-
Pec. Minor
- O: Ant. surface of 3-5 ribs
- I: Coracoid process of scapula
- A: Depression, protraction, downward rotation
- N: Medial pectoral nerve
-
Infraspinatus
- O: Infraspinatus fossa
- I: Greater turbercle of humerus
- A: External rotation, horizontal abduction
- N: Suprascapular nerve
-
Subscapularis
- O: Subscapular fossa of scapula
- I: Lesser tubercle of humerus
- A: Internal rotation
- N: Upper & Lower subscapular nerves
-
Trapezius
- Upper
- O: Occipital bone, nuchal ligament
- I: Lateral 1/3 of clavicle, acromian process
- A: Scapular elevation, upward rotation [retraction]
- N: Accessory nerve
- Middle
- O: Spinous process of C7-T3
- I: Superior portion of scapular spine
- A: Scapular retraction
- N: Accessory nerve
- Lower
- O: Spinous process T6-T12
- I: Base of scapular spine (near vertebral border)
- A: Scapular depression, upward rotation [retraction]
- N: Accessory nerve
-
Supinator
- O: Lateral epicondyle of humerus & adjacent ulna
- I: Anterior, proximal radius
- A: Supination
- N: Posterior interosseous nerve
-
Biceps Brachii
- O: (Long head) Supraglenoid tubercle (tendon through bicipital groove)
- (Short head) Coracoid process of scapula
- I: Radial tuberosity of radius
- A: Elbow flexion, supination (to neutral), [shoulder flexion]
- N: Musculocutaneous & radial nerve
-
Pronator Quadratus
- O: Distal 1/4 of ulna
- I: Distal 1/4 of radius
- A: Pronation
- N: Median nerve
-
Pronator Teres
- O: Medial epicondyle of humerus & coranoid process of ulna
- I: Lateral aspect of radius
- A: Pronation
- N: Median nerve
-
Brachioradialis
- O: Lateral supracondylar ridge of humerus
- I: Styloid process of radius
- A: Elbow flexion
- N: Radial nerve
-
Extensor Digiti Minimi
- O: Lateral Epicondyle of humerus
- I: Distal phnalanxe of 5th digit
- A: Extension of DIP, PIP & MCP joints [wrist extension]
- N: Radial nerve
-
Extensor Indices
- O: Distal ulna
- I: Base of Distal phalanx of 2nd digit
- A: Extension of 1st DIP, PIP & MCP joints [wrist extension]
- N: Radial nerve
-
Extensor digitorum
- O: Lateral epicondyle of humerus
- I: Distal phalanx digits 2-5
- A: Extension of DIP, PIP & MCP joints [wrist extension]
- N: Radial nerve
-
Flexor digitorum profundus
- O: Upper 3/4 of ulna
- I: Distal Phalanx, digits 2-5
- A: Flexion of DIP, PIP, & MCP joint, [wrist flexion]
- N: Median and ulnar nerves
-
Flexor digitorum superficialis
- O: Medial epicondyle of humerus, coranoid process of ulna and adjacent radius
- I: Sides of middle phalanx, digits 2-5
- A: Flexion of digits 2-5 (at PIP & MCP joints) [wrist flexion]
- N: Median nerve
-
Palmaris longus
- O: Medial epicondyle of humerus
- I: Palmar fascia on anterior surface of hand
- A: [wrist flexion]
- N: Median nerve
-
Extensor carpi radialis longus
- O: Lateral supracondylar ridge of humerus
- I: Base of 2nd MC, posterior surface
- A: Wrist extension, radial deviation
- N: Radial nerve
-
Flexor carpi radialis
- O: Medial epicondyle of humerus
- I: Base of 2nd & 3rd MC
- A: Wrist flexion, radial deviation
- N: Median nerve
-
Extensor carpi ulnaris
- O: Lateral epicondyle of humerus
- I: Base of 5th MC, posterior surface
- A: Wrist extension, ulnar deviation
- N: Posterior interosseous nerve
-
Extensor carpi radialis brevis
- O: Lateral epidondyle of humerus
- I: Base of 3rd MC, posterior surface
- A: Wrist extension, [radial deviation]
- N: Posterior interosseous nerve
-
Flexor carpi ulnaris
- O: medial epicondyle of humerus
- I: Pisiform & base of 5th metacarpal
- A: Wrist flexion, ulnar deviation
- N: Ulnar nerve
-
Anconeus
- O: Lateral epicondyle of humerus
- I: Lateral inferior olecranon process
- A: Prevents the annular ligament from being pinched in olecranon fossa during extension
- N: Radial nerve
-
Brachialis
- O: Distal 1/2 of humerus, anterior surface
- I: Ulnar tuberosity of ulna
- A: Elbow flexion
- N: Radial nerve
-
Triceps brachii
- O: (Long head) infraglenoid tubercle of scapula
- (short/lateral head) posterior humerus inferior to greater tubercle
- (Medial head) Posterior distal surface of humerus
- I: Olecranon process of ulna
- A: Elbow extension
- N: Radial nerve
-
Teres Major
- O: Axillary border of scapula near inferior angle
- I: Crest below lesser tubercle of humerus
- A: Extension, internal rotation, adduction
- N: Lower subscapular nerve
-
Teres minor
- O: Axillary border of scapula
- I: Greater tubercle of humerus
- A: External rotation, horizontal abduction
