Muscle Discussions

Copyright Feb 2003 Ted Nissen.

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1       ABDUCTOR DIGITI MINIMI (FOOT) 1name. 4

2       ABDUCTOR DIGITI MINIMI (HAND) 5

3       ABDUCTOR HALLUCIS. 7

4       ABDUCTOR POLLICIS BREVIS. 8

5       ABDUCTOR POLLICIS LONGUS. 9

6       ADDUCTOR BREVIS. 10

7       ADDUCTOR HALLUCIS. 12

8       ADDUCTOR LONGUS. 14

9       ADDUCTOR MAGNUS. 16

10         ADDUCTOR POLLICIS. 17

11         ANCONEUS. 19

12         BICEPS BRACHII 21

13         BICEPS FEMORIS (Lateral Hamstring) 22

14         BRACHIALIS. 24

15         BRACHIORADIALIS. 25

16         BUCCINATOR. 27

17         BULBOCAVERNOSUS (BULBOSPONGIOSUS) 29

18         CILIARY MUSCLE. 30

19         COCCYGEUS (ISCHIOCOCCYGEUS) 32

20         CORACOBRACHIALIS. 32

21         CORRUGATOR SUPERCILII 33

22         CRICOARYTENOID LATERAL & POSTERIOR. 34

23         CRICOPHARYNGEUS. 35

24         CRICOTHYROID. 36

25         DELTOID ANTERIOR. 38

26         DELTOID MIDDLE. 40

27         DELTOID POSTERIOR. 40

28         DEPRESSOR ANGULI ORIS. 41

29         DEPRESSOR LABII INFERIORIS. 43

30         DEPRESSOR SEPTI 43

31         DIAPHRAGM. 44

32         DIGASTRIC ANT & POST BELLY (SUPRAHYOID) 46

33         DILATOR PUPILLAE. 48

34         DORSAL INTEROSSEI (FOOT) 49

35         DORSAL INTEROSSEI (HAND) 50

36         EXTENSOR CARPI RADIALIS BREVIS. 51

37         EXTENSOR CARPI RADIALIS LONGUS. 52

38         EXTENSOR CARPI ULNARIS. 53

39         EXTENSOR DIGITI MINIMI 54

40         EXTENSOR DIGITORUM. 55

41         EXTENSOR DIGITORUM BREVIS. 56

42         EXTENSOR DIGITORUM LONGUS. 57

43         EXTENSOR HALLUCIS BREVIS. 58

44         EXTENSOR HALLUCIS LONGUS. 59

45         EXTENSOR INDICIS. 60

46         EXTENSOR POLLICIS BREVIS. 61

47         EXTENSOR POLLICIS LONGUS. 62

48         EXTERNAL ABDOMINAL OBLIQUE=ANT DIV. 63

49         EXTERNAL ABDOMINAL OBLIQUE=LAT DIV. 64

50         EXTERNAL ANAL SPHINCTER. 65

51         EXTERNAL INTERCOSTALS. 66

52         EXTRINSIC AURICULAR MUSCLES. 67

53         FLEXOR CARPI RADIALIS. 68

54         FLEXOR CARPI ULNARIS. 69

55         FLEXOR DIGITI MINIMI BREVIS (FOOT) 70

56         FLEXOR DIGITI MINIMI BREVIS (HAND) 71

57         FLEXOR DIGITORUM BREVIS. 72

58         FLEXOR DIGITORUM LONGUS. 72

59         FLEXOR DIGITORUM PROFUNDUS. 73

60         FLEXOR DIGITORUM SUPERFICIALIS. 74

61         FLEXOR HALLUCIS BREVIS. 75

62         FLEXOR HALLUCIS LONGUS. 76

63         FLEXOR POLLICIS BREVIS. 77

64         FLEXOR POLLICIS LONGUS. 78

65         FRONTALIS (EPICRANIUS) 79

66         GASTROCNEMIUS. 80

67         GEMELLUS INFERIOR (1 of 6 Deep Lateral Rotators of Femur) 81

68         GEMELLUS SUPERIOR (1 of 6 Deep Lateral Rotators of Femur) 82

69         GENIOGLOSSUS. 83

70         GENIOHYOID (SUPRAHYOID) 84

71         GLUTEUS MAXIMUS. 85

72         GLUTEUS MEDIUS. 86

73         GLUTEUS MINIMUS ANT & POST. 87

74         GRACILIS. 88

75         HYOGLOSSUS. 89

76         ILIACUS. 90

77         ILIOCOSTALIS CERVICIS. 91

78         ILIOCOSTALIS LUMBORUM. 92

79         ILIOCOSTALIS THORACIS. 93

80         INCISIVUS LABII INFERIORIS. 94

81         INCISIVUS LABII SUPERIORIS. 95

82         INFERIOR LONGITUDINAL LINGUALIS. 96

83         INFERIOR OBLIQUE. 97

84         INFERIOR PHARYNGEAL CONSTRICTOR. 98

85         INFERIOR RECTUS. 99

86         INFRASPINATUS (Rotator Cuff Muscle) 100

87         INTERNAL ABDOMINAL OBLIQUE (Anterior Division) 101

88         INTERNAL ABDOMINAL OBLIQUE (Lateral Division) 102

89         INTERNAL INTERCOSTALS. 103

90         INTERSPINALES. 104

91         INTERTRANSVERSARII 105

92         INTRINSIC AURICULAR MUSCLES. 106

93         ISCHIOCAVERNOSUS. 108

94         LATERAL CRICOARYTENOID. 108

95         LATERAL PTERYGOID. 109

96         LATERAL RECTUS. 110

97         LATISSIMUS DORSI 111

98         LEVATOR ANGULI ORIS(CANINUS) 112

99         LEVATOR ANI, ILIAC PART(ILIOCOCCYGEUS) 113

100        LEVATOR ANI, PUBIC PART(PUBOCOCCYGEUS) 114

101        LEVATOR LABII SUPERIORIS. 115

102        LEVATOR LABII SUPERIORIS ALAEQUE NASI 116

103        LEVATOR PALPEBRAE SUPERIORIS. 117

104        LEVATOR SCAPULAE. 118

105        LEVATOR VELI PALATINI 119

106        LEVATORES COSTARUM BREVES. 120

107        LEVATORES COSTARUM LONGI 121

108        LONGISSIMUS CAPITIS. 122

109        LONGISSIMUS CERVICIS. 123

110        LONGISSIMUS THORACIS. 124

111        LONGUS CAPITIS. 125

112        LONGUS CAPITIS ANTERIOR. 126

113        LONGUS COLLI 127

114        LUMBRICALS (FOOT) 128

115        LUMBRICALS (HAND) 129

116        MASSETER. 130

117        MEDIAL PTERYGOID. 131

118        MEDIAL RECTUS. 132

119        MENTALIS. 133

120        MIDDLE PHARYNGEAL CONSTRICTOR. 134

