1) Anterior Muscles – Thoracic Muscles that Move the Pectoral Girdle i. Pectoralis Minor 1. Action – Protracts and depresses Scapula 2. Origin – Ribs 3-5 3. Insertion – Coracoid Process of Scapula ii. Serratus Anterior 1. Action –Agonist in scapula protraction; superiorly rotates scapula (so glenoid cavity moves superiorly); stabilizes scapula 2. Origin – Ribs 1–8, anterior and superior margins 3. Insertion – Medial border of scapula, anterior surface iii. Subclavius 1. Action –Stabilizes and depresses clavicle 2. Origin – Rib 1 3. Insertion – Inferior surface of clavicle 2) Posterior Muscles – Thoracic Muscles that Move the Pectoral Girdle i. Levator Scapulae 1. Action – Elevates scapula; inferiorly rotates scapula (pulls glenoid cavity inferiorly) 2. Origin – Transverse processes of C1-C4 3. Insertion – Superior part of medial border of scapula ii. Rhomboid Major 1. Action – Elevates and retracts (adducts) scapula; inferiorly rotates scapula 2. Origin – Spinous Processes of T2-T5 3. Insertion – Medial border of scapula from spine to inferior angle iii. Rhomboid Minor 1. Action – Elevates and retracts (adducts) scapula, inferiorly rotates scapula 2. Origin – Spinous Process of C7-T1 3. Insertion – Medial border of scapula superior to spine iv. Trapezius 1. Action – a. Superior fibers: Elevate and superiorly rotate scapula b. Middle fibers: Retract scapula c. Inferior fibers: Depress scapula 2. Origin – Occipital bone (superior nuchal line); ligamentum nuchae; spinous processes of C7–T12 3. Insertion – Clavicle; acromion process and spine of scapula 3) Muscles Originating on Axial Skeleton – Muscles that Move the Glenohumeral Joint/Arm i. Latissimus Dorsi 1. Action – Agonist of arm extension; also adducts and medially rotates arm (“swimmer’s muscle”) 2. Origin – Spinous processes of T7–T12; ribs 8–12; iliac crest; thoracolumbar fascia 3. Insertion – Intertubercular groove of humerus ii. Pectoralis Major 1. Action – Agonist of arm flexion; also adducts and medially rotates arm 2. Origin – Medial clavicle; costal cartilages of ribs 2–6; body of sternum 4) 5) 3. Insertion – : Lateral part of intertubercular groove of humerus Muscles Originating on Scapula – Muscles that Move the Glenohumeral Joint/Arm i. Deltoid 1. Action – a. Anterior fibers: Flex and medially rotate arm b. Middle fibers: Agonist of arm abduction c. Posterior fibers: Extend and laterally rotate arm 2. Origin – Acromial end of clavicle; acromion and spine of scapula 3. Insertion – Deltoid tuberosity of humerus ii. Coracobrachialis 1. Action – Adducts and flexes arm 2. Origin – Coracoid process of scapula 3. Insertion – Middle medial shaft of humerus iii. Teres Major 1. Action – Extends, adducts, and medially rotates arm 2. Origin – Inferior lateral border and inferior angle of scapula 3. Insertion – Lesser tubercle and intertubercular groove of humerus iv. Triceps Brachii (long head) 1. Action – Extends and adducts arm 2. Origin – Infraglenoid tubercle of scapula 3. Insertion – Olecranon process of ulna v. Biceps Brachii (long head) 1. Action – Flexes arm 2. Origin – Supraglenoid tubercle of scapula 3. Insertion – Radial tuberosity and bicipital aponeurosis vi. Rotator Cuff Muscles (Supraspinatus, Infraspinatus, Teres Minor, Subscapularis) 1. Action – Collectively, these four muscles stabilize the glenohumeral joint vii. Subscapularis 1. Action – Medially rotates arm 2. Origin – Subscapular fossa of scapula 3. Insertion – Lesser tubercle of humerus viii. Supraspinatus 1. Action – Abducts arm 2. Origin – Supraspinous fossa of scapula 3. Insertion – Greater tubercle of humerus ix. Infraspinatus 1. Action – Adducts and laterally rotates arm 2. Origin – Infraspinous fossa of