1 - Zill - Muscles / Structures on Practical Flashcards

1
Q

Superficial Group

A

Origin - Vertebrae

Insert - Scapula, Clavicle, Humerus

Muscles:

Trapezius (traps)

Latissimus Dorsi (lats)

Levator Scapulae

Rhomboid Minor

Rhomboid Major

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2
Q

Muscle - Trapezius

Origin

Insertion

Action

Nerve

A

Muscle - Trapezius

Origin

  • Skull (external occipital protuberance)
  • Fascia - Ligamentum nuchae
  • Vertebrae - spines C7, T1-T12

Insertion

  • Clavicle - lateral 1/3
  • Scapula - Acromion and Spine

Action

  • Elevates / Depresses Shoulder
  • Retracts scapula
  • Extends head

Nerve - Accessory Never (Cranial Nerve XI)

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3
Q

Muscle - Latissumus Dorsi

Origin

Insertion

Action

Nerve

A

Muscle - Latissumus Dorsi (lats)

Origin

  • Vertebrae - Spines of T6 - T12
  • Fascia - Thoracolumbar fascia
  • Pelvic Bone - Iliac Crest

Insertion - Humerus (intertubercular groove)

Action

  • Adducts
  • Extends
  • Medial Rotate arm

Nerve - Thoracodorsal Nerve

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4
Q

Muscle - Levator Scapulae

Origin

Insertion

Action

Nerve

A

Muscle - Levator Scapulae

Origin - Vertebrae - Transverse processes of C1 - C4

Insertion - Scapular - Superior angle and medial border

Action

  • Elevate scapula
  • Adduct scapula

Nerve - Dorsal scapular nerve

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5
Q

Muscle - Rhomboid Minor

Origin

Insertion

Action

Nerve

A

Muscle - Rhomboid Minor

Origin - Vertebrae - Spines of C7, T1

Insertion- Scapula - Medial Border

Action - Elevates/Adducts Scapula

Nerve - Dorsal Scapular Nerve

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6
Q

Muscle - Rhomboid Major

Origin

Insertion

Action

Nerve

A

Muscle - Rhomboid Major

Origin - Vertebrae - Spines T2 - T5

Insertion - Scapular - Medial border to inferior angle

Action - Elevates/Adducts Scapula

Nerve - Dorsal scapular nerve

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7
Q

Intermediate Group

A

Respiration

All Origin - Vertebrae

All Insert - Ribs

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8
Q

Muscle - Levatores Costarum

Origin

Insertion

Action

Nerve

A

Muscle - Levatores Costarum

Origin - Vertebrae - Transverse processes of C7, T1-T11

Insertion - Ribs - Inferior to origin

Action - Raise ribs inspiration

Nerve - Dorsal rami of thoracic spinal nerves

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9
Q

Muscle - Serratus Posterior Superior

Origin

Insertion

Action

Nerve

A

Muscle - Serratus Posterior Superior

Origin - Vertebrae - Spines of Cervical and upper thoracic vertebrae

Insertion - Ribs

Action - Raise ribs in inspiration

Nerve - Intercostal nerves

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10
Q

Muscle - Serratus Posterior

Origin

Insertion

Action

Nerve

A

Muscle - Serratus Posterior

Origin - Spines of upper 2 lumbar and lower 2 thoracic vertebrae

Insertion - Ribs

Action - Lower ribs in expiration

Nerve - Intercostal nerves

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11
Q

Muscle - Splenius

Origin

Insertion

Action

Nerve

A

Muscle - Splenius

Origin - Vertebrae - Spines T1 - T4

Insertion

  • Splenius Capitis to Skull - Occipital and temporal bones
  • Splenius Cervicis to Vertebrae - Transverse processes of C2 - C3

Action - Extend neck and head (rotate in unilateral direction)

Nerve - Dorsal rami of spinal nerves

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12
Q

Muscle - Erector Spinae

  • Iliocostalis
  • Longissimus
  • Spinalis

Origin

Insertion

Action

Nerve

A

Muscle - Erector Spinae

  • Iliocostalis
  • Longissimus
  • Spinalis

Origin

  • Iliocostalis - Ilium and ribs
  • Longissimus - Tranverse processes of vertebrae
  • Spinalis - Spinous processes

