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Musculocutaneous nerv C5 C6 C7
Brachialis
Distal half of anterior surface of humerus
Aconeus
Lateral epicondyle of humerus
Brachioradialis
Proximal two thirds of supraepicondylar ridge of humerus
Supinator
Lateral epicondyle of humerus
Pronator Teres
Humeral head: medial supracondylar ridge & medial epicondyle of the humerus
Ulna head: medial border of the coronoid process of the ulna
Pronator Quadratus
Distal quarter of anterior surface of ulna
TPs of C4-C6 vertebrae Between superior & inferior nuchal lines of the occipital bone Extends and rotates head Posterior rami of spinal nerves
TPs of T1-T6 vertebrae SPs C2-C5 Extends and rotates vertebral column Posterior rami of spinal nerves
TPs of C7-T12 SPs of C6-T4 Extends & rotates vertebral column Posterior rami of spinal nerves
Acting bilaterally: extend vertebral neck Acting unilaterally: laterally flex neck
Posterior rami of spinal nerves
TPs of C7
Extension & lateral flexion of vertebral column. Rotates ribs for forceful expiration
TPs C4 C6
Extension & lateral flexion of vertebral column. Rotates ribs for forceful inspiration.
Rotators
Proximal Transverse processes of each vertebra Distal Brevis: base of spinous processes of next vertebra Longus: base of spinous processes of vertebra 2 above Action Extends and rotates vertebral column
Multifidus
Common origin of erector spinae, TPs of T1-T3 & articular processes of C4-C7 SPs of 2-4 segments above. Thickest in lumbar spine Stabilizes vertebrae during movement of vertebral column Posterior rami of spinal nerves
Interspinales
Cervical region: spinous processes of C3-C7
Thoracic region: spinous processes T1T3 & T11 T12 thoracic vertebrae
Cervical region: spinous processes L2 L5
Trapezius
Medial third of superior nuchal line, external occipital protuberance, ligamentum nuchae, spinous processes and supraspinous ligaments of seventh cervical and all thoracic vertebrae C7T12 Upper part - lateral third of clavicle Middle part - acromion and spine of scapula Lower part - medial portion of spine of scapula (tubercle) Upper part - elevates scapula Middle part - retracts scapula, Lower part - depresses scapula Accessory (eleventh cranial), C3, C4
Levator Scapulae
Proximal Posterior tubercles of the transverse processes of C1-C4 Distal Superior part of medial border of the scapula
Action Elevates scapula and tilts glenoid cavity inferiorly by rotating scapula
Nerve Dorsal scapular nerve (C5)
Latissimus Dorsi
Proximal Spinous processes of T7-T12, spinous processes of all lumbar and sacral vertebrae (via thoracolumbar fascia), supraspinal ligament and iliac crest, outer surfaces of lower three or four ribs, inferior angle of scapula Distal Floor of bicipital groove Action Extends, adducts and medially rotates humerus. Raises body when climbing Nerve Thoracodorsal nerve C6, C7, C8
Rhomboid Major
Proximal Spinous processes of T2T5 vertebrae and ligamentum nuchae Distal Medial border of scapula from below the spine to inferior angle Action Retracts scapula and rotate it to depress glenoid cavity; fix scapula to thoracic wall Nerve Dorsal Scapula nerve C4-C5
Rhomboid Minor
Proximal Spines of the C7 T1 vertebrae, lower part of the ligamentum nuchae Distal Medial border of the scapula at level of spine
Action Retracts, rotates and stabilizes scapula, elevates the medial border of the scapula
Nerve Dorsal scapular nerve C4-C5
Quadratus Lumborum
Proximal Inferior border of 12th rib Distal Transverse processes of L1-4, Iliolumbar ligament, posterior 1/3 of iliac crest Action Fixes 12th rib in respiration, side bends trunk Nerve Anterior primary rami T12-L3
Action Extends head and flexes head laterally to the same side (ipsilaterally) Nerve Suboccipital nerve
Thoracolumbar Fascia
Posterior Lumbar SPs, supraspinous ligament Middle Tips of lumbar TPs, intertransverse ligaments, iliac crest & inferior border of 12th rib adjoining lumbocostal ligament Anterior Anterior surface lumbar TPs, iliolumbar ligament, iliac crest
Tibialis Anterior
Lateral tibial condyle, superior half of lateral tibia, interosseous membrane
Fibularis Tertius
Inferior 1/3 of surface of fibula, interosseous membrane.
