Upper Limb Muscles Flashcards
Facial Expression Muscles
Innervation - Facial Nerve (CN VII)
Mastication Muscles
- Temporalis
- Masseter
- Medial pterygoid
- Lateral pterygoid
Temporalis
Actions:
* Elevates mandible
* Retracts mandible
Origin - temporal fossa and temporal fascia
Insertion - coronoid process and ramus of mandible
Innervation - Mandibular nerve (CN V3)
Masseter
Action - elevates mandible
Origin - zygomatic arch
Insertion - angle of ramus of mandible
Innervation - Mandibular nerve (CN V3)
Medial Pterygoid
Actions:
* Elevates mandible
* Protracts side of mandible
* Side to side movement (contralateral/opposite excursion)
Origin - superficial head: tuberosity of maxilla and pyramidal process of palatine bone, deep head: medial surface of lateral pterygoid plate and pyramidal process of palatine bone
Insertion – medial surface of mandible
Innervation - Mandibular nerve (CN V3)
Lateral Pterygoid
Actions:
* Protracts mandible
* Side to side movement (contralateral/opposite excursion)
Origin - roof of infratemporal fossa and lateral surface of pterygoid process
Insertion – capsule of TMJ and pterygoid fossa of mandible
Innervation - Mandibular nerve (CN V3)
Deep Neck Flexor Muscles
- Rectus capitis anterior
- Rectus capitis lateralis
- Longus capitis
- Longus colli
Action - flexes head and neck
Innervation - Anterior rami of spinal nerves
Anterior Neck Triangle
Borders:
* Superior – inferior angle of mandible
* Lateral – anterior border of sternocleidomastoid
* Medial – midline of neck
Muscles:
* Suprahyoids
* Infrahyoids
Posterior Neck Triangle
Borders:
* Anterior – posterior border of sternocleidomastoid
* Posterior – anterior border of trapezius muscles
* Inferior – middle third of clavicle
Muscles:
* Sternocleidomastoid
* Splenius capitis
* Scalene muscles
* Trapezius muscles
Suprahyoid Muscles
- Stylohyoid (superficial) - facial nerve (CN VII)
- Digastric - mandibular nerve (CN V3)
- Mylohyoid - mandibular nerve (CN V3)
- Geniohyoid (deep) - C1 nerve roots
Action - elevates the hyoid (enables swallowing)
Located superior to hyoid bone
Infrahyoid Muscles
- Omohyoid
- Sternohyoid
- Sternothyroid
- Thyrohyoid
Actions: - Depresses the hyoid
- Depresses the thyroid cartilage
- Elevates the larynx (if hyoid is fixed - enables swallowing)
Located inferior to hyoid bone
Innervation - Anterior rami of C1-C3
Sternocleidomastoid
Actions:
* Bilateral - flexes neck
* Unilateral - lateral flexion and rotation of head to opposite side
Origin - manubrium, clavicle
Insertion – mastoid process
Innervation - Accessory nerve (CN XI)
Scalene Muscles
- Scalenus anterior (anterior scalene)
- Scalenus midius (middle scalene)
- Scalenus posterior (posterior scalene)
Scalenus Anterior (anterior scalene)
Actions:
* Lateral neck flexion
* Elevates 1st rib during forced inspiration
Innervation - Spinal nerves (C4 to C7)
Scalenus Midius (middle scalene)
Actions:
* Lateral neck flexion
* Elevates 1st rib during forced inspiration
Innervation - Spinal nerves (C3 to C7)
Scalenus Posterior (posterior scalene)
Actions:
* Lateral neck flexion
* Elevates 2nd rib during forced inspiration
Innervation - Spinal nerves (C5 to C7)
Suboccipital Muscles
- Obliquus capitis superior
- Obliquus capitis inferior
- Rectus capitis posterior minor
- Rectus capitis posterior major
Actions: - Postural support of head and neck
- Extend and rotate head
Innervation - Suboccipital nerve
Intrinsic Back Muscles
- Spinotransversales (superficial)
- Erector spinae (intermediate)
- Transversospinales (deep)
Spinotransversales
- Splenius capitis (superficial and larger)
- Splenius cervicis (deep)
Splenius Capitis
Actions:
* Bilateral - neck extension
* Unilateral - ipsilateral (same side) rotation of head
Innervation - Posterior rami of spinal nerves
Splenius Cervicis
Actions:
* Bilateral - upper cervical spine extension
* Unilateral - upper cervical spine rotation
Innervation - Posterior rami of spinal nerves
Erector Spinae
- Spinalis (medial)
- Longissimus (intermediate and longest)
- Iliocostalis (lateral)
Spinalis
Actions:
* Maintains posture
* Bilateral - extends vertebral column
* Unilateral - lateral flexion of vertebral column
Innervation - Posterior rami of spinal nerves
Longissimus
Actions:
* Maintains posture
* Bilateral - extends vertebral column
* Unilateral - lateral flexion of vertebral column
Innervation - Posterior rami of spinal nerves
Iliocostalis
Actions:
* Maintains posture
* Bilateral - extends vertebral column
* Unilateral - lateral flexion of vertebral column
Innervation - Posterior rami of spinal nerves
Transversospinales
- Semispinalis (most developed in thoracic and cervical regions)
- Rotatores (most developed in thoracic region)
- Multifidus (most developed in lumbar region)
Semispinalis
Actions:
* Bilateral - extension of vertebral column
* Unilateral - contralateral (to opposite sides) rotation of vertebral column
Innervation - Posterior rami of spinal nerves
Rotatores
Actions:
* Bilateral - extension of vertebral column
* Unilateral - contralateral (to opposite sides) rotation of vertebral column
Innervation - Posterior rami of spinal nerves
Multifidus
Actions:
* Bilateral - extension of vertebral column
* Unilateral - contralateral (to opposite sides) rotation of vertebral column
Innervation - Posterior rami of spinal nerves
Segmental Back Muscles
- Levatores costarum
- Interspinales
- Intertransversarii
Levatores Costarum
Actions:
* Elevates ribs
* Facilitates inspiration
Innervation - Posterior rami of spinal nerves
Interspinales
Actions:
* Stabilises vertebral column
* Assist with extension of vertebral column
Innervation - Posterior rami of spinal nerves
Intertransversarii
Actions:
* Stabilises vertebral column
* Assist with extension of vertebral column
Innervation - Posterior rami of spinal nerves
Pectoralis Minor
Actions:
* Protraction of scapula
* Depression of scapula
* Medial/downward rotation of scapula
Origin - anterior surface of ribs 3 to 5
Insertion – coracoid process
Innervation - Medial pectoral nerve
Shoulder Complex Muscles
- Pectoralis minor
- Serratus anterior
- Trapezius (upper, middle and lower)
- Levator scapulae
- Rhomboid minor
- Rhomboid major
- Deltoid
- Pectoralis major
- Biceps brachii* (accessory muscle)
- Coracobrachialis
- Teres major
- Latissimus dorsi
- Triceps brachii (long head)* (accessory muscle)
- Supraspinatus
- Infraspinatus
- Teres minor
- Subscapularis