Uploaded by Marcus Taylor

CSCS Human Skeletal Muscles

advertisement
HUMAN SKELETAL MUSCLES
This document presented in table format contains information about the skeletal
muscles of the human body. Each muscle’s origin, insertion, innervation, blood
supply, and action are included. In order to aid with memorization and retention, it is
good practice to utilize an anatomy atlas to help visualize the muscles as you study.
©PracticeRepetitions, LLC
Table of Contents
Epicranial Musculature……………..3
Ocular Musculature…………………3
Muscles of Facial Expression……….4
Muscles of Mastication……………...5
Suboccipital Musculature…………...6
Splenius Musculature………………..6
Anterior Neck Musculature………...7
Anterolateral Neck Musculature…...8
Superficial Neck Musculature……....9
Superficial Back Musculature……....9
Transversospinal Musculature……10
Deep Back Musculature…………...10
Erector Spinae Musculature………11
Intercostal Musculature…………...12
Abdominal Musculature…………...12
Pectoral Musculature……………...13
Shoulder Girdle Musculature…………………….…..13
Anterior Brachial Musculature……………………...14
Posterior Brachial Musculature……………………..15
Antebrachial Flexor Musculature…………………...15
Antebrachial Extensor Musculature………………...16
Intrinsic Thenar Musculature of the Hand………….18
Intrinsic Hypothenar Musculature of the Hand….…18
Intrinsic Short Musculature of the Hand…………....19
Gluteal Musculature……………………………….….20
Anterior Thigh Musculature………………………....21
Adductor Thigh Musculature…………………….…..22
Posterior Thigh Musculature………………………...23
Anterior Leg Musculature…………………………....23
Lateral Leg Musculature……………………………..24
Posterior Leg Musculature……………...……………24
Foot Musculature……………………………………...25
3
Epicranial Musculature
Muscle
Origin
Insertion
Occipitalis
superior nuchal line
galea aponeurotica
Frontalis
galea aponeurotica
skin of the eyebrow
Innervation
Blood Supply
posterior auricular branch
of the facial nerve (VII)
temporal branches of the
facial nerve (VII)
occipital a.
supraorbital and
supratrochlear aa.
Action
pulls the scalp posteriorly;
elevates the eyebrows
elevates the eyebrows and
wrinkles the forehead
Ocular Musculature
Muscle
Origin
Insertion
Innervation
Blood Supply
Levator palpebrae
superioris
apex of the orbit above
the optic canal
Medial rectus
Lateral rectus
skin and fascia of upper
eyelid and the superior
tarsal plate
oculomotor nerve (III)
and sympathetics (to the
superior tarsal portion)
ophthalmic a.
elevates the upper eyelid
common tendinous ring at
the apex of the orbit
sclera on the medial
surface of the eyeball
oculomotor nerve (III)
(inferior division)
ophthalmic a
adducts the corneal part of
the eyeball
common tendinous ring at
the apex of the orbit
common tendinous ring at
the apex of the orbit
sclera on the lateral
surface of the eyeball
sclera on the superior
surface of the eyeball
abducens nerve (VI)
ophthalmic a.
oculomotor nerve (III),
superior division
ophthalmic a
Inferior rectus
common tendinous ring at
the apex of the orbit
sclera on the inferior
surface of the eyeball
oculomotor nerve (III),
inferior division
ophthalmic a.
Superior oblique
apex of the orbit above
the optic canal
sclera on the posterior
superior surface of the
eyeball
trochlear nerve (IV)
ophthalmic a.
abducts the corneal part of
the eyeball
elevates and adducts the
eyeball; rotates the
superior pole of the iris
medially
depresses and adducts the
corneal part of the
eyeball; rotates the
superior pole of the iris
laterally
depresses and abducts the
eyeball; rotates the
superior pole of the iris
medially
Superior rectus
Action
T
h
a
n
k
y
o
u
f
o
r
y
o
u
r
r
e
c
e
n
t
p
u
r
c
h
a
s
e
o
f
t
h
e
N
S
C
A
C
S
4
Inferior oblique
floor of the orbit lateral to
the lacrimal groove
sclera on the inferior
surface of the eyeball
oculomotor nerve (III),
inferior division
ophthalmic a.
elevates and abducts the
corneal part of the eye;
rotates the superior pole
of the iris laterally; when
the eye is adducted, this
muscle elevates the
cornea
Muscles of Facial Expression
Muscle
Innervation
Blood Supply
orbital part: medial orbital
margin and the medial
palpebral ligament;
palpebral part: medial
palpebral ligament
medial part of the
supercillary arch
skin and fascia of lips and
the area surrounding the
lips
orbital part: skin of the
lateral cheek; palpebral
part: lateral palpebral
raphe
temporal & zygomatic
branches of the facial
nerve (VII)
supraorbital a.,
supratrochlear a.,
infraorbital a., angular
branch of the facial a
closes the eyelids
skin of the medial half of
the eyebrow
skin and fascia of the lips
temporal branch of the
facial nerve (VII)
buccal branch of the facial
nerve (VII)
Supratrochlear a
pulls eyebrows together
medially
purses the lips
Levator labii superioris
alaque nasi
frontal process of the
maxilla
upper lip
nasal cartilage
buccal branch of the facial
nerve (VII)
infraorbital a., superior
labial branch of the facial
a.
elevates the upper lip and
flares the nostril
Levator labii superioris
inferior margin of the
orbit
skin of the upper lip
buccal branch of the facial
nerve (VII)
infraorbital a., superior
labial branch of the facial
a.
elevates the upper lip
Zygomaticus minor
lower surface of the
zygomatic bone
lateral part of the upper
lip
buccal branch of the facial
nerve (VII)
transverse facial a., facial
a.
elevates the upper lip
Zygomaticus major
upper lateral surface of
the zygomatic bone
skin of the angle of the
mouth
zygomatic and buccal
branches of the facial
nerve (VII)
transverse facial a., facial
a
elevates and draws the
corner of the mouth
laterally
Orbicularis oculi
Corrugator
Orbicularis oris
Origin
Insertion
superior and inferior
labial branches of the
facial a., mental a.,
infraorbital a.
