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N O I A N: AME Rigin Nsertion Ction Erve
N O I A N: AME Rigin Nsertion Ction Erve
ACTION raises the eyebrows wrinkles the forehead horizontally draws eyebrows medially and inferiorly wrinkles the forehead vertically (frowning) raises eyelids
NERVE Facial
1 2 4
Facial
Levator palpebrae superioris tendinous band around optic foramen 3 (near annular ring) Orbicularis oculi
4
upper eyelid
Oculomotor
tissue of eyelid
Facial
NERVE Oculomotor
9 5 8
Inferior rectus
6
annular ring
inferior eyeball
Oculomotor
annular ring
medial eyeball
Oculomotor
6 10
Lateral rectus
8
annular ring
lateral eyeball
Abducens
Superior oblique
9
annular ring
Trochlear
9 7 5 8
Inferior oblique
10
INSERTION skin & muscle of upper lip skin & muscle @ corner of mouth skin & muscle @ corner of mouth skin @ angle of mouth orbicularis oris
ACTION raises & furrows the upper lip raises lateral corners of mouth (smiling) raises lateral corners of mouth (smiling) draws corner of lip laterally tense of lips synergist of zygomaticus draws corner of mouth laterally compresses cheek (sucking) holds food between teeth during chewing draws corner of mouth laterally & downward antagonist of zygomaticus draws lower lip inferiorly (pout)
NERVE Facial
Zygomaticus minor
12
Facial
Zygomaticus major
13
zygomatic bone
Facial
11 12 13 15 14
Risorius
14
lateral facia assoc. with masseter muscle molar region of maxilla and mandible
Facial
Facial
skin & muscle @ angle of mouth (below insertion of zygomaticus) skin & muscle of lower lip
Facial
Facial
Orbicularis oris
18
encircles mouth; inserts into muscle & skin @ angles of mouth lower margin of mandible, and skin & muscle @ corner of mouth
closes lips purses and protrues lips kissing & whistling depresses mandible pulls lower lip back & down
Facial
18 17
Platysma
19
Facial
16 19
NAME Masseter
20
ACTION prime mover of jaw closure elevates mandible closes jaw elevates & retracts mandible synergist of pterygoids maintains position of mandible at rest synergist of temporalis & masseter in elevation of the mandible act with lateral pterygoid muscle to protrude mandible of to promote side-to-side movements (grinding) protrudes mandible provides forward sliding and side-to-side grinding movements of the lower teeth
NERVE Trigeminal
Temporalis
21
Trigeminal
21
20
MANDIBLE MOVERS
Medial pterygoid
22
medial surface of medial surface of lateral pterygoid plate mandible near its of sphenoid bone, angle maxilla & palatine bone
Trigeminal
Lateral pterygoid
23
greater wing & lateral condyle of mandible pterygoid plate of and capsule of temsphenoid bone poromandibular joint
Trigeminal
23 22
NAME Genioglossus
24
ORIGIN internal surface of mandible near symphysis styloid process of temporal bone
INSERTION inferior aspect of the tongue and body of hyoid bone lateral inferior aspect of tongue
ACTION primarily protrudes tongue can depress or act in concert with other extrinsic muscles to retract tongue retracts (& elevates) tongue
NERVE Hypoglossal
TONGUE MOVERS
Styloglossus
25
Hypoglossal
25 26
24
Hyoglossus
26
inferolateral tongue
NAME Digastric
27
ORIGIN lower margin of mandible (anterior belly) & mastoid process of the temporal bone (posterior belly)
INSERTION
ACTION
by a connective tissue acting in concert, elevate loop to hyoid bone hyoid bone & steady it during swallowing & speech acting from behind, open mouth & depress mandible hyoid bone
Stylohyoid
28
elevates & retracts hyoid Facial -> elongate oor of mouth during swallowing elevates hyoid bone & Mandibular oor of mouth, enabling branch of tritongue to exert backward geminal & upward pressure for swallowing pulls hyoid bone superiorly & anteriorly, shortening oor of mouth and widening pharynx for receiving food First cervial spinal nerve via hypoglossal nerve Cervical spinal nerves 1-3
27
Mylohyoid
29
31
34
33
32
SWALLOWING MUSCLES
Geniohyoid
30
Sternohyoid
31
lower margin of hyoid depresses larynx & hyoid bone bone if mandible is xed may also ex skull thyroid cartilage pulls thyroid cartilage (plus larynx & hyoid) inferiorly depresses & retracts hyoid bone
Sternothyroid
32
Omohyoid
33
Thyrohyoid
34
thyroid cartilage
hyoid bone
30
34
NAME Sternocleidomastoid
35
ORIGIN
INSERTION
ACTION prime mover of active head exion (when act together) rotates head toward opposite side (when act singularly