121        MULTIFIDUS. 135

122        MUSCULUS UVULAE. 136

123        MYLOHYOID (SUPRAHYOID) 137

124        NASALIS, ALAR PORTION. 138

125        NASALIS (COMPRESSOR & DILATOR NARIS) 139

126        OBLIQUE ARYTENOID & ARYEPIGLOTTICUS. 141

127        OBLIQUUS CAPITIS INFERIOR. 141

128        OBLIQUUS CAPITIS SUPERIOR. 142

129        OBTURATOR EXTERNUS (1 of 6 Deep Lateral Rotators of Femur) 143

130        OBTURATOR INTERNUS (1 of 6 Deep Lateral Rotators of Femur) 144

131        OCCIPITALIS (EPICRANIUS) 145

132        OMOHYOID SUPERIOR & INFERIOR (INFRAHYOID) 146

133        OPPONENS DIGITI MINIMI 148

134        OPPONENS POLLICIS. 148

135        ORBICULARIS OCULI 149

136        ORBICULARIS ORIS. 151

137        PALATOGLOSSUS (Palatoglossal arch; Anterior pillar) 153

138        PALATOPHARYNGEUS (Palatopharyngeal arch; Posterior pillar) 153

139        PALMAR INTEROSSEI (HAND) 155

140        PALMARIS BREVIS. 155

141        PALMARIS LONGUS. 156

142        PECTINEUS. 157

143        PECTORALIS MAJOR CLAVICULAR. 158

144        PECTORALIS MAJOR STERNAL. 159

145        PECTORALIS MINOR. 160

146        PERONEUS BREVIS. 161

147        PERONEUS LONGUS. 162

148        PERONEUS TERTIUS. 163

149        PIRIFORMIS (1 of 6 Deep Lateral Rotators of Femur) 164

150        PLANTAR INTEROSSEI (FOOT) 165

151        PLANTARIS. 166

152        PLATYSMA. 167

153        POPLITEUS. 169

154        POSTERIOR CRICOARYTENOID. 169

155        PROCERUS. 170

156        PRONATOR QUADRATUS. 171

157        PRONATOR TERES. 172

158        PSOAS MAJOR. 173

159        PSOAS MINOR. 174

160        PYRAMIDALIS. 175

161        QUADRATUS FEMORIS (1 of 6 Deep Lateral Rotators of the Femur) 176

162        QUADRATUS LUMBORUM. 177

163        QUADRATUS PLANTAE. 178

164        RECTUS ABDOMINIS (4 Divisions as 1) 179

165        RECTUS CAPITIS ANTERIOR. 180

166        RECTUS CAPITIS LATERALIS. 181

167        RECTUS CAPITIS POSTERIOR MAJOR. 182

168        RECTUS CAPITIS POSTERIOR MINOR. 183

169        RECTUS FEMORIS (Quadriceps Femoris) (1 of 4 Quadriceps) 184

170        RHOMBOID MAJOR. 185

171        RHOMBOID MINOR. 186

172        RISORIUS. 187

173        ROTATORES BREVIS. 188

174        ROTATORES LONGUS. 189

175        SALPINGOPHARYNGEUS. 190

176        SARTORIUS. 191

177        SCALENUS ANTERIOR. 192

178        SCALENUS MEDIUS. 193

179        SCALENUS POSTERIOR. 194

180        SEMIMEMBRANOSUS (Medial Hamstring) 195

181        SEMISPINALIS CAPITIS. 196

182        SEMISPINALIS CERVICIS. 197

183        SEMISPINALIS THORACIS. 198

184        SEMITENDINOSUS (Medial Hamstring) 199

185        SERRATUS ANTERIOR. 200

186        SERRATUS POSTERIOR INFERIOR. 201

187        SERRATUS POSTERIOR SUPERIOR. 202

188        SOLEUS. 203

189        SPHINCTER PUPILLAE. 204

190        SPINALIS CAPITIS. 205

191        SPINALIS CERVICIS. 206

192        SPINALIS THORACIS. 207

193        SPINCTER ANI EXTERNUS. 208

194        SPLENIUS CAPITIS. 209

195        SPLENIUS CERVICIS. 210

196        STAPEDIUS. 211

197        STERNALIS. 212

198        STERNOCLEIDOMASTOID. 213

199        STERNOHYOID (INFRAHYOID) 214

200        STERNOTHYROID (INFRAHYOID) 215

201        STYLOGLOSSUS. 216

202        STYLOHYOID (SUPRAHYOID) 217

203        STYLOPHARYNGEUS. 218

204        SUBCLAVIUS. 219

205        SUBSCAPULARIS (Rotator Cuff Muscle) 220

206        SUPERFICIAL TRANSVERSE PERINEUS (SUPERFICIALIS) 221

207        SUPERIOR LONGITUDINAL LINGUALIS. 222

208        SUPERIOR OBLIQUE. 223

209        SUPERIOR PHARYNGEAL CONSTRICTOR. 225

210        SUPERIOR RECTUS. 225

211        SUPINATOR ?. 226

212        SUPRASPINATUS (Rotator Cuff Muscle) 227

213        TEMPORALIS. 228

214        TENSOR FASCIAE LATAE. 229

215        TENSOR TYMPANI 230

216        TENSOR VELI PALATINI 231

217        TERES MAJOR. 232

218        TERES MINOR (Rotator Cuff Muscle) 233

219        THYROARYTENOID VOCALIS & THYROEPIGLOTTICUS. 234

220        THYTROHYOID (INFRAHYOID) 235

221        TIBIALIS ANTERIOR. 236

222        TIBIALIS POSTERIOR. 237

223        TRANSVERSUS ABDOMINIS. 238

224        TRANSVERSE ARYTENOID. 239

225        TRANSVERSE LINGUALIS (BODY OF TONGUE) 240

226        TRANSVERSE PERINEUS (PROFUNDUS) 241

227        TRAPEZIUS LOWER (Lower Division) 242

228        TRAPEZIUS MIDDLE. 243

229        TRAPEZIUS UPPER. 244

230        TRICEPS BRACHII 245

231        URETHRAL SPHINCTER. 246

232        VASTUS INTERMEDIUS (QUADRICEPS FEMORIS) (1 of 4 Quadriceps) 247

233        VASTUS LATERALIS (Quadriceps Femoris) (1 of 4 Quadriceps) 248

234        VASTUS MEDIALIS (Quadriceps Femoris) (1 of 4 Quadriceps) 249

235        VERTICAL LINGUALIS (BODY OF TONGUE) 250

236        ZYGOMATICUS MAJOR. 251

237        ZYGOMATICUS MINOR. 252

238. 253

 

