Final Muscles Flashcards
Latissimus Dorsi Action
- Extend shoulder
- Adduct shoulder
- Internally rotate shoulder
Latissimus Dorsi Proximal Attachment
- Spinous process of T7 to T12
- Thoracolumbar fascia
- Iliac Crest
- Inferior 4 ribs
Latissimus Dorsi Distal Attachment
- Floor of intertubercular sulcus of humerus
Latissimus Dorsi Innervation
- Thoracodorsal nerve (C6, C7, C8)
Trapezius Proximal Attachment
- External Occipital protuberance
- Medial 1/3 superior nuchal of occiput
- Liagamentum Nuchae
- Spinous Process of C7 to T12
Trapezius Distal Attachment
- Lateral 1/3 clavicle
- Acromion
- Spine of scapula
Trapezius Innervation
- Motor: Spinal Accessory Nerve CN 11
- Sensory: Ventral Ramus C3 and C4
Upper Trapezius Action
- Bilaterally extend head and neck
- Unilaterally laterally flex head and neck to same side
- Rotate head and neck to opposite sides
- Elevate scapula
- Upwardly rotate scapula
Middle Trapezius Action
- Adduct scapula
- Stabilize scapula
Lower Trapezius Action
- Depress scapula
- Upwardly rotate scapula
Levator Scapulae Proximal Attachment
- Posterior tubercles of transverse processes of C1 to C4
Levator Scapulae Distal Attachment
- Medial border of scapula between superior angle and root of spine of scapula
Levator Scapulae Innervation
- Cervical (C3, C4)
- Dorsal Scapular nerve (C4, C5)
Levator Scapulae Action
- Unilaterally elevate scapula
- Unilaterally downwardly rotate scapula
Rhomboid Major/Minor Proximal Attachment
Minor: 1. Nuchal Ligament
2. Spinous process of C7 to T1
Major: Spinous process of T2 to T5
Rhomboid Major/Minor Distal Attachment
Minor: Medial border of spine of scapula
Major: Medial border of scapula between spine and inferior angle
Rhomboid Major/Minor Innervation
Dorsal Scapular Nerve (C4, C5)
Rhomboid Major/Minor Action
- Adduct/Retract scapula
- Downwardly rotate scapula
- Fix scapula to thoracic wall
Deltoid Action
- Anterior: Flexes and medially rotates arm
- Middle: Abducts arm
- Posterior: Extends and laterally rotates arm
Deltoid Proximal Attachment
1.Clavicle
2. acromion
3. Spine of scapula
Deltoid Distal Attachment
Deltoid tuberosity
Deltoid Innervation
Axillary Nerve (C5, C6)
Pectoralis Major Action
- Adducts and medially rotates humerus
- Protracts/Draws scapula Anteriorly and inferiorly
- Clavicular head: flexes humerus
- Sternocostal head: extends humerus
Pectoralis Major Proximal Attachment
Clavicular head: 1. Clavicle
Sternocostal head: 1. Sternum
2. Ribs 1 to 6 costal cartilage
3. External oblique
Pectoralis Major Distal Attachment
Lateral lip of intertubercular sulcus of humerus
Pectoralis Major Innervation
- Lateral and Medial pectoral nerves
Clavicular head: C5, C6
Sternocostal head: C7, C8, T1
Pectoralis Minor Action
- Stabilizes scapula
- Tilt scapula anteriorly
- Assist elevate thorax during forced inhalation
Pectoralis Minor Proximal Attachment
- Ribs 3 to 5 near costal cartilage
Pectoralis Minor Innervation
- Medial pectoral nerve (C8, T1)
- Lateral pectoral nerve
Infraspinatus Action
RC
1. Externally rotates shoulder (main)
2. Stabilize head of humerus
Infraspinatus Proximal attachment
- Infraspinatus fossa
Infraspinatus Distal attachment
- Greater tubercle of humerus
Infraspinatus Innervation
Suprascapular nerve (C5, C6)
Teres Major Action
- Adduct shoulder
- Internally rotates shoulder
Teres Major Proximal attachment
- Posterior surface of inferior angle of scapula
Teres Major Distal attachment
Medial lip of intertubercular sulcus of humerus
Teres Major Innervation
Lower Subscapular nerve (C5, C6)
Supraspinatus Action
RC
1. Initially assists deltoid in abduction
2. Stabilize head of humerus
Supraspinatus Proximal attachment
Supraspinatus fossa
Supraspinatus Distal attachment
Greater tubercle of humerus
Supraspinatus Innervation
Suprascapular nerve (C4, C5, C6)
Teres Minor Action
RC
1. Externally rotate shoulder
2. Stabilize head of humerus
Teres Minor Proximal attachment
Lateral border of scapula
Teres Minor Distal Attachment
Greater tubercle of humerus
Teres Minor Innervation
Axillary Nerve (c5, c6)
Subscapularis Action
RC
1. Internally rotate shoulder
2. Stabilize head of humerus
Subscapularis Proximal attachment
Subscapular fossa
Subscapularis Distal attachment
Lesser tubercle of humerus
Subscapularis Innervation
Upper and lower subscapular nerve ( c5, c6, c7)
Serratus Anterior Action
- Protracts scapular joint
- Upwardly rotates scapula
- Holds scapula against thoracic wall.
