Muscles of the Leg 11/30/2016 10:43:00 PM Muscles of the Leg are Divided into: Pelvis, Thigh, & Lower Leg/Shin Muscles of the Pelvis –Move the Hip Movements of the Hip: Flexion – Dec angle between hip and femur. Ie pulling the leg forward Hip Flexors (Iliopsoas Group) Extension – Inc angle between hip and femur. Ie pulling leg behind body Gluteus Maximus Medial Rotation (Toes In): Gracilis, Gluteus Minimus & Medius Lateral Rotation (Toes Out): Lateral Rotators (Piriformis, Gemellus’, Obtuators & Quat Femoris) Hip Abduction (Splits): Gluteus Medius & Minimus Hip Adduction (Legs Together): Hip Adductors (Adductor Longus, Brevis, Magnus, Pectineus, & Gracilis) Muscles of the Pelvis: Broken down into 4 Groups: 1. Iliopsoas (Hip Flexors) – Flex the Hip 2. Gluteus Maximus – Extends the Hip 3. Gluteus Medius & Minimus – Medially Rotate & Abduct the Hip 4. Lateral Rotators (P, GOGO, QF) – Laterally Rotate the Hip Iliopsoas Group (Hip Flexors) Made up of the Psoas Major, Minor, and Iliacus Hip Flexion, Innervated by the Femoral nerve. Muscle Origin Insertion Function Nerve Psoas Major Lumbar Iliopsoas / Lesser Hip & Minor Vertebrae Trochanter Flexion Iliacus Iliac Crest Iliopsoas /Lesser Trochanter Hip Flexion Femoral Femoral Iliopsoas *Together the Psoas Major, Psoas Minor, and Iliacus form the Iliopsoas. They all attach to the lesser trochanter on the medial upper femur. Located in the front of the leg, contacting these muscles pulls your leg forward *Rectus Femoris also aids in hip flexion All can be trained via sit ups, mostly the first 15degrees Gluteal Group: Made up of the gluteus maximus, medialis, and minumus, and Tensor Fascia Latae Gluteus Maximus is its own separate group* Muscle Origin Insertion Function Nerve Gluetus Max Posterior Iliac Crest to Gluteal Tuberosity Hip Extension Inferior Gluteal Sacrum ( (Femur) Gluteus Medius Ilium Greater Trochanter (Ant, Sup, Femur) Hip Abduction Superior & Medial Gluteal Rotation Nerve Gluteus Minimus Ilium Greater Trochanter Hip Abduction Sup Glute & Medial Nerve Rotation Tensor Ilium IT band Compresses Sup Glute contra-lateral side of leg Thigh Nerve Fascia Latae Nerve Gluteus Max Contraction causes hip extension. Ie bringing the leg behind the body, like in a squat. Also aids in lateral rotation bc it attaches anteriorly on the iliac crest and inserts posteriorly on the femur. Front to Back = Lateral Rotation Gluteus Medius & Minimus Abduction, Spreading the legs apart like your doing the splits. Also some medial rotation because it attaches Back to Front. (Ilium to Greather Trochanter of the Femur) *Minimus Located Just beneath the Medius Tensor Fascia Latae Compresses the thigh muscles to generate more force Enlargement of thigh muscles can cause the IT band to pull on the lateral side of the knee, causing pain. Needs to be stretched / foam rolled out. Lateral Rotators: Located underneath the gluteus maximus and gluteus medius Laterally Rotate & Abduct the hips. Lateral Rotation of the Hips – Like squatting Ie toes out Attachments are generally from the anterior sacrum and ilium to the greater trochanter (front to front) Abduction – Doing the splits Muscle Origin Insertion Function Nerve Piriformis Anterior Sacrum Greater Trochanter Lateral Rotation Piriformis Nerve Superior Gemellus Ischial Spine Greater Trochanter Lateral Rotation Obturator Internis Obturator Internus Obturator Foramen Greater Trochanter Lateral Rotation Nerve to Obturator Internus Obturator Externus Inferior Gemellus Obturator Foramen Ischial Tuberosity Femur, Inferior to greater trochanter Obturator Nerve Greater Trochanter Inferior Gemellus Ischial Tuberostiy Greater Trochanter Lateral Rotation Quatratus Femoris Nerve Quatratus Femoris