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Trunk/Head/Neck Muscles
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74
Anatomy
Graduate
07/16/2013

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Term
Anterior Scalene
Definition
O:
Transverse processes of C3-C6 Vertebrae

I:
1st rib

Inn:
Cervical Spinal nerves C4,C5, C6

Action:
Flex head and elevates 1st rib during forced inspiration
Term
Middle Scalene
Definition
O:
Posterior tubercles of transverse processes of C5,C6,C7 vertebrae

I:
Superior surface of 1st rib; posterior to groove for subclavian artery

Inn:
Anterior Rami of cervical spinal nerves

Action:
Flexes neck laterally; elevates 1st rib during forced inspiration.
Term
Posterior Scalene
Definition
O:
Posterior tubercles of transverse processes of C5,C6,C7 vertebrae

I:
External border of 2nd rib

Inn:

Anterior Rami of cervical spinal nerves C7 and C8

Action:
Flexes neck laterally; elevates 2nd rib during forced inspiration.
Term
Sternocleidomastoid
Definition
O:
Lateral surface of mastoid process of temporal bone and lateral half of superior nuchal line

I:
Sternal Head: Anterior surface of manubrium of sternum

Inn:
Spinal Accessory Nerve (XI) and C2, C3

Action:
Unilateral contraction: tilts head to same side and rotates it so face is turned superiorly toward opposite side. Bilateral Contraction: 1. Extends neck at atlanto-occipital joints, 2. flexes cervical vertebrae so that chin approaches manubrium or 3. Extends superior cervical vertebrae while flexing inferior vertebrae so chin is thrust forward while head kept level. With cervical vertebrae fixed, may elevate manubrium and medial ends of clavicles, assisting pump-handle action of deep respiration
Term
Trapezius
Definition
O:
Medial third of superior nuchal line; external occipital protuberance; nuchal ligament; spinous processes of C7-T12 vertebrae.

I:
Lateral third of clavicle; acromion and spine of scapula

Inn:
Spinal Accessory Nerve (XI), C3, C4

Action:
Descending part elevates; ascending part depresses; and middle part (or all partts together) retracts scapula; descending and ascending parts act together to rotate glenoid cavity superiorly. Superior fibers elevate pectoral girdle and maintain level shoulders against gravity/resistance.
Term
Levator Scapulae
Definition
O:
Posterior tubercles of transverse processes of C1-C4 vertebrae

I:
Medial border of scapula superior to root of scapular spine

Inn:
Dorsal Scapular nerve, C3, C4

Action:
Elevates scapula and tilts its glenoid cavity inferiorly by rotating scapula
Term
Latissimus Dorsi
Definition
O:
Spinous processes of inferior 6 thoracic vertebrae, thoracolumbar fascia, iliac crest, and inferior 3 or 4 ribs.

I:
floor of intertubercular sulcus of humerus

Inn:
Thoracodorsal nerve

Action:
Extends, adducts, and medially rotates humerus; raises body toward arms when climbing.
Term
Rectus Capitis Anterior
Definition
O: Base of cranium, just anterior to occipital condyle I: Anterior surface of lateral mass of atlas Inn: C1 and C2 spinal nerves Action: Flex head
Term
Rectus Capitis Lateralis
Definition
O: Jugular process of occipital bone I: Transverse process of atlas Inn: C1 Action: Flexes Head and helps stabilize it
Term
Serratus Posterior Superior
Definition
O:
Nuchal ligament, spinous processes of C7 to T3 vertebrae

I:
Superior borders of 2nd to 4th ribs

Inn:
2nd through 5th intercostal nerves

Action:
Proprioception (elevate ribs)
Term
Serratus Posterior Inferior
Definition
O:
Spinous processes of T11 through L2 vertebrae

I:Inferior borders of 8th to 12th ribs near their angles

Inn:
Anterior rami to T9 to T12 thoracic spinal nerves

Action:
Proprioception (depress ribs)
Term
Temporalis
Definition
O:
Temporal Fossa and Deep temporal fascia

I:
tip and medial surface of coronoid process and ramus of mandible

Inn:
Mandibular Division of Trigeminal Nerve

Action:
Elevates Mandible, posterior fibers retrude mandible after protrusion.
Term
Lateral Pterygoid
Definition
O:
Superior Head: infratemporal surface of greater wing of sphenoid bone. Inferior Head: lateral surface of lateral pterygoid plate.

I:
Neck of mandible. Superior head also attaches to anterior part of articular disc and TMJ capsule.

Inn:
Mandibular Division of Trigeminal Nerve

Action:
Acting bilaterally, protrude mandible. Acting alone and alternatively, produce side to side movements of mandible
Term
Medial Pterygoid
Definition
O:
Deep head: Medial surface of lateral pterygoid plate. Superficial Head: tuberosity of maxilla.

