Serratus Posterior Superior

Origin and Insertion

 

Origin: Ligamentum Nuchae and Spinous Process of C7 thru T3

 

Insertion: Ribs 2 - 5

-

Serratus Posterior Superior

Innervation

Ventral Primary Rami

-

Serratus Posterior Inferior

Origin and Insertion

Origin: Spinous Process of T9-L3

 

Insertion: Ribs 9-12

-

Serratus Posterior Inferior

Innervation

Ventral Primary Rami

-

Serratus Posterior Superior & Inferior

Action

Action

Assits in Respiration

 

-

Erector Spinae: Iliocostalis

Origin and Insertion

Origin: Iliac Crest, Sacrum, Spinous Process of Lumbar Vertebrae, and Angles of Ribs

 

Insertion: Angle of Ribs

-

Erector Spinae: Longissimus

Origin and Insertion

 

Origin: Blends with Iliocostalis, transverse processes of cervical and thoracic vertebrae

 

Insertion: Transverse processes to the level of C2, Mastoid Process

-

Erector Spinae: Spinalis

Origin and Insertion

Origin: Spinous Processes starting at L2

 

Insertion: Spinous Processes to the level of C2, fuses with Semispinalis and fuses to skull between the superior and inferior nuchal line.

-

Erector Spinae

Action

Bilateral

Extend the spine and neck

 

Unilateral

Side bending of contractile side

-

Erector Spinae

Innervation

Ventral Primary Rami
-

Transversospinalis: Semispinalis

Origin and Insertion

Origin: Transverse processes from C4 to T12

 

Insertion: Transverse processes to C2 (Spans of 4-6 vertebrae) and skull between the superior and inferior nuchal lines

-

Transversospinalis: Multifidus

Origin and Insertion

Origin: Sacrum, Sacrotuberous ligament, Iliac Crest, and Transverse processes

 

Insertion: Spinous Process to the level of C2 (Spans 2-4 vertebrae)

-

Transversospinalis: Rotatores

Origin and Insertion

Origin: Transverse Processes

 

Insertion: Attach to Lamina

Spans 1(Brevis) or 2(Longus) vertebrae

-

Spinotransverse: Splenius

Origin and Insertion

Origin: Transverse Processes (C7-T4) and Ligamentum Nuchae

 

Insertion: Transverse processes of C1 - C3/4, Mastoid Process, and Superior Nuchal Line

-

Spinotransverse: Splenius

Action

Action

Bilateral: Extension of Head and Neck

 

Unilateral: Side bending of neck and rotation of head.

-

Name the muscles identified below:

Suboccipital Muscles

 

A - Rectus Capitis Posterior Minor

B - Rectus Capitis Posterior Major

C - Obliquus Capitis Inferior

D - Obliquus Capitis Superior

-

Rectus Capitis Posterior Major

Origin and Insertion

Origin: Spinous Process of C2

 

Insertion: Inferior Nuchal Line

-

Rectus Capitis Posterior Minor

Origin and Insertion

Origin: Posterior Tubercle of C1

 

Insertion: Inferior Nuchal Line

-

Obliquus Capitis Superior

Origin and Insertion

Origin: Transverse Process of C1

 

Insertion: Between the Superior and Inferior Nuchal Lines

-

Obliquus Capitis Inferior

Origin and Insertion

Origin: Spinous Process of C2

 

Insertion: Transverse Process of C1

-
Action of the Suboccipital Muscles

Muscles include: Rectus Capitis Posterior Minor, Rectus Capitis Posterior Major, Obliquus Capitis Superior, and Obliquus Capitis Inferior

 

Action: Maintains posture of the head, minor role in rotation and extension.

-
Borders of the Suboccipital Triangle

Obliquus Capitis Superior

Obliquus Capitis Inferior

Rectus Capitis Posterior Major

 

 Suboccipital Triangle

-

Levator Costarum

Origin and Insertion

Origin: Transverse Process of C7 - T11

 

Insertion: Angle of the Ribs

-

Levator Costarum

Innervation

Dorsal Primary Rami
-

Levator Costarum

Action

Action

Aids in Respiration

-

Rectus Abdominis

Origin and Insertion

Origin - Pubic Crest and Symphysis

 

Insertion - 5-7th Costal Cartilages and Xiphoid Process

-

Rectus Abodminis

Innervation

Thoracoabdominal and Subcostal Nerves
-

Rectus Abdominis

 

What is the reason/function of the Tendinous Intersections?