Serratus Anterior proximal attachment
Lateral parts of ribs 1- 9
Serratus Anterior distal attachment
Anterior Medial border of scapula
Serratus Anterior innervation
Long thoracic nerve (C-5, C6, C7)
Pectoralis Minor Distal Attachment
- Coracoid process
Splenius Capitus proximal attachment
- Nuchal ligament
- SP of C7 to T6.
Splenius Capitus distal attachment
- Mastoid process of temporal bone.
- Lateral 1/3 of superior nuchal line of occipital bone.
Splenius Capitus innervation
Dorsal Rami of spinal nerves
Splenius Capitus action
- Unilaterally laterally flexes neck
- Unilaterally, rotates head ipsilaterally.
- Bilaterally extends head and neck.
Splenius Cervicis proximal attachment
1.Nuchal ligament
2. SP of a C7 through T6.
Splenius Cervicis distal attachment
Tubercles of TP of C1 to C4
Splenius Cervicis innervation
Dorsal Rami of spinal nerves
Splenius Cervicis action
- unilaterally laterally flexes neck.
- Unilaterally Rotates head ipsilaterally.
- Bilaterally Extends head and neck.
Iliocostalis proximal attachment
- Thoracolumbar fascia
- Posterior surface of sacrum.
- SP of T 11 and T 12 and all of lumbar.
- Iliac crest
Iliocostalis distal attachment
- Lower rib angles.
- Cervical TP.
Iliocostalis innervation
Dorsal rami of spinal nerves
Iliocostalis action
- Unilaterally laterally flex vertebral column ipsilaterally.
- Bilaterally extend vertebral column.
Longissimus proximal attachment
- Thoracolumbar fascia
- Posterior surface of sacrum.
- SP of T11, and T 12 and lumbar.
- Iliac crest
Longissimus distal attachment
- Between rib tubercles and angles.
- Thoracic TP.
Longissimus innervation
Dorsal Rami, spinal nerves
Longissimus action
- Unilaterally laterally flex vertebral column ipsilaterally.
- Bilaterally extend vertebral column.
Spinalis proximal attachment
- Thoracolumbar fascia
- Posterior surface of sacrum.
- SP of T11, and T12 and lumbar.
- Iliac crest
Spinalis distal attachment
- Upper thoracic SP.
- Cranium.
Spinalis innervation
Dorsal Rami of spinal nerves
Spinalis action
- Unilaterally laterally flex vertebral column ipsilaterally.
- Bilaterally extend vertebral column.
Rotatores inferior attachment
TP of vertebrae
Rotatores superior attachment
SP of lumbar through C2
Rotatores innervation
Dorsal Rami of spinal nerves
Rotatores action
- unilaterally rotate vertebral column contralaterally
- Bilaterally extend vertebral column.
- bilateral organs of proprioception
Multifidus inferior attachment
- Posterior sacrum.
- PSIS
- Aponeurosis of erector spinae.