I:
Medial surface of ramus of mandible

Inn:
Mandibular Division of Trigeminal Nerve

Action:
Acting bilaterally, elevate mandible and help protrude it. Acting alternately, produces grinding motion.
Term
Masseter
Definition
O:
Inferior border of medial surface of zygomatic arch

I:
lateral surface of ramus of mandible and coronoid process

Inn:
Mandibular Division of Trigeminal Nerve

Action:
Elevates and protrudes mandible; deep fibers retrude it.
Term
Frontalis
Definition
O:
Part of Scalp

Inn:
Temporal Branch of Facial Nerve

Action:
Elevates the eyebrows, wrinkles forehead
Term
Orbicularis Oculi
Definition
O:Encircles the eye

Inn:
Temporal/Zygomatic Branches of Facial Nerve

Action:
Eye closure, winks, squints and encourages flow of tears
Term
Corrugator
Definition
Inn: Temporal Branch of Facial Nerve

Action: Knits eyebrows together
Term
Levator palpebrae Superioris
Definition
Inn: Oculomotor Nerve

Action: elevates upper eyelid (continuously active)
Term
Nasalis
Definition
O: Runs transversely across nose

Action:
Compresses and flares the nostrils, draws nostrils down
Term
Procerus
Definition
O: Medial to Corrugator

Inn: Zygomatic Branch of Facial Nerve

Action:
draws the medial part of eyebrows inferiorly
Term
Orbicularis Oris
Definition
O: Encircles the mouth

Inn: Buccal Branch of Facial Nerve

Action:
Lip protrusion, compression, mastication and pucker
Term
Levator Labii Superioris Aleque Nasi
Definition
O: Side of nose

I: Orbicularis Oris

Action:
Elevates alar cartilage of nose and upper lip
Term
Levator Labii Superioris
Definition
O:
Inferior to orbital, lateral to Levator Labii Superioris Aleque Nasi

I: Orbicularis Oris

Inn:Zygomatic Branch of Facial Nerve

Action:
Raises and everts upper lip
Term
Levator Anguli Oris
Definition
O: Deep to Zygomaticus Minor and Levator Labii Superioris

I: Orbicularis Oris
Term
Zygomaticus Major and Minor
Definition
Inn: Zygomatic Branch of Facial Nerve

Action:
Pulls mouth corners upward and outward
Term
Risorius
Definition
Inn:
Mandibular Branch of Facial Nerve

Action:
Pulls mouth corners upward and outward (backward)
Term
Depressor Anguli Oris
Definition
Inn:
Mandibular Branch of Facial Nerve

Action: Depresses corner of mouth
Term
Depressor Labii inferioris
Definition
Inn: Mandibular Branch of Facial Nerve

Action: Draws lips inferiorly and laterally
Term
Mentalis
Definition
Inn:
Mandibular Branch of Facial Nerve

Action:
Raise and protrude lower lip; pout.
Term
Buccinator
Definition
Inn:
Buccal Branch of Facial Nerve

A:
Aids mastication and swallowing. Presses cheeks against molar during chewing. Whistling and sucking.
Term
Platysma
Definition
Inn:
Cervical branch of Facial Nerve

A:
Tenses skin of neck, draws corners of mouth inferiorly, assists in depressing mandible
Term
Interspinales
Definition
O:
Spinous process to spinous process

I:
Spinous process to spinous process

Inn:
DPR

A:
Role in extension
Term
Intertransversarii
Definition
O:
Transverse process to transverse process

I:
Transverse process to transverse process

I:
DPR

A:
Role in lateral flexion
Term
Rotatores
Definition
O:
Brevis: from transverse process below to lamina one level above. Longus: from transverse process below to lamina two levels above.

I:
Brevis: from transverse process below to lamina one level above. Longus: from transverse process below to lamina two levels above.

Inn:
DPR

A:
Role in rotation
Term
Levatores Costarum
Definition
O:
In thoracic region only. From C7-T11 transverse processes to subjacent ribs, between tubercle and angle.

I:
In thoracic region only. From C7-T11 transverse processes to subjacent ribs, between tubercle and angle.