Action
T
h
a
n
k
y
o
u
f
o
r
y
o
u
r
r
e
c
e
n
t
p
u
r
c
h
a
s
e
o
f
t
h
e
N
S
C
A
C
S
5
Risorius
fascia of the lateral cheek
skin of the angle (corner)
of the mouth
buccal branches of the
facial nerve (VII)
transverse facial a., facial
a.
draws the corner of the
mouth laterally
Levator anguli oris
canine fossa of the
maxilla
angle (corner) of the
mouth
buccal branch of the facial
nerve (VII)
infraorbital a., superior
labial branch of the facial
a.
elevates the angle of the
mouth
Buccinator
pterygomandibular raphe,
mandible, and the maxilla
lateral to the molar teeth
oblique line of the
mandible
angle of mouth and the
lateral portion of the
upper and lower lips
angle of the mouth
buccal branches of the
facial nerve (VII)
facial a.
marginal mandibular &
buccal branches of the
facial nerve (VII)
inferior labial branch of
the facial a., mental a.
pulls the corner of mouth
laterally; presses the
cheek against the teeth
pulls the corner of the
mouth downward
anterior surface of the
mandible
skin of the lower lip
marginal mandibular
branch of the facial nerve
(VII)
inferior labial branch of
the facial a., mental a.
Depressor anguli oris
Depressor labii
inferioris
depresses the lower lip
Muscles of Mastication
Muscle
Origin
Insertion
Masseter
zygomatic arch and
zygomatic bone
lateral surface of the
ramus and angle of the
mandible
Medial pterygoid
medial surface of the
lateral pterygoid plate,
pyramidal process of the
palatine bone, tuberosity
of the maxilla
superior head: greater
wing of the sphenoid
bone; inferior head:
lateral surface of the
lateral pterygoid plate
medial surface of the
ramus and angle of the
mandible
Lateral pterygoid
superior head: capsule
and & articular disk of the
temporomandibular joint;
inferior head: neck of the
mandible
Innervation
Blood Supply
nerve to the masseter,
from the mandibular
division of the trigeminal
nerve (V)
medial pterygoid branch
of the mandibular division
of the trigeminal nerve
(V)
masseteric branch of the
maxillary a
elevates the mandible
Action
pterygoid branch of the
maxillary a.
elevates and protracts the
mandible
lateral pterygoid branch
of the mandibular division
of the trigeminal nerve
(V)
pterygoid branch of the
maxillary a.
protracts the mandible;
opens the mouth; active in
grinding actions of
chewing
T
h
a
n
k
y
o
u
f
o
r
y
o
u
r
r
e
c
e
n
t
p
u
r
c
h
a
s
e
o
f
t
h
e
N
S
C
A
C
S
6
Temporalis
temporal fossa and the
temporal fascia
coronoid process of the
mandible and the anterior
surface of the ramus of
the mandible
anterior and posterior
deep temporal nerves
from the mandibular
division of the trigeminal
nerve (V)
anterior and posterior
deep temporal aa.
elevates the mandible;
retracts the mandible
(posterior fibers)
Suboccipital Musculature
Muscle
Origin
Rectus Capitis Posterior
Minor
Tubercle of posterior arch
of atlas.
Rectus Capitis Posterior
Major
Spinous process of axis.
Obliquus Capitis
Superior
Transverse process of
atlas.
Obliquus Capitis
Inferior
Spine of axis.
Insertion
Innervation
Blood Supply
Action
medial 1/3 of the superior
nuchal line and the skull
beneath.
Lateral part of superior
nuchal line (occipital
bone)
Lateral part of superior
nuchal line.
Suboccipital n.
Vertebral a. &
Occipital a.
Extension of skull.
Suboccipital n.
Vertebral a. &
Occipital a.
Extension of skull.
Suboccipital n.
Vertebral a. &
Occipital a.
Lateral rotation and
extension of head.
Transverse process of
atlas.
Suboccipital n.
Vertebral a. &
Occipital a.
Lateral depression of atlas
(Bends head backwards to
same side)
Splenius Musculature
Muscle
Splenius Capitus
Origin
Ligamentum nuchae
Spinous processes: C7-T3
Insertion
-Mastoid process of
temporal bone
-Superior nuchal line.
Innervation
Blood Supply
Dorsal rami of lower
cervical spinal nerves.
Deep cervical a.
(comes off costal
costocervical trunk) &
Posterior intercostals
arteries.
Action
Bilateral: extension of
head and neck.
Unilateral: lateral flexion
and rotation of head to
same side.
7
Splenius Cervicis
Spinous processes T3-T6
Transverse processes C1C3
Dorsal rami of lower
cervical spinal nerves
Deep cervical a.
(comes off costal
costocervical trunk) &
Posterior intercostals
arteries.
Bilateral: extension of
head and neck.
Unilateral: lateral flexion
and rotation of head to
same side.
Anterior Neck Musculature
Muscle
Sternohyoid
Omohyoid
Sternothyroid
Thyrohyoid
Origin
posterior surfaces of both
the manubrium and
sternal end of the clavicle
inferior belly: upper
border of the scapula
medial to the scapular
notch; superior belly:
intermediate tendon
posterior surface of the
manubrium below the
origin of the sternohyoid
m.
oblique line of the thyroid
cartilage
Stylohyoid
posterior side of the
styloid process
Digastric
anterior belly: digastric
fossa of the mandible;
posterior belly: mastoid
notch of the temporal
bone
Insertion
Innervation
Blood Supply
Action
lower border of the hyoid
bone, medial to the
omohyoid m. insertion
inferior belly:
intermediate tendon;
superior belly: lower
border of the hyoid bone
lateral to the sternohyoid
insertion
oblique line of the thyroid
cartilage
ansa cervicalis
superior thyroid a.
depresses/stabilizes the
hyoid bone
ansa cervicalis
transverse cervical a
depresses/stabilizes the
hyoid bone
ansa cervicalis
superior thyroid a
depresses/stabilizes the
hyoid bone
lower border of the hyoid
bone
ansa cervicalis (via fibers
running with the
hypoglossal nerve that
leave XII distal to the
superior limb of ansa)
facial nerve (VII)
superior thyroid a.
elevates the larynx;
depresses/stabilizes the
hyoid bone
ascending pharyngeal a.
elevates and retracts the
hyoid bone
anterior belly: mylohyoid
nerve, from the
mandibular division of the
trigeminal nerve (V);
posterior belly: facial
nerve (VII)
anterior belly:
submental a.; posterior
belly: occipital a.
anterior belly: submental
a.; posterior belly:
occipital a.
elevates the hyoid bone;
depresses the mandible
splits around the
intermediate tendon of the
digastric m. to insert on
the body of the hyoid
bone
body of the hyoid via a
fibrous loop over an
intermediate tendon
T
h
a
n
k
y
o
u
f
o
r
y
o
u
r
r
e
c
e
n
t
p
u
r
c
h
a
s
e
o
f
t
h
e
N
S
C
A
C
S
8
Mylohyoid
mylohyoid line of
mandible
midline raphe and body of
the hyoid bone
mylohyoid nerve from the
inferior alveolar nerve, a
branch of the mandibular
division of the trigeminal
nerve (V)
mylohyoid branch of the
inferior alveolar a.
elevates the hyoid bone
and the tongue; depresses
the mandible
Geniohyoid
mental spines of the
mandible
body of the hyoid bone
ventral primary ramus of
spinal nerve C1 via fibers
carried by the hypoglossal
nerve
lingual a., submental a.
elevates the hyoid bone;
depresses the mandible
Anterolateral Neck Musculature
Muscle
Anterior scalene
Middle scalene
Posterior scalene
Origin
anterior tubercles of the
transverse processes of
vertebrae C3-C6
posterior tubercles of the
transverse processes of
vertebrae C2-C7
posterior tubercles of the
transverse processes of
vertebrae C5-C7
Insertion
Innervation
Blood Supply
scalene tubercle of the
first rib
brachial plexus, C5-C7
upper surface of the first
rib behind the subclavian
artery
lateral surface of the
second rib
brachial plexus, C3-C8
ascending cervical a., a
branch of the
thyrocervical trunk
ascending cervical a.
brachial plexus, C7-C8
ascending cervical a.