scapula 3. Insertion – Greater tubercle of humerus x. Teres Minor 1. Action – Adducts and laterally rotates arm 2. Origin – Upper dorsal lateral border of scapula (superior to teres major attachment) 3. Insertion – Greater tubercle of humerus Flexors Anterior Arm – Muscles that Move the Forearm i. Biceps Brachii 1. Action a. Flexes forearm, powerful supinator of forearm b. Long head flexes arm 2. Origin a. Long head: Supraglenoid tubercle of scapula b. Short head: Coracoid process of scapula 3. Insertion – Radial tuberosity and bicipital aponeurosis ii. Brachialis 1. Action – Primary flexor of forearm 2. Origin – Distal anterior surface of humerus 3. Insertion – Tuberosity and coronoid process of ulna iii. Brachioradialis 1. Action – Flexes forearm 2. Origin – Lateral supracondylar ridge of humerus 3. Insertion – Styloid process of radius 6) Extensors Posterior Arm – Muscles that Move the Forearm i. Triceps Brachii 1. Action a. Primary extensor of forearm b. Long head of triceps also extends and adducts arm 2. Origin a. Long head: Infraglenoid tubercle of scapula b. Lateral head: Posterior humerus above radial groove c. Medial head: Posterior humerus below radial groove 3. Insertion – Olecranon of ulna ii. Anconeus 1. Action – Extends Forearm 2. Origin – Lateral Epicondyle of Humerus 3. Insertion – Olecranon of Ulna 7) Pronators (Anterior Forearm Muscles) – Muscles that Move the Forearm i. Pronator Quadratus 1. Action – Pronates forearm 2. Origin – Distal one-fourth of ulna 3. Insertion – Distal one-fourth of radius ii. Pronator Teres 1. Action – Pronates forearm 2. Origin – Medial epicondyle of humerus and coronoid process of ulna 3. Insertion – Lateral surface of radius 8) Supinator (Posterior Forearm Muscles) – Muscles that Move the Forearm i. Supinator 1. Action – Supinates forearm 2. Origin – Lateral epicondyle of humerus and ulna distal to radial notch 3. Insertion – Anterolateral surface of radius distal to radial tuberosity 9) Anterior Muscles – Superficial – Forearm Muscles that Move the wrist joint, hand and fingers i. Flexor Carpi Radialis 1. Action – Flexes wrist and abducts hand 2. Origin – Medial epicondyle of humerus 3. Insertion – Base of metacarpals II and III ii. Palmaris Longus 1. Action – Weak wrist flexor 2. Origin – Medial epicondyle of humerus 3. Insertion – Flexor retinaculum and palmar aponeurosis iii. Flexor Carpi Ulnaris 1. Action – Flexes wrist and adducts hand 2. Origin – Medial epicondyle of humerus; olecranon and posterior surface of ulna 3. Insertion – Pisiform and hamate bones; base of metacarpal V 10) Flexor digitorum superficialis – Anterior Muscle - Intermediate a. Action – Flexes wrist, 2nd–5th MP joints, and PIP joints b. Origin – Medial epicondyle of humerus, coronoid process of ulna c. Insertion – Middle phalanges of fingers 2–5 11) Anterior Muscles Deep - – Forearm Muscles that Move the wrist joint, hand and fingers i. Flexor pollicis longus 1. Action – Flexor pollicis longus 2. Origin – Flexes MP joint of thumb, IP joint of thumb; weakly flexes wrist 3. Insertion – Distal phalanx of thumb ii. Flexor digitorum profundus 1. Action – Flexes wrist, 2nd–5th MP joints, PIP joints, and DIP joints 2. Origin – Anteromedial surface of ulna; interosseous membrane 3. Insertion – Distal phalanges of fingers 2–5 iii. Pronator Quadratus – See other description 12) Posterior Muscles Superficial – Forearm Muscles that Move the wrist joint, hand and fingers i. Extensor carpi radialis longus 1. Action – Extends wrist, abducts hand 2. Origin – Lateral supracondylar ridge of humerus 3. Insertion – Base of metacarpal II ii. Extensor carpi radialis brevis 1. Action – Extends wrist, abducts hand 2. Origin – Lateral