MUSCLE ORIGIN/INSERTION/ACTION/INNERVATION CHART Muscles of Upper Extremity Muscle Name Origin Insertion Action Innervation Pectoralis Major Medial third of clavicle, front of sternum, costal cartilages of ribs 5-7 Lateral lip of intertubercular groove Adducts, flexes, medially rotates arm Medial and lateral pectoral Pectoralis Minor Ribs 3-5 Coracoid process of scapula Protract, depress, medially rotate scapula Medial pectoral Subclavius Upper border of 1st rib Subclavian groove of clavicle Protract and depress clavicle Nerve to subclavius (5th and 6th cervical nerves) Serratus Anterior Ribs 1-8 Ventral surfaces of vertebral (medial) border of scapula Protract and rotate the scapula Long thoracic Trapezius Occipital bone, spines of C7 and T1-12, and ligamentum nuchae Lateral 1/3 of clavicle, acromion, and spine of scapula Retract and rotate scapula, tilt head back, upper portions elevate scapula, lower portion can depress scapula Cranial nerve XI (spinal accessory nerve) Rhomboid Major Spines of T2-5 Retract and rotate the scapula Dorsal scapular Rhomboid Minor Ligamentum nuchae, spines of C7 and T1 Vertebral (medial) border of scapula between spine and inf. angle Vertebral border of spine of scapula Retract and rotate the scapula Dorsal scapular Levator Scapulae Transverse Processes of C1-4 Vertebral border of scapula above spine Elevate and rotate of scapula 3rd and 4th cervical spinal nerves and dorsal scapular Latissimus Dorsi Thoracolumbar fascia, iliac crest, spines of T7-T12, and lower 3 ribs Intertubercular groove of humerus Extend, medially rotate, and adduct arm at shoulder Thoracodorsal Deltoid Lateral 1/3 clavicle, acromion, and spine of scapula Deltoid tuberosity of humerus Abduct arm; anterior fibers flex the arm, posterior fibers extend the arm Axillary 1 Muscle Name Origin Insertion Action Innervation Teres Major Inferior angle of scapula Lesser tubercle of humerus Medially rotates and adducts arm at shoulder Lower subscapular Teres Minor Lateral border of scapula Greater tubercle of humerus Lateral rotation of arm at shoulder Axillary Subscapularis Subscapular fossa of scapula Lesser tubercle of humerus Medially rotate and adduct arm at shoulder Upper subscapular Supraspinatus Supraspinatus fossa of scapula Greater tubercle of humerus Abduct arm at shoulder Suprascapular Infraspinatus Infraspinatus fossa of scapula Greater tubercle of humerus Lateral rotation of arm at shoulder Suprascapular Long Head of Biceps Supraglenoid tubercle of scapula Tuberosity of radius and to ulna by the bicipital aponeurosis Flex forearm at elbow, supinate forearm, and flex arm at shoulder Musculocutaneous Short head of biceps Coracoid process of scapula Tuberosity of radius and to ulna by the bicipital aponeurosis Flex forearm at elbow, supinate forearm, and flex arm at shoulder Musculocutaneous Coracobrachialis Humerus Flex arm at shoulder Musculocutaneous Brachialis Coracoid process of scapula Humerus Coronoid process of ulna and ulnar tuberosity Flex forearm at elbow Musculocutaneous Lateral Head of Triceps Humerus Olecranon of ulna Extend forearm at elbow Radial Long Head of Triceps Infraglenoid tubercle of scapula Olecranon of ulna Extend forearm at elbow Radial Medial Head of Triceps Humerus Olecranon of ulna Extend forearm at elbow Radial Brachioradialis Lateral supracondylar line of humerus Lateral epicondyle of humerus Distal radius Flexes forearm at elbow Radial Olecranon of ulna Extend forearm at elbow Radial Anconeus 2 Muscles of the Wrist and Hand Muscle Name Origin Insertion Action Innervation Extensor Carpi Radialis Longus and Brevis Lateral supracondylar ridge (longus) and lateral epicondyle (brevis) of humerus Lateral epicondyle of humerus Base of 2nd metacarpal (long); base of 2nd and 3rd metacarpals (brevis) Extend and abduct hand at wrist Radial Middle and distal phalanges of fingers 2-5 via extensor expansion Extends digits 2-5 at all joints Radial Lateral epicondyle of humerus Lateral epicondyle