Ischial Tuberosity Greater Trochanter Lateral Rotation Quatratus Femoris Nerve Obtuator Externus Is NOT a lateral rotator To id these muscles locate the large yellow Sciatic Nerve. Piriformis is directly above the Sciatic Nerve and then they follow this order superiorly to inferiorly P > G > O>G >O >QF QF, P, & OI have their own nerve Gemellus use the Nerve of the muscle below it* Muscle Compartments of the Thigh: Broken down into 3 compartments by function: 1. Medial Thigh (Groin Muscles) – Adduction (Squeezing legs together) 2. Posterior Thigh (Hamstrings) – Knee Flexion 3. Anterior Thigh (Quads) – Knee Extension Medial Thigh Muscles (Groin Muscles) Adduct the Hip (Squeezing legs together, Sprints, hurdles, etc.) Often torn near the insertion points Made up of the Pectineus, Adductor Longus, Brevis, Magnus, and the Gracilis Innervated by the Obturator Nerve (Same as the Obturator Externus) Common Insertion is the Linea Aspera, eception is Gracilis (Goose’s Foot) Muscle Origin Insertion Function Nerve Pectineus Obturator Foramen Linea Aspera Hip Adduction Obturator Adductor Longus Pubis Linea Aspera Hip Adduction Obturator Adductor Brevis Inferior Rami of Pubis Linea Aspera Hip Adduction Obturator Adductor Magnus (Multi- All around Linea Aspera Entire inferior half of Hip Adduction, lateral Obturator Function) Obturator Foramen rotation, Gracilis Inferior Rami of Pubis (Right near pubic symphesis Goose’s Foot (Medial Knee) Hip Adduction, Medial Rotation, Obturator To ID: Pectineus Originates higher: Off of the Obturator Foramen Superior Border Can’t see the adductor brevis form a superior view* But it is sandwiched between the adductor longus and pectineus Femoral Triangle A triangle formed by connecting the Inguinal Ligament (V-lines, which goes from the ASIC to the Pubis), and Adductor Longus to the Sartorius. *Medial View of the Leg, Vastus lateral SHOULD be labeled Vastus Medialis *Gracilis separates the medial thigh from the posterior thigh *Anterior & Posterior Thigh Move the Knee NOT the HIP Anterior Thigh (Quads) Main role is extension of the Knee. (Leg Straight) *Rectus Femoris also flexes hip b/c it crosses into the iliopsoas groap Made up of the: Rectus Femoris, Vastus Lateralis, Vastus Medialis, Vastuc Intermedius (Hidden) & Sartorius muscles *Vastus Intermedius hidden underneath the Rectus Femoris Common insertion into Quad Tendon Common Nerve Innervation is the Femoral Nerve Muscle Origin Insertion Function Nerve Rectus AIIS Quad Tendon Knee ext. & Femoral Remoris Hip ext. Vastus Lateralis Lateral Femur (Greater Trochanter) Quad Tendon Knee ext. Femoral Vastus Medialis Medial Femur (Linea Aspera) Quad Tendon Knee ext. Femoral Vastus Femur Quad Tendon Knee ext. Femoral ASIS Goose’s Foot Knee ext. Femoral Intermedius Sartorius Posterior Thigh (Hamstrings) Flex the Knee (Heels touching Butt) Common origin: Ischial Tuberosity (Lower bump on Ischium that we sit on Common Nerve: Sciatic Nerve Made up of the Semimembranosus, Semitendinosus & Bicep Femoris Muscle Origin Insertion Function Nerve Semimembranosus Ischial Tuberosity Back of Knee Knee Flex. Sciatic Semitendinosus Ischial Tuberosity Goose’s Foot Knee Flex. Sciatic Biceps Femoris Ischial Tuberosity Back of Knee Knee Flex. & Hip Ext. Sciatic Semimembranosus is wider, tendinosus thin like a tendon. Biceps Femoris is larger, has 2 heads and inserts at the lateral knee. Goose’s Foot Medial side of the Knee Insertion point of 3 VIP Muscles: 1. Sartorius (Ant thigh, Knee Ext.) 2. Gracilis (Medial thigh, defines posterior thigh from medial) 3. Semitendinosus (Post thigh, Knee Flexion) Muscles of the Lower Leg Divided into Anterior Shin, Posterior Shin (2 Layers) & Lateral Shin Move the Ankles & Toes