epicondyle of humerus 3. Insertion – Base of metacarpal III iii. Extensor digitorum 1. Action – Extends wrist, extends 2nd–5th MP joints, PIP joints, and DIP joints 2. Origin – Lateral epicondyle of humerus 3. Insertion – Distal and middle phalanges of fingers 2–5 iv. Extensor digiti minimi 1. Action – Extends wrist, MP, and PIP joints of finger 5 2. Origin – Lateral epicondyle of humerus 3. Insertion – Proximal phalanx of finger 5 v. Extensor carpi ulnaris 1. Action – Extends wrist, adducts hand 2. Origin – Lateral epicondyle of humerus; posterior border of ulna 3. Insertion – Base of metacarpal V 13) Posterior Muscles Deep – Forearm Muscles that Move the wrist joint, hand and fingers i. Abductor pollicis longus 1. Action – Abducts thumb, extends wrist (weakly) 2. Origin – Proximal dorsal surfaces of radius and ulna; interosseous membrane 3. Insertion – Lateral edge of metacarpal I ii. Extensor pollicis brevis 1. Action – Extends MP joints of thumb, extends wrist (weakly) 2. Origin – Posterior surface of radius; interosseous membrane 3. Insertion – Proximal phalanx of thumb iii. Extensor pollicis longus 1. Action – Extends MP and IP joints of thumb, extends wrist (weakly) 2. Origin – Posterior surface of ulna; interosseous membrane 3. Insertion – Distal phalanx of thumb iv. Extensor indicis 1. Action – Extends MP, PIP, and DIP joints of finger 2, extends wrist (weakly) 2. Origin – Posterior surface of ulna; interosseous membrane 3. Insertion – Tendon of extensor digitorum v. Supinator – descry bed elsewhere 14) Anterior Thigh Compartment (Thigh Flexors) – Muscles that Move the Hip Joint/Thigh i. Psoas major 1. Action – Flexes thigh 2. Origin – Transverse processes and bodies of T12–L5 vertebrae 3. Insertion – Lesser trochanter of femur with iliacus ii. Iliacus 1. Action – Flexes thigh 2. Origin – Iliac fossa 3. Insertion – Lesser trochanter of femur with psoas major iii. Sartorius 1. Action – Flexes thigh and rotates thigh laterally; flexes leg and rotates leg medially 2. Origin – Anterior superior iliac spine 3. Insertion – Tibial tuberosity, medial side iv. Rectus femoris 1. Action – Flexes thigh, extends leg 2. Origin – Anterior inferior iliac spine 3. Insertion – Quadriceps tendon to patella and then patellar ligament to tibial tuberosity 15) Medial Thigh Compartment (Thigh Adductors) – Muscles that Move the Hip Joint/Thigh i. Adductor longus 1. Action – Adducts thigh; flexes thigh 2. Origin – Pubis near pubic symphysis 3. Insertion – Linea aspera of femur ii. Adductor brevis 1. Action – Adducts thigh; flexes thigh 2. Origin – Inferior ramus and body of pubis 3. Insertion – Upper third of linea aspera of femur iii. Gracilis 1. Action – Adducts and flexes thigh; flexes leg 2. Origin – Inferior ramus and body of pubis 3. Insertion – Upper medial surface of tibia iv. Pectineus 1. Action – Adducts thigh; flexes thigh 2. Origin – Pectineal line of pubis 3. Insertion – Pectineal line of femur v. Adductor magnus 1. Action – Adducts thigh; adductor part of muscle flexes thigh; hamstring part of muscle extends and laterally rotates thigh 2. Origin – Inferior ramus of pubis and ischial tuberosity 3. Insertion – a. Hamstring part: Linea aspera of femur b. Adductor part: Adductor tubercle of femur vi. Obturator externus 1. Action – Laterally rotates thigh 2. Origin – Margins of obturator foramen and obturator membrane 3. Insertion – Trochanteric fossa of posterior femur 16) Tensor fasciae latae – Lateral Thigh Compartment a. Action – Abducts thigh; medially rotates thigh b. Origin – Iliac crest and lateral surface of anterior superior iliac spine c. Insertion – Iliotibial band 17) Gluteal Group – Muscles that Move the Hip Joint/Thigh i. Gluteus