Inn:
DPR

A:
Elevates ribs for inspiration
Term
Rectus Capitis Posterior Major
Definition
O:
C2 Spinous process

I:
Occiput

Inn:
C1 DPR Suboccipital nerve

A:
As a group, Suboccipitals controls movements of skull in nodding and rotation.
Term
Rectus Capitis Posterior Minor
Definition
O:
C1 Posterior tubercle

I:
Occiput

Inn:
C1 DPR Suboccipital nerve

A:
As a group, Suboccipitals controls movements of skull in nodding and rotation.
Term
Obliquus capitis inferior
Definition
O:
C2 Spinous process

I:
Transverse process of C1

Inn:
C1 DPR Suboccipital nerve

A:
As a group, Suboccipitals controls movements of skull in nodding and rotation.
Term
Obliquus capitis superior
Definition
O:
C1 Transverse process

I:
Occiput

Inn:
C1 DPR Suboccipital nerve

A:
As a group, Suboccipitals controls movements of skull in nodding and rotation.
Term
Splenius Capitis
Definition
O:
superior nuchal line and mastoid process

I:
Cervical and upper thoracic spinous processes

A:
Extends head and neck, ipsilateral rotation of head and neck
Term
Splenius Cervicis
Definition
O:
cervical transverse processes

I:
Cervical and upper thoracic spinous processes

A:
Extends head and neck, ipsilateral rotation of head and neck
Term
ES Spinalis
Definition
O:
Medially group connecting spinous processes

A:
Spinal Extension
Term
Longissimus Cervicis
Definition
O:
Posterior tubercles of C2 to C6 transverse processes

I:
Upper 4 or 5 thoracic transverse processes

A:
Extension and lateral flexion of spine
Term
Longissimus Capitis
Definition
O:
Mastoid process

I:
Lower 3 or 4 cervical articular processes

A:
Extension and lateral flexion of spine/Head
Term
Iliocostalis Cervicis
Definition
O:
C4-C6 transverse processes

I:
angles of ribs 3-6

A:
Role in extension and lateral flexion of spine
Term
Semispinalis Cervicis
Definition
O:
Cervical spinous processes up to C2

I:
Upper thoracic transverse processes

A:
Extension and contralateral rotation of spine
Term
Semispinalis Capitis
Definition
O:
Occiput below superior nuchal line

I:
Upper thoracic and cervical transverse processes

A:
Extension and contralateral rotation of head
Term
Digastrics
Definition
Inn:
Mylohyoid branch from V3 to anterior belly, VII to posterior belly

A:
Fixate/elevate hyoid
Term
Stylohyoid
Definition
Inn:
Cranial Nerve VII

A:
Fixate/elevate hyoid
Term
Mylohyoid
Definition
Inn:
Mylohyoid branch from V3

A:
Fixate/elevate hyoid
Term
Geniohyoid
Definition
Inn:
C1

A:
Fixate/elevate hyoid
Term
Sternohyoid
Definition
Inn:
Ansa Cervicalis

A:
Fixate/ depress hyoid and thyroid cartilage
Term
Sternothyroid
Definition
Inn:
Ansa Cervicalis

A:
Fixate/ depress hyoid and thyroid cartilage
Term
Thyrohyoid
Definition
Inn:
C1

A:
Fixate/ depress hyoid and thyroid cartilage
Term
Omohyoid (Superior and Inferior Bellies)
Definition
Inn:
Ansa Cervicalis

A:
Fixate/ depress hyoid and thyroid cartilage
Term
Longus Colli
Definition
O:
transverse processes upper vertebrae

I:
transverse processes of upper vertebrae

Inn:
Anterior rami of C2-C6 spinal nerves

A:
Flexes neck with rotation ( torsion) to opposite side if acting unilaterally
Term
Longus Capitis
Definition
O:
Basilar part of occipital bone

I:
transverse processes of cervical vertebrae

Inn:
Anterior rami of C1-C3

A:
flex head
Term
Psoas Major
Definition
O:
From lower anteromedial lumbar TPs, T12-L5 vertebral bodies and discs

I:
To lesser trochanter of femur with iliacus

Inn:
L1, L2, L3

A:
Helps to stabilize and support L-spine
Acts with back extensors to form guy wire support to stabilize lumbar spine in sagittal plane?
Role in sagittal plane movement is questionable
Term
Quadratus Lumborum
Definition
Caud:
Iliolumbar ligament and adjacent portion of iliac crest

Rost:
Medial half of last rib and tips of L1-L4 TPs

Inn:
T12, L 1,2,3,4

A:
Fixes last rib and acts to steady diaphragm during inspiration
Acting from above, hikes hip
With pelvis fixed, ipsilateral SB
Acting bilaterally, minor role in trunk ext.
Acting bilaterally, forms guy wire support to stabilize L-spine in frontal plane
Active in side bridging
Term
Iliocostalis lumborum pars thoracis
Definition
Ros:
Angles of ribs 5-12

Caud:
Dorsal PSIS & iliac crest

Inn:
lateral branches of lumbar DPR

A:
role in extension
role in creating shear forces
Important in counteracting damaging anterior shear forces incurred with lifting
More efficient in this role with lumbar spine in extension
Term
Iliocostalis lumborum pars lumborum
Definition
Rost:
L1-L4 TPs

Caud:
L1-L4 TPs

Inn:
Inn:
lateral branches of lumbar DPR

A:
role in extension
role in creating shear forces
Important in counteracting damaging anterior shear forces incurred with lifting
More efficient in this role with lumbar spine in extension
Term
Longissimus thoracis pars thoracis
Definition
Rost:
2 series of fascicles arise from T1-T12 TPs and ribs 4-12

