratus Anterior
Origin: anterior ribs
Insert: scapula
most powerful muscle of pectoral girdle; protractor of scapula, keeps scapula anchored against posterior thoracic wall
4 Posterior Axioappendicular Muscles
1 Trapezius
2 Latissimus Dorsi
3 Levator Scapulae
4 Rhomboid Major, Minor
counterparts to anterior group
Trapezius
large, superficial, diamond shaped muscle
Origin: skull, upper vertebrae
Insert: clavicle, scapulae
elevates scapula, rotation of later parts of scapula upwards, facilitates in raising upper limb above the head
Latissimus Dorsi
flat muscle located inferior + deep to trapezius
large dynamic mvmt, extension, adduction, medial rotation of upper limb; depression of shoulder
Levator Scapulae
deep to trapezius, superior to spine of scapula.
Rhomboid Major/Minor
retracts the scapula
4 Rotator Cuff Muscles
S.I.T.S.
Supraspinatus (superior to spine of scapula)
Infraspinatus (inferior to spine of scapula)
Teres Minor (inferior, posterior, lateral part of scapula)
Subscapularis (anterior of scapula) (medial rotation of upper limb)
ASSIST IN KEEPING THE HEAD OF THE HUMERUS IN THE GLENOID FOSSA
supraspinatus assist the deltoid in abduction of arm for first 15 degree
other muscles all rotate the humerus
3 Muscles of Anterior Arm
1 Biceps Brachii
2 Coracobrachialis
3 Brachialis
Biceps Brachii
most superficial/anterior that attached to radius
long head is more lateral, longer tendon
short head is medial
cross shoulder + elbow joints for shoulder+ elbow flexion; supination of elbow joint
Coracobrachialis
deep to short head of biceps brachii + shares attachment w short head
Brachialis
real dominant elbow flexor
mid humerus + attached to ulna
5 Muscles of Posterior Arm
Teres Minor Teres Major Medial Head of Triceps (deepest of triceps) Long Head of Triceps Lateral Head of Triceps
Triceps
major forearm extensor mainly carried out by medial and lateral head
Long Head of Triceps
crosses both elbow and shoulder joints
most superficial and posterior
Flexors of the Forearm
muscles that originate from the MEDIAL epicondyle
Extensors of the Forearm
muscles that originate from the LATERAL epicondyle
Anterior Forearm Muscles:
Superficial Layer
from lateral to medial: Pronator Teres Flexor Carpi Radialis Palmaris Longus Flexor Carpi Ulnaris
all originate in medial epicondyle
Pronator Teres
Origin: medial epicondyle of humerus, + ulna
Insert: Radius
weak flexion of elbow joint; pronation of forearm
Flexor Carpi Radialis
Origin: medial condyle of humerus
Insert: 2nd base of metacarpal
flexion of wrist + abduction of hand
Palmaris Longus
Origin: medial epycondyle of humerus
Insert: flexor retinaculum + palmar aponeurosis
only present in 85% of population; flexion of wrist + weak flexion of elbow joint
Flexor Carpi Ulnaris
Origin: medial epicondyle of humeros
Insert: pisiform hook of hamate, base of 5th metacarpal
Flexor Digitorum Superficialis
FDS
Intermediate muscle of anterior forearm compartment
Origin: medial epicondyle of humerus + coronoid process of ulna
Insert: middle phalanges of 2-5 digits
flexion at elbow, wrist, MCP, IP joints of 2-5 digits
Anterior Forearm Muscles:
Deep Layer
1 Pronator Quadratus (ulna + radius wrist)
2 Flexor Digitorum Profundus (digits 2-5)
3 Flexor Pollicis Longus (digit 1 aka THUMB)
Pronator Quadratus
flat square shape connects distal Ulna (origin) to distal Radius (insert)
pronator of arm + stabilizes distal radioulnar joint
interosseous nerve
Flexor Digitorum Profundus
Origin: proximal 3/4 of medial+anterior surface of ulna
Inserts: branches into 4 tendons of 2-5 digits
flex of wrist, metacaroppphalangeal joint, distal phalanges
Flexor Pollicis Longus
Origin: anterior surface of radius
Insert: 1st digit (Thumb)
flex thumb, interphalangeal, metacarpophalangeal, carpometacarpal joints of thumb
Muscles of Posterior Forearm
(3 groups, 3 muscles each)
