Upper Body Origin & Insertions Flashcards

1
Q

Levator Scapula Insertion

A

Superior angle of scapula and some of the medial border of the scapula, just proximal to the rhomboids insertion

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1
Q

Levator Scapula Origin

A

Transverse processes (TPs) of C1 to C4

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2
Q

Levator Scapula Pathway Points

A
  • The proximal end of LS can be found in a window between SCM and the upper trapezius, on the lateral side of the neck
  • The distal end of LS travels deep to upper trapezius
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3
Q

Upper Trapezius Origin

A

Superior nuchal line on the posterior surface of the occipital bone, plus the nuchal ligament that connects the SPs of the cervical vertebrae

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4
Q

Upper Trapezius Insertion

A

Upper surface of the lateral third of the clavicle, all the way to the AC joint

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5
Q

Upper Trapezius Pathway Points

A

Belly travel inferiorly, laterally and anteriorly on its way to the clavicle

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6
Q

Sternocleidomastoid Origin

A

Manubrium of the sternum (superficial fibers) and the medial third of the clavicle (deep fibers)

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7
Q

Sternocleidomastoid Insertion

A

Mastoid process of the temporal bone, and along the superior nuchal line of the occipital bone

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8
Q

Sternocleidomastoid Pathway Points

A
  • the sternal head origin is rounded, the clavicular head is wider and flatter
  • SCM forms the upper border of the posterior triangle of the neck
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9
Q

Splenius Capitis and Cervicis Origin

A

SPs of C3 to T6 and the nuchal ligament

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10
Q

Splenius Capitis and Cervicis Insertion

A

TPs of C1 to C3, plus the mastoid process of the temporal bone and the superior nuchal line with SCM

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11
Q

Splenius Capitis and Cervicis Pathway Points

A
  • Fibers travel diagonally up and laterally, deep to upper trapezius
  • Travels through the posterior triangle of the neck, proximal to levator scapula
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12
Q

Scalenes Origin

A

Three muscles (anterior, middle, and posterior) from the TPs and the TP tubercles of C2 to C7

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13
Q

Scalenes Insertion

A

The upper surfaces of ribs 1 and 2, posterior to the clavicle

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14
Q

Scalenes Pathway Points

A

These muscles travel across the lateral side of the neck, in the posterior triangle just anterior to levator scapula
The brachial plexus (nerve supply to the arm) travels between the anterior and middle scalenes

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15
Q

Middle Trapezius Origin

A

SPs of C7/T1 to T4

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16
Q

Middle Trapezius Insertion

A

Upper border of acromion process + upper border of the lateral half of spine of scapula (SOS)

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17
Q

Middle Trapezius Pathway Points

A

Fibres travel horizontally towards their insertion, superficial to the rhomboids

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18
Q

Lower Trapezius Origin

A

SPs of T5 to T12

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19
Q

Lower Trapezius Insertion

A

upper border of the medial half of the spine of scapula, to the root of spine (ROSS)

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20
Q

Lower Trapezius Pathway Points

A
  • Inferior fibres travel obliquely – superiorly and laterally
  • superior fibres travel horizontally, like middle trapezius
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21
Q

Serratus Anterior Origin

A

individual finger-like origins from the lateral sides of ribs 1 to 9

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22
Q

Serratus Anterior Insertion

A

full length of the medial border of the scapula, along the anterior (costal) surface

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23
Q

Serratus Anterior Pathway Points

A
  • Upper fibres travel horizontally while the lowest fibres travel obliquely as they wrap the ribcage – superiorly and posteriorly
  • Travels deep to the scapula (sandwiched between scapula and ribcage)
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24
Q

Pectoralis Minor Origin

A

anterior surfaces of ribs 3, 4, 5, just lateral to their costal cartilages

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25
Q

Pectoralis Minor Insertion

A

triangular shape belly tapers into the coracoid process

26
Q

Pectoralis Minor Pathway Points

A

-Travels superiorly, laterally, and posteriorly towards its insertion
-brachial plexus passes deep to this muscle, pec major is superficial

27
Q

Rhomboids Origin

A

SPs of C7 to T1 (minor) and T2 to T5 (major)

28
Q

Rhomboids Insertion

A

Medial border of scapula-minor attaches to ROSS, major continues distally from ROSS to the inferior angle of scapula

29
Q

Rhomboids Pathway Points

A

-Oblique fibres travel inferiorly and laterally
-lies deep to the middle trapezius
-Insertion of minor begins just distal to the insertion of levator scapula

