Spine: Muscles Flashcards
Orbicularis Oculi
O: nasal part of the frontal bone, frontal process of maxilla bone, medial palpebral ligament (orbital part); medial palpebral ligament (palpebral part)
I: continues on itself (orbital part); lateral palpebral ligament (palpebral part)
A: squint eyes (orbital part); closes eyelids gently (palpebral part)
N: facial nerve (VII)
Nasalis
O: on maxilla just lateral to nasal bone (transverse part); on maxilla just over lateral incisor (alar part)
I: aponeurosis in mid-line of nose (transverse part); alar cartilage of the nose (alar part)
A: draws nose inferior and lateral/compresses the nose; flairs nostrils (alar part only)
N: facial nerve (VII)
Orbicularis Oris
O: alveolar processes of maxilla, alveolar process of mandible, buccinator m. on either side
I: continues on itself, skin on lips
A: protrudes the lips, closes the lips
N: Facial Nerve (VII)
Buccinator
O: anterior margin of the pterymandibular raphe
I: orbicularis oris m.
A: Holds food towards teeth/in cheeks, helps to forcefully blow air out of mouth
N: facial nerve (VII)
Superior constrictor via Pterymandibular Raphe
O: pterygoid raphe
I: otherside of pterygoid raphe
A: supportive structures
N: facial nerve (VII)
Mylohyoid
O: mylohyoid line (line on medial aspect of mandible)
I: median raphe, superior aspect of the body of the hyoid
A: elevates hyoid (when mandible fixed), depresses mandible (when hyoid fixed)
N: mandibular nerve of trigeminal nerve (cranial nerve VII, branch III)
Geniohyoid
O: inferior mental spines (bumps on medial aspect of mandible)
I: superior aspect of hyoid (just superior to mylohyoid insertion)
A: elevates hyoid (when mandible fixed), depresses mandible (when hyoid fixed)
N: C1
Platysma
O: clavipectoral fascia & fascia from deltoid
I: mandible (medial fibers); blends into m’s of mouth (lateral fibers)
A: depresses mandible, draws lower lip down, tenses skin on neck
N: facial nerve (VII)
Occipitofrontalis
O: skin just above eyebrows (frontal belly); lateral 1/2 of superior nuchal line & part of mastoid process (occipital belly)
I: galea aponeurotica
A: lifts eyebrows together or separately (frontal belly); moves scalp backwards (occipital belly)
N: facial nerve (VII)
Masseter
O: runs from inferior aspect of temporal process of the zygomatic bone to maxillary process of zygomatic bone (superficial); inferior aspect of the zygomatic process of the temporal bone (deep)
I: lateral aspect of the ramus of the mandible (superficial); medial aspect of the mandible, nearing the ramus (deep)
A: elevates mandible
N: mandibular nerve of the trigeminal nerve
Temporalis
O: superior and inferior temporal lines, temporalis fascia & temporal fossa
I: coronoid process of mandible & anterior aspect of the body of the mandible (just posterior to last molar)
A: elevation of the mandible, retrusion of the mandible
N: mandibular nerve of the trigeminal nerve
Sternocleidomastoid
O: lateral 1/2 of superior nuchal line & inferior aspect of mastoid process
I: anterior aspect of manubrium & medial 1/3 of clavicle
A: side-bending to same side & rotate head to opposite side while tilting head upwards (unilat); extends atlato-occipital jt & flexion of lower C-spine (bilat); elevates clavicle & manubrium/forced inspiration (with head fixed)
N: accessory nerve (XI)
Anterior Scalene
O: anterior tubercles of C3-6
I: rib 1 on scalene tubercle (between grooves for subclavian artery & vein)
A: elevates rib 1
N: anterior rami of C4-7
Middle Scalene
O: posterior tubercles of C2-7
I: rib 1 (between head and groove for subclavian artery)
A: elevates rib 1
N: anterior rami of C3-8
Posterior Scalene
O: posterior tubercles of C4-6
I: upper aspect of rib 2 (just posterior to attachment for serratus anterior)
A: elevate rib 2
N: anterior rami of C5-7
Lateral Pterygoid
O: inferior aspect of greater wing of sphenoid (upper head); lateral surface of lateral pterygoid plate (lower head)
I: capsule of TMJ
A: side to side movement of mandible
N; mandibular nerve (of trigeminal nerve)
Medial Pterygoid
O: medial surface of lateral pterygoid place (deep); inferior and lateral aspect of maxilla, aka tuberosity of maxilla (superficial)
I: medial surface of the angle of the mandible
A: elevates the mandible, side to side movement of the mandible
N: mandibular nerve (of the trigeminal nerve)
Trapezius
O: superior nuchal line, external occipital protuberances, ligamentum nuchae, spinous processes of C7-T12
I: (upper fibers) lateral 1/3 of clavicle & lateral aspect of acromion process; (middle fibers) medial margin of acromion process & superior lip of spine of scapula; (lower fibers) inferior aspect of spine of scapula, closest to root of spine
A: (upper fibers) elevation of scapula, extension of C-spine bilaterally, rotation of head to same side unilat, upward rotation of scapula; (middle fibers) retraction of scapula; (lower fibers) depression of scapula, upward rotation of scapula
N: spinal accessory nerve (XI)
Levator Scapulae
O: posterior tubercles (on transverse processes) of C1-4
I: superior angle (of scapula) to superior aspect of medial border
A: elevate scapula, extension of C-spine bilat, downward rotation of scapula, side flexion/rotation of C-spine to same side unilat
N: dorsal scapular nerve (C4-5)
Latissimus Dorsi
O: thoracolumbar fascia, posterior 1/3 of iliac crest, spinous processes T6-L5 & their respective supraspinous ligaments, posterior aspect of ribs 9-12
I: posterior aspect of inferior angle of scapula, medial lip of bicipital groove (just anterior to teres major)
A: internal rotation of GH, extension of GH joint, adduction of GH joint, downward rotation of scapula, trunk closer to arms when insertion is fixed, anterior rotation of pelvis
N: thoracodorsal nerve (C6-8)
Rhomboid minor
O: lower part of ligamentum nuchae and SP’s C7-T1
I: posterior aspect of medial border of scapula (superior to root of spine of scapula)
A: abduction/retraction of scapula, downward rotation of scapula, elevation of scapula
N: dorsal scapular nerve (C4-5)
Rhomboid major
O: spinous processes of T2-5
I: posterior aspect of medial border of scapula (below root of spine of scapula and to inferior angle)
A: abduction/retraction of scapula, downward rotation of scapula, elevation of scapula
N: dorsal scapular nerve (C4-5)
Longus Capitis
O: anterior tubercles C3-6
I: inferior aspect of the basiliar part of the occipital bone
A: flexion of occipit bilat, side-bending/rotation to same side (unilat)
N: anterior rami of C1-3
Longus Colli
O: (superior oblique part) anterior tubercles of C3-5; (inferior oblique part) anterior tubercles of C5-6; (vertical part) anterior aspect of vertebral bodies of C4-T1
I: (superior oblique part) anterior tubercle of C1; (inferior oblique part) anterior aspect of bodies of T1-3; (vertebral part) anterior aspect of bodies C2-4
A: side bending, flexion, rotation to same side & opposite side
N: anterior rami of C2-6
Rectus Capitis Anterior
O: anterior surface of lateral mass (at base of TP) of C1
I: inferior aspect of basilar part of occipital bone
A: flexion at atlanto-occipital, rotation to same side
N: anterior rami of C1-2