manubrium of stermastoid process of num & medial portion temporal bone & of clavicle superior nuchal line of occipital bone
35
Splenius (capitis)
36
extend or hyperextend head when act together rotate and bend head laterally toward same side when act on one side
extends head and move it to opposite side synergist with sternocleidomastoid of opposite side
37
ORIGIN iliac crests (luborum) inferior 6 ribs (thoracis) ribs 3-6 (cervicis)
INSERTION
ACTION
angle of ribs (luborum extend vertebral column, & thoracis) maintain posture cervical vertebrae C6- bend vertebral column to C4 (cervicis) same side when act on one side
transverse process of transverse process of lumbar through cervi- thoracic or cervical cal vertebrae vertebrae and to ribs superior to origin; mastoid process for capitis
TORSO EXTENDERS
thoracis & cervicis act to- Spinal nerves gether to extend vertebral (dorsal rami) column act on one side, bend it laterally capitis extends heads and turns the face toward same side extends vertebral column Spinal nerves (dorsal rami)
38-C
spines of upper lumbat & lower thoracic vertebrae iliac crest & lumbar fascia
spines of upper thoracic & cervical vertebrae transverse process of upper lumbar vertebrae & lower margin of 12th rib
38-B
Quadratus lumborum
39
exes vertebral column laterally when alone when together extends lumbar spine & xes 12th rib maintains upright posture assists in forced breathing
38-A 39
NERVE Intercostal
40
inferior border (costal depress rib cage, aid in groove) of rib above forced expiration antagonist of external intercostals
Intercostal
41
Diaphragm
42
inferior, internal central tendon surface of rib cage & sternum, costal cartilages of last six ribs & lumbar vertebrae
Phrenic
42
ACTION ex & rotate lumbar region of vertebral column x & depress ribs stabilize pelvis during walking increase intra-abdominal pressure
NERVE Intercostals
ABDOMINAL MUSCLES
External oblique
44
outer surface of lower linea alba via aponeu- when together, synergist Intercostals 8 ribs rosis to rectus abdominis, ex vertebral column & compress abdominal wall when alone, synergist to muscles of back, roate & lateral exion of trunk lumbar fascia, iliac linea alba, pubic crest, & inguinal liga- crest, last 3 or 4 ribs, ment & costal margin inguinal ligament, lumbar fascia, cartilages of last 6 ribs, iliac crest linea alba, pubic crest same as external oblique Intercostals
46 45 44
43
Internal oblique
45
Transverse abdominis
46
Intercostals
45
43
46
44
ACTION supports & maintains pelvic viscera resists downward thrusts forms sphincters at anorectal junction & vagina lifts anal canal during defecation supports pelvic viscera supports coccyx & pulls it forward
Coccygeus
48
spine of ischium
S4 & S5
47 47
ACTION draws scapula forward & downward (ribs xed) draws rib cage superiorly (scaupla xed) stablizes & depresses pectoral girdle
Subclavius
50
Nerve to subclavius
50
agonist to protract & hold Long thoracic scapula against rib cage nerve rotates scapula (inferior angle laterally & upward) abduct & raise arm & horizontal arm movements stablizes, raises, retracts Accesory nerve & rotates scapula adducts & retracts scapula (middle) elevates scapula or synergist to head extension (suprior) depresses scapula & shoulder (inferior) elevates & adducts scapula (synergist to trapezius) tilts glenoid cavity down, exes neck to same side (xed scapula) Cervical spinal nerves & dorsal scapular nerve
49 51
53 52
Levator scapulae
53
54 55
Rhomboid minor
54
Rhomboid major
55
retract scapula (squarDorsal scapular ing shoulders), synergist nerve with middle bers of Trapezius rotate glenoid cavity downward (lowering arm against resistence) stablize scapula
ORIGIN
INSERTION
ACTION agonist of arm exion rotates arm medially adducts arm against resistance pulls rib cage upward with scapula xed agonist of arm extension powerful arm adductor medially rotates arm & shoulder depresses scapula pulls body upward & forward with arms xed overhead
sternal end of claviby a short tendon into cle, sternum, cartilage intertubercular groove of ribs 1-6, & apoof humerus neurosis of external oblique muscle via lumbodorsal oor of intertubercufascia into spines of lar groove of humerus T7-L5, lower 4 ribs & iliac crest lateral 3rd of clavicle, deltoid tuberosity of acromion & spine of humerus scapula
Latissimus dorsi
57
Thoracodorsal
56
Deltoid
58
ARM MOVERS
Supraspinatus
59
Infraspinatus
60