 

 

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1      ABDUCTOR DIGITI MINIMI (FOOT) 1name

Back Table of Contents Illustration

1.1   Word Derivation

1.1.1   Abductor=Moves part away from midline

1.1.2   Digit=Finger or toe

1.1.3   Minimi= Little finger or toe

1.2   Origin

1.2.1   Medial and lateral processes of the tuberosity of calcaneus

1.3   Insertion

1.3.1   Lateral side of the base of the proximal phalanx of the fifth toe

1.4   Action

1.4.1   Abducts the fifth toe away from the fourth toe

1.5   Nerve Supply

1.5.1   Nerve

1.5.1.1       Lateral plantar nerve

1.5.2   Roots

1.5.2.1       S2

1.5.2.2       S3

1.6   Synergists

1.6.1   None

1.7   Category

1.7.1   Intrinsic Foot Plantar First Superficial Layer (IFP1)

1.8   View (When Illustrated Individually)

1.8.1   Plantar View (First Plantar Layer)

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2      ABDUCTOR DIGITI MINIMI (HAND)

Back Table of Contents  

2.1   Word Derivation

2.1.1   Abductor=Moves part away from midline

2.1.2   Digit=Finger or toe

2.1.3   Minimi= Little finger or toe

2.2   Origin

2.2.1   Pisiform bone

2.2.2   Tendon of the flexor carpi ulnaris

2.3   Insertion

2.3.1   Two slips

2.3.1.1       Ulnar side of the base of the proximal phalanx of the little finger

2.3.1.2       Ulnar border of the extensor expansion of the finger

2.4   Action

2.4.1   Abducts the little finger

2.4.2   Assists in flexing its proximal phalanx at the metacarpophalangeal joint

2.5   Nerve Supply

2.5.1   Nerve

2.5.1.1       Ulnar  (Deep Branch)

2.5.2   Roots

2.5.2.1       C8

2.5.2.2       T1

2.6   Synergists

2.6.1   Flexor digiti minimi brevis

2.6.2   Opponens digiti minimi

2.7   Category

2.7.1   Intrinsic Hand Hypothenar (IHH)

2.8   View (When Illustrated Individually)

2.8.1   Anterior

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3      ABDUCTOR HALLUCIS

Back Table of Contents  

3.1   Word Derivation

3.1.1   Abductor=Moves part away from midline

3.1.2   Hallucis= Hallux or Great toe

3.2   Origin

3.2.1   Medial process of tuberosity of the calcaneus

3.2.2   Flexor retinaculum

3.2.3   Plantar aponeurosis

3.2.4   Intermuscular septum

3.3   Insertion

3.3.1   Medial tendon of the flexor hallucis brevis

3.3.2   Medial side of the base of the proximal phalanx of the big toe

3.4   Action

3.4.1   Abducts the big toe from the mid line of the foot

3.5   Nerve Supply

3.5.1   Nerve

3.5.1.1       Medial plantar

3.5.2   Roots

3.5.2.1       S2

3.5.2.2       S3

3.6   Synergists

3.6.1   None

3.7   Category

3.7.1   Intrinsic Foot Plantar First Superficial Layer (IFP1)

3.8   View (When Illustrated Individually)

3.8.1   Plantar View (First Plantar Layer)

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4      ABDUCTOR POLLICIS BREVIS

Back Table of Contents  

4.1   Word Derivation

4.1.1   Abductor=Moves part away from midline

4.1.2   Pollex= Thumb

4.1.3   Brevis=Short

4.2   Origin

4.2.1   Flexor retinaculum

4.2.2   Tubercles of the scaphoid and trapezium

4.3   Insertion

4.3.1   Radial side of the base of the proximal phalanx of the thumb

4.4   Action

4.4.1   Abduction of the proximal phalanx and the metacarpal of the thumb

4.4.2   Medial rotation of the proximal phalanx and the metacarpal of the thumb

4.5   Nerve Supply

4.5.1   Nerve

4.5.1.1       Median

4.5.2   Roots

4.5.2.1       C8

4.5.2.2       T1

4.6   Synergists

4.6.1   Abductor pollicis longus

4.6.2   Extensor pollicis brevis

4.7   Category

4.7.1   Intrinsic Hand Thenar (ITT)

4.8   View (When Illustrated Individually)

4.8.1   Anterior View

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5      ABDUCTOR POLLICIS LONGUS

Back Table of Contents  

5.1   Word Derivation

5.1.1   Abductor=Moves part away from midline

5.1.2   Pollex= Thumb

5.1.3   Longus=Long

5.2   Origin

5.2.1   Small facet of the ulnar side of the radius near its middle

5.2.2   Lateral side of the dorsal surface on the body of the ulna just below the insertion of the anconeus and the interosseous membrane