- N: Axillary nerve
-
Deltoid
- Anterior head
- O: Lateral 1/3 of clavicle
- I: Deltoid tuberosity
- A: Shoulder flexion, internal rotation, horizontal adduction
- N: Axillary nerve
- Middle head
- O: Acromian process of scapula
- I: Deltoid tuberosity
- A: Shoulder abduction
- N: Axillary nerve
- Posterior head
- O: Spine of scapula
- I: Deltoid tuberosity
- A: Shoulder extension, hyperextension, external rotation, horizontal abduction
- N: Axillary nerve
-
Latissimus Dorsi
- O: Spinous process of T7-L5, posterior surface of sacrum, iliac crest, lower 3 ribs, inferior angle of scapula
- I: Medial lip of bicipital groove of humerus
- A: Extension, hyperextension, internal rotation, adduction
- N: Thoracodorsal nerve
-
Levator Scapula
- O: Transverse process of C1-C4
- I: Vertebral border of scapula below superior angle and base of spine of scapula
- A: Scapular elevation, downward rotation
- N: Dorsal scapular nerve
-
Rhomboids
- O: Spinous processes C7-T5
- I: Vertebral border of scapula between spine & inferior angle
- A: Retraction, downward rotation, [elevation]
- N: Dorsal scapular nerve
-
Coracobrachialis
- O: Coracoid process
- I: Medial surface of humerus
- A: Stabalize shoulder joint, [flexion, adduction]
- N: Musculocutaneous nerve
-
Lumbricals
- O: Tendon of flexor digitorum profundus
- I: Tendon of extensor digitorum
- A: MCP flexion while maintaining extension of DIP & PIP digits 2-5
- N: Digits 2 & 3 - median nerve
- Digits 4 &5 - ulnar nerve
-
Flexor digiti minimi
- O: Hamate & flexor retinaculum
- I: Proximal phalanx of 5th digit
- A: flexion of 5th MCP
- N: Ulnar nerve
-
Abductor digiti minimi
- O: Pisiform and tendon of the flexor carpi ulnaris
- I: Medial surface of proximal phalanx of 5th digit
- A: Abduction of 5th MCP
- N: Ulnar nerve
-
Flexor pollicis longus
- O: Anterior radialis
- I: Distal phalanx of thumb
- A: Flexion of thumb at IP, MCP, CMC joints
- N: Median nerve
-
Opponens pollicis
- *Thenar
- O: Trapezium and flexor retinaculum
- I: Posterior surface of 1st MC (wraps anteriorly)
- A: Opposition of CMC in thumb
- N: Median nerve
-
Flexor Pollicis Brevis
- *Thenar
- O: Trapezium & flexor retinaculum
- I: Proximal phalanx of 1st digit
- A: Flexion of 1st CMC, MCP
- N: Median nerve
-
Adductor pollicis
- *Thenar/ sometimes considered deep palmar
- O: Capitate, base of 2nd & 3rd MC
- I: Proximal phalanx on medial side
- A: Adduction of 1st CMC
- N: Ulnar nerve
-
Abductor Pollicis longus
- O: Posterior radius, interosseous membrane, adjecent ulna
- I: Base of 1st MC
- A: Abduction of 1st CMC
- N: Radial Nerve
-
Extensor Pollicis Longus
- O: Middle poserior ulna, adjacent interosseous membrane
- I: Distal phalanxe of thumb
- A: Extension of the IP, MCP, & CMC of thumb
- N: Radial nerve
-
Abductor Pollicis Brevis
- *Thenar
- O: Scaphoid, trapezium & flexor retinaculum
- I: Proximal phalanx of thumb
- A: Abduction of 1st CMC
- N: Median nerve
-
Palmar Interossei
- O: Palmar surface of the 1st, 2nd, 4th, & 5th MC
- I: Proximal phalanx of digits 1, 2, 4 & 5
- A: Adduction of MCP digits 1, 2, 4 & 5
- N: Ulnar nerve
-
Dorsal Interossei
- O: Adjacent two MC
- I: Proximal phalanx of digits 2, 3 (twice), and 4
- A: Abduction of MCP digits 2-4
- N: Ulnar nerve
-
Extensor pollicis brevis
- O: Posterior distal radius
- I: Base of proximal phalanx of thumb
- A: Extension of 1st CMC, MCP
- N: Radial Nerve
-
Opponens digiti minimi
- O: Hamate and flexor retinaculum
- I: Posterior surface of 5th MC
- A: Opposes 5th digit at CMC
- N: Ulnar nerve
-
Serratus Anterior
- O: Lateral surface of upper 8 ribs
- I: Vertebral border of scapula
- A: Protraction, upward rotation, *prevents scapular winging*
- N: Long thoracic nerve
-
Pectoralis major
- Clavicular
- O: Medial 1/3 of clavicle
- I: Lat. lip of bicipital groove
- A: shoulder flexion to 90 degrees
- N: Lateral & medial pectoral nerve
- Sternal
- O: Sternum & costal cartilage of ribs 1-6
- I: Lateral lip of bicipital groove
- A: Extension from 90 degrees of flexion to 0 degrees
- N: Lateral & medial pectoral nerve
Both: Horizontal adduction, adduction, internal rotation
-
Supraspinatus
- O: Supraspinatus fossa
- I: Greater tubercle of humerus (Passes inferior to acromion process)
- A: abduction
- N: Suprascapillary nerve
-
What is the significance of scapulohumeral rhythm? (3 main points)
- It helps to maintain good contact between humerus and scapila, Increasing joint stability.