agonist of arm abduction with all - Axillary nerve bers, antagonist of pectoralis major & latissimus dorsi exes & medially rotates humerus with anterior bers, synergist of pectoralis major extends & laterally rotates arms with posterior bers stabilizes shoulder joint helps prevent downward dislocation of humerus helps to hold head of humerus in glenoid cavity stabilizes the shoulder joint rotates humerus laterally Suprascapular nerve Suprascapular nerve
59
60 62 63
57
Subscapularis
61
chief medial rotator of humerus, assisted by pectoralis major helps to hold head of humerus in glenoid cavity, stablizes shoulder same as infraspinatus
Subcapular nerve
61
Teres minor
62
lateral border of dorsal scapular surface posterior surface of scapula @ inferior angle coracoid process of scapula
Axillary nerve
64
Teres major
63
intertubercular groove posteromedially extends, medially of humerus, tendon rotates, & adducts arm fused with tendon of synergist of latissimus dorsi latissimus dorsi medial surface of humerus shaft exion & adduction of humerus synergist of pectoralis major
Coracobrachialis
64
ORIGIN
INSERTION
ACTION exes elbor joint & supinates forearm (usually at the same time) weak exor of arm @ shoulder
long head (65-1): tuber- by common tendon to cle above glenoid cav- radial tuberosity ity and lip of glenoid cavity of scapula short head: (65-2): coracoid process of scapula front of distal humerus coronoid process of ulna base of styloid process of radius
Brachialis
66
major forearm exor, synergist with biceps brachii synergist in forearm exion, best when forearm is partially exed stablizes the elbow during rapid exion & extension
Triceps brachii
68
lateral head (68-1): pos- by common tendon terior shaft of humerus into olacrenon prolong head (68-2) : cess of ulna infraglenoid tubercle of scapula medial head (68-3): posterior humeral shaft distal to radial groove lateral epicondyle of humerus lateral aspect of olacranon process
agonist of forearm extension Radial nerve (medial head) antagonist of forearm exors stablizes shoulder joint & assist in arm adduction (long head tendon)
68-1
68-2 69
Anconeus
69
abducts ulna during forearm pronation synergist of triceps brachii in elbow extension pronates forearm weak exor of elbow
Radial nerve
65-1 65-2
66
FOREARM ROTATORS
Pronator teres
70
Supinator
71
medial epicondyle of hu- by common tendon merus, coronoid process into lateral radius, of ulna midshaft lateral epicondyle of humerus, radial collateral & annular ligaments, supinator fossa & crest of ulna
lateral, anterior & forcibly supinates forearm with posterior surfaces of biceps brachii proximal 1/3 of radius weakly supinates forearm working along antagonist of Pronator teres
70 71
ORIGIN medial epicondyle of humerus medial epicondyle of humerus medial epicondyle of humerus, olecranon process & posterior surface of ulna lateral supracondylar ridge of humerus lateral epicondyle of humerus & posterior border of ulna
INSERTION
ACTION
base of 2nd & 3rd powerful exor of wrist metacarpals (anterior) abducts the hand weak syngergist of elbow exion palmar aponeurosis, skin & fascia of palm pisiform & hamate bones & base of 5th metacarpal (anterior) base of 2nd metacarpal (posterior) base of 5th metacarpal (posterior) weak wrist exor weak synergist of elbow exion tenses skin of palm during hand movements
WRIST FLEXORS
Palmaris longus
73
Median nerve
75
WRIST EXTENSORS
powerful exor of writs adducts hand with extensor carpi ulnaris stablized wrist during nger extension
Ulnar nerve
72 73 74
77
extends wrist with extensor carpi ulnaris abducts write with exor carpi radialis extends & adducts wrist
Radial nerve
medial epicondyle of hu- by four tendons into merus, coronoid process middle phalanges of of ulna, shaft of radius ngers 2-5 lateral epicondyle of humerus by four tendons into extensor expansions & distal phalanges of ngers 2-5
exes wrist & middle phalanges of ngers 2-5 prime mover of nger extension extends wrist can abduct (are) ngers
Posterior interosseous nerve, a branch of radial nerve Posterior interosseous nerve, deep branch of radial nerve Posterior interosseous nerve Posterior interosseous nerve
76 79
78
81
lateral epicondyle of humerus posterior surface of middle 3rd of ulna posterior surface of radius & ulna
extensor expansion of extends 5th digit 5th digit base of distal phallanx extends thumb of thumb base of 1st metacarpal abducts & extends thumb & trapezium
