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levator scapulae
Origin transverse processes of C1-C4 Insertion superior angle Action scapula elevation downward rotation Blood : transverse cervical artery Nerve nerves off cervical plexus, C3,4 dorsal scapular nerve, C5
trapezius
Origin
scapula retraction (middle) elevation, upward rotation (upper) depression, upward rotation (lower)
Blood : transverse cervical artery Nerve : spinal accessory, ventral of C3-4
latissimus dorsi
Origin T7-iliac crest, 3-4ribs, inferior angle Insertion intertubercular groove Action shoulder adduction extension medial rotation downward rotation (scapula) Blood : thoracodorsal artery Nerve : thoracodorsal nerve, C6,7,8
rhomboideus minor/major
Origin spinous process of C7 & T1 spinous processes of T2-T5 Insertion medial border, spine Action scapula retraction downward rotation Blood transverse cervical artery dorsal scapular artery Nerve dorsal scapular nerve, C5, [C4]
pectoralis major
Origin clavicle, sternum, cartilages Insertion Intertubercular groove Action shoulder adduction, medially rotation horizontal adduction, flexion, extension Blood thoracoacromial artery lateral thoracic artery Nerve lateral pectoral nerve, C5,6,7 medial pectoral nerve, C8,T1
pectoralis minor
Origin ribs 3-5 Insertion coracoid process Action scapula depression downward rotation, protraction stabilizes the scapula Blood lateral thoracic artery Nerve medial pectoral nerve, C8,T1
serratus anterior
Origin upper 1~8 ribs Insertion medial border Action scapula protraction upward rotation stabilize scapula Blood lateral thoracic artery thoracodorsal artery Nerve long thoracic nerve, C5,6,7
subclavius
Origin 1 rib Insertion lower surface of clavicle Action stabilizing clavicle Blood thoracoacromial artery Nerve nerve to the subclavius, C5,6
deltoid
Origin clavicle, acromion, spine Insertion deltoid tuberosity Action shoulder flexion, horizontal adduction, medial rotation abduction extension, horizontal abduction, lateral rotation Blood humeral circumflex artery thoracoacromial artery Nerve axillary nerve, C5,6
subscapularis
Origin subscapular fossa Insertion lesser tubercle Action shoulder medial rotation stabilizes the shoulder joint Blood subscapular artery Nerve subscapular nerves, C5,6
supraspinatus
Origin supraspinous fossa Insertion greater tubercle Action shoulder abduction stabilizes the shoulder joint Blood suprascapular artery
infraspinatus
Origin infraspinous fossa Insertion greater tubercle Action
external rotation stabilizes the shoulder joint Blood suprascapular artery scapular circumflex artery Nerve suprascapular nerve, C5,6
shoulder
teres major
Origin Inferior angle Insertion lesser tubercle(bicipital) Action shoulder adduction medial rotation extension Blood thoracodorsal artery Nerve lower subscapular nerve, C5,6
teres minor
Origin axillary border Insertion greater tubercle Action shoulder lateral rotation stabilizes the shoulder joint Blood scapular circumflex artery Nerve axillary nerve, C5,6
Coracobrachialis
Origin: coracoid process Insertion: medial shaft (humerus) Action: shoulder flexion assists to adduction Blood: brachial artery Nerve: C5,6,7
Biceps brachii
Origin y long : supraglenoid tubercle y short : coracoid process Insertion y radial tuberosity Action y elbow flexion y supination y stabilizes the shoulder y shoulder flexion (weak if at all) Blood: brachial artery Nerve: C5,6
brachialis
Origin: 1/2 of anterior humerus Insertion: ulnar tuberosity Action: elbow flexion Blood: brachial artery radial recurrent artery Nerve: musculocutaneous nerve, C5,6
brachioradialis
Origin: lateral supracondylar Insertion: styloid process of radius Action: elbow flexion pronates the forearm when supinated supinates the forearm when pronated Blood: radial recurrent artery Nerve: radial nerve, C5,6
triceps brachii