Movements of the Ankles & Toes Dorsi Flexion – Toes pointing Up Accomplished by the Tibialis Anterior Plantar Flexion – Toes pointing Down Accomplished by the Gastrocnemius, Soleus, & the Fibularis Longus & Brevis Inversion – Big Toe above Pinky Toe Accomplished by the Tibialis Anterior & Tibialis Posterior Eversion – Pinky above Big Tie Accomplished by the Fibularis Longus, Fibularis Brevis, & Fibularis Tertius Anterior – Dorsi Flexion (Toes up) Lateral – Plantar Flexion (Toes down) & Eversion (Pinky toe above big ties) Posterior (2 Layers) – Flex the Knee, Plantar Flexion, Inversion (Big Toe Above Pinky) Anterior (Shin) Responsible for Dorsi Flexion of the ankle & Extension of Toes -Extensors also extend the toes, Tibialis anterior inverts the foot, Fibularis Tertius everts the foot Common Origin: Tibia & Fibula Common Nerve: Deep Fibular Nerve (Sciatic Nerve splits into Tibial Nerve & Common Fibular Nerve, Common means it is going to split so the Common Fibular Nerve splits into the Deep and Superficial Fibular Nerve) *Hallucis = Big Toe Muscle Origin Insertion Tibialis Anterior Tibia & Fibula 1st MetaTarsal (Big Toe) Function Nerve Inversion + Dorsi Flex. Deep Fibular Ankle Fibularis Tertius (Small) Fibula (Lateral) Extensor Hallucis Longus Tibia & Fibula Phalanx of Digit 1 Extends Digit 1 Deep Fibular Extensor Digitorum Tibia & Fibula Distal Phalanx Extends Digits 2-5 Deep Fibular Longus 5th Metatarsal Eversion Digits #2-5 Deep Fibular Fibularis / Lateral Shin Plantar Flexion (Toes Up) & Eversion (Bringing Pinky Toe Above Big Toe) Common Nerve: Fibular Nerve Common Origin: Fibula Underneath the Extensor Digitorum Longus is the DEEP FIBULAR NERVE Muscle Origin Insertion Function Nerve Fibularis Longus Fibula Metatarsal #1 (Big Toe) Plantar Flex. & Evert Foot Fibular Nerve Fibularis Brevis Fibula Metatarsal #5 Plantar Flex. & Evert Foot Fibular Nerve Posterior Shin / Calves Divided into Superficial and Deep layers Common Nerve: Tibial Nerve Superficial Layer of the Posterior Leg: Plantar Flexion Muscle Origin Insertion Function Nerve Gastrocnemius Femur Lateral & Medial Epicondyles Achilles’ Tendon Plantar Flexion, Knee Etc. Tibial Nerve Soleus Achilles’ Tendon Plantar Flex. Tibial Nerve Tibia & Fibula Tendo Calcaneus = Achillie’s Tendon. This tendon attaches to the Calcaneus Tuberosity on the Calcaneus bone. Gastroc causes knee flex answell as plantar flextion because it attaches to the Femur and crosses the knee joint. Gastroc is the 2 large bulges, soleus is the long thin muscle beside it. Gastroc has 2 Heads, lateral and medial. *Soleus is very visible underneath the grastroc Deep Layer of Posterior Leg Inversion & Toe Flexion Plantaris – Slowly fading out, useless. Distal femur to Achilles’ tendon Medial rotation occurs when you lock the knee into place so it can’t flex (Standing) to relax the quads. In order to move we need to “unlock” /lateral rotate the knee. Popliteus All innervated by the tibial branch of the sciatic nerve Muscle Origin Insertion Function Nerve Popliteus Lateral Femur Medial Tibia Lateral Rotation of Tibial Nerve Knee Tibialis Posterior Tibia & Fibula Metatarsals 2-5 Inversion Tibial Nerve Flexor Hallicus Longus Tibia & Fibula Distal Phalanx of Digit 1 Flexes Digit 1 (Big Toe) Tibial Nerve Flexor Digitorum Longus Tibia & Fibula Distal Phalanx of Digits 2-5 Flexes Digits 2-5 Tibial Nerve Last 3 run behind the medial malleolus and through the talar shelf. Because they move behind the medial malleolus they also plantar flex the foot. They insert on the medial side of the foot and therefore also invert the foot. Tibialis muscles invert the foot. Tom Dick & Harry Help Organize muscles around the medial malleolus T – Tibialis Anterior & Posterior Anterior lies just in front of the Medial Malleolus. Attaches to first Metatarsal Tibialis Posterior lies just behind the Medial Malleolus. Insert Metatarsals 2-5 D – Flexor Digitorum. Behind the Tibialis Posterior H – Flexor Hallucis. Behind the Flexor Digitorum Muscles of the Foot 4 Layers. Not Important Short flexors, abductors, lumbricals. Similar set up to the hand. Bone Spurs Plantar aponeurosis attaches the calcaneus tuberosity. When the arch in the foot weakens there is a growth of the bone on the heel, very painful when you step on it. On the calcaneus tuberosity due to the tendon pulling on the bone. Muscles of the Body 11/30/2016 10:43:00 PM Back Muscles Divided into True & False Back Muscles True Back Muscles / Erector Spinae Consists of the Iliocostalis, Longissimus, and Spinalis. (I Like Standing) Maintain trunk (posture, balance) and extend the trunk Have different innervations than all other muscles: -Usually sensory info comes into the vertebrae via the dorsal horn and motor info goes out via the ventral horn. However the deep ILS back muscles motor neurons run through the dorsal rami. *Rami = multiple vertebral tracts, dorsal or ventral Muscle Origin Insertion Function Nerve Iliocostalis Iliac Crest Ribs Maintain / Extend Trunk Dorsal Rami Longissimus Transverse Processes Transverse Process of all Vertebrae, right up to Maintain / Extend Trunk Dorsal Rami Maintain / Extend Trunk Dorsal Rami C1 and then the Mastoid Process Spinalis Spinous Process Spinous Processes of all Vertebrae To ID: Ilicostalis Originates the lowest. Longissimus innervates the sides (transverse processes) of the vertebrae Spinalis innervates the center (spinous process) of the vertebrae External Oblique is ACTUALLY the Quadratus Lumborium Deepest Back Muscles / Transversospinalis Back Muscles Deepest back muscles, also innervated via the dorsal rami Extension, Lateral Flexion, & Rotate the spinal column Rotatores & Multifidus rotate, Intertransverse Lateral Flex & Interspinalis Extend the vertebral column Muscle Origin Insertion Function Nerve Intertransversarius Transverse Process Transverse Process Lateral Flex. Dorsal Spine Rami Interspinalis Spinous Process Spinous Process Extend Spine Dorsal Rami Rotundus Spinous Process Inferior Transverse Process Rotation of Spine Dorsal Rami Multifindus Spinous Process 2x Inferior Transverse Rotation of Spine Dorsal Rami Process To ID: Intertransversarius – Runs in between the Transverse processes Interspinalis – Runs in between the Spinous processes Rotatores – Run from the spinous process of a vertebrae to transverse process of the vertebrae directly below it Multifindus – Run from the spinous process of a vertebrae to the transverse process of the vertebrae 2x below it. Skips. Abdominal Muscles Divided into Front, Obliques & Intercostals (3 Layers) Anterior Abdominals Rectus Abdominus ( 6 Pack ) runs from ribs 5-7 to the pubic crescent Linea Alba – Connective Tissue that divides the abs in half vertically Tendinous Intersections – Connect Tissue that divide the abs horizontally Aponeurosis of External Oblique – White connective tissue below ext oblique Serratus Anterior – Cut part above oblique Inguinal Ligament – Connective tissue (V-Line) Oblique (3 Layers) External – Run on a -45* Angle starting from the outside to in. (Hands in your front pockets) Internal Oblique – Runs on a 45* angle starting from the outside in. Opposite of external oblique Transverse Abdominus – Innermost oblique, runs horizontal Common Function: Lateral flexion of the body. Also increases intraabdominal pressure Intercostals External Intercostals Most superficial Runs like hands in your front pockets just like external oblique Start