Fibularis Longus
Head & superior 2/3 of lateral surface of fibula
Fibularis Brevis
Inferior 2/3 of lateral surface of fibula
Plantaris
Inferior end of lateral supracondylar line of femur, oblique popliteal ligament
Popliteus
Lateral surface of lateral condyle of femur
Weakly flexes knee. Unlocks knee by rotating 5 degree on fixed tibia Medially rotates tibia on unplanted leg.
Middle & distal phalanges of lateral four toes via extensor expansions
Gastrocnemius
Lateral head: lateral aspect of lateral condyle of femur Medial head: superior to medial femoral condyle
Soleus
Posterior aspect of head & upper shaft of fibula, soleal line to medial border of the tibia
Tibialis Posterior
Interosseous membrane, posterior surface of tibia inferior to soleal line, posterior surface of fibula
Navicular tuberosity. Cuneiform, cuboid & sustentaculumtali of the calcaneus. Bases of 2nd, 3rd and 4th metatarsals.
Obturator Internus
Posterior surface of obturator membrane & margin of obturator foramen
Psoas Major
Sides of vertebral bodies T12-L5, TPs of all lumbar vertebrae
Piriformis
Anterior surface of sacrum, sacrotuberous ligament
Gemellus Superior
Ischial spine
Gemellus Inferior
Ischial tuberosity
Gluteus Maximus
Ilium posterior to posterior gluteal line, posterior surface of sacrum & coccyx, sacrotuberous ligament
Gluteus Medius
External surface of ilium between posterior & anterior gluteal lines
Abducts & medially rotates femur. Keeps pelvis level when walking
Gluteus Minimus
External surface of the ilium between the anterior & interior gluteal lines
Quadratus Femoris
Lateral border of ischial tuberosity
Iiacus
Iliac crest, iliac fossa, ala of sacrum, anterior SI joints
Subclavius
Junction of 1st rib & its costal cartilage
Deltoid
Lateral third of clavicle, acromion & spine of scapula
Teres Major
Posterior surface of inferior angle of scapula
Triceps brachii
Long head: infraglenoid tubercle of scapula Lateral head: posterior surface of humerus, superior to radial groove Medial head: posterior surface of humerus, inferior to radial groove
Chief extensor of forearm: long head resists dislocation of humerus; especially important during adduction
Medially rotates arm, as part of rotator cuff, helps hold head of humerus in glenoid cavity
Biceps brachii
Short head: tip of coracoid process of scapular Long head: supraglenoid tubercle of scapular
Supinates forearm & flexes forearm when supine. Short head resists dislocation of shoulder
Coracobrachialis
Tip of coracoid process of scapula
Quadriceps tendon attaching to the patella & then tibial tuberosity. Attaches to tibia via patella retinacula.
Extends knee
Quadriceps tendon attaching to the patella & then tibial tuberosity. Attaches to tibia via patella retinacula.
Extends knee
Extends knee
Obturator Externus
Anterior margins of obturator foramen (ischio-pubic ramus) & obturator membrane
Pectineus
Superior ramus of pubis
Extends hip, flexes knee, rotates leg medially when knee is flexed Superior gluteal nerve L5, S1, S2
Adductor Longus
Body of pubis inferior to the pubic crest
Adducts, flexes the extended hip & extends the flexed hip
Semitendinosus
Lower medial facet of lateral section of ischial tuberosity
Extends femur, flexes the knee & rotates it medially when the knee is flexed, capable of flexing trunk
Semimembranosus (hamstrings)
Ischial tuberosity
Posterior part of medial condyle of tibia; reflected attachment forms oblique popliteal ligament
Extends femur, flexes the knee & rotates it medially when the knee is flexed, capable of flexing trunk
Adductor Magus
Adductor part: Inferior ramus of pubis, ramus of ischium
Hamstring part: ischial tuberosity
Adductor part: gluteal tuberosity, linea aspera, medial supracondylar line Hamstring part: adductor tubercle of femur
Adducts thigh. adductor part = flexes thigh. hamstring part: extends thigh
Adductor part: Obturator nerve L2, L3, L4 Hamstring part: Tibial nerve L4
Adductor Brevis
Body and inferior ramus of pubis
Adducts, flexes and medially rotates the femur at the hip joint
Flexes, abducts and medially rotates the thigh at the hip joint
Gracilis
Body & inferior ramus of pubis
Adducts the thigh, flexes the leg & assists in medial rotation of the thigh
Obturator nerve L2 L3
Sartorius
ASIS & superior part of notch immediately inferior to it
Femoral nerve L2 L3