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