originates fr lateral aspects of forearm,
all tendons pass deep to flexor retinaculum at wrist,
then attach to respective insertions
1 extend/abduct hand at wrist: 1 Extensor Carpi Ulnaris 1 Extensor Carpi Radialis Longus 1 Extensor Carpi Radialis Brevis 2 muscle extend/abduct at thumb 2 Extensor Pollicis Longus 2 Extensor Pollicis Brevis 2 Abductor Pollicis Brevis 3 muscles extend the (4 medial) digits 3 Extensor Digitorum 3 Extensor Indicis 3 Extensor Digiti Minimi
Muscles of Hand Groups
Thenar Muscles (radial side of hand; mvmt of thumb) Hypothenar Muscles (ulnar side of hand; mvmt of pinky) Lumbricals (flexion of metacarpophalangeal joints while extending interphalangeal joints) Interossei (between bones of hand; palmar side + dorsal side)
4 Regions of Lower Limb
1 Gluteal Region (Superficial, Deep)
2 Thigh Region ( Anterior, Posterior, Medial)
3 Leg Region (Anterior, Lateral, Posterior)
4 Foor Region ( Dorsal, Plantar)
Superficial Gluteal Region
Gluteus Maximus heaviest/strongest extensor of hip + rotation of thigh
Gluteus Medius important in preventing contralateral hip drop during walking
Gluteus Minimus same as Medius
Tensor Fascia Lata most anterior to stabilized knee in extension
mainly act on FEMUR to extend + abduct hip.
all originate in posterolateral surface of Ilium
superior gluteal nerve
Deep Layer Gluteal Region
plays a major role in lateral roation of thigh, provides stability as they pull the femoral head into acetabulum Gluteus Minimus Piriformis Obturator Internus Superior + Inferior Gemelli Quadratus Femoris
Sciatic Neve
lies between superficial and deep gluteal muscles
Gluteus Minimus
fan shaped muscle helps ABDUCT the lower limb + prevents contralateral hip drop
Origin: broad winf of ilium
Insert: narrows into greater trochanter
PIRIFORMIS
Origin: anterolateral surface of sacrum
Insert: greater trochanter of femur
strong ABDUCTOR + ROTATOR of hip, close to SCIATIC NERVE. important BORDER for blood vessels/nerves
Obturator Internus
Origin: Ischium + Pubis (which then covers the obturator foramen bw them)
Insert: greater trochanter of femur
Superior + Inferior Gemelli
triangular + narrow in shape. separated by Obturator Internus
Tricipital Muscle of Gluteal Region
a.k.a. Triceps Coxae
they CANNOT produce an action independently
superior to inferior:
Superior Gemelli, Obturator Internus, Inferior Gemelli
Quadratus Femoris
inferior to Inferior Gemelli
Origin: Ischium Tuberosity
Insert: Intertrochanteric Chest
strong LATERAL ROTATER of thigh
Compartments of Thigh
From superior view in clockwise order
Anterior (Sartoris, Vastus Medialis, Rectus Femoris, Vastus Lateralis, Iliotibial Tract)
—-Lateral Intermuscular Septum—
Posterior (Biceps Femoris, Semitendinosus, Semimenbranosus)
—Posterior Intermuscular Septum—
Medial (Adductor Magnus, Adductor Longus, Gracilis)
—Medial Intermuscular Septum—
Quadriceps
Group of Anterior Thigh Muscles
cross at knee joint, prone to atrophy secondary to injury
1 Rectus Femoris (most anterior, flex hip, extend knee)
2 Vastus Medialis (stabilise patella, extend knee)
3 Vastus Lateralis (extend knee)
4 Vastus Intermedius
Vastus originates fr Femur
Rectus originates fr Ilium
Combines into femoris tendon to insert onto Patella + Tibial Tuberosity via Patellar Tendon
HIP FLEXORS
Iliopsoas
Pectineus
Sartorius
Ilipsoas
Iliacus + Psoas major form Ilipsoas
Psoas Origin: T12-L5 transverse process
Iliacus Origin: Iliac Fossa
flex hip + flex trunk when they work bilaterally
Pectineus
Origin: superior pubic ramus
Insert: posterior femoral shaft
flexes + adducts hip
Sartorius
long superficial muscle runs in oblique manner
Origin: anterior superior iliac spine of pelvis
Inserts: knee on pes anserine are of superomedial tibia
flexion, abduction, lateral rotation of hip
flexion of knee
Great Major League Baseball Players!