Insertion

  • Iliocostalis - Ribs and transverse processes
  • Longissimus - Transverse processes of vertebrae
  • Spinalis - Spinous processes

Action - Extend trunk and vertebral column

Nerve - Dorsal rami of spinal nerves

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13
Q

Muscle - Erector Spinae

  • Semispinalis
  • Multifidus
  • Rotatores

Origin

Insertion

Action

Nerve

A

Muscle - Erector Spinae

  • Semispinalis
  • Multifidus
  • Rotatores

Origin - Transverse processes of vertebrae

Insertion - Spines of vertebrae superior to origin

  • Semispinalis - extend 5-6 vertebrae
  • Multifidus - extend 3-4 vertebrae
  • Rotatores - extend 1-2 vertebrae

Action - Extend trunk in bilateral direction, rotate vertebral column in unilateral action

Nerve - Dorsal rami of spinal nerves

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14
Q

Muscle - Pectoralis Major

Origin

Insertion

Action

Nerve

A

Muscle - Pectoralis Major

Origin

  • Clavicular Head - medial half of clavicle
  • Sternocostal Head - sternum and upper six costal cartilages

Insertion - Lateral lip of bicipital groove (intertubercular sulcus)

Action - Adducts, medially rotates and flexes the arm

Nerve - Medial and Lateral pectoral nerves

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15
Q

Muscle - Pectoralis Minor

Origin

Insertion

Action

Nerve

A

Muscle - Pectoralis Minor

Origin - 3rd to 5th ribs near cartilages

Insertion - Coracoid process of scapula

Action - Stabilizes scapula

Nerve - Medial pectoral

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16
Q

Muscle - Serratus Anterior

Origin

Insertion

Action

Nerve

A

Muscle - Serratus Anterior

Origin - Upper 8 ribs

Insertion - Medial (vertebral) border of scapula

Action

  • Rotates scapula
  • Draws scapula forward around thoracic wall (protraction)
  • Holds scapula against thoracic wall

Nerve - Long Thoracic (S.A.L.T.)

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17
Q

Muscle - Subclavius

Origin

Insertion

Action

Nerve

A

Muscle - Subclavius

Origin - 1st Costal Cartilage

Insertion - Clavicle

Action - Anchors and depresses clavicle during upper limb movements

Nerve - Nerve to subclavius

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18
Q

Muscles of Pectoral Region

A

Pec. Major, Pec Minor, Serratus Ant., Subclavius

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19
Q

Rotator Cuff Muscles

A

Supraspinatus

Infraspinatus

Teres Minor

Subscapularis

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20
Q

Muscle - Deltoid

Origin

Insertion

Action

Nerve

A

Muscle - Deltoid

Origin - Lateral clavicle, acromion process and spine of scapula

Insertion - Deltoid tuberosity of humerus

Action

  • Anterior: Flexes and medially rotates arm
  • Middle: Abducts arm
  • Posterior: Extends and laterally rotates arm

Nerve - Axillary

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21
Q

Muscle - Supraspinatus

Origin

Insertion

Action

Nerve

A

Muscle - Supraspinatus

Origin - Supraspinous fossa of scapula

Insertion - Humerus (greater tubercle)

Action - Initiates abduction of arm, stabilizes shoulder joint

Nerve - Suprascapular

Rotator Cuff Muscle

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22
Q

Muscle - Infraspinatus

Origin

Insertion

Action

Nerve

A

Muscle - Infraspinatus

Origin - Infraspinous fossa of scapula

Insertion - Humerus (greater tubercle)

Action - Laterally rotates arm, stabilize shoulder joint

Nerve - Suprascapular

Rotator Cuff

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23
Q

Muscle - Teres minor

Origin

Insertion

Action

Nerve

A

Muscle - Teres minor

Origin - Lateral border of scapula

Insertion - Humerus (greater tubercle)

Action - Laterally rotates arm, stabilizes shoulder joint

Nerve - Axillary

Rotator Cuff

24
Q

Muscle - Subscapularis

Origin

Insertion

Action

Nerve

A

Muscle - Subscapularis

Origin - Subscapular fossa of scapula

Insertion - Humerus (lesser tubercle)