- It distributes motion between two joints, increasing range of motion.
- Permits muscles to maintain good length-tension relationship, decreasing chance to reach active insufficiency.
-
Which muscles make up the
-Thenar eminence?
-Hypothenar eminence?
-Deep Palmar?
- Thenar: Flexor pollicis brevis, abductor pollicis brevis, opponens pollicis, adductor pollicis
- Hypothenar muscles: Flexor digiti minimi, abductor digiti minimi, opponens digiti minimi
- Deep palmar muscles: Dorsal Interossei, palmar interossei, lumbricals
-
What 10 structures are found in the carpal tunnel?
- The median nerve
- Flexor pollicis longus tendon
- (4) tendons of flexor digitorum superficialis
- (4) tendons of flexor digitorum profundus
-
Sartorius
- "Tailor muscle"
- O: ASIS
- I: Posterior proximal medial tibia
- A: Simultaneously performs hip flexion, abduction, and external rotation
- N: Femoral Nerve
-
Vastus medialis
- O: Medial linea aspera
- I: Tibial tuberosity via patellar tendon
- A: Knee extension
- N: Femoral
-
Vastus lateralis
- O: Lateral linea aspera
- I: Tibial tuberosity via patellar tendon
- A: Knee extension
- N: Femoral nerve
-
Vastus intermedius
- O: Anterior Femur
- I: Tibial tuberosity via patellar tendon
- A: Knee extension
- N: Femoral nerve
-
Popliteus
- O: Lateral condyle of the femur
- I: Posterior medial condyle of tibia
- A: Initiate knee flexion from a locked position
- N: Tibial nerve
-
What are the 3 functions of the patella?
- 1) Changes line of pull, increasing mechanical advantage of quadriceps
- 2) Protects the knee (ACL &PCL especially)
- 3) Protects quadriceps tendon by reducing friction between tendon and femoral condyles
-
Iliofemoral ligaments
-Points of insertion
-points of reinforcement
-movements limitations
- From anterior inferior iliac spine to intertrochanteric line
- Reinforces anterior & inferior portion of joint
- Limits hyperflexion
-
Peroneus longus
- O: Proximal, lateral fibula & adjacent interosseous membrane
- I: Plantar surface of 1st cuneiform & 1st MT
- A: Eversion [plantarflexion] *Supports transverse arch*
- N: Superficial peroneal nerve
-
Tibialis anterior
- O: Lateral Tibia & interosseous membrane
- I: 1st cuneiform & 1st MT
- A: Ankle dorsiflexion, inversion
- N: Deep peroneal nerve
-
Peroneus brevis
- O: Distal, lateral fibula
- I: plantar surface of base of 5th MT
- A: Eversion [plantarflexion]
- N: Superficial peroneal nerve
-
Extensor digitorum longus
- O: Fibula, interosseous membrane & adjacent tibia
- I: Distal phalanx of toes 2-5
- A: Extension of MTP, PIP, DIP (2-5) [dorsiflexion]
- N: Deep peroneal nerve
-
Extensor hallucis longus
- O: Fibula & interosseous membrane
- I: 1st distal phalanx
- A: Extends IP & MTP [dorsiflexion & inversion]
- N: Deep peroneal nerve
-
Peroneus tertius
- O: Distal, medial fibula
- I: Dorsal surface into base of 5th MT
- A: [Dorsiflexion, eversion]
- N: Deep peroneal nerve
-
Flexor digitorum longus
- O: Posterior tibia
- I: Plantar surface of distal phalanx (2-5)
- A: Flexion of DIP, PIP & MTP (digits 2-5) *supports medial & lateral longitudinal arches*
- N: Tibial nerve
-
Tensor Fascia Latae (TFL)
- O: Lateral side of ASIS
- I: Lateral condyle of tibia via IT band
- A: Simultaneously performs flexion & abduction
- N: Superior gluteal nerve
-
Rectus Femoris
- O: AIIS
- I: Tibial tuberosity of tibia
- A: Hip flexion, knee extension
- N: Femoral nerve
-
Pectineus
- O: Superior ramus of pubis