Caud:
All lumbar SPs, sacrum and ilium

Inn:
intermediate branches of lumbar DPR

A:
role in extension
role in creating shear forces
Important in counteracting damaging anterior shear forces incurred with lifting
More efficient in this role with lumbar spine in extension
Term
Longissimus thoracis pars lumborum
Definition
Rost:
5 fascicles arise from L1-L5 accessory processes

Caud:
Ventral surface PSIS
L1-L4 caudal tendons form Lumbar Intermuscular Aponeurosis

Inn:
intermediate branches of lumbar DPR

A:
role in extension
role in creating shear forces
Important in counteracting damaging anterior shear forces incurred with lifting
More efficient in this role with lumbar spine in extension
Term
Diaphragm
Definition
O:
(1) sternal part
From back of xiphoid
(2) costal part
From inner surfaces of costal carts. and adj. parts of lower ribs
(3) lumbar part
Med. & Lat. Arcuate ligs. and Crura

I:
central tendon

Inn:
C3, C4, C5

A:
Lower ribs are fixed during inspiration (by QL), from which diaphragm acts to draw the central tendon down and forward (pulling pericardium with it)
This pushes down abdominal viscera with protrusion of abdominal wall
Downward mvmt checked by tension in pericardium and resistance from abdominal organs
From this point of stability, diaphragm can then act to elevate ribs
Term
Rectus Abdominis
Definition
O:
Pubic crest and symphysis

I:
Costal cartilages of ribs 5-7 and xiphoid

Inn:
Thoraco-abdominal nerves (anterior rami of T6-T12 spinal nerves

A:
Flexes vert. column
With thorax fixed, can posteriorly rotate pelvis
Term
External Abdominal Oblique
Definition
O:
Lower 8 ribs, interdigi-tating w/serratus ant. and latissimus dorsi

I:
From lower 2 ribs to ant. half of outer lip of iliac crest
Remaining fibers end in apon. of ext. oblique

Inn:
Thoraco-abdominal nerves (T7-T11 spinal nerves) and subcostal nerve

A:
Support and compress abdominal viscera
Assist in forced expiration
Acting bilaterally, flex vertebral column
Lateral fibers
Acting bilaterally, posteriorly rotate pelvis
Acting unilaterally, laterally flex vertebral column
Anterior fibers
Acting unilaterally, flex and contralaterally rotate vertebral column
Term
Internal Abdominal Oblique
Definition
O:
Lat. 2/3 inguinal lig, ant. 2/3 iliac crest (intermed. lip), & lateral raphe of TLF

I:
Post. fibers to lower 3(4) ribs, lower fibers from inguinal lig. to pubic crest & remaining fibers end in aponeurosis of internal oblique

Inn:
Thoraco-abdominal nerves (T6-T12 spinal nerves) and first lumbar nerves

A:
Support and compress abdominal viscera

Assist in forced expiration

Acting bilaterally, upper fibers flex vertebral column

Acting unilaterally, upper fibers laterally flex and rotate vertebral column to same side
Term
Transverse Abdominis
Definition
O:
Lat. 2/3 inguinal lig, ant. 2/3 iliac crest (inner lip)
middle layer of TLF
internal aspects of lower 6 costal carts, interdigitating w/diaphragm

I:
Almost all fibers end in aponeurosis, lower fibers of which attach to pubic crest and remaining fibers end in linea alba
Upper fibers may extend across midline to be contin. w/fibers of contralat. transversus

Inn:
Thoraco-abdominal nerves (T6-T12 spinal nerves) and first lumbar nerves

A:
Support and compress abdominal viscera
Assist in forced expiration, acting to decrease infrasternal angle

Thought that transversus acts in a feedforward manner to help stabilize the lumbar spine via 2 mechanisms:
Through its attachment to TLF
By increasing intra-abdominal pressure
Term
Iliocostalis thoracis
Definition
O:
Angles of upper 6 ribs, C7 transverse process

I:
angles of lower 6 ribs

A:
role in extension and lateral flexion of spine
Term
External Intercostal Muscles
Definition
Run between contiguous ribs

Fibers run inferolat’ly behind & inferomed’ly in front

A:
Elevate ribs for inspiration
Term
Internal Intercostal Muscles
Definition
Deep to external intercostals
Run between ribs
Fibers orient at right angles to external intercostals

A:
debatable
Term
Innermost Intercostal Muscles
Definition
Deep to internal intercostals
run between ribs

A:
probably act with internal intercostals
Term
Transverse thoracis
Definition
On internal surface of anterior thoracis wall
From lower sternum, xiphoid and lower true rib costal cartilages

A:
depresses costal cartilages
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