Origin long : intraglenoid tubercle lateral / medial : radial groove(above/below) Insertion olecranon process Action long : elbow extension, shoulder extension lateral / medial : elbow extension Blood brachial artery superior ulnar collateral artery profunda brachii artery Nerve radial nerve, C6,7
anconeus
Origin lateral epicondyle Insertion olecranon process Action elbow extension supports the elbow when in full extension Blood middle collateral artery Nerve radial nerve, C7,8
pronator teres
Origin medial epicondyle ulnar head Insertion lateral aspect of radius Action pronation weakly flexes the elbow Blood ulnar / radial artery Nerve median nerve, C6,7
pronator quadratus
Origin distal of anterior ulna Insertion distal of anterior radius Action pronation Blood radial artery, interosseous artery Nerve median nerve, C8,T1
supinator
Origin lateral epicondyle of humerus supinator crest of ulna radial collateral ligament Insertion anteriorlateral surface of the radius Action supinates the forearm Blood radial recurrent artery Nerve radial nerve, C6
palmaris longus
Origin medial epicondyle Insertion palmar aponeurosis Action wrist flexion Blood muscular branches of ulnar artery Nerve median nerve, C6,7
extensor digitorum
Origin lateral epicondyle Insertion base of 2-5 middle / distal phalanges Action extension of 2-5 (MP) extends the wrist if fingers flexed Blood posterior interosseous artery Nerve radial nerve, C6,7,8
& 1st metacarpal of the thumb radially deviates the hand at the wrist Blood posterior interosseous artery Nerve radial nerve, C6,7,8
extensor indicis
Origin posterior surfaces of ulna Insertion base of middle and distal phalanx
of the index finger Action extends the 2nd digit adducts the 2nd digit assists to extend the hand at the wrist stabilizes MP joint for flexion of IP solely Blood : posterior interosseous artery Nerve : radial nerve, C6,7,8
opponens pollicis
Origin flexor retinaculum Insertion lateral shaft of 1st metacarpal Action opposition of thumb Blood radial artery Nerve median nerve, C8,T1
abductor pollicis
Origin base of 1st, 2nd and 3rd metacarpals carpal tunnel Insertion base of proximal phalanx of the thumb Action thumb adduction assist to flex the thumb Blood : radial artery Nerve : ulnar nerve, C8,T1
lumbricales
Origin tendon of flexor digitorum profundus Insertion extensor hood of digits 2-5 Action flexes the fingers (MP joints) extention of fingers PIP & DIP Blood : palmar metacarpal artery Nerve : median/ulnar nerve, C8,T1
interossei palmares
Origin from the side of the metacarpal Insertion proximal phalanx of the digit of origin Action adducts the fingers(2, 4, 5th) assists lumbricals Blood : palmar metacarpal artery Nerve : ulnar nerve, C8,T1
interossei dorsales
Origin between each metacarpal Insertion base of the proximal phalanx Action abduction of 2, 3, 4, 5th fingers assists lumbricals Blood : palmar metacarpal artery Nerve : ulnar nerve, C8,T1
Lower limb
iliopsoas
Origin inner surface of upper iliac fossa transverse processes of L1-L5 vertebral bodies of T12-L4 Insertion lesser trochanter Action hip flexion lateral rotation Blood : medial femoral circumflex artery Nerve : femoral nerve, L3,4 / ventral rami, L1,2,3
gluteus maximus
Origin ilium / posterior sacrum superior gluteal line Insertion IT band / gluteal tuberosity Action hip extension hip lateral rotation assist hip abduction (upper) IT band stabilize a fully extended knee Blood : gluteal artery Nerve : inferior gluteal nerve, L5,S1,2v
gluteus medius
Origin iliac crest between superior & middle gluteal lines Insertion greater trochanter Action hip abduction medial rotation (anterior) stabilizes the pelvis prevents free limb during gait Blood : superior gluteal artery Nerve : superior gluteal nerve, L4,5,S1
gluteus minimus
Origin between middle & inferior gluteal lines Insertion greater trochanter Action hip abduction medial rotation Nerve : superior gluteal nerve, L4,5,S1 Blood : superior gluteal artery
sartorius