 

 

Tendinous Intersections allows the muscle to contract segmentally (more control) and also provides an attachment for the Rectus Sheath.
-

Rectus Abdominis

Action

Action

Contracts and flexes the trunk, indirectly the vertebra as well.

-

Pyrimidalis

Origin and Insertion

Origin - Pubic Crest and Symphysis

 

Insertion - Linea Alba

-

Pyrimidalis

Innervation

Iliohypogastric (Branch from L1 VPR) and the Subcostal Nerves
-

Pyrimidalis

Action

Action

Tenses the Linea Alba

-

External Abdominal Oblique Muscle

Origin and Insertion

Origin - External Surface of the 5th thru 12th Ribs and Thoracolumbar fascia. (Has interdigitation with the Seratus Anterior)

 

Insertion: Linea Alba, Lateral lip of the Iliac Crest to ASIS, and Pubic Tubercle

-

External Abdominal Oblique Muscle

Innervation

Subcostal and Thoracoabdominal Nerves
-

External Abdominal Oblique Muscle

Action

Action

Primary - Compresses the Abdominal Contents

Bilaterally - Causes Flexion of the Trunk

Unilaterally - Rotation of the Trunk

-

Internal Abdominal Oblique

Origin and Insertion

Origin - Lateral 2/3 of Inguinal Ligament, Iliac Crest, and Thoracoabdominal Fascia

 

Insertion - Costal Cartilages of Ribs 7-10, Linea Alba, Pubic Crest, Pectineal Line, and Rectus Sheath

-

Internal Abdominal Oblique

Innervation

Thoracoabdominal, Subcostal, and Ilioinguinal Nerves
-

Internal Abdominal Oblique

Action

Action

Primary - Compresses the contents of the abdomen

Bilaterally - Flexion of the trunk

Unilaterally - Rotation of the trunk

Inferiorly - Compresses the Pubic Symphysis (Stabalizes the Pelvis)

-

Transverse Abdominis

Origin and Insertion

Origin - Lateral 1/3 of the Inguinal Ligament, Medial Part of the Iliac Crest, Thoracolumbar Fascia, and Costal Cartilage of Ribs 7 - 12

 

Insertion - Linea Alba, Pectineal Line, and Pubic Crest

-

Transverse Abdominis

Innervation

Thoracoabdominal, Subcostal, Iliohypogastric, and Ilioinguinal Nerves
-

Transverse Abdominis

Action

Action

Compression of the Abdomen

 

Stabalizes the Lumbar Spine

 

Compresses the Pubic Symphysis for Pelvic Compression / Stabalization

-

Platysma

Origin and Insertion

Origin: Fascia over Clavicle

 

Insertion: Lower border of mandible, Subcutaneous tissue of face, and interdigitates with facial muscles around mouth

-

Platysma

Innervation

Cervical branches of the Facial Nerve (Cranial Nerve VII)
-

Platysma

Action

Action

Depresses the angles of the mandible

-

Sternocleidomastoid

Origin and Insertion

Origin: Anterior Manubrium and Clavicular Head

 

Insertion: Mastoid Process

-

Sternocleidomastoid

Innervation

Accessory Nerve (Cranial Nerve XI) and APR of C2 thru C4
-

Sternocleidomastoid

Action

Action

Bilateral: Flexs the Neck and Extends the Head

 

Unilateral: Side bending of the Head and Rotation of the Head opposite to the way it bends

-

Anterior Scalene

Origin and Insertion

Origin: Anterior Tubercles of C3 thru C6

 

Insertion: Scalene Tubercle on Frist Rib

-

Middle Scalene

Origin and Insertion

Origin: Transverse Process between the Anterior and Posterior Tubercle of C2 thru C7

 

Insertion: First Rib

-

Posterior Scalene

Origin and Insertion

Origin: Posterior Tubercles of C4 thru C6

 