Action - Medially rotates arm, stabilizes shoulder joint

Nerve - Upper and lower subscapular

Rotator Cuff

25
Muscle - Teres Major Origin Insertion Action Nerve
Muscle - Teres Major Origin - Inferior angle of scapula Insertion - Medial lip of the interubercular groove of **humerus** Action - Medially rotates and adducts arm Nerve - Lower subscapular
26
Mucles of the arms
Biceps Brachii Coracobrachialis Brachialis Triceps Brachii
27
Muscle - Biceps Brachii Origin Insertion Action Nerve
Muscle - Biceps Brachii Origin * Short: Coracoid Process * Long: Supraglenoid Tubercle Insertion - Radial tuberosity Action * Flexor of forearm at elbow joint * Supinator of forearm * Weak flex arm at glenohumral joint Nerve - Musculocutaneous
28
Muscle - Coracobrachialis Origin Insertion Action Nerve
Muscle - Coracobrachialis Origin - Coracoid process Insertion - Mid-shaft humerus Action - Flexion of arm at gelnohumeral (shoulder) joint Nerve - Musculocutaneous
29
Muscle - Brachialis Origin Insertion Action Nerve
Muscle - Brachialis Origin - Anterior Humerus Insertion - Ulnar tuberosity Action - Flexes forearm Nerve - Musculocutaneous
30
Muscle - Triceps Brachii Origin Insertion Action Nerve
Muscle - Triceps Brachii Origin * Long Head: Infraglenoid Tubercle * Lateral Head: Posterior lateral surface of humerus * Medial Head: Posterior medial surface of humerus Insertion - Olecranon of ulna Action - Extendw forearm Nerve - Radial
31
Anterior Forearm Muscles (superficial)
Pronator Teres (two heads - humeral / ulnar) Flexor carpi radialis Palmaris longus (variable) Flexor carpi ulnaris (two heads - humeral / ulnar) - - - All **Median Nerve**, _except_ Flexor carpi ulnaris
32
Muscle - Pronator Teres Origin Insertion Action Nerve
Muscle - Pronator Teres Origin * Humeral Head: Medial epicondyle of humerus * Ulnar Head: Coronoid process of ulna Insertion - Midshaft radius Action - Pronates forearm Nerve - Median
33
Muscle - Flexor Carpi Radialis Origin Insertion Action Nerve
Muscle - Flexor Carpi Radialis Origin - Medial epicondyle of humerus Insertion - Bases of 2nd and 3rd metacarpals Action - Flexes and abducts hand at wrist joint Nerve - Median Nerve
34
Muscle - Palmar Longus Origin Insertion Action Nerve
Muscle - Palmar Longus Origin - Medial epicondyle of humerus Insertion - Palmar aponeurosis Action - Flexes the wrist Nerve - Median **Variable structure**
35
Muscle - Flexor carpi ulnaris Origin Insertion Action Nerve
Muscle - Flexor carpi ulnaris Origin * Humeral: Medial epicondyle of humerus * Ulnar: Olecranon of Ulna Insertion - Pisiform, hook of hamate, and 5th metacarpal Action - Flexes and adducts (ulnar deviates) hand at write Nerve - **Ulnar**
36
Muscles of Anterior Forearm - Intermediate Group
Flexor Digitorum Superficialis (Two heads - Humeroulnar / Radial)
37
Muscle - Flexor Digitorum Superficialis Origin Insertion Action Nerve
Muscle - Flexor Digitorum Superficialis Origin * Humeroulnar: Medial epicondyle of humerus + coronoid process * Radial: Radius Insertion - Sides of middle phalanx of 2nd, 3rd, 4th, and 5th digits by tendon that splits into two slips Action - Flexes hand at wrist and digits 2-5 at metacarpophalangeal (MP) and proximal interphalangeal (PIP) joints Nerve - Median
38
Deep Group muscles of Anterior Forearm
Flexor Pollicis Longus Flexor Digitorum Profundus Pronator Quadratus
39
Muscle - Flexor Pollicis Longus Origin Insertion Action Nerve
Muscle - Flexor Pollicis Longus Origin - Radius and Int. Membrane Insertion - Distal phalanx of thumb Action - Flexes metacapophalangeal joint and interphalangeal joint of thumb Nerve - Median