Action
elevates the first rib;
flexes and laterally bends
the neck
elevates the first rib;
flexes and laterally bends
the neck
elevates the second rib;
flexes and laterally bends
the neck
T
h
a
n
k
y
o
u
f
o
r
y
o
u
r
r
e
c
e
n
t
p
u
r
c
h
a
s
e
o
f
t
h
e
N
S
C
A
C
S
9
Superficial Neck Musculature
Muscle
Innervation
Blood Supply
Sternocleidomastoid
sternal head: anterior
surface of the manubrium;
clavicular head: medial
1/3rd of the clavicle
Origin
mastoid process and
lateral 1/2 of the superior
nuchal line
Insertion
spinal accessory nerve
(XI), with sensory supply
from C2 & C3 (for
proprioception)
sternocleidomastoid
branch of the occipital a.
Platysma
fascia overlying the
pectoralis major and
deltoid muscles
inferior border of the
mandible and skin of
lower face
cervical branch of the
facial nerve (VII)
facial a.
Action
draws the mastoid process
down toward the same
side which causes the chin
to turn up toward the
opposite side; acting
together, the muscles of
the two sides flex the
neck
draws the corners of the
mouth down; it aids in
depression of the
mandible
Superficial Back Musculature
Muscle
Trapezius
Latissimus dorsi
Origin
-Superior nuchal line
(ligamentum nuchae)
-external occipital
protuberance
-spinous processes C7 –
T12
-spinous process of T7T12
-thoracolumbar
aponeurosis
-iliac crest
Insertion
Innervation
Blood Supply
Action
Superior: later 1/3
clavicle, acromion
Middle: spine of scapula
Inferior: root of spine of
scapula
Cranial Nerve XI
(accessory nerve) and
branches of C3, C4
Transverse Cervical
Artery.
Superior: elevate, upward
rotation of scapula.
Middle: retract scapula
Inferior: depress, upward
rotation scapula.
Intertubercular groove of
humerus
Thoracodorsal nerve
Thoracodorsal artery
Extends, adducts and
medially rotates humerus.
T
h
a
n
k
y
o
u
f
o
r
y
o
u
r
r
e
c
e
n
t
p
u
r
c
h
a
s
e
o
f
t
h
e
N
S
C
A
C
S
10
Transversospinal Musculature
Muscle
Origin
Semispinalis
 Thoracis
 Cervicis
 Capitis
T: transverse processes of
T6-T10
Cerv: transverse processes
of T1-T5
Cap: transverse processes
of C7-T6
Multifidus
Sacrum, ilium, transverse
processes of all vertebrae.
Rotatores
(Long, Short)
Transverse processes of
vertebrae in thoracic
region.
Insertion
T: spinous
Processes C6-T4.
Cerv: spinous
Processes C2-C5.
Cap: between
superior and inferior
nuchal line.
Spinous process of
superior vertebrae,
inserting 2-4 vertebrae
above origin.
Lamina of adjacent
superior vertebrae directly
above origin (1-2 levels).
Innervation
Blood Supply
Dorsal rami of spinal
nerves.
Segmentally: deep
cervical, posterior
intercostals, subcostals
and lumbar arteries.
Extension of head and
vertebral column, lateral
bending and contralateral
rotation.
Dorsal rami of spinal
nerves.
Segmentally: deep
cervical, posterior
intercostals, subcostals
and lumbar arteries.
Segmentally: deep
cervical, posterior
intercostals, subcostals
and lumbar arteries.
Stabilization of vertebral
column, extension, lateral
bending, contralateral
rotation.
Stabilization of vertebral
column and assist with
local extension and
contralateral rotation.
Dorsal rami of spinal
nerves.
Action
Deep Back Musculature
Muscle
Innervation
Blood Supply
Upper portion spinous
process of cervical,
thoracic, and lumbar
vertebrae.
Upper border of
transverse processes of
cervical and lumbar
vertebrae.
Adjacent inferior surface
of superior spinous
process.
Dorsal rami of spinal
nerves.
Lower border of
transverse processes of
superior adjacent
vertebrae.
Dorsal rami of spinal
nerves.
Segmentally: deep
cervical, posterior
intercostals, subcostals
and lumbar arteries.
Segmentally: deep
cervical, posterior
intercostals, subcostals
and lumbar arteries.
Levatores Costarum
Transverse processes C7T12.
Posterior surface and
angle of rib below.
Dorsal rami of spinal
nerves.
Quadratus Lumborum
Iliac crest & iliolumbar
ligament.
Transverse processes L1L4 and 12th rib.
Ventral rami of T12-L4
spinal nerves.
Interspinales
Intertransversari
Origin
Insertion
Segmentally: deep
cervical, posterior
intercostals, subcostals
and lumbar arteries.
subcostal arteries and
lumbar arteries.
Action
Extension and
stabilization during
flexion of vertebral
column.
Bilateral: stabilize
vertebral column.
Unilaterally: lateral
bending of trunk and
neck.
Elevate ribs in inspiration
and assist in lateral
bending of vertebral
column.
Bilateral: extension of
trunk and also fixes 12th
rib.
Unilateral: lateral flexion.
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
11
Erector Spinae Musculature
Muscle
Origin
Insertion
Innervation
Blood Supply
Action
Iliocostalis
 Lumborum
 Thoracis
 Cervicis
L: common tendon.
T: angles of lower ribs 612.
C: angles of ribs
3-6.
L: angles lower 6 ribs
T: angles upper 6 ribs &
transverse process C7
C: transverse processes
C4-C6
Dorsal rami of spinal
nerves.
Segmentally: deep
cervical, posterior
intercostals, subcostal and
lumbar arteries.
Bilateral: extension of
head and vertebral
column.
Unilaterally: lateral
flexion of neck and
vertebral column.
Longissimus
 Thoracis
 Cervicis
 Capitis
T: common tendon,
transverse processes L1L5.
Cer: transverse process
T1-T12.