Insertion: Second Rib

-

Scalenes

Innervation

Segmentally by APR
-

Scalenes

Action

Action

Side bends the head and aids in respiration

-

Omohyoid

Origin and Insertion

Origin: Scapula just medial to the Suprascapular Notch

 

Insertion: Lower Border of Hyoid

 

The intermediate tendon is attached to the clavicle via the Fascial Sling

-

Sternohyoid

Origin and Insertion

Origin: Deep border of the manubrium and the SC Joint

 

Insertion: Lower border of the hyoid

-

Sternothyroid

Origin and Insertion

Origin: Deep side of the manubrium

 

Insertion: Oblique line of Thyroid Cartilage

-

Thyrohyoid

Origin and Insertion

Origin: Oblique Line of Thyroid Cartilage

 

Insertion: Lower Border of Hyoid Bone

-

Infrahyoid Muscles

Action

Collective Function

Depresses the hyoid bone for the purpose of swallowing and stabalizes the hyoid bone

 

Exception

Sternothyroid: Depresses the thyroid cartilage and plays a role during phonation

-

Infrahyoid Muscles

Innervation

Common Innervation

Ansa Cervicalis Nerve

 

Exception

Thyrohyoid - VPR of C1

-

Digastric

Origin and Insertion

Origin: Digastric Fossa of Mandible

 

Insertion: Mastoid Notch

 

Fascial sling attaches the intermediate tendon to the hyoid bone

-

Digastric

Innervation

Anterior Belly: Third Branch of Cranial Nerve V

 

Posterior Belly: Facial Nerve

(Cranial Nerve VII)

-

Stylohyoid

Origin and Insertion

Origin: Styloid Process

 

Insertion: Hyoid Bone (Splits to go around the Digastric)

-

Stylohyoid

Innervation

Facial Nerve

(Cranial Nerve VII)

-

Mylohyoid

Origin and Insertion

Origin: Mylohyoid line on Mandible

 

Insertion: Hyoid Bone

-

Mylohyoid

Innervation

Third Branch of Cranial Nerve V
-

Geniohyoid

Origin and Insertion

Origin: Mental side of Mandible

 

Insertion: Hyoid Bone

-

Geniohyoid

Innervation

APR of C1
-

Suprahyoid Muscles

Action

Elevates the hyoid

 

Stabalizes the base of the Tongue

-

Cricothyroid

Origin and Insertion

Origin: Arch of Cricoid Cartilage

 

Insertion: Lamina of Thyroid Cartilage

-

Cricothyroid

Innervation

External Laryngeal Nerve
-

Cricothyroid

Action

Tilts the thyroid cartilage laterally

 

Tension on Vocal Cords

-

Gluteus Maximus

Origin and Insertion

Origin: Ilium (Behind Posterior Gluteal Line), Sacrum, and Sacrotuberous Ligament

 

Insertion: Gluteal Tuberosity and Iliotibial Band

-

Gluteus Maximus

Innervation and Vasculature

Innervation: Inferior Gluteal Nerve

 

Vasculature: Inferior Gluteal Artery

-

Gluteus Maximus

Action

Action

Extension of the Hip, Stabalization of the Hip, and Lateral Rotation

-

Gluteus Medius

Origin and Insertion

Origin: Ilium (Between the Posterior and Anterior Gluteal Lines)

 

Insertion: Lateral Surface of Greater Trochanter

-

Gluteus Medius

Action

Action

Abduct the Hip

If the foot is planted, can raise the opposite side of the pelvis

Aids in Medial Rotation

-

Gluteus Medius

Innervation and Vasculature

Innervation: Superior Gluteal Nerve

 

Vasculature: Superior Gluteal Artery

-

Gluteus Minimus

Origin and Insertion

Origin: Ilium (Between the Anterior and Inferior Gluteal Lines)

 

Insertion: Lateral Side of the Greater Trochanter

-

Gluteus Minimus

Action

Action

Abduction and Medial Rotation

-

Gluteus Minimus

Innervation and Vasculature

Innervation: Superior Gluteal Nerve

 