Origin anterior superior iliac spine (ASIS) Insertion upper medial shaft of tibia Action flexes hip and knee laterally rotates thigh if flexed at the hip Blood femoral artery descending genicular artery Nerve femoral nerve, L2,3
rectus femoris
Origin anterior inferior iliac spine (AIIS) upper margin of acetabulum Insertion tibial tuberosity Action knee extension hip flexion Blood : lateral femoral circumflex artery Nerve : femoral nerve, [L2],3,4v
vastus lateralis
Origin greater trochanter linea aspera Insertion tibial tuberosity Action knee extension Blood : lateral femoral circumflex artery Nerve : femoral nerve, [L2],3,4v
vastus intermidius
Origin anterior & lateral femoral shaft Insertion tibial tuberosity Action extends knee Blood lateral femoral circumflex artery Nerve
femoral nerve, [L2],3,4v
vastus medialis
Origin linea aspera Insertion tibial tuberosity Action knee extension Blood descending genicular artery femoris artery Nerve femoral nerve, [L2],3,4v
biceps femoris
Origin ischial tuberosity / linea aspera Insertion head of fibula (lateral condyle) Action knee flexion (short head) hip extension (long head) laterally rotation (if flexed at the knee) Blood : gluteal artery Nerve tibial nerve, L5,S1,2 common peroneal nerve, L5,S1
semitendinosus
Origin ischial tuberosity Insertion antreior porximal tibial shaft Action hip extension knee flexion medial rotation of flexed knee Blood gluteal artery branches of profunda femoris Nerve tibial nerve of sciatic bundle, L5,S1,2
Semimembranosus
Origin ischial tuberosity Insertion posterior medial tibial condyle Action hip extension knee flexion medial rotation of flexed knee pulls medial meniscus posterior during flexion Blood gluteal artery branches of profunda femoris Nerve : tibial nerve of sciatic bundle, L5,S1,2
pectineus
Origin anterior pubis Insertion between lesser trochanter & linea aspera Action hip flexion assist adduction & medial rotation Blood : medial femoral circumflex artery Nerve : femoral nerve L3,4 obturator nerve L2,3,4
adductor brevis
Origin anterior pubis Insertion linea aspera (posterior) Action hip adduction assist flexion & medial rotation Blood femoral artery Nerve obturator nerve L2,3,4
adductor longus
Origin anterior pubis Insertion linea aspera Action hip adduction assist flexion & medial rotation Blood femoral artery Nerve obturator nerve L2,3,4
adductor magnus
Origin pubic ramus, ischial tuberosity Insertion linea aspera, adductor tubercle Action hip adduction assist flexion (anterior) assist extension (posterior) Blood femoral artery Nerve obturator nerve L2,3,4 / tibial nerve
gracilis
Origin pubic ramus Insertion medial proximal tibia Action hip adduction assist knee flexion Blood obturator artery Nerve obturator nerve L2,3,4
popliteus
Origin lateral femoral epicondyle Insertion posterior tibial surface Action insertion fixed: laterally rotates femur on tibia origin fixed: medially rotates tibia on femur Blood : peroneal artery Nerve : tibial nerve, L5,S1,2
gastrocnemius
Origin medial / lateral epicondyle Insertion calcaneus via tendo Achilles Action ankle plantarflexion assist knee flexion (when not weight bearing) stabilizes ankle & knee when standing Blood : popliteal / peroneal / posterior tibial artery Nerve : tibial nerve, S1,2
soleus
Origin upper fibula soleal line of tibia Insertion calcaneus via tendo Achilles Action ankle plantarflexion Blood : popliteal / peroneal / tibial artery Nerve : tibial nerve, S1,2
tibialis anterior
Origin anteriolateral shaft of tibia interosseous membrane Insertion base of 1st metatarsal medial(1st) cuneiform Action strongest dorsiflexor inverts & adducts the foot Blood : anterior tibial artery Nerve : deep peroneal nerve, L4,5,S1
posterior tibialis
Origin posterior tibia & fibula Insertion navicular / 3 cuneiforms / cuboid bases of 2-4 metatarsals Action inversion assists plantar flexion stabilizes ankle prevents hyperpronation while in gait Blood : peroneal / tibial artery Nerve : tibial nerve, L5,S1