5.3   Insertion

5.3.1   The radial side of the base of the first metacarpal

5.4   Action

5.4.1   Abducts the carpometacarpal joint of the thumb

5.4.2   Assists in extension of the carpometacarpal joint of the thumb

5.5   Nerve Supply

5.5.1   Nerve

5.5.1.1       Posterior interosseous nerve (deep radial nerve)

5.5.2   Roots

5.5.2.1       C7

5.5.2.2       C8

5.6   Synergists

5.6.1   Abductor pollicis brevis

5.6.2   Extensor pollicis brevis

5.7   Category

5.7.1   Wrist, Hand, and Fingers Posterior Extensors Deep (WHFPED)

5.8   View (When Illustrated Individually)

5.8.1   Posterior

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6      ADDUCTOR BREVIS

Back Table of Contents  

6.1   Word Derivation

6.1.1   Adductor=Moves part towards the midline

6.1.2   Brevis=Short

6.2   Origin

6.2.1   Outer surface of body and inferior ramus of pubis

6.3   Insertion

6.3.1   On a line extending from lesser trochanter to upper part of linea aspera

6.4   Action

6.4.1   Hip adduction

6.4.2   Hip flexion

6.4.3   Hip medial rotation

6.5   Nerve Supply

6.5.1   Nerve

6.5.1.1       Obturator

6.5.2   Roots

6.5.2.1       L2

6.5.2.2       L3

6.5.2.3       L4

6.6   Synergists

6.6.1   Adductor magnus

6.6.2   Adductor longus

6.6.3   Gracilis

6.6.4   Pectineus

6.7   Category

6.7.1   Thigh Adductor Compartment (TAD)

6.8   View (When Illustrated Individually)

6.8.1   Anterior

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7      ADDUCTOR HALLUCIS

Back Table of Contents  

7.1   Word Derivation

7.1.1   Adductor=Moves part towards the midline

7.1.2   Hallucis= Hallux or Great toe

7.2   Origin

7.2.1   Oblique head

7.2.1.1       Bases of the 2nd, 3rd and 4th metatarsals

7.2.2   Transverse head

7.2.2.1       Plantar Metatarsophalangeal ligaments of the 3rd, 4th and 5th toes

7.2.2.2       Deep transverse metatarsal ligaments

7.3   Insertion

7.3.1   Lateral side of base of proximal phalanx of big toe

7.4   Action

7.4.1   Adducts the big toe towards the 2nd toe

7.5   Joints

7.5.1   Metatarsophalangeal joint of big toe

7.6   Nerve Supply

7.6.1   Nerve

7.6.1.1       Lateral plantar nerve

7.6.2   Roots

7.6.2.1       S2

7.6.2.2       S3

7.7   Synergists

7.7.1    

7.8   Category

7.8.1   Intrinsic Foot Plantar Third Layer (IFP3)

7.9   View (When Illustrated Individually)

7.9.1   Plantar

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8      ADDUCTOR LONGUS

Back Table of Contents  

8.1   Word Derivation

8.1.1   Adductor=Moves part towards the midline

8.1.2   Longus=Long

8.2   Origin

8.2.1   Front of pubis in angle between crest and symphysis

8.3   Insertion

8.3.1   Middle 1/3 of medial lip of linea aspera

8.4   Joints

8.4.1   Hip

8.5   Action

8.5.1   Adduction

8.5.2   Flexion

8.5.3   Medial rotation

8.6   Nerve Supply

8.6.1   Nerve

8.6.1.1       Obturator

8.6.2   Roots

8.6.2.1       L2

8.6.2.2       L3

8.6.2.3       L4

8.7   Synergists

8.7.1   Gracilis

8.7.2   Adductor magnus

8.7.3   Pectineus

8.7.4   Adductor brevis

8.8   Category

8.8.1   Thigh Adductor Compartment (TAD)

8.9   View (When Illustrated Individually)

8.9.1   Anterior

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9      ADDUCTOR MAGNUS

Back Table of Contents  

9.1   Word Derivation

9.1.1   Adductor=Moves part towards the midline

9.1.2   Magnus=Large

9.2   Origin

9.2.1   POSTERIOR FIBERS

9.2.1.1       Ischial tuberosity

9.2.2   ANTERIOR FIBERS

9.2.2.1       Ramus of ischium

9.2.2.2       Pubis

9.3   Insertion

9.3.1   Line extending from the gluteal tuberosity along the linea aspera

9.3.2   Medial supracondylar line

9.3.3   Adductor tubercle on medial condyle of femur

9.4   Joints

9.4.1   Hip

9.5   Action

9.5.1   Adduction

9.5.2    Extension

9.5.2.1       . Note

9.5.2.1.1    Fibers arising from ischium and ramus of ischium primarily insert distally and aid in hip extension

9.5.3   Flexion

9.5.3.1       Note

9.5.3.1.1   Fibers arising from ramus of pubis insert proximally and aid in hip flexion.

9.5.4   Medial rotation

9.6   Nerve Supply

9.6.1   Posterior fibers

9.6.1.1       Nerve

9.6.1.1.1   Tibial portion of sciatic

9.6.1.2       Roots

9.6.1.2.1   L4
9.6.1.2.2   L5
9.6.1.2.3   S1

9.6.2   Anterior fibers

9.6.2.1       Nerve

9.6.2.1.1   Obturator

9.6.2.2       Roots

9.6.2.2.1   L2
9.6.2.2.2   L3
9.6.2.2.3   L4

9.7   Synergists

9.7.1   Adductor brevis

9.7.2   Adductor longus

9.7.3   Pectineus

9.7.4   Gracilis

9.8   Category

9.8.1   Thigh Adductor Compartment (TAD)

9.9   View (When Illustrated Individually)

9.9.1   Anterior

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10      ADDUCTOR POLLICIS

Back Table of Contents  

10.1 Word Derivation

10.1.1            Adductor=Moves part towards the midline

10.1.2            Pollex= Thumb

10.2 Origin

10.2.1            OBLIQUE HEAD

10.2.1.1   Capitate bone

10.2.1.2   Bases of the 2nd and 3rd metacarpal bones

10.2.2            TRANSVERSE HEAD

10.2.2.1   Distal 2/3 of the palmar surface of the 3rd metacarpal bone

10.3 Insertion

10.3.1            Two heads converge to insert on the ulnar side of the base of the proximal phalanx of the thumb

10.4 Joints

10.4.1            Carpometacarpal (CMJ)

10.4.2            Metacarpophalangeal (MPJ)

10.5 Action

10.5.1            Adduction (1st CMJ) (Thumb)

10.5.2            Adduction (1st MPJ) (Thumb)

10.5.3            Flexion (1st MPJ) (Thumb)

10.6 Nerve Supply

10.6.1            Nerve

10.6.1.1   Ulnar (Deep branch)

10.6.2            Roots

10.6.2.1   C8

10.6.2.2   T1

10.7 Synergists

10.7.1            Flexor pollicis brevis

10.7.2            Flexor pollicis longus

10.7.3            Opponens pollicis

10.8 Category

10.8.1            Intrinsic Hand Thenar (IHT)

10.9 View (When Illustrated Individually)

10.9.1            Anterior

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11      ANCONEUS

Back Table of Contents  

11.1 Word Derivation

11.1.1            Anconeal=Pertaining to elbow

11.2 Origin

11.2.1            Posterior surface of lateral epicondyle of humerus

11.3 Insertion

11.3.1            Lateral side of olecranon process

11.3.2            Posterior surface of proximal portion of ulna

11.4 Joints

11.4.1            Elbow

11.4.2            Radioulnar (RU)

11.5 Action

11.5.1            Extension (Elbow)

11.5.2            Pronation (RU)

11.6 Nerve Supply

11.6.1            Nerve

11.6.1.1   Radial

11.6.2            Roots

11.6.2.1   C7

11.6.2.2   C8

11.6.2.3   T1

11.7 Synergists

11.7.1            Triceps Brachii

11.8 Category

11.8.1            Forearm Extensors (FAE)

11.9 View (When Illustrated Individually)

11.9.1            Posterior

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12      BICEPS BRACHII

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12.1 Word Derivation

12.1.1            Biceps=Two heads of origin

12.1.2            Brachion=Arm

12.2 Origin

12.2.1            Long head

12.2.1.1   Supraglenoid tubercle of the scapula

12.2.2            Short head

12.2.2.1   Apex of coracoid process of the scapula

12.3 Insertion

12.3.1            Radial tuberosity and bicipital aponeurosis

12.4 Joints

12.4.1            Glenohumeral (GH)

12.4.2            Elbow

12.4.3            Radioulnar (RU)

12.5 Action

12.5.1            Flexion (Elbow)

12.5.2            Supination (RU)

12.5.3            Flexion (GH)

12.5.4            Reversed origin-insertion action

12.5.4.1   Both heads of the biceps brachii are active during flexion of the arm at the shoulder joint, with the long head being more active.