in the center and connect to medial rib Expand Diaphragm for inhalation Internal Intercostals Middle layer of intercostals Run opposite to external intercostals In between the ribs Compress diaphragm to aid expiration Innermost Intercostals Run in horizontal just like the transverse abdominus Compress diaphragm to aid in expiration *Main Intercostal Nerve & Arteries run in between the internal and innermost intercostals To ID: Internal Intercostals are in between the ribs and run opposite way of external. External Intercostals begin in the center of abdomen and connect to ribs via cartilage Diaphragm Mushroom / dome shaped muscle involved in breathing Dome shaped when the ribs are pushing in (exhalation) and expands when ribs pull up and out (inhalation) Attaches to the xiphoid process, ribs, and lumbar vertebral bodies. * Has holes in it (heituses) for BV and esophagus to run through Pelvic Muscles: Perineum & Pelvic Diaphragm Divided into 2 layers: Deep & Superficial Innervated by the Pudendal & Inferior Sacral Nerves Different muscles between sexes Muscles of the Upper Limbs Muscles of the Upper Limbs are divided into 3 Groups: 1. Pectoral Girdle 2. Arm 3. Forearm Pectoral Girdle: Divided into 2 Groups: Muscles that move the Shoulder & Muscles that move the Humerus Muscles That Move The Shoulder Attach to Axial Skeleton Move the Scapula or Clavicle Posterior Muscles that Move the Shoulder: Trapezius, Rhomboid Major & Minor, & Levator S capulae -Trapezius causes upward rotation (Superior Fibers) and adduction of scapula (Middle Fibers) - Rhomboids causes downward rotation and adduction -Levator Scapulae elevates the scapula Muscle Origin Insertion Function Innervation Trapezius Ligamentum Nuchae (Occipital Bone) & C7T12 Spines Clavicle & Scapula (Acromion & Spine) Upward Rotation (Sup), & Adduction (Mid) Accessory Nerve Rhomboid Major Spines of T2-T5 Medial Border of Scapula (Low) Adduction of Scapula Dorsal Scapular Nerve Rhomboid Minor Spines of C7-T1 Medial Border of Scapula (Middle) Adduction of Scapula Dorsal Scapular Nerve Levator Scapulae Transverse Process of C1-C4 Medial Border of Scapula (High) Elevation of Scapula Dorsal Scapular Nerve To ID: Anterior Muscles That Move the Shoulder Consist of the CoricoBrachialis, Pectoralis Minor, Subclavius, & Serratus Anterior Muscle Origin Insertion Function Innervation Pectoralis Minor Corocoid Process Ribs 3-6 Downward Rotation of Scap Median Pectoral Nerve Subclavius Clavicle Rib 1 Stabilize Pectoral Subclavian Girdlge Nerve CoricoBrachialis Corocoid Process Humerus Should MusculoFlexion/Adduction Cutaneous Nerve Serratus Anterior Ribs 3-8 Keeps Scapula tight to ribcage Medial Border Long Thoracic Nerve Serratus Anterior also involved in heavy respiration. Torn Serratus causes Winging of the scapula, and all the force going through the humerus to go through the clavicle which is easily broken. Pec Minor Corocoid to ribs 3-6 Subclavius – clavicl to 1st rib Coricobrachilias – corocoid to humerus Serratus anterior medial border of scapula to ribs 3-8 Muscles That Move The Humerus Pec Major, Deltoid, Latissimus Dorsi, Rotator Cuff Muscles, & Muscle Origin Insertion Function Pec Major Clavicle & Sternum Humerus Greater Tubercle Shoulder Pectoral Flex. & Nerve Humerus Add Latissimus Dorsi Thoracic & Lumbar Fascia Bicipital Groove Shoulder Ext. Thoracodorsal Humerus Add Nerve Deltoid Anterior Clavicle Bicipital Groove Flex. Shoulder Axillary Deltoid Acromion Bicipital Abduct Axillary Groover Shoulder Bicipital Groove Ext. Shoulder Axilary Lateral Deltoid Posterior Scapula Spine Innervation Rotator Cuff Muscles: Infraspinatus, Supraspinatus, Teres Minor & Subscapularis Move the Humerus at the Shoulder joint