Cap: C4-C7 & TP of T1T5.
T: spinous processes
T11-L2.
Cer: ligamentum nuchae
& spinous process C7.
Cap: indistinct from
semispinalis capitis
(transverse processes C7T6).
T: ribs 3-12.
Cer: transverse processes
C2-C6.
Cap: mastoid.
Dorsal rami of spinal
nerves.
Segmentally: deep
cervical, posterior
intercostals, subcostal and
lumbar arteries.
Bilateral: extension of
head and vertebral
column.
Unilaterally: lateral
flexion of neck and
vertebral column.
T: spinous processes T1T4.
Cer: spinous process of
C2.
Cap: between superior
and inferior nuchal line.
Dorsal rami of spinal
nerves.
Segmentally: deep
cervical, posterior
intercostals, subcostal and
lumbar arteries.
Bilateral: extension of
head and vertebral
column.
Unilaterally: lateral
flexion of neck and
vertebral column.
Spinalis
 Thoracis
 Cervicis
 Capitis
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
12
Intercostal Musculature
Muscle
Origin
External intercostal
muscles
Internal intercostal
muscles
Innermost intercostal
Transversus thoracis
Shaft of rib just lateral to
tubercle
Costal groove to superior
rib
Inferior border of ribs
Xiphoid process and
inferior part of the body
Insertion
Runs Obliquely, inferiorly
and anteriorly to the rib.
Superior margin of
inferior rib
Superior border of ribs
2-6 costal cartilages
Innervation
Blood Supply
Intercostal nerves
Intercostal a
Intercostal nerves
Intercostal a
Intercostal nerves
Intercostal nerves
Intercostal a
Intercostal a
Action
Keeps ribs from bulging
out
Keeps ribs from bulging
out
Probably elevate ribs
Depreses 2-6 ribs
Abdominal Musculature
Muscle
Diaphragm
External Oblique
Internal Oblique
Rectus Abdominus
Transverse abdominus
Pyramidalis
Origin
Insertion
Innervation
Blood Supply
Action
Inner xiphoid process
Inner surface of the lower
6 ribs
Upper 2 or 3 Lumbar
vertebrae
External surface of Ribs
5-12
Central tendon of the
diaphragm
Phrenic nerve
Musculophrenic a
Post intercostal a
Superior phrenic a
Pericardiophrenic a
Pulls down to increase
volume of thoracic cage.
Linea alba, Pubic
tubercle, Ant. Iliac crest,
xiphoid process
- Inf. 6 intercoastal nerve
- Subcostal n.
- Iliohypogastric n
- Superior, deep and
inferior epigastric a.
Thoracolumbar fascia,
Iliac crest, inguinal
ligament.
Pubic symphysis and
pubic crest
Inferior border of 10-12
ribs, linea alba, pubis.
- Superior, deep and
inferior epigastric artery.
Lower 6 costal cartilages,
thoracolumbar fascia,
iliac crest, inguinal
ligament.
Body of pubis
Linea alba, xiphoid
process and pubic
symphysis.
Ant rami of inferior 6
thoracic and first lumbar
nerves.
Ant. Rami of inferior 6
thoracic nerves and
superior and inferior
intercostals nerves.
Ant rami of inferior 6
thoracic and first lumbar
nerves.
- Flex and rotate trunk
- Compresses and
supports the abdominal
viscera
- Compresses and
supports the abdominal
viscera.
- Flexes trunk and
compresses abdominal
viscera.
Superior, deep and
inferior epigastric a.
Compresses and supports
abdominal viscera.
Linea alba
Subcostal n.
Superior, deep and
inferior epigastric a.
Tenses linea alba
Xiphoid process, 5-7th
costal cartilages.
- Superior, deep and
inferior epigastric artery.
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
13
Pectoral Musculature
Muscle
Innervation
Blood Supply
Lateral lip of
intertubercular groove of
humerus.
medial and lateral
pectoral nerves (C5-T1)
pectoral branch of the
thoracoacromial trunk
flexes and adducts the
arm, medially rotates the
arm
Pectoralis Minor
medial 1/2 of the clavicle,
manubrium & body of
sternum, costal cartilages
of ribs 2-6, sometimes
from the rectus sheath of
the upper abdominal wall
ribs 3-5
coracoid process of the
scapula
medial pectoral nerve
(C8, T1)
pectoral branch of the
thoracoacromial trunk
Subclavius
1st rib and it's cartilage
inferior surface of the
clavicle
nerve to subclavius (C5)
clavicular br. of the
thoracoacromial trunk
draws the scapula
forward, medialward, and
downward
draws the clavicle (and
hence the shoulder) down
and forward
Pectoralis Major
Origin
Insertion
Action
Shoulder Girdle Musculature
Muscle
Origin
Insertion
Deltoid
lateral one-third of the
clavicle, acromion, the
lower lip of the crest of
the spine of the scapula
deltoid tuberosity of the
humerus
axillary nerve (C5,6) from
the posterior cord of the
brachial plexus
posterior circumflex
humeral a.
Supraspinatus
supraspinatous fossa
greater tubercle of the
humerus (highest facet)
suprascapular a.
Infraspinatus
infraspinatous fossa
suprascapular a.
laterally rotates the arm
Teres minor
upper 2/3 of the lateral
border of the scapula
greater tubercle of the
humerus (middle facet)
greater tubercle of the
humerus (lowest facet)
suprascapular nerve
(C5,6) from the superior
trunk of the brachial
plexus
suprascapular nerve
circumflex scapular a.
laterally rotates the arm
Teres major
dorsal surface of the
inferior angle of the
scapula
axillary nerve (C5,6) from
the posterior cord of the
brachial plexus
lower subscapular nerve
(C5,6) from the posterior
cord of the brachial
plexus
circumflex scapular a.
adducts the arm, medially
rotates the arm, assists in
arm extension
crest of the lesser tubercle
of the humerus
Innervation
Blood Supply
Action
abducts arm; anterior
fibers flex & medially
rotate the arm; posterior
fibers extend & laterally
rotate the arm
abducts the arm (initiates
abduction)
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
14
Subscapularis
Levator scapulae
medial two-thirds of the
costal surface of the
scapula (subscapular
fossa)
C1-C4 (transverse
processes)
Rhomboid Minor
C7-T1 (spinous process)
Rhomboid Major
T2-T5 (spinous process)
Serratus Anterior
Lateral portions of ribs 18
lesser tubercle of the
humerus
upper and lower
subscapular nerves (C5,6)
subscapular a
medially rotates the arm;
assists extention of the
arm
Vertebral border of
scapula from superior
angle to root of spine.
Medial border (vertebral
border) of scapula, root of
spine of scapula.
Medial border (vertebral
border) of scapula, from
root of spine to inferior
angle.