12.6 Nerve Supply

12.6.1            Nerve

12.6.1.1   Musculocutaneous

12.6.1.1.1             Separate branches to each head

12.6.2            Roots

12.6.2.1   C5

12.6.2.2   C6

12.7 Synergists

12.7.1            Brachialis

12.7.2            Brachioradialis

12.7.3            Supinator

12.8 Category

12.8.1            Forearm Flexors (FAF)

12.9 View (When Illustrated Individually)

12.9.1            Anterior

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13       BICEPS FEMORIS (Lateral Hamstring)

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13.1 Word Derivation

13.1.1            Biceps=Two heads of origin

13.1.2            Femoris=Femur

13.2 Origin

13.2.1            Long head

13.2.1.1   Ischial tuberosity

13.2.1.2   Sacrotuberous ligament

13.2.2            Short head

13.2.2.1   Lateral lip of linea aspera

13.2.2.2   Lateral supracondylar line of femur

13.2.2.3   Lateral intermuscular septum

13.3 Insertion

13.3.1            Lateral side of the head of the fibula

13.3.2            Lateral condyle of the tibia

13.3.3            Deep fascia on the lateral side of the leg

13.4 Joints

13.4.1            Knee

13.4.2            Hip

13.5 Action

13.5.1            Flexion (Knee)

13.5.2            Lateral rotation (Knee)

13.5.3            Extension (Hip)

13.5.4            Adduction (Hip)

13.5.5            Lateral Rotation (Hip)

13.5.6            Note

13.5.6.1   When the hip is extended the long head of the biceps Femoris is placed at a mechanical disadvantage in knee extension. The short head of the biceps Femoris then becomes the primary knee flexor.

13.5.7            Reversed origin-insertion action

13.5.7.1   The long head gives posterior stability to the pelvis and extends the pelvis on the hip.

13.6 Nerve Supply

13.6.1            LONG HEAD

13.6.1.1   Nerve

13.6.1.1.1             Sciatic (Tibial Portion)

13.6.1.2   Roots

13.6.1.2.1             L5
13.6.1.2.2             S1
13.6.1.2.3             S2

13.6.2            Short head

13.6.2.1   Nerve

13.6.2.1.1             Sciatic (Common peroneal portion)

13.6.2.2   Roots

13.6.2.2.1             L5
13.6.2.2.2             S1
13.6.2.2.3             S2

13.7 Synergists

13.7.1            Semimembranosus

13.7.2            Semitendinosus

13.7.3            Gracilis

13.7.4            Sartorius

13.7.5            Gastrocnemius

13.8 Category

13.8.1            Leg Posterior Flexor Compartment (LPF)

13.9 View (When Illustrated Individually)

13.9.1            Posterior

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14      BRACHIALIS

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14.1 Word Derivation

14.1.1            Brachion=Arm

14.2 Origin

14.2.1            Lower 1/2 of the anterior surface of the humerus

14.3 Insertion

14.3.1            Tuberosity and coronoid process of the ulna

14.4 Joints

14.4.1            Elbow

14.5 Action

14.5.1            Flexion

14.6 Nerve Supply

14.6.1            Nerve

14.6.1.1   Musculocutaneous

14.6.1.2   Radial

14.6.2            Roots

14.6.2.1   C5 (Musculocutaneous)

14.6.2.2   C6 (Musculocutaneous)

14.6.2.3   C7 (Radial)

14.7 Synergists

14.7.1            Brachioradialis

14.7.2            Biceps brachii

14.8 Category

14.8.1            Forearm Flexors (FAF)

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15      BRACHIORADIALIS

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15.1 Word Derivation

15.1.1            Brachion=Arm

15.1.2            Radialis=Radius

15.2 Origin

15.2.1            Proximal 2/3 of the lateral supracondylar ridge of the humerus and lateral intermuscular septum

15.3 Insertion

15.3.1            Lateral side of base of styloid process of the radius

15.4 Joints

15.4.1            Elbow

15.4.2            Radioulnar (RU) Distal

15.5 Action

15.5.1            Flexion

15.5.2            Pronation (To midposition when joint is supinated) (RU) Distal

15.5.3            Supination (To midposition when joint is Pronated)  (RU) Distal

15.6 Nerve Supply

15.6.1            Nerve

15.6.1.1   Radial

15.6.2            Roots

15.6.2.1   C5

15.6.2.2   C6

15.6.2.3   C7

15.7 Synergists

15.7.1            Brachialis

15.7.2            Biceps brachii

15.8 Category

15.8.1            Forearm Flexors (FAF)

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16      BUCCINATOR

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16.1 Word Derivation

16.1.1            Bucc=Cheek

16.2 Origin

16.2.1            Upper attachment

16.2.1.1   External surfaces of the alveolar process of the three molar teeth on the maxilla, crossing the maxillary tuberosity to the pterygold hamulus

16.2.2            Middle attachment

16.2.2.1   Anterior border of the pterygomandibular raphe

16.2.3            Inferior attachment

16.2.3.1   External surfaces of the alveolar processes of the three molar teeth on the mandible, crossing the junction of the ramus and body to the posterior end of the mylohyoid line

16.3 Insertion

16.3.1            Upper fibers

16.3.1.1   Blend with upper fibers of orbicularis oris.

16.3.2            Middle fibers

16.3.2.1   Decussate (cross) so that lower and upper ones continue into upper and lower parts of the orbicularis oris

16.3.3            Lower fibers

16.3.3.1   Blend with lower fibers of orbicularis oris

16.4 Action

16.4.1            Compresses the cheeks against the teeth

16.4.2            Draws angle of the mouth laterally.

16.5 Nerve Supply

16.5.1            Inferior buccal branches of the facial nerve (VII)

16.6 Arterial supply

16.6.1            Buccal (Maxillary)

16.6.2            Facial

16.6.3            Transverse facial

16.7 Synergists

16.7.1            Risorius

16.8 Antagonists

16.8.1            Orbicularis oris

16.9 Category

16.9.1            Facial Expression (FE)

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17      BULBOCAVERNOSUS (BULBOSPONGIOSUS)