Greater Tubercle = Lateral Bump Lesser Tubercle = Medial Bump Muscle Origin Insertion Function Innervation Subscapularis Subscapular Fossa Lesser Tubercle Medial Rotation Subscapular Nerve Supraspinatou s Supraspinou s Fossa Greater Tubercle Abductio n of Shoudler Suprascapular Nerve Infraspinatous Infraspinous Fossa Greater Tubercle Lateral Rotation SupraScapula r Nerve Teres Minor Posterior Greater Lateral Axillary Nerve Border Tubercle Rotation Inferior Angle, just beneath minor Intertubercula r Sulcus Shoulder Ext. Teres Major Subscapular Nerve (Posterior Scapula) (Anterior Scapula) Muscles of the Arm Anterior Arm Biceps Brachii & Brachialis Elbow & Shoulder Flexion. Innervated by the Musculo-Cutaneous Nerve Muscle Origin Insertion Function Innervation Biceps Short Corocoid Radial Tuberosity Elbow Flex MusculoCutaneous Biceps Long Supraglenoid Tubercle Radial Tuberosity Elbow Flex MusculoCutaneous Brachialis Ulnar Tuberosity Elbow Flex MusculoCutaneous Humerus *Biceps attach to Bicipital Aponeurosis (Connective Tissue) which attach to the Radial Tuberosity on the Radius. *Biceps Short Head is Medial, Long Head is Lateral *Brachialis is underneath the Biceps and attaches to the ulna *In This Picture the Medial Head is actually the Lateral Head. From the Biceps short head it goes Biceps Long, Tricep Lateral, Tricep Long, Tricep Medial (Mostly Underneath) Triceps 3 Heads: Medial, Lateral, and Long All Insert into the Olecranon Process on the Ulna All Innervated by the Radial Nerve Olecranon Process of Ulna fits into the Olecranon Foss of the posterior Humerus to form the elbow joint To ID: Long head crosses the Shoulder Joint, originates at the infraglenoid tubercle Long Head is Medial, Lateral Head is Lateral. Medial Head underneath Medial head has a much larger origin on the posterior humerus Muscle Origin Insertion Function Innervation Tricep Medial Infraglenoid Tubercle Olecranon Process Elbow Ext Radial Nerve Tricep Long Humerus Olecranon Process Elbow Ext Radial Nerve Tricep Lateral Humerus Olecranon Process Elbow Ext Radial Nerve *See Above Picture Posterior Muscles of the Forearms (2 Layers) Move the Wrist & the Fingers Movements of the Wrist: Abduction = moving thumb closer to mid-line Fingers: Extension = Pointing, Flexion = Making a Fist Superficial Layer Originate off of the Lateral Epicondyle of the Humerus Innervated by the Radial Nerve Name is their function. Ie Extensor Digiti Minimi Extends the Pinky Finger (Digit #5) Muscle Origin Insertion Function Innervation Extensor Digitorum Lateral Epicondle Tips of Fingers 2-5 Extends Digits 2-5 Radial Extensor Lateral Metacarpal Extend Wrist Radial Carpi Radialis Longus Epicondyle #2 Extensor Carpi Radialis Brevis Lateral Epicondyle Metacarpal #3 Extend Wrist Radial Extensor Lateral Tip of Pinky Extends Radial Digiti Minimi Epicondle Extensor Carpi Ulnaris Lateral Epicondyle Pinky Metacarpal #5 Adducts Wrist Radial BrachioRadialis, Carpi (Wrist), Policis Abductor then Extensor, Extensor Digitorum, Extensor Digiti Minimi, Extensor Carpi Ulnariseer Deep Layer Muscle Origin Supinator Radius / Ulna Abductor Policis Longus Radius / Ulna Extensor Policis Longus Insertion Function Innervation Supination of Radius Radial Thumb Proximal Phalanx Abducts Thumb Radial Radius / Ulna Thumb Distal Phalanx Extends Thumb Radial Extensor Radius / Distal Extends Radial Indicis Ulna Phalanx of index finger (Digit #2) Index Finger Movements of the Thumb: Extension = Thumbs up, Abduction = Open hand Deep Posterior Forearm Muscles Anterior Forearm Muscles (3 Layers) Move the Wrist & The Fingers Movements of the Wrist Fingers: Extension = Pointing, Flexion = Fist Superficial Layer Pronator Teres, Flexor Carpi Radialis, Palmaris