Vasculature: Superior Gluteal Artery

-

Piriformis

Origin and Insertion

Origin: Anterior Surface of Sacrum

 

Insertion: Superior, Medial Surface of Greater Trochanter

-

Piriformis

Innervation

VPR of L5 - S2
-

Piriformis

Action

Action

With Hip Extended: Lateral Rotation

 

With Hip Flexed: Abduction

-

Obturator Internus

Origin and Insertion

Origin: Deep Surface of Obturator Membrane

 

Insertion: Medial Side of Greater Trochanter

-

Obturator Internus

Innervation

Nerve to the Obturator Internus
-

Obturator Internus

Action

Action

With Hip Extended: Lateral Rotation

 

With Hip Flexed: Abduction

-

Superior Gamellus

Origin and Insertion

Origin: Ischial Spine

 

Insertion: Medial Side of the Greater Trochanter

-

Superior Gamellus

Innervation

Nerve to Obturator Internus
-

Superior Gamellus

Action

Action

With Hip Extended: Lateral Rotation

 

With Hip Flexed: Abduction

-

Inferior Gamellus

Origin and Insertion

Origin: Ischial Tuberosity

 

Insertion: Medial Side of Greater Trochanter

-

Inferior Gamellus

Innervation

Nerve to Quadratus Femoris
-

Inferior Gamellus

Action

Action

With Hip Extended: Lateral Rotation

 

With Hip Flexed: Abduction

-

Quadratus Femoris

Origin and Insertion

Origin: Ischial Tuberosity

 

Insertion: Intertrochanteric Crest

-

Quadratus Femoris

Innervation

Nerve to Quadratus Femoris
-

Quadratus Femoris

Action

Action

Lateral Rotation

-

Obturator Externus

Origin and Insertion

Origin: Superficial Side of Obturator Membrane

 

Insertion: Trochanteric Fossa

-

Obturator Externus

Innervation

Obturator Nerve
-

Gracilis

Origin and Insertion

Origin: Body of Pubis and Inferior Pubic Rami

 

Insertion: Superior Part of Posterior Medial Tibia

-

Gracilis

Action

Action

Adduction of Thigh at Hip Joint

Flextion of Knee Joint

-

Gracilis

Innervation

Obturator Nerve
-

Adductor Longus

Origin and Insertion

Origin: Body of Pubis

 

Insertion: Middle Third of Line Aspera

-

Adductor Longus

Innervation

Obturator Nerve
-

Adductor Longus

Action

Adduction of Thigh at Hip Joint
-

Pectineus

Origin and Insertion

Origin: Pectineal Line of Pubic Bone

 

Insertion: Pectineal Line of Femur

-

Pectineus

Innervation

Obturator Nerve and Femoral Nerve
-

Pectineus

Action

Action

Adduction of Thigh at Hip Joint

Hip Flexion

-

Adductor Brevis

Origin and Insertion

Origin: Body of Pubis and Inferior Pubic Ramus

 

Insertion: Pectineal Line and Proximal Third of Line Aspera

-

Adductor Brevis

Innervation

Obturator Nerve

(Which splits to go around this muscle)

-

Adductor Brevis

Action

Action

Adduction of Thigh at Hip Joint

-

Adductor Magnus

Origin and Insertion

This muscle has two divisions

 

Adductor Portion

Origin: Ischiopubic Ramus

Insertion: Linea Aspera and Medial Supracondyler Ridge

 

Hamstring Portion

Origin: Ischial Tuberosity

Insertion: Adductor Tubercle

-

Adductor Magnus

Innervation

This muscle has two divisions

 

Adductor Portion

Obturator Nerve

 

Hamstring Portion

Tibial Division of the Sciatic Nerve

-

Adductor Magnus

Action

This muscle has two divisions

 

Adductor Portion

Adduction of Thigh at Hip Joint

 

Hamstring Portion

Extension of Thigh at Hip Joint

-
What are the quadracept muscles?