Anterior surface of medial
(vertebral) border of
scapula.
Dorsal scapular n. and
branches of C3, C4.
Dorsal scapular a.
Dorsal scapular n.
(C5)
Dorsal scapular a.
Dorsal scapular n. (C5)
Dorsal scapular a.
-Elevation
-downward rotation of
scapula.
- retracts
- elevates and rotates
scapula inferiorly.
- retracts
- elevates and rotates
scapula inferiorly.
Long thoracic n.
Lateral thoracic a.
Draws scapula
forward(protraction)
Rotates scapula
superiorly, stabilizes
scapula against chest wall.
Anterior Brachial Musculature
Muscle
Origin
Insertion
Innervation
Blood Supply
Coracobrachialis
coracoid process of the
scapula
short head: tip of the
coracoid process of the
scapula; long head:
supraglenoid tubercle of
the scapula
anterior surface of the
lower one-half of the
humerus and the
associated intermuscular
septum
medial side of the
humerus at mid-shaft
tuberosity of the radius
musculocutaneous nerve
(C5,6)
musculocutaneous nerve
(C5,6)
brachial a.
coronoid process of the
ulna
musculocutaneous nerve
(C5,6)
brachial a., radial
recurrent a.
Biceps Brachii
Brachialis
brachial a.
Action
flexes and adducts the
arm
flexes the forearm, flexes
arm (long head), supinates
flexes the forearm
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
15
Posterior Brachial Musculature
Muscle
Triceps brachii
Anconeus
Origin
Insertion
long head: infraglenoid
tubercle of the scapula;
lateral head: posterolateral
humerus & lateral
intermuscular septum;
medial head:
posteromedial surface of
the inferior 1/2 of the
humerus
lateral epicondyle of the
humerus
Innervation
Blood Supply
olecranon process of the
ulna
radial nerve
deep brachial (profunda
brachii) a.
extends the forearm; the
long head extends and
adducts arm
Action
lateral side of the
olecranon and the upper
one-fourth of the ulna
nerve to anconeus, from
the radial nerve
interosseous recurrent a.
extends the forearm
Antebrachial Flexor Musculature
Muscle
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
Origin
Insertion
Innervation
common flexor tendon
and (deep or ulnar head)
from medial side of
coronoid process of the
ulna
common flexor tendon
from the medial
epicondyle of the
humerus
common flexor tendon,
from the medial
epicondyle of the
humerus
common flexor tendon &
(ulnar head) from medial
border of olecranon &
upper 2/3 of the posterior
border of the ulna
midpoint of the lateral
side of the shaft of the
radius
median nerve
Blood Supply
ulnar a., anterior ulnar
recurrent a.
Action
pronates the forearm
base of the second and
third metacarpals
median nerve
ulnar a.
flexes the wrist, abducts
the hand
palmar aponeurosis
median nerve
ulnar a.
flexes the wrist
pisiform, hook of hamate,
and base of 5th
metacarpal
ulnar nerve
ulnar a.
flexes wrist, adducts hand
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
16
humeroulnar head:
common flexor tendon;
radial head: middle 1/3 of
radius
posterior border of the
ulna, proximal two-thirds
of medial border of ulna,
interosseous membrane
shafts of the middle
phalanges of digits 2-5
median nerve
ulnar a.
posterior border of the
ulna, proximal two-thirds
of medial border of ulna,
interosseous membrane
median nerve (radial onehalf); ulnar nerve (ulnar
one-half)
ulnar a., anterior
interosseous a.
Fexor pollicis longus
anterior surface of radius
and interosseous
membrane
base of the distal phalanx
of the thumb
median nerve
anterior interosseous a.
Pronator quadratus
medial side of the anterior
surface of the distal onefourth of the ulna
anterior surface of the
distal one-fourth of the
radius
median nerve via the
anterior interosseous
nerve
anterior interosseous a.
Flexor digitorum
superficialis
Flexor digitorum
profundus
flexes the
metacarpophalangeal and
proximal interphalangeal
joints
flexes the
metacarpophalangeal,
proximal interphalangeal
and distal interphalangeal
joints
flexes the
metacarpophalangeal and
interphalangeal joints of
the thumb
pronates the forearm
Antebrachial Extensor Musculature
Muscle
Brachioradialis
Extensor carpi radialis
longus
Extensor carpi radialis
brevis
Extensor digitorum
Extensor digiti minimi
Origin
Insertion
Innervation
Blood Supply
Action
upper two-thirds of the
lateral supracondylar
ridge of the humerus
lower one-third of the
lateral supracondylar
ridge of the humerus
lateral supracondylar
ridge of the humerus
(common extensor tendon
common extensor tendon
(lateral epicondyle of the
humerus)
lateral side of the base of
the styloid process of the
radius
dorsum of the second
metacarpal bone (base)
radial nerve
radial recurrent a.
flexes the elbow, assists in
pronation & supination
deep radial nerve
radial a.
extends the wrist; abducts
the hand
dorsum of the third
metacarpal bone (base)
radial nerve
radial a.
extends the wrist; abducts
the hand
extensor expansion of
digits 2-5
deep radial nerve
interosseous recurrent a.
and posterior interosseous
a.
common extensor tendon
(lateral epicondyle of the
humerus)
joins the extensor
digitorum tendon to the
5th digit and inserts into
the extensor expansion
deep radial nerve
interosseous recurrent a.
extends the
metacarpophalangeal,
proximal interphalangeal
and distal interphalangeal
joints of the 2nd-5th digits;
extends wrist
extends the
metacarpophalangeal,
proximal interphalangeal
and distal interphalangeal
joints of the 5th digit
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
17
Extensor carpi ulnaris
Supinator
Abductor pollicis longus
Extensor pollicis brevis
Extensor pollicis longus
Extensor indicis
common extensor tendon
& the middle one-half of
the posterior border of the
ulna
lateral epicondyle of the
humerus, supinator crest
& fossa of the ulna, radial
collateral ligament,
annular ligament
middle one-third of the
posterior surface of the
radius, interosseous
membrane, mid-portion
of posterolateral ulna
interosseous membrane
and the posterior surface
of the distal radius
interosseous membrane
and middle part of the
posterolateral surface of
the ulna
interosseous membrane
and the posterolateral
surface of the distal ulna
medial side of the base of
the 5th metacarpal
deep radial nerve
ulnar a.
extends the wrist; adducts
the hand
lateral side of proximal
one-third of the radius
(deep) radial nerve
recurrent interosseous a.
supinates the forearm
radial side of the base of
the first metacarpal
radial nerve, deep branch
posterior interosseous a.