peroneus longus
Origin lateral surface of fibula Insertion base of 1st metatarsal 1st cuneiform Action eversion & abduction assists plantar flexion Blood : peroneal artery Nerve : peroneal nerve, L4,5,S1
peroneus brevis
Origin lateral surface of fibula Insertion base of 5th metatarsal Action eversion & abduction assists plantar flexion Blood : peroneal artery Nerve : peroneal nerve, L4,5,S1
peroneus tertius
Origin anterior distal fibula Insertion
base of 5th metatarsal
Action assist eversion assist dorsiflexion Blood : anterior tibial artery Nerve : deep peroneal nerve, L4,5,S1
plantaris
Origin lateral epicondyle of femur Insertion calcaneus via tendo Achilles Action assists plantar flexin assits knee flexion Blood : popliteal / peroneal / tibial artery Nerve : tibial nerve, S1,2
Action
hallux extension
of 2-4 toes
Action
aids extension of 4 medial toes
abductor hallucis
Origin calcaneal tuberosity Insertion base of proximal phalanx 1 Action flexion (big toe at MP) abduction (big toe at MP) Blood : medial plantar artery Nerve : medial plantar nerve, L5,S1
quadratus plantae
Origin calcaneus Insertion tendon of flexor digitorum longus Action assists FDL in flexion Blood : lateral plantar artery Nerve : plantar nerve, L5,S1
lumbricales
Origin tendons of FDL Insertion extensor tendons of EDL Action flexion of MP joint extension of DIP & PIP Blood plantar artery Nerve plantar nerve, L5,S1
adductor hallucis
Origin base of 2nd-4th metatarsals Insertion base of proximal phalanx of 1st Action adduction (big toe at MP) flexion (big toe at MP) Blood : plantar artery Nerve : lateral plantar nerve, S1,2
dorsal interosssei
Origin between metatarsals Insertion base of proximal phalanx (2-4) Action abduction of toes 2-4 at MP Blood : lateral plantar arch Nerve : lateral plantar nerve S1,2
plantar interosssei
Origin medial aspect of 3-5 metatarsals Insertion
base of proximal phalanx (3-5)
Action
adduction toes 3-5
Trunk muscle
Splenius capitis
Origin ligament nuchae Spinous process of C7~T3 Insertion
Occipital bone Mastoid process
Action
Neck extension, rotation
Splenius cervicis
Origin Spinous process of T3~T6 Insertion
Transverse process of C1~C3
Action
Neck extension, rotation Trunk extension
Action
Raise the ribcage
Action
pull the ribcage down
Erector spinae
iliocostalis
Origin Thoracolumbar aponeurosis Posterior ribs Insertion
Posterior ribs Transverse process of cervical vertebra
Action
Spine extension, lateral flexion
Longissimus
Origin Thoracolumbar aponeurosis Transverse process of cervical & thoracic vertebra Insertion
Mastoid process Transverse process of cervical & thoracic vertebra
Action
Spine extension, lateral flexion
Spinalis
Origin Ligamentum nuchae Spinous process of cervical & thoracic vertebra Insertion
Occipital bone spinous process of cervical & thoracic vertebra
Action
Spine extension, lateral flexion
Semispinalis
Origin T.P of cervical & thoracic Insertion
S.P of cervical & thoracic
Action
Spine extension Rotation opposite side
Multifidus
Origin Sacrum, PSIS Transverse process of vertebra Insertion
Spinous process of vertebra
Action
Spine extension Rotation opposite side
Rotatores
Origin Transverse process of vertebra Insertion
Lamina Spinous process of vertebra
Action
Spine extension Rotation opposite side
Interspinalis
Origin spinous processes Insertion
Spinous processes one above
Action
Spine extension
Intertransversarii
Origin Transverse processes Insertion
Transverse processes one above
Action
Spine lateral flexion
Quadratus lumborum
Origin Posterior iliac crest Insertion
12th rib Transverse process of lumbar
Action
Trunk lateral flexion Raise hip
Nerve : T12, L1
Rectus abdominis
Origin 5, 6, 7 costal cartilage Insertion
Pubic symphysis
Action
Trunk flexion
Transverse abdominalis
Origin Inguinal ligament, iliac crest Thoracolumbar aponeurosis Insertion
Abdominal aponeurosis, pubis
Action : Nerve
7~12 intercostal nerve L1 (iliohypogastric N., ilioinguinal N.)