and ulna Extensor expansion of digit 5 Extends digit 5 at all joints Radial Base of 5th metatarsal Extends and adducts hand at wrist Radial Radius, ulna and interosseous membrane Radius and interosseous membrane Base of 1st metacarpal Abduct and extend first digit (thumb) at CMC joint Extend thumb at CMC and MCP joints Posterior interosseous Ulna and interosseous membrane Posterior ulna and interosseous membrane Distal phalanx of thumb Extends thumb at CMC, MCP and IP joints Extends index finger at all joints Posterior interosseous Supinator Lateral epicondyle of humerus and ulna Wraps around lateral surface of radius Supinates forearm Radial Pronator Teres Medial supracondylar ridge of humerus and coronoid process of ulna Lateral surface of radius Pronate forearm Median Flexor Carpi Radialis Medial epicondyle of humerus Medial epicondyle of humerus Medial epicondyle of humerus, olecranon and posterior ulna 2nd and 3rd metacarpals Flex and abduct hand at wrist Median Palmar aponeurosis Flex hand at wrist, tenses palmar aponeurosis Flex and adduct hand at wrist Median Extensor Digitorum Extensor Digiti Minimi Extensor Carpi Ulnaris Abductor Pollicis Longus Extensor Pollicis Brevis Extensor Pollicis Longus Extensor Indicis Palmaris Longus Flexor Carpi Ulnaris Proximal phalanx of thumb Extensor expansion of 2nd digit Pisiform, hamate, 5th metacarpal 3 Posterior interosseous Radial Ulnar Muscle Name Origin Insertion Action Innervation Flexor Digitorum Superficialis Medial epicondyle of humerus, ulna and radius Middle phalanges of digits 25 Flexes all joints from wrist to middle phalanges of digits 25 Median Flexor Pollicis Longus Radius and interosseous membrane Distal phalanx of thumb Flex all 3 joints of thumb Median Flexor Digitorum Profundus Ulna and interosseous membrane Distal phalanges of digits 2-5 Flex hand at wrist, flex all joints digits 2-5 Pronator Quadratus Distal ulna Distal radius Pronates forearm Median to radial side of muscle; ulnar to ulnar side of muscle Median Abductor Pollicis Brevis Scaphoid, trapezium and flexor retinaculum Trapezium (superficial); Trapezoid, capitate (deep) Proximal phalanx of thumb Abduct thumb Median Radial side of proximal phalanx (superficial and deep) 1st metacarpal Flex thumb at CMC and MCP joints Median; deep head by ulnar nerve Rotate thumb into opposition with digit 5 Median Flexor Pollicis Brevis Opponens Pollicis Trapezium, flexor retinaculum Adductor Pollicis Capitate, 2nd and 3rd metacarpals (oblique), 3rd metacarpal (transverse) Pisiform Proximal phalanx of thumb (oblique and transverse) Adduct thumb Ulnar Proximal phalanx of digit 5 Abduct digit 5 Ulnar Hook of hamate, flexor retinaculum Flexor retinaculum Proximal phalanx of digit 5 Flex digit 5 at MCP Ulnar 5th metacarpal Rotate digit 5 into opposition with thumb Ulnar Lumbricals of the hand Tendons of flexor digitorum profundus extensor expansion of digits 2-5 Flex digits 2-5 at MCP joints, extend digits 2-5 at IP joints Lateral two, median; medial two, ulnar Dorsal interossei of hand (4) Adjacents sides of two metacarpals Extensor expansion of digits 2-4 Abduct digits 2-4; assist lumbrical actions Ulnar Palmar interossei (3) 2nd, 4th and 5th metacarpals Extensor expansion of digits 2, 4, 5 Adduct digits 2,4, and 5; assist lumbrical actions Ulnar Abductor Digiti Minimi Flexor Digiti Minimi Brevis Opponens Digiti Minimi 4 Muscles of the Thorax Muscle Name Origin Insertion Action Innervation External Intercostals Lower border of superior rib Upper border of inferior rib Elevate ribs during inspiration Intercostal nerves Internal Intercostals Inner surface of superior rib Upper border of inferior rib Draw ribs downward during forced expiration Intercostal nerves Transversus Thoracis Inner surface of body; xiphoid process Costal cartilages of ribs 2-6 Draw ribs downward Intercostal nerves Quadratus Lumborum Iliac crest 12th rib, transverse process of lumbar vertebrae Lateral flexion of spinal column at lumbar vertebrae