Anterior Muscles of the Thigh:

Rectus Femoris

Vastus Lateralis

Vastus Medialis

Vastus Intermedius

-

Rectus Femoris

Origin and Insertion

Origin:

Straight Head: AIIS

Reflected Head: Ilium above the Acetabulum

 

Insertion: Base of the Patella via the Quatricepts Tendon then conveyed to the Tibial Tuberosity via the Patellar Ligament

-

Rectus Femoris

Innervation

Femoral Nerve
-

Rectus Femoris

Action

Action

Extension of Leg at Knee Joint

 

Flexion of Thigh at Hip Joint

-

Vastus Lateralis

Origin and Insertion

Origin: Lateral Part of the Intertrochanteric Line and Lateral Lip of the Linea Aspera

 

Insertion: Base of the Patella via the Quatricepts Tendon then conveyed to the Tibial Tuberosity via the Patellar Ligament

-

Vastus Lateralis

Innervation

Femoral Nerve
-

Vastus Lateralis

Action

Extension of Leg at Knee Joint
-

Vastus Medialis

Origin and Insertion

Origin: Medial Part of the Intertrochanteric Line and Medial Lip of the Linea Aspera

 

Insertion: Base of the Patella via the Quatricepts Tendon then conveyed to the Tibial Tuberosity via the Patellar Ligament

-

Vastus Medialis

Innervation

Femoral Nerve
-

Vastus Medialis

Action

Extension of Leg at Knee Joint
-

Vastus Intermedius

Origin and Insertion

 

Origin: Anterior and Lateral Surfaces of the Proximal 2/3's of the Femur

 

 

Insertion: Base of the Patella via the Quatricepts Tendon then conveyed to the Tibial Tuberosity via the Patellar Ligament

-

Vastus Intermedius

Innervation

 

Femoral Nerve
-

Vastus Intermedius

Action

 

Action

Extension of Leg at Knee Joint

-

Articularis Genu

Origin and Insertion

Origin: Deepest Fibers of the Vastus Intermedius

 

Insertion: Suprapatellar Bursa

-

Articularis Genu

Innervation

Femoral Nerve
-

Articularis Genu

Action

Action

Tenses the bursa so that it is able to travel with the Quadricepts Tendon and Reduce Friction

-

Iliopsoas

Origin and Insertion

Formed from Two muscles

 

Iliacus

Origin: Iliac Fossa

 

Psoas Major

Origin: Transverse Processes of Lumbar Vertebra, and Intervertebral Discs and Vertebral Bodies of T12-L4

 

Common Insertion

Lesser Trochanter

-

Iliopsoas

Innervation

Formed from two muscles

 

Iliacus

Femoral Nerve

 

Psoas Major

VPR of L1-L3

-

Iliopsoas

Action

Action

Flexion of Hip

-

Sartorius

Origin and Insertion

Origin: ASIS

 

Insertion: Medial Surface of Tibia

-

Sartorius

Innervation

Femoral Nerve
-

Sartorius

Action

Action

1 - Hip Flexion

2 - Knee Flexion

3 - External Rotates Hip

-

Semimembranosus

Origin and Insertion

Origin: Ischial Tuberosity

 

Insertion: Posterior Medial Tibial Condyle and Continues to the Lateral Femoral Condyle via the Oblique Popliteal Ligament

-

Semimembranosus

Innervation

Tibial Nerve
-

Semimembranosus

Action

Action

Hip Extension, Knee Flexion, Medial Rotation of the Leg

-

Semitendinosus

Origin and Insertion

Origin: Ischial Tuberosity

 

Insertion: Medial Surface of the Tibia

-

Semitendinosus

Innervation

Tibial Nerve
-

Semitendinosus

Action

Action

Hip Extension, Knee Flexion, and Medial Rotation of the Leg

-

Biceps Femoris

Origin and Insertion

Origin:

Long Head: Ischial Tuberosity

Short Head: Linea Aspera and Lateral Supracondyler Ridge

 

Insertion: Head of the Fibula, continuous with the Lateral Collateral Ligament

-

Biceps Femoris

Innervation

Long Head: Tibial Nerve

Short Head: Common Fibular Nerve

-

Biceps Femoris

Action

Hip Extension, Knee Flexion (Not Short Head), Lateral Rotation of the Leg
-

Fibularis Longus

Origin and Insertion

Origin: Lateral Surface of the Proximal Third of Fibula

 