External oblique
Origin :Lower 8th rib Insertion
Iliac crest Abdominal aponeurosis
Action
Trunk flexion, rotation opposite side Lateral flexion
Internal oblique
Origin inguinal ligament Anterior iliac crest Insertion 9~12th rib costal cartilage Abdominal aponeurosis Action Trunk flexion, rotation opposite side Lateral flexion Nerve : 8~12 intercostal nerve L1 (iliohypogatric N., ilioinguinal N.)
scalenes
Origin Transverse process of cervical Insertion
1st , 2nd rib
Action
Elevate ribs(inspiration) Neck lateral flexion
Nerve
C6~C8
Temporalis
Origin Temporal bone Insertion
Mandible (coronoid process)
Action
Elevate mandible
Masseter
Origin Zygomatic arch Insertion
Mandible (lateral ramus)
Action
Elevate mandible
Facial muscle
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20.
Galea aponeurosis Frontal belly Corrugator supercilii Orbicularis oculi Procerus Levator labii superioris alaeque nasi Nassalis Levator labii superioris Zygomaticus minor Zygomaticus major Levator anguli oris Buccinator Parotid duct Masseter Orbicularis oris Risorius Depressor anguli oris Depressor labii inferioris Mentalis Platysma
Nerve
dermatomes
Cervical plexus
Brachial plexus
olfactory nerve optic nerve oculomotor nerve trochlear nerve trigeminal nerve abducens nerve facial nerve vestibulocochlear nerve glossopharyngeal nerve vagus nerve accessory nerve hypoglossal nerve , , , , , , , ( , ) , 2/3 , ,
superior midbrain superior midbrain midbrain midbrain pons pons pons pons medulla oblongata medulla oblongata medulla oblongata medulla oblongata
Spinal tract
1. Posterior funiculus 2. Posterior spinocerebellar tract 3. Anterior spinocerebellar tract 4. Lateral spinothalamic tract 5. Spinotectal tract 6. Anterior spinothalamic tract 7. Spino-olivary tract 8. Medial longitudinal fasciculus 9. Anterior corticospinal tract 10. Pontine reticulospinal tract 11. Tectospinal tract 12. Vestibulospinal tract 13. Medullary reticulospinal tract 14. Rubrospinal tract 15. Lateral corticospinal tract
q (SA) Shoulder Flex. Shoulder exten. Shoulder abd. Shoulder add. Shoulder int. rot. Shoulder ext. rot. Elbow flex. 0~180 0~50 0~180 0~40 0~90 0~90 0~145 Humerus Radius Acromion Humerus Acromion process (MA) (Axis)
Ulna
Olecranon process
Elbow joint
q (SA) Forearm pronation Forearm supination Wrist flex. Wrist exten. Wrist abd. Wrist add. 0~80 0~85 0~80 radius 0~70 0~40 0~45 (MA) Styloid process q carpal joint : 2nd metacarpal Bone (Axis)
Styloid process
Radial styloid
Forearm
3rd metacarpal
q (SA) 0~125(knee flex.) 0~90(knee exten.) 0~10 0~45 0~40 0~45 0~45 Knee 90 patella ASIS Thigh (MA) (Axis)
hip Flex.
Trunk
Femur
Greater trochanter
hip exten. hip abd. hip add. hip int. rot. hip ext. rot.
ASIS
patella
q (SA) Greater trochanter lat. Condyle (MA) Fibular head malleolus (Axis)
Knee flex
0~140
Knee joint
Fibula
Ankle joint
Leg 0~40
Calcaneus
malleolus
1. 2. 3. 4. 5. 6. 7.