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17.1 Word Derivation

17.1.1            Bulbus=Bulb

17.1.2            Caverna=Hollow

17.2 Origin

17.2.1            Central tendon of perineum

17.3 Insertion

17.3.1            Inferior fascia of urogenital diaphragm

17.3.2            Corpus spongiosum of penis

17.3.3            Deep fascia on dorsum of penis in male

17.3.4            Pubic arch and root and dorsum of clitoris in female

17.4 Action

17.4.1            Helps expel last drops of urine during micturition

17.4.2            Propel semen along urethra

17.4.3            Assist in erection of the penis in male

17.4.4            Decreases vaginal orifice and assists in erection of clitoris in female

17.5 Nerve Supply

17.5.1            Perineal branch of pudendal nerve

17.6 Synergists

17.6.1             

17.7 Category

17.7.1            Perineum  (PRN)

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18      CILIARY MUSCLE

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18.1 Origin

18.1.1            Scleral spur

18.2 Insertion

18.2.1            Stroma of the choroid

18.3 Action

18.3.1            Modify the shape of the lens to adjust for near (lens thickening) or distant Vision (lens thinning)

18.4 Nerve Supply

18.4.1            Near vision

18.4.1.1   Parasympathetic fibers through the Oculomotor nerve (III), from Edinger-Westphal nucleus

18.4.2            Distant vision

18.4.2.1   Sympathetic fibers from the superior cervical ganglion passing into the eye as the long ciliary nerves

18.5 Arterial supply

18.5.1            Long posterior and anterior ciliary rami from the ophthalmic and lacrimal branches of the internal carotid artery

18.6 Synergists

18.6.1            None

18.7 Antagonists

18.7.1            Parasympathetic and Sympathetic fibers produce antagonistic effects

18.7.2            Parasympathetic fibers

18.7.2.1   Contract the ciliary muscle thereby relaxing the zonal fibers which suspend the lens at its periphery

18.7.2.2   The relaxed lens thickens

18.7.3            Sympathetic fibers

18.7.3.1   Act upon arteries in ciliary body

18.7.3.2   Vasomotor activity increases tension in lens zonal fibers and produces a thinning of the lens

18.8 Category

18.8.1            Eye Ball (EB)

18.9 View

18.9.1            (Note: Lower two s are enlarged horizontal sections.)

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19      COCCYGEUS (ISCHIOCOCCYGEUS)

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19.1 Word Derivation

19.1.1            Coccygeus=Coccyx

19.2 Origin

19.2.1            Ischial Spine

19.3 Insertion

19.3.1            Lower Sacrum

19.3.2            Upper Coccyx

19.4 Action

19.4.1            Supports and slightly raises pelvic floor

19.4.2            Resists intraabdominal pressure

19.4.3            Pulls coccyx forward following defecation or parturition

19.5 Nerve Supply

19.5.1            Nerve

19.5.1.1   Sacral

19.5.2            Roots

19.5.2.1   S3

19.5.2.2   S4

19.6 Synergists

19.6.1             

19.7 Category

19.7.1            Pelvic Floor (PF)

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20      CORACOBRACHIALIS

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20.1 Word Derivation

20.1.1            Coraco=Coracoid process

20.2 Origin

20.2.1            Tip of coracoid process of scapula

20.3 Insertion

20.3.1            Middle of medial border of humerus, opposite deltoid tuberosity

20.4 Joints

20.4.1            Glenohumeral

20.5 Action

20.5.1            Horizontal flexion

20.5.2            Adduction

20.6 Nerve Supply

20.6.1            Nerve

20.6.1.1   Musculocutaneous

20.6.2            Roots

20.6.2.1   C5

20.6.2.2   C6

20.6.2.3   C7

20.7 Synergists

20.7.1            Pectoralis major

20.7.2            Biceps brachii

20.7.3            Anterior deltoid

20.8 Category

20.8.1            Arm Scapular (AS)

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21      CORRUGATOR SUPERCILII

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21.1 Word Derivation

21.1.1            Corrugo=Wrinkle

21.1.2            Supercilium=Eyebrow

21.2 Origin

21.2.1            Medial end of the superciliary arch of the frontal bone

21.3 Insertion

21.3.1            Deep surface of the skin above the midpart of the orbital arch

21.4 Action

21.4.1            : Draws eyebrows medially and down (Frowning muscle)

21.5 Nerve Supply

21.5.1            Temporal branches of the facial nerve (VII)

21.6 Artery supply

21.6.1            Supratrochlear (Branch of ophthalmic)

21.6.2            Supraorbital (Branch of ophthalmic)

21.7 Synergists

21.7.1            Orbicularis oculi

21.7.2            Procerus

21.8 Antagonist

21.8.1            Frontalis

21.9 Category

21.9.1            Facial Expression (FE)

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22      CRICOARYTENOID LATERAL & POSTERIOR

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22.1 Origin

22.1.1            Cricoarytenoid Lateral

22.1.1.1   Upper border of arch of cricoid cartilage

22.1.2            Cricoarytenoid Posterior

22.1.2.1   Posterior surface of lamina of cricoid cartilage

22.2 Insertion

22.2.1            Cricoarytenoid Lateral

22.2.1.1   Muscular process of arytenoids cartilage

22.2.2            Cricoarytenoid Posterior

22.2.2.1   Muscular process of arytenoid cartilage

22.3 Action

22.3.1            Cricoarytenoid Lateral

22.3.1.1   Adducts and medially rotates arytenoid cartilage assisting in closing glottis

22.3.2            Cricoarytenoid Posterior

22.3.2.1   Abducts arytenoid cartilage widening glottis

22.4 Nerve Supply

22.4.1            Vagus (X)

22.4.2            Accessory (XI)

22.5 Synergists

22.5.1             

22.6 Category

22.6.1            Larynx Extrinsic (LXE)

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23      CRICOPHARYNGEUS

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23.1 Origin

23.1.1            Arch of cricoid cartilage

23.2 Insertion

23.2.1            Arch of cricoid cartilage

23.3 Action

23.3.1            Acts as sphincter to prevent air entering esophagus

23.3.2            Relaxes during swallowing

23.4 Nerve Supply

23.4.1            Nerve Plexus

23.4.1.1   Pharyngeal plexus

23.4.2            Roots

23.4.2.1   CN (IX)

23.4.2.2   CN (X)

23.4.2.3   CN (XI)

23.5 Synergists

23.5.1             

23.6 Category

23.6.1            Pharynx longitudinal layer (PXL)

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24      CRICOTHYROID

Back Table of Contents  

24.1 Word Derivation

24.1.1            Crico=Cricoid cartilage of larynx

24.1.2            Thyro=Thyroid gland

24.2 Origin

24.2.1            Anterolateral, external aspect of the cricoid cartilage

24.3 Insertion

24.3.1            Inferior part

24.3.1.1   Anterior border of the inferior cornu of thyroid

24.3.2            Superior Part

24.3.2.1   Posterior part of the lower border of the thyroid lamina

24.4 Action

24.4.1            Elevation of cricoid arch and tilting, back its lamina

24.4.2            Closes anterior interval between the cricoid and thyroid cartilages, thereby, tightening the vocal cords