medial thigh muscles aka Hip Adductors from inferior to superior
Gracilis Adductor Magnus Adductor Longus Adductor Brevis Pectineus
Gracilis
long thing strap-like, almost vertical, superficial in mid thigh. only medial thigh muscle that crosses knee
Origin: inferior pubic ramus
Insert: pes anserinus area of superomedial tibia
can bring thigh towards midline, adduction of hip, flexion of knee, medial rotation of leg when knee is flexed
Adductor Magnus
largest, deepest of adductors. fan shaped
Origin: pubic ramus, ischiopubic ramus, ischial tuberosity
Insert: broadly onto gluteal tubercle to lineaspera(posterior femur). other insert onto adductor tubercle + medial supracondylar line (distal femur)
most responsible for hip adduction, flexing hip
Adductor Longus
most anterior of adductor, fan shaped
Origin: narrow at medial portion of pubic ramus
Insert: widens to middle portion of linea aspera
Adductor Brevis
Origin: body + inferior ramus of pubis
Insert: shaft of femur at pectineal line + proximal part of linea aspera
adduction + flexion of hip join, extension, external rotation, stabilization of pelvis
Pectineus
Origin: superor pubic ramus
Inser: posterior femoral shaft
flexes + adducts the hip
Posterior Thigh Muscles
a.k.a. Hamstring Muscles
3 muscles that cross both hip + knee joints
flexors of knee, extensions of hip (except bicep femoris),
Semimembranosus
Semitendinosus
Biceps Femoris
Semimembranosus
medial muscle of hamstrong, large broad membrane like appearance
Origin: outer surface of Ischial Tuberosity
Insert: medial tibial condyle
during contraction, it extends + stabilized the hip as well as flexes + internally rotates the knee
Semitendinosus
follows same path as semimembranosus but more lateral + superficial
this, narrower cord-like appearance at distal half
Origin: Ischial Tuberosity + Sacrotuberous Ligament
Insert: medial surface of Tibial Tuberosity
stabilizer + extensor of hip; flexor + internal rotate leg at knee
Biceps Femoris
has long+short head (short head is not part of hamstrings)
Origin: lateral Linea Aspera (of femur)
Insert: head of fibula + lateral condyle of tibia
Compartment of Lower Limb
Anterior
Lateral
Posterior Superficial
Posterior Deep
Anterior Compartment of Lower Limb
anterior to INTEROSEEOUS MEMBRANE dorsiflexion of ankle, extension of toes, inversion of foot 4 muscles: Large Tibialis Anterior Extensor Digitorum Longus Extensor Hallucis Longus Small Fibularis Tertius
Lateral Compartment of Lower Limbs
lateral to interosseous membrane
Fibularis Longus + Fibularis Brevis
legword in synergy to every the foot
Posterior Compartment of Lower Limbs
posterior to interosseious membrane
Superficial Layer: Medial + Lateral Heads of Gastrocnemius, Plantaris, Soleus
Deep Layer: Flexor Hallucis Longus, Flexor Digitorum Longus, Tibialis Posterior, Popliteus