abducts the thumb at
carpometacarpal joint
base of the proximal
phalanx of the thumb
deep radial nerve
posterior interosseous a
extends the thumb at the
metacarpophalangeal joint
base of the distal phalanx
of the thumb
deep radial nerve
posterior interosseous a
extends the thumb at the
interphalangeal joint
its tendon joins the
tendon of the extensor
digitorum to the second
digit; both tendons insert
into the extensor
expansion
deep radial nerve
posterior interosseous a
extends the index finger at
the metacarpophalangeal,
proximal interphalangeal
and distal interphalangeal
joints
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
18
Intrinsic Thenar Musculature of the Hand
Muscle
Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis
Adductor pollicis
Origin
Insertion
Innervation
Blood Supply
flexor retinaculum,
scaphoid, trapezium
flexor retinaculum,
trapezium
base of the proximal
phalanx of the first digit
proximal phalanx of the
1st digit
recurrent branch of
median nerve
recurrent branch of the
median nerve
superficial palmar br. of
the radial a.
superficial palmar br. of
the radial a.
flexor retinaculum,
trapezium
oblique head: capitate and
base of the 2nd and 3rd
metacarpals; transverse
head: shaft of the 3rd
metacarpal
shaft of 1st metacarpal
recurrent branch of
median nerve
ulnar nerve, deep branch
superficial palmar branch
of the radial a.
deep palmar arterial arch
base of the proximal
phalanx of the thumb
Action
abducts thumb
flexes the
carpometacarpal and
metacarpophalangeal
joints of the thumb
opposes the thumb
adducts the thumb
Intrinsic Hypothenar Musculature of the Hand
Muscle
Origin
Abductor digiti minimi
(hand)
pisiform
Flexor digiti minimi
brevis (hand)
hook of hamate & the
flexor retinaculum
Opponens digiti minimi
hook of hamate and flexor
retinaculum
fascia overlying the
hypothenar eminence
Palmaris brevis
Insertion
Innervation
Blood Supply
Action
base of the proximal
phalanx of the 5th digit on
its ulnar side
proximal phalanx of the
5th digit
deep branch of the ulnar
nerve
ulnar a.
abducts the 5th digit
ulnar nerve, deep branch
ulnar a.
shaft of 5th metacarpal
ulnar nerve, deep branch
ulnar a.
flexes the
carpometacarpal and
metacarpophalangeal
joints of the 5th digit
opposes the 5th digit
skin of the palm near the
ulnar border of the hand
superficial br. of the ulnar
n.
ulnar a.
draws the skin of the
ulnar side of the hand
toward the center of the
palm
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
19
Intrinsic Short Musculature of the Hand
Muscle
Origin
Innervation
Blood Supply
Lumbrical (hand)
flexor digitorum
profundus tendons of
digits 2-5
extensor expansion on the
radial side of the proximal
phalanx of digits 2-5
Insertion
median nerve (radial 2)
via palmar digital nerves
& ulnar nerve (ulnar 2)
via deep branch
superficial palmar arterial
arch
Dorsal interosseous
four muscles, each arising
from two adjacent
metacarpal shafts
base of the proximal
phalanx and the extensor
expansion on lateral side
of the 2nd digit, lateral &
medial sides of the 3rd
digit, and medial side of
the 4th digit
ulnar nerve, deep branch
dorsal and palmar
metacarpal aa
Palmar interosseous
three muscles, arising
from the palmar surface
of the shafts of
metacarpals 2, 4, & 5
base of the proximal
phalanx and extensor
expansion of the medial
side of digit 2, and lateral
side of digits 4 & 5
ulnar nerve, deep branch
palmar metacarpal aa.
Action
flex the
metacarpophalangeal
joints, extend the
proximal and distal
interphalangeal joints of
digits 2-5
flex the
metacarpophalangeal
joint, extend the proximal
and distal interphalangeal
joints of digits 2-4, abduct
digits 2-4 (abduction of
digits in the hand is
defined as movement
away from the midline of
the 3rd digit)
flexes the
metacarpophalangeal,
extends proximal and
distal interphalangeal
joints and adducts digits
2, 4, & 5 (adduction of the
digits of the hand is in
reference to the midline of
the 3rd digit)
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
20
Gluteal Musculature
Muscle
Origin
Innervation
Blood Supply
Tensor Fascia Latae
Lateral side of ASIS
Iliotibial band (IT Band)
Superior gluteal (L4 and
L5)
Gluteus Maximus
sacrotuberous ligament
and behind posterior
gluteal line of iliac bone,
dorsal surface of sacrum
and coccyx
external surface of ilium
between anterior and
posterior gluteal lines
superficial: IT Band
Deep: gluteal tuberosity
on femur
Inferior gluteal nerve (L5,
S1, S2)
Lateral femoral
circumflex artery,
superior and inferior
gluteal
Superior and inferior
gluteal arteries
flexes the leg and thigh,
aids in abducting and
medial rotation of the
thigh
Lateral rotator and
extensor of the thigh
Flat facet on superior
lateral side of greater
trochanter of femur
Superior gluteal (L5 and
S1)
Superior gluteal arteries
external surface of ilium
between anterior and
inferior gluteal lines
Anterior lateral surface of
sacral segments S2-4,
sacrotuberous ligament
Internal surface of
obturator foramen
Ischial spine
Facet on anterior side of
greater trochanter
Superior gluteal (L4 and
S1)
Superior gluteal arteries
Ant: flexion, medial
rotation Middle:
abduction Posterior:
extension and lateral
rotation
weak medial rotation and
abduction of hip
Superior border of greater
trochanter of femur
Branches of ventral rami
of S1 and S2
Superior and inferior
gluteal arteries
Lateral rotator and
abductor of thigh
medial surface of greater
trochanter of femur
tendon of obturator
internus muscle superiorly
tendon of obturator
internus muscle inferiorly
Nerve to obturator
internus (L5 and S1)
Nerve to obturator
internus (L5 and S1)
Nerve to quadratus
femoris (L5 and S1)
Inferior gluteal artery
Laterally rotate abduct
and flex the thigh
Laterally rotate abduct
and flex the thigh
Laterally rotate abduct
and flex the thigh
quadrate tubercle on
intertrochanteric crest of
femur and area inferior to
it
Nerve to quadratus
femoris (L5 and S1)
Gluteus Medius
Gluteus Minimus
Piriformis
Obturator Internus
Superior Gemellus
Inferior Gemellus
Ischial tuberosity
(superior)
Quadratus Femoris
Ischial tuberosity (lateral
side)
Insertion
Inferior gluteal artery
Medial femoral
circumflex artery, inferior
gluteal artery
Inferior gluteal artery,
medial femoral
circumflex artery
Action