40
Muscle - Flexor Digitorum Profundus Origin Insertion Action Nerve
Muscle - Flexor Digitorum Profundus Origin - Ulna and Int. Membrane Insertion - Distal phalanges of 2-5, Each tendon passes through bifurcation of tendon of flexor digitorum superficialis Action - Flexes hand at wrist and metacarpophalangeal (MP) and distal interphalandeal (DIP) joints of digits 2-5 Nerve - Lateral half by median nerve, Medial half by ulnar nerve
41
Muscle - Pronator Quadratus Origin Insertion Action Nerve
Muscle - Pronator Quadratus Origin - Distal Ulna Insertion - Distal Radius Action - Pronation Nerve - Median
42
Muscles of the Posterior Forearm: Common nerve? Majority of action?
Common Nerve: Radial Most Action: Extend digits + other actions
43
Muscle - Brachioradialis Origin Insertion Action Nerve
Muscle - Brachioradialis Origin - Lateral supracondylar ridge of humerus Insertion - Distal radius Action - Flexes forearm when forearm in mid-prone position Nerve - Radial
44
Muscle - Extensor carpi radialis longus Origin Insertion Action Nerve
Muscle - Extensor carpi radialis longus Origin - Lateral supracondylar ridge of huerus Insertion - Base of 2nd metacarpal Action - Extends and abducts (radially deviates) the wrist Nerve - Radial
45
Muscle - Extensor carpi radialis brevis Origin Insertion Action Nerve
Muscle - Extensor carpi radialis brevis Origin - Lateral epicondyle of humerus Insertion - Base of 2-3 metacarpal Action - Extends and abducts (radially deviates) the wrist Nerve - Radial
46
Muscle - Extensor Digitorum Origin Insertion Action Nerve
Muscle - Extensor Digitorum Origin - Lateral humeral epicondyle of humerus Insertion - Middle and distal phalanges of 2-5 digits via extensor expansions Action - Extends digits 2-5 at MP, POP, and DIP joints, and extends hand at wrist Nerve - Radial
47
Muscle - Extensor Digiti Minimi Origin Insertion Action Nerve
Muscle - Extensor Digiti Minimi Origin - lateral humeral epicondyle of humerus Insertion - Extensor hood of 5th digit Action - Extends 5th digit Nerve - Radial
48
Muscle - Extensor Carpi Ulnaris Origin Insertion Action Nerve
Muscle - Extensor Carpi Ulnaris Origin - Lateral humeral epicondyle Insertion - Base of 5th metacarpal Action - Extends and Adducts (ulnar deviates) wrist Nerve - Radial
49
Muscle - Anconeus Origin Insertion Action Nerve
Muscle - Anconeus Origin - Lateral humeral epicondyle Insertion - Olecranon of Ulna Action - Accessory extensor of elbow (assists triceps), abducts ulna during pronation Nerve - Radial
50
Muscle - Supinator Origin Insertion Action Nerve
Muscle - Supinator Origin - Lateral humeral epicondyle and supinator crest of ulna Insertion - Lateral upper radius Action - Supinates forearm and hand Nerve - Radial
51
Muscle - Abductor pollicis longus Origin Insertion Action Nerve
Muscle - Abductor pollicis longus Origin - Radius, Ulna, int. membrane, Insertion - Base of 1st metacarpal Action - Abducts thumb Nerve - Radial
52
Muscle - Extensor pollicis brevis Origin Insertion Action Nerve
Muscle - Extensor pollicis brevis Origin - Radius and int. membrane Insertion - Proximal phalanx of thumb Action - Extends proximal phalanx of thumb Nerve - Radial
53
Muscle - Extensor pollicis longus Origin Insertion Action Nerve
Muscle - Extensor pollicis longus Origin - Ulna and int. membrane Insertion - Distal phalanx of thumb Action - Extends distal phalanx of thumb Nerve - Radial
54
Muscle - Extensor indicis Origin Insertion Action Nerve
Muscle - Extensor indicis Origin - Ulna and int. membrane Insertion - Extensor hood of index finger Action - Extends 2nd digit Nerve - Radial
55