Branches of ventral rami of L1-4 Psoas Major Upper 4 lumbar transverse processes; last thoracic; upper 4 lumbar discs Lesser trochanter of femur Flexes thigh at hip Branches of ventral rami of lumbar nerves L1-L3 Psoas Minor Bodies of T12 and L1 Iliopsoas fascia and pectinal line of pubis Flexes thigh at hip Ventral ramus of L1, L2 Iliacus Iliac fossa Lesser trochanter of femur Flexor thigh at hip Femoral nerve Rectus Abdominis Pubic crest, pubic symphysis Costal cartilages 5-7; xiphoid process Flex vertebral column and compress abdomen; stabilizes pelvis T7-T11 intercostal and subcostal (12th thoracic) External Oblique Lower 8 ribs (5-12) Anterior iliac crest, linea alba, pubic tubercle T7-T11 intercostal and subcostal Internal Oblique Lumbar fascia, iliac crest and lateral half of inguinal ligament Ribs 10-12, linea alba, pectineal line (via conjoint tendon) Transverse Abdominus Internal surface of costal cartilage of ribs 7-12; lumbar fascia, iliac crest, lateral 1/3 of inguinal ligament Linea alba, pubic crest, pectineal line (via conjoint tendon) Compress abdomen; both sides flex vertebral column, one side (unilateral contraction) rotates vertebral column to opposite side Compress abdomen; both sides flex vertebral column, unilateral contraction rotates vertebral column to same side Compress abdomen 5 T7-T11 intercostal, subcostal iliohypogastic and ilioinguinal T7-T11 intercostal, subcostal iliohypogastic and ilioinguinal Muscles of the Thigh Muscle Name Origin Insertion Action Innervation Rectus Femoris (Part of Quadriceps Femoris) Anterior inferior iliac spine Patella and tibial tuberosity through patellar ligament Extend leg at knee and flex thigh at hip Femoral Vastus Lateralis (Part of Quadriceps Femoris) Greater trochanter of femur, lateral lip of linea aspera Patella and tibial tuberosity through patellar ligament Extend leg at knee Femoral Vastus Medialis (Part of Quadriceps Femoris) Intertrochanteric line; medial lip of linea aspera Patella and tibial tuberosity through patellar ligament Extend leg at knee Femoral Vastus Intermedius (Part of Quadriceps Femoris) Shaft of femur Patella and tibial tuberosity through patellar ligament Extend leg at knee Femoral Sartorius Anterior superior iliac spine Medial surface of tibia Laterally rotate and flex thigh at hip, flex leg at knee Femoral Pectineus Pectineal line of pubis Pectineal line of femur Flex, adduct thigh at hip Femoral Adductor Longus Body of pubis Medial lip of linea aspera Flex, adduct thigh at hip Obturator Adductor Brevis Body and inferior ramus of pubis Pecitineal line of femur and proximal linea aspera Flex, adduct thigh at hip Obturator Adductor Magnus* Inferior ramus of pubis, ramus of ischium and ischial tuberosity Gluteal tuberosity, linea aspera and adductor tubercle Upper: Adduct, flex thigh at hip Lower: Adduct, extend thigh at hip Upper: Obturator Lower: Tibial sciatic Gracilis Body of pubis Medial surface of tibia Adduct thigh at hip, flexes leg at knee Obturator Gluteus Maximus Ilium and sacrum Iliotibial tract and gluteal tuberosity of femur Extend and laterally rotate thigh at hip Inferior gluteal Gluteus Medius and Gluteus Minimus* Ilium Greater trochanter of femur Abduct thigh at hip; Anterior: Flex and medially rotate thigh Posterior: Extend and laterally rotate thigh Superior gluteal 6 Muscle Name Origin Insertion Action Innervation Tensor Fasciae Latae Iliac crest and anterior superior iliac spine Iliotibial tract (to lateral condyle of tibia) Flex, abduct thigh at hip Superior gluteal Piriformis Superior Gemellus Inferior Gemellus Obturator Internus Quadratus Femoris Obturator Externus Pelvis Greater trochanter and posterior part of femur Lateral rotators of thigh at hip Nerve to “muscle name” Biceps Femoris Long head: ischial tuberosity Short head: linea aspera Fibular head Flex leg at knee, extend thigh at hip Long head: Tibial sciatic Short head: Common peroneal sciatic Semimembranosus Ischial tuberosity Medial condyle