maximus 1. Action – Extends thigh; laterally rotates thigh 2. Origin – Iliac crest, sacrum, coccyx 3. Insertion – Iliotibial tract of fascia lata; linea aspera and gluteal tuberosity of femur ii. Gluteus medius 1. Action – Abducts thigh; medially rotates thigh 2. Origin – Posterior iliac crest; lateral surface between posterior and anterior gluteal lines 3. Insertion – Greater trochanter of femur iii. Gluteus minimus 1. Action – Abducts thigh; medially rotates thigh 2. Origin – Lateral surface of ilium between inferior and anterior gluteal lines 3. Insertion – Greater trochanter of femur 18) Deep Muscles of the Gluteal Region (Lateral Thigh Rotators) – Muscles that Move the Hip Joint/Thigh i. Piriformis 1. Action – Laterally rotates thigh 2. Origin – Anterolateral surface of sacrum 3. Insertion – Greater trochanter ii. Superior gemellus 1. Action – Laterally rotates thigh 2. Origin – Ischial spine and tuberosity Inferior gemellus 3. Insertion – Obturator internus tendon iii. Obturator internus 1. Action – Laterally rotates thigh 2. Origin – Posterior surface of obturator membrane; margins of obturator foramen 3. Insertion – Greater trochanter iv. Inferior gemellus 1. Action – Laterally rotates thigh 2. Origin – Ischial tuberosity 3. Insertion – Obturator internus tendon v. Quadratus femoris 1. Action – Laterally rotates thigh 2. Origin – Lateral border of ischial tuberosity 3. Insertion – Intertrochanteric crest of femur 19) Posterior Thigh (Hamstring) Compartment – Thigh Extensors and Leg Flexors – Muscles that Move the Hip Joint/Thigh i. Biceps femoris 1. Action – a. Extends thigh (long head only); b. flexes leg (both long head and short head); laterally rotates leg 2. Origin – i. Long head: Ischial tuberosity ii. Short head: Linea aspera of femur 3. Insertion – Head of fibula ii. Semimembranosus 1. Action – Extends thigh and flexes leg; medially rotates leg 2. Origin – Ischial tuberosity 3. Insertion – Posterior surface of medial condyle of tibia iii. Semitendinosus 1. Action – Extends thigh and flexes leg; medially rotates leg 2. Origin – Ischial tuberosity 3. Insertion – Proximal medial surface of tibia 20) Leg Extensors (Anterior Thigh Muscles) – Thigh Muscles that Move the Knee Joint/Leg i. Rectus femoris 1. Action – Extends leg; flexes thigh 2. Origin – Anterior inferior iliac spine 3. Insertion – Quadriceps tendon to patella and then patellar ligament to tibial tuberosity ii. Vastus intermedius 1. Action – Extends leg 2. Origin – Anterolateral surface of femur 3. Insertion – Quadriceps tendon to patella and then patellar ligament to tibial tuberosity iii. Vastus lateralis 1. Action – Extends leg 2. Origin – Greater trochanter and linea aspera 3. Insertion – Quadriceps tendon to patella and then patellar ligament to tibial tuberosity iv. Vastus medialis 1. Action – Extends leg 2. Origin – Intertrochanteric line and linea aspera of femur 3. Insertion – Quadriceps tendon to patella and then patellar ligament to tibial tuberosity 21) Leg Flexors – Sartorius, Gracilis, Hamstrings Thigh Muscles that Move the Knee Joint/Leg 22) Anterior Compartment (Dorsiflexors and Toe Extensors) – Leg Muscles i. Extensor digitorum longus 1. Action – Extends toes 2–5; dorsiflexes foot 2. Origin – Lateral condyle of tibia; anterior surface of fibula; interosseous membrane 3. Insertion – Distal phalanges of toes 2–5 ii. Extensor hallucis longus 1. Action – Extends great toe (1); dorsiflexes foot 2. Origin – Anterior surface of fibula; interosseous membrane 3. Insertion – Distal phalanx of great toe (1) iii. Fibularis tertius 1. Action – Dorsiflexes and weakly everts foot 2. Origin – Anterior distal surface of fibula; interosseous membrane 3. Insertion – Base of metatarsal V iv. Tibialis anterior 1. Action – Dorsiflexes foot; inverts foot 2. Origin – Lateral condyle and proximal shaft of tibia; interosseous membrane 3. Insertion – Metatarsal I and first (medial) cuneiform 23) Lateral Compartment (Elevators and Weak Plantar Flexors) – Leg Muscles i. Fibularis longus 1. Action – Everts foot; weak plantar flexor 2. Origin – Head and superior two-thirds of shaft of fibula; lateral condyle of tibia 3. Insertion – Base of metatarsal I; medial cuneiform bone ii. Fibularis brevis 1. Action – Everts foot; weak plantar flexor 2. Origin – Midlateral shaft of fibula 3. Insertion – Base of metatarsal V 24) Posterior Compartment (Plantar Flexors, Flexors of the Leg and Toes) – Superficial – Leg Muscles i. Gastrocnemius 1. Action – Flexes leg; plantar flexes foot 2. Origin – Superior posterior surfaces of lateral and medial condyles of femur 3. Insertion – Calcaneus (via calcaneal tendon) ii. Soleus 1. Action – Plantar flexes foot 2. Origin – Head and proximal shaft of fibula; medial border of tibia 3. Insertion – Calcaneus (via calcaneal tendon) iii. Plantaris 1. Action – Weak leg flexor and plantar flexor 2. Origin – Lateral supracondylar ridge of femur 3. Insertion – Posterior region of calcaneus 25) Deep Layer Leg Muscles Flexors – Leg Muscles i. Flexor digitorum longus 1. Action – Plantar flexes foot; flexes MP, PIP, and DIP joints of toes 2–5 2. Origin – Posteromedial surface of tibia 3. Insertion – Distal phalanges of toes 2–5 ii. Flexor hallucis longus 1. Action – Plantar flexes foot; flexes MP and IP joints of great toe (1) 2. Origin – Posterior inferior two-thirds of fibula 3. Insertion – Distal phalanx of great toe (1) iii. Tibialis posterior 1. Action – Plantar flexes foot; inverts foot 2. Origin – Fibula, tibia, and interosseous membrane 3. Insertion – Metatarsals II–IV; navicular bone; cuboid bone; all cuneiforms iv. Popliteus 1. Action – Flexes leg; medially rotates tibia to unlock the knee 2. Origin – Lateral condyle of femur 3. Insertion – Posterior, proximal surface of tibia 26) Muscles that move the head and neck i. Sternocleidomastoid 1. Action – Unilateral action1: Lateral flexion, rotation of head to opposite side Bilateral action2: Flexes neck 2. Origin – Manubrium and sternal end of clavicle 3. Insertion – Mastoid process of temporal bone ii. Scalene muscles 1. Action – Flex neck (when 1st rib is fixed); elevate 1st and 2nd ribs during forced inhalation when neck is fixed 2. Origin – Transverse processes of cervical vertebrae 3. Insertion – Superior surface of 1st and 2nd ribs iii. Splenius capitis and cervicis 1. Action – a. Unilateral action: Turns head to same side b. Bilateral action: Extends head/neck 2. Origin – Ligamentum nuchae 3. Insertion – Occipital bone and mastoid process of temporal bone iv. Semispinalis capitis 1. Action – a. Bilateral action: Extends head/neck b. Unilateral action: Turns head to same side 2. Origin – Transverse processes of C4−T6vertebrae 3. Insertion – Occipital bone 27) Erector Spinae – Muscles of the Vertebral Column i. Iliocostalis group 1. Action – a. Bilateral action: Extends vertebral column; maintains posture b. Unilateral action: Laterally flexes vertebral column 2. Origin – Tendon from posterior part of iliac crest, posterior sacrum, and lumbar spinous processes 3. Insertion – Angles of ribs; transverse processes of cervical vertebrae ii. Longissimus group 1. Action – a. Bilateral action: Extends vertebral column and rotates head; maintains posture b. Unilateral action: Rotates head and laterally flexes vertebral column 2. Origin – Tendon from posterior part of iliac crest, posterior sacrum, and lumbar spinous processes 3. Insertion – Mastoid process of temporal bone and transverse processes of cervical and thoracic vertebrae iii. Spinalis group 1. Action – a. Bilateral action: Extends vertebral column; maintains posture b. Unilateral action: Laterally flexes vertebral column 2. Origin – Lumbar spinous processes (thoracic part) and C7 spinous process (cervical part) 3. Insertion – Spinous process of axis and thoracic vertebrae 28) Multifidus – Transversospinalis Group– Muscles of the Vertebral Column 29) a. Action – i. Bilateral action: Extends vertebral column ii. Unilateral action: Rotates vertebral column toward opposite side b. Origin – Sacrum and transverse processes of each vertebra c. Insertion – Spinous processes of vertebrae located 2–4 segments superior to inferior attachment 30) Spinal Extensors and Lateral Flexors – Muscles of the Vertebral Column 31) a. Quadratus lumborum i. Action – 1. Bilateral action: Extends vertebral column 2. Unilateral action: Laterally flexes vertebral column ii. Origin – Iliac crest and iliolumbar ligament iii. Insertion – Last rib; transverse processes of lumbar vertebrae 32) Muscles of Respiration i. Serratus posterior superior 1. Action – Elevates ribs during forced inhalation 2. Origin – Spinous processes of C7–T3 vertebrae 3. Insertion – Lateral borders of ribs 2–5 ii. Serratus posterior inferior 1. Action – Depresses ribs during forced exhalation 2. Origin – Inferior borders of ribs 8–12 3. Insertion – Spinous processes of T11–L2 vertebrae iii. External intercostals 1. Action – Elevates ribs during inhalation 2. Origin – Inferior border of superior rib 3. Insertion – Superior border of inferior rib iv. Internal intercostals 1. Action – Depresses ribs during forced exhalation; antagonistic to external intercostals 2. Origin – Superior border of inferior rib 3. Insertion – Inferior border of superior rib v. Transversus thoracis 1. Action – Depresses ribs during forced exhalation 2. Origin – Costal cartilages 2–6 3. Insertion – Posterior surface of xiphoid process and inferior region of sternum vi. Diaphragm 1. Action – Contraction causes flattening of diaphragm (moves inferiorly), and thus expansion of thoracic cavity; increases pressure in abdominopelvic cavity 2. Origin – Central tendon 3. Insertion – Inferior internal surface of ribs 7–12; xiphoid process of sternum and costal cartilages of inferior 6 ribs; lumbar vertebrae 33) Muscles of the Abdominal Wall i. External oblique 1. Action – a. Unilateral action1: Lateral flexion of vertebral column; rotation of vertebral column b. Bilateral action2: Flexes vertebral column and compresses abdominal wall; used in forced exhalation 2. Origin – External and inferior borders of the inferior 8 ribs 3. Insertion – Linea alba by a broad aponeurosis; some to iliac crest ii. Internal oblique 1. Action – a. Unilateral action: Lateral flexion of vertebral column; rotation of vertebral column b. Bilateral action: Flexes vertebral column and compresses abdominal wall 2. Origin – Lumbar fascia, inguinal ligament, and iliac crest 3. Insertion – Linea alba, pubic crest, inferior rib surfaces (last 4 ribs); costal cartilages of ribs 8–10 iii. Transversus abdominis 1. Action – a. Unilateral action: Lateral flexion of vertebral column b. Bilateral action: Flexes vertebral column; compresses abdominal wall; used in forced exhalation 2. Origin – Iliac crest, cartilages of inferior 6 ribs; lumbar fascia; inguinal ligament 3. Insertion – Linea alba and pubic crest iv. Rectus abdominis 1. Action – Flexes vertebral column; compresses abdominal wall; used in forced exhalation 2. Origin – Xiphoid process of sternum; inferior surfaces of ribs 5–7 3. Insertion – Superior surface of pubis near symphysis