laterally rotate the thigh
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
21
Anterior Thigh Musculature
Muscle
Iliacus
Psoas Major
Psoas Minor
Sartorius
Rectus Femoris
Vastus Lateralis
Vastus Medialis
Articularis Genu
Origin
Superior 2/3 of iliac fossa,
inner lip of the iliac crest,
ala of sacrum
Anterior lateral surfaces
of T12-L5 vertebrae and
discs between them,
transverse processes of all
lumbar vertebrae
Anterior lateral surfaces
of T12-L5 vertebrae and
discs between them,
transverse processes of all
lumbar vertebrae
Anterior Surface of
anterior superior iliac
spine
Reflected head: between
acetabulum & inferior
gluteal line Straight
Head: anterior inferior
iliac spine
Lateral lip of linea aspera
and lateral gluteal
tuberosity via the
quadriceps tendon
Medial lip of linea aspera
and the most cranial
portion of spiral line
Anterior surface of 1/3 of
femur
Innervation
Blood Supply
tendon of psoas major,
lesser trochanter of femur
Insertion
Femoral Nerve (L2, L3,
and L4)
flexes the thigh
lesser trochanter of femur
via iliopsoas tendon
Ventral rami of lumbar
nerves (L1, L2, and L3)
iliolumbar artery off
internal iliac artery,
lumbar artery
iliolumbar artery off
internal iliac artery,
lumbar artery
Action
pectineal line,
iliopectineal eminence via
iliopectineal arch
Ventral rami of lumbar
nerves (L1 and L2)
Lumbar artery
flexes the lumbar
vertebrae
Most anterior toe of the
pes anserinum (goose's
foot); superior part of
medial surface of tibia
Base of patella and by the
patellar ligament to tibial
tuberosity
Femoral Nerve (L2 and
L3)
Branches of the femoral
artery
Flexes, Abducts, and
externally rotates thigh
Femoral Nerve (L2, L3,
and L4)
Branches of the femoral
artery
Extends leg, flex thigh
Base of patella and by the
patellar ligament to tibial
tuberosity
Femoral Nerve (L2, L3,
and L4)
Branches of the femoral
artery
Extends leg
Base of patella and by the
patellar ligament to tibial
tuberosity
Femoral Nerve (L2, L3,
and L4)
Branches of the femoral
artery
synovial capsule of knee
joint
Femoral Nerve (L2, L3,
and L4)
Branches of the femoral
artery
Vertical portion: Extends
leg Horizontal portion:
pulls on the patella
medially
Tightens the synovial
capsule
flexes the thigh
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
22
Adductor Thigh Musculature
Muscle
Origin
Insertion
Obturator Externus
External surface of
obturator foramen
trochanteric fossa of
femur
Innervation
Blood Supply
posterior division of
obturator nerve (L3 and
L4)
Femoral Nerve (L2 and
L3)
obturator artery, medial
femoral circumflex artery
laterally rotates the thigh
Pectineus
Iliopectineal line of pubis
Pectineal line on femur
Gracilis
Body and inferior ramus
of pubis
Pes Anserinum (goose's
foot), superior part of
medial surface of tibia
anterior division of
obturator nerve (L2 and
L3)
Adductor Brevis
Body and inferior ramus
of pubis
Upper 1/3 of medial lip of
linea aspera of femur
Adductor Longus
Body of pubis inferior to
the pubic crest
Adductor Magnus
transverse: inferior ramus
of the pubis Oblique:
ischial ramus of ischium
Hamstring: ischial
tuberosity
Medial 1/3 portion of the
medial lip of linea aspera
of femur
transverse: medial to
gluteal tuberosiy, linea
aspera Oblique: lateral lip
of linea aspera and lateral
supracondylar ridge of
femur Hamstring:
adductor tubercle of
femur
posterior division of
obturator nerve (L2, L3
and L4)
anterior division of
obturator nerve (L2, L3
and L4)
adductor part: posterior
division of obturator
nerve (L2, L3, and L4)
Hamstring part: tibial part
of sciatic nerve (L4)
Action
Branches of the femoral
artery, medial femoral
circumflex artery,
obturator artery
Branches of the femoral
artery, medial femoral
circumflex artery,
obturator artery
obturator artery, medial
femoral circumflex artery
adduct and flex thigh
obturator artery, medial
femoral circumflex artery
adduct the thigh
4 perforating branches of
profunda femoral artery,
obturator artery, medial
femoral circumflex artery
Adduct and flex thigh
adduct and flex thigh
adduct and flex thigh
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
23
Posterior Thigh Musculature
Innervation
Blood Supply
Semi- Membranosis
Muscle
ischial tuberosity
Origin
medial condyle of the
tibia
Insertion
tibial division of sciatic
nerve (L5, S1, and S2)
perforating branches of
profunda femoral artery
Semi-Tendinosis
ischial tuberosity, inferior
to biceps femoris muscle
tibial division of sciatic
nerve (L5, S1, and S2)
perforating branches of
profunda femoral artery
Biceps femoris
hamstring head: ischial
tuberosity Short head:
lateral lip of linea aspera
and lateral supracondylar
ridge of femur
Pes Anserinum (goose's
foot) most inferior of
three tendons, superior
part of medial surface of
tibia
lateral side of head of
fibula
hamstring head: tibial
division of sciatic nerve
(L5, S1, and S2) Short
head:common peroneal
division of sciatic nerve
(L5, S1, and S2)
perforating branches of
profunda femoral artery
Action
flexes and medially
rotatoes the knee and
extends the thigh
flexes and medially
rotatoes the knee and
extends the thigh
extends the thigh, flex and
laterally rotates the knee
Anterior Leg Musculature
Muscle
Tibialis Anterior
Extensor Hallucis
Longus
Extensor Digitorum
Longus
Peroneus Tertius
Origin
lateral condyle and
superior half of lateral
surface of tibia and
interosseous membrane
middle part of anterior
surface of fibula and
interosseous membrane
lateral condyle of tibia
and superior three fourths
of medial surface of the
fibula and interosseous
membrane
inferior third of anterior
surface of fibula and
interosseous membrane
Innervation
Blood Supply
medial and inferior
surfaces of medial
cuneiform and base of 1st
metatarsal
dorsal aspect of base of
distal phalanx of great toe
by way of extensor sheath
extensor expansion sheath
of dorsal side of toes 2-5
Insertion
deep peroneal nerve (L4
and L5)
anterior tibial artery
dorsiflexion and inversion
of the foot
Action
deep peroneal nerve (L5
and S1)
anterior tibial artery
extend great toe and
dorsiflex foot
deep peroneal nerve (L5
and S1)
anterior tibial artery
extends lateral 4 toes and
dorsiflexes the foot
most medial facet on
dorsum of the base of 5th
metatarsal
deep peroneal nerve (L5
and S1)
anterior tibial artery