30
Q

Latissimus Dorsi Origin

A

SPs of T7 to T12 and the thoracolumbar fascia to the iliac crest and the SPs of the lumbar spine

31
Q

Latissimus Dorsi Insertion

A

Bicipital groove on the anterior surface of the humerus

32
Q

Latissimus Dorsi Pathway Points

A
  • Travels superiorly and laterally with teres major to form the posterior wall of the axilla (Armpit)
  • flattens as it merges with the thoracolumbar fascia distally
33
Q

Pectoralis Major Origin

A
  • medial 1/2 of the interior border of the clavicle
  • length of the sternum and the costal cartilages that blend with it
  • distal fibres blend into the abdominal fascia
34
Q

Pectoralis Major Insertion

A

Lateral lip of bicipital groove; clavicular fibres insert distally, sternal fibres insert proximally

35
Q

Pectoralis Major Pathway Points

A

proximal fibres travel inferiorly and laterally, middle fibres are more horizontal, and distal fibres travel superiorly and laterally

36
Q

Deltoids Origin

A
  • anterior deltoid: inferior border of lateral 1/3 of clavicle
  • middle deltoid: inferior border of acromion process
  • posterior deltoid: inferior border of spine of scapula
37
Q

Deltoids Insertion

A

deltoid tuberosity – half way down the lateral side of humerus

38
Q

Deltoids Pathway Points

A

Fibres are continuous/matched with the trapezius insertions on the upper borders of the scapula and clavicle

39
Q

Supraspinatus Origin

A

Supraspinous fossa, proximal to the spine of scapula

40
Q

Supraspinatus Insertion

A

Superior aspect of the greater tuberosity, blending with the GH joint capsule

41
Q

Supraspinatus Pathway Points

A

Travels under the acromion process on the way to its insertion, protected by the subacromial bursa above it

42
Q

Infraspinatus Origin

A

infraspinous fossa, distal to the spine of scapula

43
Q

Infraspinatus Insertion

A

posterior aspect of the greater tuberosity, blending with the GH joint capsule

44
Q

Infraspinatus Pathway Points

A

travels superiorly and laterally with teres minor

45
Q

Subscapularis Origin

A

Subscapular fossa on the anterior (rib) surface of the scapula

46
Q

Subscapularis Insertion

A

Lesser tuberosity, blending with the GH joint capsule

47
Q

Subscapularis Pathway Points

A

The largest rotator cuff muscle, travels from posterior to anterior through the axilla

48
Q

Biceps Brachii Origin

A

Long head: superior aspect of the glenoid rim and labrum
short head: coracoid process

49
Q

Biceps Brachii Insertion

A

Small tuberosity on the proximal end of the radius

50
Q

Biceps Brachii Pathway Points

A
  • Expands as an aponeurosis that blends with fascia covering wrist flexors
  • Long head lies laterally on the anterior arm while short head lies medially
51
Q

Triceps Brachii Origin

A

Long head: inferior aspect of glenoid rim
medial and lateral heads: posterior humerus on each side of the radial groove

52
Q

Triceps Brachii Insertion

A

olecranon process of the ulna

53
Q

Triceps Brachii Pathway Points

A

Medial head lies deepest; the two other heads form the visible part of the muscle, blending into the horseshoe-shape tendon

54
Q

Pronator Teres Origin

A

Medial epicondyle of humerus and coronoid process of ulna

55
Q

Pronator Teres Insertion

A

~halfway down the lateral side of the radius

56
Q

Pronator Teres Pathway Points

A
  • Travels inferiorly and laterally across the anterior forearm
  • Forms one of the borders for the cubital fossa
57
Q

Flexor Digitorum Superficialis Origin

A

Medial epicondyle of humerus, coronoid process of ulna, anterior surface of radius

58
Q

Flexor Digitorum Superficialis Insertion

A

One tendon for each finger (but not thumb) – each finger tendon splits like a V, to attach at the sides of the middle phalanges

59
Q

Flexor Digitorum Superficialis Pathway Points

A
  • Splits into four tendons that travel across the front of the wrist, through the carpal tunnel
  • Four FDP (profundus) tendons travel deep to the FDS tendon
60
Q

Extensor Carpi Radialis Brevis (ECRB) Origin

A

Lateral epicondyle of the humerus

61
Q

Extensor Carpi Radialis Brevis (ECRB) insertion

A

Base of the 3rd metacarpal on its dorsal surface

62
Q

Extensor Carpi Radialis Brevis (ECRB) Pathway Points

A

Travels across the head of the radius (posteriorly) with the brachioradialis and ECRL, then down the posterior surface of the forearm and wrist