- SI ligaments.
- Mamillary processes of lumbar vertebrae.
- TP of T1 to T3.
- Articular process of C4 to C7.
Multifidus superior attachment
Run Obliquely, supermedially to entire length of SP
Multifidus innervation
Dorsal rami of spinal nerves
Multifidus action
- Unilaterally rotate vertebral column contralaterally
- Bilaterally extend vertebral column.
- Stabilize his vertebrae.
Semispinalis Capitis inferior attachment
TP of C4 to T12
Semispinalis Capitis superior attachment
Runs supermediately to occipital bone, SP thoracic and cervical (4 to 6 segments)
Semispinalis Capitis. Innervation
Cervical dorsal Rami of spinal nerves
Semispinalis Capitis action
- Rotate vertebral column contralaterally
- Extend vertebral column.
Rectus Capitis Posterior Major proximal attachment
SP of C2
Rectus Capitis Posterior Major distal attachment
Lateral inferior nuchal line
Rectus Capitis Posterior Major action
- Rock and tilt head into extension.
- Rotate head ipsilaterally. ***
Rectus Capitis Posterior Minor proximal attachment
Posterior tubercle of posterior arch of C1
Rectus Capitis Posterior Minor distal attachment
Medial part of inferior nuchal line of occipital bone
Rectus Capitis Posterior Minor action
Rock and tilt head into extension
Suboccipital’s innervation
Suboccipital nerve (dorsal ramus of C1)
Oblique Capitis inferior proximal attachment
SP of C2
Oblique Capitis inferior distal attachment
TP C1
Oblique Capitis inferior action
Rotate head ipsilaterally
Oblique Capitis superior proximal attachment
TP of C1
Oblique Capitis superior Distal attachment
Occipital bone between superior and inferior nuchal lines
Oblique Capitis superior action
- Rock and tilt head into extension
- Laterally flex head ipsilaterally.
Sternocleidomastoid superior attachment
- Mastoid process of temporal bone.
- Superior nuchal line.
Sternocleidomastoid inferior attachment
Sternal head
1. Manubrium of sternum.
Clavicular head
1. Medial 1/3 of clavicle.
Sternocleidomastoid innervation
- Spinal accessory nerve. CX XI (motor)
- C3 and C4. (pain and proprioception)
Sternocleidomastoid action
- Unilaterally, laterally, flexes neck, ipsilaterally, and contralaterally rotates head
- Bilaterally extends neck at OA joint.
- Bilaterally, flexes, cervical vertebrae (chin to manubrium).
- Bilaterally extends superior cervical vertebrae, while flexing inferior.
- If cervical vertebrae are fixed, elevates manubrium.
Platysma superior attachment
Inferior border of mandible, skin, and subcutaneous tissues of lower face
Platysma inferior attachment
- Pectoralis major.
- Deltoid
Platysma innervation
- Facial nerve CN 7
Platysma action
- Drive corners of the mouth and inferiorly
2.Draws skin of neck superiorly
Mylohyoid proximal attachment
Mylohyoid line of mandible
Mylohyoid distal attachment
- Mylohyoid raphe
- Body of hyoid.
Mylohyoid innervation
- Nerve to mylohyoid.
- Branch of inferior alveolar nerve CN V
Mylohyoid action
Elevates, hyoid, floor of mouth and tongue
Geniohyoid proximal attachment
Inferior mental spine of mandible
Geniohyoid distal attachment
Body of hyoid
Geniohyoid innervation
- C1 of hypoglossal nerve CN XII
- Nerve to Geniohyoid
Geniohyoid action
- Pulls hyoid anterior superiorly
- Shortens floor of mouth.
- Widens pharynx
Stylohyoid proximal attachment
Styloid process of temporal bone
Stylohyoid distal attachment
Body of hyoid
Stylohyoid innervation
Stylohyoid branch of facial nerve CN VII
Stylohyoid action
1.Elevates Andrew tracks hyoid
2. Elongates floor of mouth.
Digastric proximal attachment
Anterior belly: digastric fossa of mandible
Posterior belly: mastoid notch of temporal bone
Digastric distal attachment
hyoid.