24.5 Nerve Supply

24.5.1            External branch of the superior laryngeal nerve from the vagus nerve (X)

24.6 Arterial supply

24.6.1            Cricothyroid branch and rami of the superior thyroid artery

24.6.2            Rami from the inferior thyroid artery

24.7 Synergists

24.7.1            Posterior Arytenoids

24.8 Antagonists

24.8.1            Vocalis

24.8.2            Thyroarytenoid

24.9 Category

24.9.1            Larynx Intrinsic (LXI)

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25      DELTOID ANTERIOR

Back Table of Contents  

25.1 Word Derivation

25.1.1            Delta=Triangular

25.1.2            Supercilium=Eyebrow

25.2 Origin

25.2.1            Anterosuperior border of the lateral 1/3 of the clavicle

25.3 Insertion

25.3.1            Deltoid tuberosity of the humerus on the anterolateral surface just above is midshaft

25.4 Joints

25.4.1            Glenohumeral

25.5 Action

25.5.1            Abduction

25.5.2            Horizontal flexion

25.5.3            Medial rotation

25.6 Nerve Supply

25.6.1            Nerve

25.6.1.1   Axillary

25.6.2            Roots

25.6.2.1   C5

25.6.2.2   C6

25.7 Synergists

25.7.1            Middle Deltoid

25.7.2            Posterior Deltoid

25.7.3            Supraspinatus

25.7.4            Pectoralis Major Clavicular

25.8 Category

25.8.1            Arm Scapular (AS)

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26      DELTOID MIDDLE

Back Table of Contents  

26.1 Origin

26.1.1            Superior surface of the acromion process

26.2 Insertion

26.2.1            Deltoid tuberosity of humerus

26.3 Joints

26.3.1            Glenohumeral

26.4 Action

26.4.1            Abduction

26.5 Nerve Supply

26.5.1            Nerve

26.5.1.1   Axillary

26.5.2            Roots

26.5.2.1   C5

26.5.2.2   C6

26.6 Synergists

26.6.1            Anterior Deltoid

26.6.2            Posterior Deltoid

26.6.3            Supraspinatus

26.7 Category

26.7.1            Arm Scapular (AS)

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27      DELTOID POSTERIOR

Back Table of Contents  

27.1 Origin

27.1.1            Inferior margin of spine of scapula

27.2 Insertion

27.2.1            Deltoid tuberosity of humerus

27.3 Joints

27.3.1            Glenohumeral

27.4 Action

27.4.1            Abduction

27.4.2            Horizontal Extension

27.4.3            Lateral Rotation

27.5 Nerve Supply

27.5.1            Nerve

27.5.1.1   Axillary

27.5.2            Roots

27.5.2.1   C5

27.5.2.2   C6

27.6 Synergists

27.6.1            Anterior Deltoid

27.6.2            Middle Deltoid

27.6.3            Supraspinatus

27.7 Category

27.7.1            Arm Scapular (AS)

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28      DEPRESSOR ANGULI ORIS

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28.1 Origin

28.1.1            The oblique line of the mandible, below and lateral to the depressor labii inferioris

28.2 Insertion

28.2.1            The angle of the mouth, mingling with the levator anguli oris, zygomatIcus major, and muscular bands of the orbicularis Oris

28.3 Action

28.3.1            Depresses the modiolus and angle of mouth

28.4 Nerve Supply

28.4.1            Mandibular marginal branch of the facial nerve (VII)

28.5 Arterial supply

28.5.1            Inferior labial branch from the facial artery

28.5.2            Mental branch from the inferior alveolar artery

28.6 Synergists

28.6.1            Platysma (Pars Modiolus)

28.6.2            Depressor Labii Inferioris

28.7 Antagonists

28.7.1            For direct modiolar deviation

28.7.1.1   Levator Anguli Oris

28.7.1.2   Zygomaticus Major

28.7.2            For angle of mouth deviation

28.7.2.1   Lateral Slip of the Levator Labii Superioris

28.7.2.2   Alaeque Nasi

28.7.2.3   Levator Labii Superioris

28.7.2.4   Zygomaticus Minor

28.8 Category

28.8.1            Facial Expression (FE)

28.9  Note

28.9.1            (Denotes Modiolus)

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29      DEPRESSOR LABII INFERIORIS

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29.1 Origin

29.1.1            The oblique line of mandible, between symphysis menti and the mental foramen

29.2 Insertion

29.2.1            The skin of the lower lip, blending and intersecting with its other and with orbicularis oris

29.2.2            Note

29.2.2.1   It is continuous below and laterally with the labial part of the platysma).

29.3 Action

29.3.1            Depresses the lower lip laterally and assists in eversion

29.4 Nerve Supply

29.4.1            Mandibular marginal branch of the facial nerve (VII)

29.5 Arterial supply

29.5.1            Inferior labial branch of the facial artery

29.5.2            Mental branch of the inferior alveolar artery

29.6 Synergists

29.6.1            Platysma (Pars Labialis)

29.6.2            Depressor Anguli Oris

29.7 Antagonist

29.7.1            Orbicularis Oris

29.8 Category

29.8.1            Facial Expression (FE)

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30      DEPRESSOR SEPTI

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30.1 Origin

30.1.1            From the incisive fossa of the maxilla

30.2 Insertion

30.2.1            The mobile part of the nasal septum, deep to the superior labial mucous membrane

30.3 Action

30.3.1            Draws ala of nose downwards and thereby constricts the aperture of naris.

30.4 Nerve Supply

30.4.1            Superior buccal branches of the facial nerve (VII)

30.5 Arterial supply

30.5.1            Septal and alar branches from the superior labial artery

30.6 Synergists

30.6.1            Nasalis

30.7 Antagonist

30.7.1            Dilator Naris

30.8 Category

30.8.1            Facial Expression (FE)

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31      DIAPHRAGM

Back Table of Contents  

31.1 Origin

31.1.1            An approximately circular line passing entirely around the inner surface of the body wall

31.1.2            STERNAL PORTION

31.1.2.1   Two slips from the back of the xiphoid process

31.1.3            COSTAL PORTION

31.1.3.1   The inner surfaces of the cartilages and adjacent portions of the lower 6 ribs on either side, interdigitating with the transverses abdominis

31.1.4            LUMBAR PORTION

31.1.4.1   Medial and lateral arcuate ligaments and right and left crura from the anterolateral surfaces of the bodies and discs of the upper three lumbar vertebrae