of tibia Tibial sciatic Semitendinosus Ischial tuberosity Medial surface of tibia Flex leg at knee, extend thigh at hip Flex leg at knee, extend thigh at hip 7 Tibial sciatic Muscles of the Leg Muscle Name Origin Insertion Action Innervation Tibialis Anterior Lateral condyle and surface of tibia Medial cuneiform and 1st metatarsal Dorsiflex and invert foot Deep peroneal Extensor Digitorum Longus Lateral condyle of tibia and surface of fibula Middle and distal phalanges of toes 2-5 Dorsiflex and evert foot, extend toes 2-5 Deep peroneal Extensor Hallucis Longus Anterior surface of fibula and interosseous membrane Distal phalanx of great toe Dorsiflex and invert foot, extend great toe Deep peroneal Peroneus Tertius (Lower fibers of ext. dig. longus) Peroneus Longus Anterior surface of fibula and tendon of EDL Base of 5th metatarsal Dorsiflex and evert foot Deep peroneal Head and lateral surface of fibula 1st metatarsal and medial cuneiform Plantarflex and evert foot Superficial peroneal Peroneus Brevis Lateral surface of fibula Tuberosity of 5th metatarsal Plantarflex and evert foot Superficial peroneal Gastrocnemius Medial and lateral condyles and posterior surface of femur Plantar flex foot (powerful) and flex leg at knee Tibial Soleus Head and posterior surface of fibula and soleal line of tibia Posterior surface of femur Unites with tendon of soleus and forms the calcaneal tendon (Achilles tendon) to posterior surface of calcaneus Posterior surface of calcaneus via calcaneal tendon Plantarflex foot Tibial Joins calcaneal tendon to posterior calcaneus Planterflex foot and flex leg (small contribution for both) Tibial Lateral condyle of femur and lateral meniscus Posterior surface of tibia Tibia above soleal line Flex and medially rotate leg at knee Flex toes 2-5, plantarflex foot Tibial Flexor Hallucis Longus Posterior surface of fibula and interosseous membrane Distal phalanx of great toe Flex big toe, plantarflex Tibial Tibialis Posterior Fibula, tibia and interosseous membrane Tuberosity of all tarsals except talus Plantar flex and invert foot Tibial Plantaris Popliteus Flexor Digitorum Longus Distal phalanges of toes 2-5 8 Tibial Muscles of the Neck and Face Muscle Name Origin Insertion Action Innervation Platysma Fascia over pectoralis major and deltoid Inferior border of mandible, skin, and subcutaneous tissues of lower face Facial (CN VII - cervical branch) Sternocleidomastoid Manubrium and clavicle Mastoid process Sternohyoid Manubrium and medial end of clavicle Body of hyoid Draw corners of mouth inferiorly; tense skin of inferior face and neck (grimace) Unilateral contraction – tip head toward shoulder while turning head to opposite side; Bilateral contraction – flex cervical vertebrae (chin toward chest) Depress hyoid Thyrohyoid Thyroid cartilage Inferior border of body and greater horn of hyoid Depress hyoid, elevate larynx C1 Sternothyroid Manubrium Thyroid cartilage Depress thyroid cartilage C1-C3 Digastric Mastoid notch (digastric groove) Mandible near symphysis Raise hyoid and base of tongue; depress mandible Mylohyoid Mylohyoid line of mandible Hyoid bone and median raphe Geniohyoid Mandible Body of hyoid Omohyoid Medial lip of suprascapular notch Lower border of body of hyoid Elevate hyoid and base of tongue; depress mandible Elevate hyoid and base of tongue Depress, retract, and steady hyoid Posterior belly: Facial (CN VII) Anterior belly: Trigeminal (CN V – mandibular division) Trigeminal (CNV – mandibular division) C1, C2 Stylohyoid Styloid process of temporal bone Body of hyoid Elevate and retract hyoid, elongating floor of mouth Facial (CN VII ) Masseter Lower border of zygomatic arch Ramus and coronoid process of mandible Raise and protract mandible Trigeminal (CNV – mandibular division) Buccinator Mandible, alveolar processes of maxilla and mandible, ptyergomandibular raphe Angle of mouth Compress cheek against molar teeth Facial (CN VII) 9 Spinal accessory (CN XI) and C2, C3 C1-C3 C1-C3 10