Digastric innervation
Anterior belly: 1. Nerve to Mylohyoid. 2. Branch of inferior alveolar
Posterior belly: digastric branch of facial nerve
Digastric action
- Depresses mandible with infrahyoids
- Elevates and steadies hyoid during swallowing and speaking.
Sternohyoid proximal attachment
- Manubrium.
- Medial end of clavicle.
Sternohyoid distal attachment
Body of hyoid
Sternohyoid innervation
C1 to C3 branch of Ansa cervicalis
Sternohyoid action
Depresses hyoid after elevation, while swallowing
Sternothyroid proximal attachment
Posterior surface of manubrium
Sternothyroid distal attachment
Oblique line of thyroid cartilage
Sternothyroid innervation
C2 to C3 branch of Ansa cervicalis
Sternothyroid action
Depresses, hyoid and larynx
Omohyoid proximal attachment
Superior border of scapula near suprascapular notch
Omohyoid distal attachment
Inferior border of hyoid
Omohyoid innervation
C1 to C3 branch of Ansa cervicalis
Omohyoid action
Depresses, retracts, and steadies hyoid
Thyrohyoid proximal attachment
Oblique line of thyroid cartilage
Thyrohyoid
distal attachment
- Inferior border of body of hyoid.
- Greater horn of hyoid.
Thyrohyoid
innervation
- See one via hypoglossal nerve CN XII
- Nerve to Thyrohyoid
Thyrohyoid action
- Depress, hyoid
- elevate larynx
Anterior triangle
Anterior: medial line of neck
Posterior: anterior border of sternocleidomastoid
Superior: inferior border of mandible
-Contains:
Internal jugular, vagus nerve, external carotid, spinal accessory nerve CN XI,
Submandibular gland, lymph nodes, hypoglossal nerve, mylohyoid nerve, facial artery and vein,
Submental, lymph nodes, veins that form anterior jugular
Lateral triangle
Anterior: posterior surface of sternocleidomastoid
Posterior: anterior trapezius
Inferior : middle one third of clavicle
- 1/3 subclavian artery, trunk of brachioplexus, part of subclavian vein, suprascapular artery, supraclavicular lymph nodes
-External jugular, spinal accessory nerve CN XI
Intercostals proximal attachment
Inferior border of the rib above
Intercostals distal attachment
Superior border of the rib below
Intercostals innervation
Thoracic segmental intercostal nerve
Serratus, posterior superior action
Elevates ribs with inhalation
Serratus posterior inferior action
Depresses ribs with exhalation
Transverses thoracis, proximal attachment
Internal surfaces of costal cartilage is of ribs, 3-6
Transverses thoracis distal attachment
Inferior body of sternum, xiphoid process
Transverses, thoracis action
Depresses costal cartilage is (pull in)
Subcostales action
May depress ribs
Accessory respiratory muscles
Sternocleidomastoid, platysma, pectoralis major, pectoralis minor, trapezius, scalenes, serratus anterior
Diaphragm action
Draws down the central tendon of the diaphragm during inhalation
Diaphragm proximal attachment
- Costal attachment: inner surface of lower six ribs
- Lumbar attachment: upper 3 lumbar vertebrae.
- Sternal attachment: inner part of xiphoid process.
Diaphragm distal attachment
Central tendon
Diaphragm innervation
Phrenic nerve C3, C4, C5. Keeps you alive.
Diaphragm motion, other affects
Venous return, spinal stabilization, controls intra-abdominal pressure’s, parasympathetic relaxation
Quadratus lumborum action
- Unilaterally laterally, hike, pelvis
- Unilaterally laterally flex vertebral column ipsilaterally.
- Unilaterally extends vertebral column.
- Bilaterally fix last rib during forced inspiration.
Quadratus lumborum superior attachment
12th rib and lumbar transverse processes
Quadratus lumborum inferior attachment
1.Iliolumbar ligament
2. internal lip of iliac crest
Quadratus lumborum innervation
Ventral branches of T12, L1 to L4
Psoas major action
- Flex the hip
- Externally rotate the hip.