Longus, Flexor Carpi Ulnaris + Flexor digitorum superficialis Don’t go the tips of the fingers, furthest is the phalanges. Therefore these muscles move the Wrist NOT the Fingers All Innervated by the Median Nerve except the Flexor Carpi Ulnaris which is innervated by the Ulnar Nerve (Funny Bone) All Superficial Originate off of the Medial Epicondyle of Humerus Muscle Origin Pronator Teres Medial Epicondyle Flexor Carpi Radialis Medial Epicondyle Flexor Carpi Ulnaris Palmaris Longus Insertion Function Innervation Pronation of Radius Median Flexes Wrist Median Medial Epicondyle Flexes Wrist Ulnar Medial Epicondyle Flexes Wrist Median Carpals of digits 2 & 3 Deep Layer Muscle Origin Insertion Function Innervation Flexor Digitorum Superficialis Medial Epicondyle Middle Phalanx of digits 2-5 Flexes Digits 2-5 Ulnar Nerve Flexor Digitorum Profundus Radius / Ulna Distal Phalanx of digits 2-5 Flexes Digits 2-5 Median Nerve Flexor Policis Longus Radius / Ulna Distal Phalanx of Digit 1 Flexes the Thumb Median Nerve Pronator Quadratus Radius / Ulna Wrist Pronates Wrist Median Nerve Flexor Digitorum Superficialis removed, flexor digitorum profundis underneath. Flexor policis Longus, Pronator Quadratus Muscles of the Hand: Innervated by the Median & Ulnar Nerves Movements of the Thumb: Movements of the Fingers Muscles of the Hand. A OF A (Thenar Muscles) OF A (Hypothenar Muscles) Thenar Group: Muscles at the base of the thumb 1. Flexor Pollicis Bevis 2. Abductor Pollicis Brevis 3. Opponens Pollicis Brevis 4. Adductor Pollicis Hypothenar Group: Palm Muscles that move the Pinky 1. Abductor Digiti Minimi 2. Flexor Digiti Minimi 3. Opponens Digiti Minimi PADS DABS & Lumbricals PADS – Palmar Interossei Adduct (Close Fingers) Located on the inside of fingers DABS – Dorsal Interossei Abduct (Open Fingers) Located on the outside of fingers Lumbricals Tendon Attachment Muscles allowing for finger Flexion at Knuckle * To ID: Flexor Digitorum Profundis attaches further on the fingers than the Flexor Digitorum Superficialis Muscles of the Neck & Face Muscles of Facial Expression Innervated by Cranial Nerve # 7 11/30/2016 10:43:00 PM *Rissortus Should be Spelled Risorius *Occipitalis is the muscle of the Posterior Head covering the occipital bone, bTemporalis on the medial & lateral head over the temporal bones. Muscles of Chewing: B MOT Buccinator Masseter Orbicularis Oris Temporalis Innervated by the Mandibular Branch of Cranial Nerve 7 Muscles of the Glossus (Tongue): GlenioGlossus – Chin to Bottom of Tongue. (Pulls Tongue Back to Swallow) StyloGlossus – Tongue to Styloid Process. (Pulls Tongue Back to Swallow) -Cranial Nerve #7 PalatoGlossus – Tongue to Soft Palate. (Gag Reflex) -Vagus Nerve Muscles of the Neck: Lateral Neck Scalene Muscles All originate from the Transverse Processes of C2-C7 -Anterior and Middle insert Rib#1, Posterior Rib#2 Laterally Bend the Neck & Elevate Ribs 1 & 2 Innervated by Cervicle Nerves C3-C6 *The Brachio Plexus Nerve is the large nerve extending from in between the Anterior and Medial Scalene Muscles. Anterior Neck Muscles: Made up of the Supra & Infra Hyoid Muscles which elevate and depress the hyoid bone for Swallowing and for Speech respectively Supra Hyoid Muscles are the Hyoid Muscles Above the Hyoid Bone, Infra Hyoid Muscles below Supra-Hyoid Muscles Elevate Hyoid Bone for Swallowing (Larynx pushes on Epiglottis to close off the Trachea) Myohyoid, Stylohyoid, Geniohyoid & Diagnostic Anteior & Posterior BUT On the Model you can only see Diagnostic Anterior, Myohyoid, & GlenioHyoid because the others are covered by the Hyoglussus -DMGH Supra Innervated by the Mandibular Branch of the Facial Nerve / (CN7) Blue part is just Hyoid Cartillage