Insertion: Base of 1st Metatarsal and Medial Cuneiform

-

Fibularis Longus

Innervation

Superficial Fibular Nerve
-

Fibularis Longus

Action

Action

Inversion of the Foot, Plantar Flexion

-

Fibularis Brevis

Origin and Insertion

Origin: Lateral Surface of the distal 2/3 of Fibula

 

Insertion: Base of the 5th Metatarsal

-

Fibularis Brevis

Innervation

Superficial Fibular Nerve
-

Fibularis Brevis

Action

Plantar Flexion
-

Tibialis Anterior

Origin and Insertion

Origin: Anterior Lateral Surface of the Tibia, Interosseous Membrane

 

Insertion: Base of the 1st Metatarsal and Medial Cuneiform

-

Tibialis Anterior

Innervation

Deep Fibular Nerve
-

Tibialis Anterior

Action

Action

Dorsi Flexion, Inversion of the Foot

-

Extensor Hallucis Longus

Origin and Insertion

Origin: Middle 1/3 of Fibula, Interosseous Membrane

 

Insertion: Distal Phalanx of the First Digit

-

Extensor Hallucis Longus

Innervation

Deep Fibular Nerve
-

Extensor Hallucis Longus

Action

Action

Extends the Toe, Assists in Dorsiflexion, Weak participant in Inversion

-

Extensor Digitorum Longus

Origin and Insertion

Origin: Fibula, Interosseous Membrane, and Lateral Tibial Condyle

 

Insertion: Digital Dorsal Expansions of lateral 4 toes

-

Extensor Digitorum Longus

Innervation

Deep Fibular Nerve
-

Extensor Digitorum Longus

Action

Action

Extension at the Metatarsalpalangeal and Interphalangeal Joints

-

Fibularis (Peroneus) Tertius

Origin and Insertion

Origin: Anterior Distal Fibula

 

Insertion: Base of the 5th Metatarsal

-

Fibularis (Peroneus) Tertius

Innervation

Deep Fibular Nerve
-

Fibularis (Peroneus) Tertius

Action

Assists in Eversion and Dorsiflexion
-

Gastrocnemius

Origin and Insertion

Origin: Distal Femur, Just Proximal to the Medial and Lateral Condyles

 

Insertion: Calcaneus

-

Gastrocnemius

Innervation

Tibial Nerve
-

Gastrocnemius

Action

Action

Plantar Flexion, Knee Flexion

-

Soleus

Origin and Insertion

Origin: Proximal Fibula, Soleal Line

 

Insertion: Calcaneus

-

Soleus

Innervation

Tibial Nerve
-

Soleus

Action

Action

Plantar Flexion

-

Plantaris

Origin and Insertion

Origin: Posterior Lateral Femur Superior to the Gastrocnemius

 

Insertion: Calcaneus

-

Plantaris

Innervation

Tibial Nerve
-

Plantaris

Action

Action

Plantar Flexion, Knee Extension

-

Flexor Hallucis Longus

Origin and Insertion

Origin: Posterior Lateral Fibula

 

Insertion: Distal Phalanx of Great Toe

-

Flexor Hallucis Longus

Innervation

Tibial Nerve
-

Flexor Hallucis Longus

Action

Action

Flex Great Toe, Assists in Holding Up Talus, Assists in Plantar Flexion

-

Tibialis Posterior

Origin and Insertion

Origin: Interosseous Membrane, Edges of the Tibia and Fibula

 

Insertion: Bases of the 2nd - 4th Metatarsals, 3 Cuneiforms, Cuboid, and Navicular

-

Tibialis Posterior

Innervation

Tibial Nerve
-

Tibialis Posterior

Action

Action

Inversion of the Foot

Assits in Plantar Flexion

-

Flexor Digitorum Longus

Origin and Insertion

Origin: Posterior Tibia

 

Insertion: Distal Phalanges of Toes 2-5

-

Flexor Digitorum Longus

Innervation

Tibial Nerve
-

Flexor Digitorum Longus

Action

Action

Flex the IP Joints

Assist in Plantar Flexion