- Flex the trunk toward the thigh
- Tilted pelvis anteriorly
- Stabilize the hip joint.
Psoas major proximal attachment
- T12 to L5, vertebrae and discs
- Transverse processes of all of all lumbar vertebrae.
Psoas major distal attachment
Lesser trochanter of femur
Psoas major innervation
Ventral rami of L1, L2, L3
Iliacus superior attachment
- Iliac fossa
- Sacrum
- Anterior sacroiliac ligaments.
Iliacus inferior attachment
- Lesser trochanter.
- Psoas tendon.
Iliacus innervation
Femoral L2 to L4
Rectus, abdominous action
- Flex the vertebral column.
- Compress, abdominal viscera.
- Tilted pelvis posteriorly
Rectus, abdominous innervation
Thoraco abdominal nerves, (anterior rami of T6 to T 12 spinal nerves)
External oblique action
- Unilaterally laterally flex vertebral column to the same side.
- Unilaterally rotate the vertebral column to the opposite side.
- Bilaterally flex the vertebral column.
- Bilaterally compress, abdominal contents.
Internal oblique action
- Unilaterally laterally flex vertebral column to the same side.
- Unilaterally rotate the vertebral column to the same side.
- Bilaterally flex the vertebral column.
- Bilaterally compress, abdominal contents.
External oblique innervation
ThoracoAbdominal nerves of T7 to T11 and subcostal nerve.
Transverse abdominous action
Compress and support abdominal viscera
-Antagonist to diaphragm with expiration
Transverse abdominous innervation
Thoracoabdominal nerves, and first lumbar nerve
Bicep Brachii Proximal Attachment
Short head: coracoid process of scapula
Long Head: supraglenoid tubercle of scapula
Bicep Brachii Distal Attachment
- Radial Tuberosity
- Fascia of forearm via bicipital aponeurosis
Bicep Brachii Innervation
Musculocutaneous Nerve (c5, c6, c7)
Bicep Brachii Action
- Supinates forearm
- Flexes elbow
Short head: resists shoulder dislocation
Coracobrachialis proximal attachment
Coracoid process
Coracobrachialis distal attachment
Middle surface of humerus
Coracobrachialis innervation
Musculocutaneous Nerve (c5, c6, c7)
Coracobrachialis action
- Flex arm
- Adduct Arm
- Resists dislocation of humerus
Triceps Brachii Proximal Attachment
Long head: infraglenoid tubercle
Lateral head: posterior surface of the humerus, superior to radial groove
Medial head: posterior surface of humerus, and inferior to Radial groove.
Triceps Brachii Distal Attachment
- olecranon of ulna
- Fascia of forearm
Triceps Brachii Innervation
Radial nerve (c6, c7, c8)
Triceps Brachii Action
- Extends elbow
Long head: resists dislocation of humerus
Anterior Scalene Distal attachment
1st rib
Anterior Scalene action
- Flex neck laterally
- Elevate 1st rib during forced inhalation
Posterior Scalene Action
- Flex neck laterally
- Elevate 2nd rib during forced inhalation
Brachialis Proximal Attachment
Distal anterior surface of humerus
Brachialis Distal Attachment
- Ulnar tuberosity
- Coronoid Process
Brachialis Innervation
- Musculocutaneous N. C5-C6
- Small Branch from Radial C5 & C7
Brachialis Action
Flexes elbow in all positions
Brachioradialis Proximal Attachment
lateral supra-epicondylar ridge of humerus
Brachioradialis Distal Attachment
Lateral surface of distal radius proximal to styloid process
Brachioradialis Innervation
Radial N. (C5, C6, C7)
Brachioradialis Action
- Flex elbow
- Assits to pronate and supinate forearm when resisted
Anconeus Proximal Attchment
Lateral Epicondyle
Anconeus Distal Attachment
Lateral Olecranon
Anconeus Innervation
Radial (C7, C8, T1)
Anconeus Action
- Assist tricep with extending elbow
- Stabilizes elbow
- Abduct ulna during pronation
Supinator Proximal Attachment
- Lateral Epicondyle
- Radial Collateral Lig
- Annular Lig