80
NAME Satorius
82
ORIGIN anterior superior iliac spine iliac fossa & crest, lateral sacrum
ACTION exes, abducts & laterally rotates the thigh exes knee (weak)
Iliopsoas Iliacus
83
prime mover of thigh exion Femoral nerve lateral exion of vertebral column (psoas) Ventral nerve adducts, exes & medially rotates Femoral & obtuthigh rator nerve Obturator nerve
84 83 89 85 82 88 86 87
Pectineus
85
transverse processes of lesser trochanter of L1-L5, bodies & discs of femur T12-L5 pectineal line of pubis
Gracilis
86
inferior ramus & body of medial surface of tibi- adducts thigh pubis, ischial ramus al shaft just inferior to exes & medially rotates leg medial condyle (when walking) ischial & pubic rami, ischial tuberosity pubic near pubic symphysis anterior iliac crest & anterior superior iliac spine linea aspera & adductor tubercle of femur linea aspera iliotibial tract adducts & medially rotates thigh (anterior part) synergist of hamstring in thigh extension (posterior part)
87 88
THIGH MOVERS
Adductor magnus
87
Obturator nerve
91
Adductor longus
88
adducts, exes & medially rotates Anterior divithigh sion of obturator nerve exes & abducts thigh (synergist Superior gluteal of iliopsoas & gluteus muscles) nerve rotates thigh medially steadies the trunk by pulling iliotibial tract taut (locking the knee) major extensor of thigh laterally rotates & abducts thigh inactive during standing abducts thigh anterior part rotates hip medially posterior part rotates hip lateraly abducts & medially rotates thigh Inferior gluteal nerve Superior gluteal nerve Superior gluteal nerve
90
Gluteus maximus
90
dorsal ilium, sacrum & coccyx lateral surface of ilium between anterior & posterior gluteal lines
gluteal tuberosity of femur, iliotibial tract via short tendon into lateral aspect of greater trochanter
91 92
Gluteus medius
91
Gluteus minimus
92
dorsal ilium between an- superior border of terior & inferior gluteal greater trochanter of lines femur
90
ORIGIN long head (a): ischial tuberosity short head (b): linea aspera & distal femur iscial tuberosity
INSERTION by common tendon into head of bula & lateral condyle of tibia medial aspect of upper tibial shaft
ACTION extends thigh & exes knee laterally rotates leg when knee is exed
Semitendinosus HAMSTRINGS
94
extends thigh & exes knee medially rotates leg with semimembranosus extends thigh & exes knee medially rotates leg
Sciatic nerve
Semimembranosus
95
ischial tuberosity
Sciatic nerve
93 94 95
Popliteus
96
unlocks knee by exes & rotates leg medially rotates thigh laterally with tibia xed extends knee exes thigh @ hip
Tibial nerve
96
Rectus femoris
97
anterior inferior iliac spine & superior margin of acetabulum greater trochanter, intertrochanteric line, linea aspera linea aspera, intertrochanteric line
Femoral nerve
extends & stablizes knee patella & tibial tuberosity via patella ligament
Femoral nerve
Vastus medialis
99
Femoral nerve
97 98 99
98 100 99
Vastus intermedius
100
extends knee
Femoral nerve
ORIGIN lateral condyle & upper 2/3 of tibial shaft, interosseous membrane
INSERTION by tendon into inferior surface of medial cuneiform & 1st metatarsal
ACTION prime mover of dorsiexion inverts foot assist in supporting medial longitudinal arch
102
Fibularis longus
102
plantar exes & everts foot Supercial bu may help keep foot at on ground lar nerve
104 105 102 101
101 105
Fibularis brevis
103
103
FOOT MOVERS
Gastrocnemius
104
by two heads from medial & lateral condyles of femur posterior calcaneus via calcaneal tendon (Achilles)
plantar exes foot when knee is extended exes knee when foot is dorsiexed plantar exes foot important locomoter & postural muscle
Tibial nerve
106
Soleus
105
Tibial nerve
106 96 105
104
Plantaris
106
Tibial nerve
105
ORIGIN INSERTION anteromedial bula shaft distal phalanx of big & interosseous memtoe brane
prime mover of toe extension Deep bular (mainly @ metatarsal joints) nerve dorsiexes foot (with tibialis anterior & extensor hallucis longus)
108
107
TOE MOVERS
mid-shaft of bula, inter- tendon runs underfoot plantar exes & inverts foot osseous membrane to distal phalanx of exes big toe (push-off muscle big toe when walking)
Tibial nerve
109
posterior tibia
tendon runs behind medial malleolus & insert into distal phalanx of toes 2-5
plantar exes & inverts foot exes toes helps foot grip ground
Tibial nerve
110
110
109