Muscles Flashcards
Pectoralis Major
Function: adduct and medially rotate humerus, flex clavicle
Innervation: lateral pectoral nerve (C5,6,7); medial pectoral nerve (C8, T1)
Origin: clavicular, sternal, and costal origins
Insertion: lateral lip of the intertubercular groove of the humerus
*more costal fibers insert more proximally on the humerus = twist in muscle = smooth armpit
Pectoralis Minor
Function: fix scapula to thoracic wall, stretch arm forward, helps with inspiration
Innervation: Medial Pectoral Nerve (C8, T1)
Origin: Coracoid process of scapula
Insertion: Ribs 3, 4, 5
Serratus Anterior
Function: Rotates the inferior angle of scapula, holds scapula against thoracic wall when doing pushups
Innervation: Long thoracic nerve C5, 6, 7
Origin: External surface of ribs 1-8
Insertion: anterior surface and medial border of scapula
*damage = winged scapula
Trapezius
Function: top fibers elevate scapula, lower fibers depress scapula and lower shoulder. Together, fibers rotate the shoulder
Innervation: cranial nerve XI (spinal accessory nerve)
Origin: C7 to T12, superior nuchal line
Insertion: acromion, spine of scapula
*test by having patient shrug
Latissimus Dorsi
Function: Extends, adducts, and medially rotates humerus. Brings body toward arms when climbing
Innervation: thoracodorsal nerve
Origin: T7 to thoracolumbar fascia and iliac crests
Insertion: floor of intertubercular groove of humerus
*twists to connect to humerus similar to pectoralis major. If thoracodorsal nerve is damaged, pt can’t use a crutch or do a pullup
Levator Scapulae
Function: elevates scapula
Innervation: dorsal scapular nerve
Origin: transverse process of C1-C4
Insertion: superior angle of scapula, above spine of scapula
Rhomboids
Function: ? Innervation: dorsal scapular nerve Origin: C7 - T1 = minor T2 - T5 = major Insertion: medial border of scapula *lie deep to the trapezius
Deltoid
Function: initiates abduction of arm is fully adducted. First 15 degrees of abduction is assisted by supraspinatus muscle
Innervation: axillary nerve
Origin: spine of the scapula, acromion, and clavicle
Insertion: deltoid tuberosity of humerus
Teres Major
Function: adduction and medial rotation of humerus
Innervation: lower subscapular nerve (C6,7)
Origin: inferior angle of scapula
Insertion: medial lip of intertubercular groove of humerus
*intercepts with long head of triceps to form triangular space and quadrangular space
Rotator Cuffs
Function: all secure humeral head in glenoid cavity.
Supraspinatus - (w/ deltoid) abducts arm
Infraspinatus - laterally rotate arm
Teres Minor - laterally rotate arm and helps adduct arm
Subscapularis - help adduct arm and medially rotates arm
Innervation: suprascapular nerve (supraspinatus and infraspinatus) Axillary nerve (teres minor)
Origin: scapula
Insertion: greater and lesser tubercles of the humerus
Biceps Brachii
Function: flexes shoulder and elbow Innervation: musculocutaneous nerve Origin: short head - coracoid process long head - supraglenoid tubercle Insertion: radial tuberosity *has no attachment to humerus
Brachialis
Function: flexes elbow
Innervation: Musculocutaneous nerve
Origin: distal half of the humerus
Insertion: coronoid process and tuberosity of the ulna
Coracobrachialis
Function: Flexes and adducts shoulder Innervation: Musculocutaneous nerve Origin: Coracoid process Insertion: mid 1/3 of humerus *musculocutaneous nerve usually pierces this muscle
Triceps Brachii
Function: extends the elbow joint
Innervation: radial nerve
Origin:
long head - infraglenoid tubercle
lateral head - posterior surface of humerus
medial head - posterior surface of humerus
Insertion: olecranon
Pronator Teres
Function: pronation
Innervation: median nerve
Origin: medial epicondyle of humerus and ulna
Insertion: lateral surface of radius
*can compress median nerve = pronator syndrome
Flexor Carpi Radialis
Function: flexor of the wrist
Innervation: median nerve
Origin: medial epicondyle of humerus
Insertion: base of 2nd metacarpal
Palmaris Longus
Function: retract claws (not us) Innervation: median nerve Origin: medial epicondyle of humerus Insertion: palmar aponeurosis *16% of population is missing this
Flexor Carpi Ulnaris
Function: flexor of the wrist and abductor of the wrist
Innervation: ulnar nerve
Origin: medial epicondyle of humerus
Insertion: pisiform, hamate, and base of 5th metacarpal bone
Flexor Digitorum Superficialis
Function: flexing of proximal interphalangeal joints
Innervation: median nerve
Origin: medial epicondyle of humerus, ulnar head, and radial head
Insertion: body of mid phalanges
Flexor Digitorum Profundus
Function: flexes distal interphalangeal joints
Innervation: median nerve (for digits 2, 3, and 1/2 of 4) and ulnar nerve (for digits 1/2 of 4 and 5)
Origin: ulna and interosseous membrane
Insertion: base of non-thumb distal phalanges
Flexor Pollicis Longus
Function: flexes thumb
Innervation: median nerve
Origin: anterior aspect of radial bone and interosseous membrane
Insertion: base of distal phalanges of thumb
Pronator Quadratus
Function: assists with pronation
Innervation: median nerve
Origin: distal 1/4 of ulna
Insertion: distal 1/4 of anterior radius
Brachioradialis
Function: flexes elbow joint Innervation: radial nerve Origin: lateral epicondyle Insertion: lateral surface of radius *drinking muscle. part of Mobile Wad of Henry
Extensor Carpi Radialis Longus
Function: extend wrist Innervation: radial nerve Origin: lateral epicondyle Insertion: base of 2nd metacarpal *part of Mobile Wad of Henry
Extensor Carpi Radialis Brevis
Function: extend wrist Innervation: radial nerve Origin: lateral epicondyle Insertion: base of 3rd metacarpal *part of Mobile Wad of Henry *runs underneath extensor carpi radialis longus
Abductor Pollicis Longus
Function: abducts thumb
Innervation: radial nerve
Origin: posterior surface of radius and ulna and interosseous membrane
Insertion: base of 1st metacarpal
Extensor Pollicis Brevis
Function: extend thumb Innervation: radial nerve Origin: posterior radius and interosseous membrane Insertion: base of distal phalanx *anatomical snuffbox - palmar side
Extensor Pollicis Longus
Function: extend thumb
Innervation: radial nerve
Origin: posterior radius and interosseous membrane
Insertion: base of proximal phalanx of thumb
*anatomical snuffbox - dorsal side
Extensor Digitorum
Function: extends non-thumb digits
Innervation: radial nerve
Origin: lateral epicondyle
Insertion: extensor expansion (middle and distal phalanx)
*runs deep to extensor retinaculum. Adjacent tendons are connected