Infra-Hyoid Bones Depress Hyoid Bone for Swallowing & Speech (Pull Epiglottis down to open Trachea) Omohyoid, Sternohyoid and Thyrohyoid Innervated by the Ansa Cervicalis *SternoCleidoMastoid is the largest Most Superficial Muscle of the Neck, is Innervated by Cranial Nerve 6 and rotates the neck. Muscles of the Eye 4 Rectus Musces: Medial Lateral Inferior & Superior Medial – Adducts Lateral – Abducts Superior – Looks up Inferior – Looks Down Superior & Inferior Oblique Inferior – External Rotation (Looking Out) Superior – Internal Rotation (Looking At Your Nose) -Go Under Superior & Inferior Rectus Superior Levator Palpebrae – Moves the Eye Lashes -Lies Overtop of the Superior Rectus Trochelar Nerve – Superior Oblique Abducens Nerve – Lateral Rectus Oculomotor Nerve – Everything Else *ALL THE MUSCLES CONJOIN AT THE TENDINOUS RING Heart 11/30/2016 10:43:00 PM Vessels NOT on the Bell Ringer Heart usually works fine but vessels and structure around often give out. Beats fine outside of the chest Not in center of body, Apex points down to the left. Held within the Pericardial Sac, which is attached the diaphragm and the major vessels running to and from the heart. -Thin layer of pericardial fluid between sac and surrounding parts to reduce friction as it beats. Pumps blood to tissues, needs to generate enough power to get it al the way through the body. Pumps blood to different tissues differently: 1. Pulmonary Circuit – To and from the Lungs 2. Systemic Circuit – Everything but the lungs and heart itself. 3. Coronary Circuit – Network of vessels around the heart that provide heart. Veins – Blood to the heart Arteries – Arteries away from the heart Blue – Cianosis, occurs when there is no blood. All blood is red, more oxygenated makes it darker red, but it is always red. Veins appear blue because they are much thinner giving them a dark red appearance, arteries don’t they are too thick. Ex. Pulmonary artery brings deoxygenated blood away from heart to lungs. Pulmonary vein brings oxygenated blood back to the heart. Right side of heart holds deoxygenated blood, left side oxygenated Nerve Innervations 11/30/2016 10:43:00 PM Anterior Shin Deep Fibular Lateral Shin Superficial Fibular Posterior Shin Tibial Nerve Quads Femoral Nerve Adductors Obtuator Nerve Hamstring Sciatic Nerve Gluteus Med + Min Superficial Gluteal Nerve Gluteus Max Inferior Gluteal Nerve Lateral Rotators PGOGO Quadratus Femoris ALL Erector Spinae Dorsal Rami of Thoracic Spinal Nerves Quad Lumborium Anterior Rami Abs Anterior Rami of thoracic Nerves Big Front Muscles Moving the Arm: Deltoid Axillary Pec Major Pectoral Nerve Pec Minor Median Pectoral Nerve Big Back Muscles Moving the Arm Trapezius Accessary Nerve Rhomboid Minor & Major & Levator Scapulae Dorsal Scapular Nerve Little Front Muscles Moving the Arm: Pec Minor Median Pectoral Nerve SubClavius Subclavian Nerve Serratus Anterior Long Thoracic Nerve CoricoBrachialis MusculoCutaneous Rotator Cuff Muscles Subscapularis (Medial Rotation Less Tubercle) Subscapular Nerve Supraspinatous SupraScapular Nerve Infraspinatous SupraScapular Nerve Teres Minor Axillary (SHOULDER NERVE) Teres Major Subscapular Nerve Biceps & Brachialis Musculocutaneous Nerve Anterior Forearm Median Nerve *Flexor Carpi Ulnaris Ulnar Nerve Triceps & Posterior Forearm Radial Nerve Lateral Neck Cervical Nerves 3-6 Levator Scapular Dorsal Scapular Nerve Scalene Anterior Posterior & Median Cervical Nerves 3-6 InfraHyoid Trigeminal Nerve Mandibular Division Diagnastic Anterior MyoHyoid GlenioHyoid HyoGlossus SupraHyoid Cervical Nerves 1-3 Superior OmoHyoid SternoHyoid ThyroHyroid Cervical Nerve 1-2 Tongue GlenioGlossus CN 7 StyleGlossus PalatoGlossus Vagus Nerve Face CN #7 Ma