- I: Pectineal line of the femur (posterior, medial surface)
- A: [Hip flexion, adduction, internal rotation]
- N: Femoral and obturator nerve
-
Adductor magnus
- O: Ischium and Pubis
- I: Entire length of linea aspera & adductor tubercle
- A: Hip adduction
- N: Obturator nerve
-
Semimembranosus
- O: Ischial tuberosity
- I: Posterior surface of medial condyle of tibia
- A: Hip extension, knee flexion
- N: Sciatic nerve
-
Iliopsoas
- O: (Iliac) Iliac fossa
- (Psoas) anterolateral vertebral bodies (T12-L5)
- I: Lesser trochanter
- A: Hip flexion
- N: (Iliac) Femoral nerve
- (psoas) lumbar plexus
-
Gluteus maximus
- O: Posterior Sacrum & Ilium
- I: Posterior femur distal to greater trochanter
- A: Hip extension, external rotation
- N: Inferior gluteal nerve
-
Gracilis
- O: Pubis
- I: Anterior medial surface of proximal tibia (passing behind medial condyle of femur)
- A: [Hip adduction, knee flexion]
- N: Obturator nerve
-
Adductor brevis
- O: Pubis
- I: Pectineal line & proximal linea aspera
- A: Hip adduction
- N: Obturator nerve
-
Adductor longus
- O: Pubis
- I: Middle 1/3 of linea aspera
- A: Hip adduction
- N: Obturator nerve
-
Gamellus superior
- O: Ischium
- I: Greater trochanter of femur
- A: External rotation of hip
- N: Sacral plexus
-
Piriformis
- O: Sacrum
- I: Greater trochanter of femur
- A: External rotation
- N: Sacral plexus
-
Gluteus medius
- O: Lateral surface of ilium
- I: Lateral side of greater trochanter
- A: Hip abduction
- N: Superior gluteal nerve
-
Quadratus femoris
- O: Ischial tuberosity
- I: Greater trochanter of femur
- A: External hip rotation
- N: Sacral plexus
-
Gamellus superior
- O: Ischial tuberosity
- I: Greater trochanter of femur
- A: External rotation
- N: Sacral plexus
-
Obturator externus
- O: Rami of pubis and ischium
- I: Greater trochanter of femur
- A: External rotation of femur
- N: Obturator nerve
-
Obturator internus
- O: Rami of pubis and ischium
- I: Greater trochanter of femur
- A: External hip rotation
- N: Sacral plexus
-
Biceps femoris
- O: (Long head) Ischial tuberosity
- (short head) Lateral lip of linea aspera
- I: Fibular head
- A: (long head) hip extension, knee flexion
- (short head) knee flexion
- N: Sciatic nerve
-
Gluteus minimus
- O: Lateral ilium
- I: Anterior surface of greater trochanter
- A: Hip internal rotation, abduction
- N: Superior gluteal nerve
-
Plantaris
- O: Posterior lateral condyle of femur
- I: Calcaneal tuberosity via achilles tendon
- A: [plantar flexion, knee flexion]
- N: Tibial nerve
-
Gastrocnemius
- O: (Lateral head) lateral condyle of the femur
- (medial head) medial condyle of femur
- I: calcaneal tuberosity via achilles tendon
- A: Knee flexion, ankle plantarflexion
- N: Tibial nerve
-
Semitendonosis
- O: Ischial tuberosity
- I: Anterior, medial condyle of tibia
- A: Hip extension, knee flexion
- N: Sciatic nerve
-
Soleus
- O: Posterior tibia & fibula
- I: Calcaneal tuberosity via achilles tendon
- A: Ankle plantar flexion
- N: Tibial nerve
-
Flexor hallucis longus
- O: Posterior fibula & interosseous membrane
- I: Plantar surface of distal 1st phalanx
- A: Flexes IP & 1st MTP [plantarflexion, inversion] *supports medial longitudinal arch*
- N: Tibial nerve
-
Tibialis posterior
- O: Interosseous membrane & adjecent tibia & fibula
- I: Plantar surface of navicular, MT (1-3), & cuneiform
- A: Inversion [ankle plantarflexion] *supports medial longitudinal arch*
- N: Tibial nerve
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