dorsiflexes the foot and
aids in eversion of the
foot
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
24
Lateral Leg Musculature
Muscle
Origin
Peroneus Longus
head and superior 2/3 of
lateral surface of the
fibula
inferior 2/3 of lateral
surface of fibula
Peroneus Brevis
Insertion
lateral side of the base of
the 1st metatarsal and
medial cuneiform
dorsal surface of
tuberosity on lateral side
of the base of 5th
metatarsal
Innervation
Blood Supply
Action
superficial peroneal nerve
(L5, S1, and S2)
peroneal branches of
posterior tibial artery
plantarflex and evert the
foot
superficial peroneal nerve
(L5, S1, and S2)
peroneal branches of
posterior tibial artery
plantarflex and evert the
foot
Posterior Leg Musculature
Muscle
Gastrocnemius
Soleus
Plantaris
Popliteus
Origin
Lateral Head: lateral
aspect of lateral condyle
and lateral supracondylar
ridge of femur Medial
Head: popliteal surface of
femur superior to medial
condyle
superior fourth of
posterior surface of tibia,
posterior aspect of head &
neck of fibula,
interosseous membrane of
inferior margin of soleal
line of tibia
inferior end of lateral
supracondylar ridge and
oblique popliteal ligament
lateral surface of lateral
condyle of femur and
lateral meniscus
Innervation
Blood Supply
posterior surface of
calcaneus via calcaneal
tendon
Insertion
tibial nerve (S1 and S2)
posterior tibial artery
plantarflexes foot, raises
heel during walking,
flexes knee joint
Action
posterior surface of
calcaneus via calcaneal
tendon
tibial nerve (S1 and S2)
posterior tibial artery
plantarflexes foot,
steadies leg on foot
posterior surface of
calcaneus via calcaneal
tendon
posterior surface of tibia,
superior to soleal line
tibial nerve (S1 and S2)
posterior tibial artery
tibial nerve (L4, L5,and
S1)
posterior tibial artery,
popliteal artery
assists gastrocnemius in
plantarflexing the foot
and flexing the knee joint
flexes knee, unlocks
locked knee by rotating
tibia medially on femur,
or laterally on tibia
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
25
Flexor Hallucis Longus
Flexor Digitorum
Longus
Tibialis Posterior
inferior 2/3 of posterior
surface of fibula and
inferior part of
interosseous membrane
medial part of posterior
surface of tibia inferior to
soleal line
Interosseous membrane,
posteior surface of fibula,
posterior surface of tibia
inferior to soleal line
base of distal phalanx of
great toe (hallux)
tibial nerve (S2 and S3)
peroneal artery
flexes great toe and
plantarflexes foot
bases of distal phalanges
of lateral four digits
tibial nerve (S2 and S3)
posterior tibial artery
flexes lateral four toes
tuberosity of navicular
bone, cuneiform, cuboid,
and bases of 2-4th
metatarsals
tibial nerve (L4 and L5)
posterior tibial artery,
peroneal artery
plantarflexes foot, inverts
foot
Foot Musculature
Muscle
Abductor Hallucis
Flexor Digitorum Brevis
Abductor Digiti Minimi
Quadratus Plantae
Lumbricals
Flexor Hallucis Brevis
Innervation
Blood Supply
Action
medial tubercle of
tuberosity of calcaneus,
flexor retinaculum,
plantar aponeurosis
medial tubercle of
tuberosity of calcaneus,
flexor retinaculum,
intermuscular septa
medial and lateral
tubercle of calcaneus,
plantar aponeurosis,
intermuscular septa
medial surface and lateral
margin of plantar surface
of calcaneus
tendons of flexor
digitorum longus
Origin
medial side of base of
proximal phalanx on
hallux
Insertion
medial plantar nerve (S2
and S3)
medial plantar artery
abducts and flexes the
great toe
both sides of middle
phalanges and lateral four
digits
medial plantar nerve (S2
and S3)
medial plantar artery
flexes the lateral 4 toes
lateral side of base of
proximal phalanx of 5th
digit
lateral plantar nerve (S2
and S3)
lateral plantar artery
abducts and flexes small
toe
posterior margin of
tendon of flexor
digitorum longus
medial aspect of
expansion over lateral
four digits
lateral plantar nerve (S2
and S3)
lateral plantar artery
medial and lateral plantar
arteries
plantar surfaces of cuboid
and lateral cuneiforms
both sides of base of
proximal phalanx of 1st
digit
medial one: medial
plantar nerve (S2 and S3)
lateral three: lateral
plantar nerve (S2 and S3)
medial plantar nerve (S2
and S3)
assists flexor digitorum
longus in flexing the
lateral 4 toes
flex proximal phalanges
and extend middle and
distal phalanges of lateral
4 toes
flexes great toe
medial plantar artery
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
26
tendons of both heads
attach to lateral side of
base of proximal phalanx
of 1st digit
deep branch of lateral
plantar nerve (S2 and S3)
lateral plantar artery
adducts and flexes great
toe
Flexor Digiti Minimi
Brevis
Oblique head: bases of
metatarsals 2-4
Transverse head: plantar
ligaments of
metatarsophalangeal
joints
base of 5th metatarsal
bone
base of proximal phalanx
of 5th digit
lateral plantar artery
flexes small toe
Plantar Interossei (3
muscles)
bases and medial sides of
metatarsals 3-5
lateral plantar artery
adducts and flexes
metatarsophalangeal joints
Dorsal Interossei (4
muscles)
adjacent sides of
metatarsals of 1-5
lateral plantar nerve (S2
and S3)
lateral plantar artery
abducts toes, flexes
metatarsophalangeal joints
Extensor Digitorum
Brevis
Dorsal surface of neck of
calcaneus bone
deep peroneal nerve
dorsalis pedis artery
aids in extending toes 2-5
Extensor Hallucis Brevis
Dorsal surface of neck of
calcaneus bone
medial sides of bases of
proximal phalanges of 3-5
digits
first: medial side of
proximal phalanx of 2nd
digit second to fourth:
latreal sides of 2nd to 4th
digits
toes 2-5 via extensor
expansion sheath, base of
proximal phalanx of
tendons of extensor
digitorum longus
Base of proximal phalanx
of hallux
superficial branch of
lateral plantar nerve (S2
and S3)
lateral plantar nerve (S2
and S3)
Deep peroneal nerve
dorsalis pedis artery
aids in extending hallux
Adductor Hallucis
Th
an
k
yo
u
for
yo
ur
rec
ent
pur
ch
ase
of
the
NS
CA
CS
CS
Ex
am
ina
tio
n
Re
vie
w
an
d
Stu
dy
Gu
ide
eB
oo
k. I
ho
pe
the
ad
diti
Included Content
 CSCS Exam Content Outline
 Bulleted Summaries of all
Chapters of Essentials of
Strength Training and
Conditioning
 Review of Select Resistance
Training Exercises
 Tips for Answering Multiple
Choice Questions
 Practice Questions and
Answers
Download