31.2 Insertion

31.2.1            The central tendon, which is an oblong sheet forming the summit of the dome

31.3 Action

31.3.1            Principal muscle of respiration

31.3.2            Draws the central tendon downward, during quiet inspiration, pressing against the abdominal visera

31.4 Nerve Supply

31.4.1            Nerve

31.4.1.1   Phrenic (Cervical Plexus)

31.4.2            Roots

31.4.2.1   C3

31.4.2.2   C4

31.4.2.3   C5

31.5 Synergists

31.5.1            External Intercostals

31.5.2            Internal Intercostals

31.5.3            Serratus Posterior Superior

31.5.4            Scalenus Anterior

31.5.5            Scalenus Medius

31.5.6            Scalenus Posterior

31.5.7            Levatores Costarum

31.6 Category

31.6.1            Breathing (B)

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32      DIGASTRIC ANT & POST BELLY (SUPRAHYOID)

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32.1 Origin

32.1.1            Anterior belly

32.1.1.1   Digastric fossa of mandible

32.1.2            Posterior belly

32.1.2.1   Mastoid notch of temporal bone

32.2 Insertion

32.2.1            Intermediate tendon attached to the hyoid via a fibrous loop

32.3 Action

32.3.1            Mandibular depression and hyoid elevation

32.3.2            Note

32.3.2.1   Both bellies act together during swallowing and chewing

32.4 Nerve Supply

32.4.1            Anterior belly

32.4.1.1   Mylohyoid rami from the inferior alveolar branch of the trIgeminal nerve (V3)

32.4.2            Posterior belly

32.4.2.1   Digastric branch facial nerve (VII)

32.5 Arterial supply

32.5.1            Anterior belly

32.5.1.1    Mylohyoid branch of inferior alveolar artery

32.5.1.2   Submandibular branch of the facial artery

32.5.2            Posterior belly

32.5.2.1   Posterior auricular artery and muscular branches of the occipital artery

32.6 Synergists

32.6.1            Mandibular Depression

32.6.1.1   Mylohyoid

32.6.1.2   Geniohyoid

32.6.1.3   Lateral Pterygoid

32.6.1.4   Platysma

32.6.2            Hyoid Elevation

32.6.2.1   Stylohyoid

32.6.2.2   Mylohyoid

32.6.2.3   Geniohyoid

32.7 Antagonists

32.7.1            Mandibular Depression

32.7.1.1   Masseter

32.7.1.2   Temporalis

32.7.1.3   Medial Pterygoid

32.7.2            Hyoid Elevation

32.7.2.1   Sternohyoid

32.7.2.2   Thyrohyoid

32.7.2.3   Omohyoid

32.8 Category

32.8.1            ORAL CAVITY FLOOR (OCF)

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33      DILATOR PUPILLAE

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33.1 Origin

33.1.1            The mesodermal stroma in the periphery of the iris

33.2 Insertion

33.2.1            The iris among the outer parts of the sphincter pupillae fibers

33.3 Action

33.3.1            Dilation of the pupil to adjust for distant vision or diminished light

33.4 Nerve Supply

33.4.1            Sympathetic fibers from the superior cervical ganglion passing as long ciliary nerves to the globe

33.5 Arterial supply

33.5.1            Long posterior and anterior ciliary rami from the ophthalmic and lacrimal branches of the internal carotid artery

33.6 Synergists

33.6.1            None

33.7 Antagonist

33.7.1            Sphincter pupillae

33.8 Category

33.8.1            Eye Ball (EB)

33.9 View

33.9.1            Note

33.9.1.1   Lower 2 s are enlarged horizontal sections

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34      DORSAL INTEROSSEI (FOOT)

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34.1 Origin

34.1.1            There are four dorsal interossei each by two heads from adjacent sides of the metatarsals

34.2 Insertion

34.2.1            Bases of the proximal phalanges and extensor expansion of the tendons of the extensor digitorum longus

34.2.2            The 1st dorsal interosseous (arising from the 1st and 2nd metatarsals) inserts into the medial side of the 2nd toe

34.2.3            The 2nd-4th dorsal interossei insert into the lateral sides of the 2nd 3rd and 4th toes

34.3 Action

34.3.1            Abducts the 2nd, 3rd and 4th toes away from the longitudinal axis of the 2nd toe

34.3.2            Assists in flexing the proximal phalanx

34.3.3            Extends the middle and distal phalanges

34.4 Nerve Supply

34.4.1            Nerve

34.4.1.1   Lateral Plantar

34.4.2            Roots

34.4.2.1   S2

34.4.2.2   S3

34.5 Synergists

34.5.1            Plantar Interossei

34.6 Category

34.6.1            Intrinsic Foot Plantar Fourth Deep Layer (IFP4)

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35      DORSAL INTEROSSEI (HAND)

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35.1 Origin

35.1.1            Each from the 2 metacarpal bones between which it inserts

35.2 Insertion

35.2.1            Bases of the proximal phalanges of the 2nd, 3rd and 4th digits and the extensor expansion

35.3 Action

35.3.1            Abduct index, middle and ring fingers from an axis through the middle finger

35.3.2            All assist in flexing the proximal phalanges of the index, middle and ring fingers at the metacarpophalangeal joints

35.3.3            Extending middle and distal phalanges

35.4 Nerve Supply

35.4.1            Nerve

35.4.1.1   Ulnar (Deep Branch)

35.4.2            Roots

35.4.2.1   C8

35.4.2.2   T1

35.5 Synergists

35.5.1            Lumbricals

35.5.2            Palmar Interossei

35.5.3            Flexor Digitorum Profundus

35.5.4            Flexor Digitorum Superficialis

35.6 Category

35.6.1            Intrinsic Hand Intermediate (Midpalmar) (IHI)

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36      EXTENSOR CARPI RADIALIS BREVIS

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36.1 Origin

36.1.1            Common extensor tendon from lateral epicondyle of humerus

36.2 Insertion

36.2.1            Posterior surface of base of 3rd metacarpal

36.3 Joints

36.3.1            Wrist

36.4 Action

36.4.1            Extension

36.4.2            Radial Deviation

36.5 Nerve Supply

36.5.1            Nerve

36.5.1.1   Posterior interosseous (deep radial)

36.5.2            Roots

36.5.2.1   C7

36.5.2.2   C8

36.6 Synergists

36.6.1            Extensor Carpi Radialis Longus

36.6.2            Extensor Carpi Ulnaris (Extension)

36.6.3            Extensor Carpi Radialis Longus

36.6.4            Flexor Carpi Radialis (Radial Deviation)

36.7 Category

36.7.1            Wrist, Hand, and Fingers Posterior Extensors Deep (WHFPED)

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37      EXTENSOR CARPI RADIALIS LONGUS

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37.1 Origin

37.1.1            Lower 1/3 of lateral supracondylar ridge

37.1.2            Lateral epicondyle (few fibers from)

37.2 Insertion

37.2.1            Posterior surface of base of second metacarpal

37.3 Joint

37.3.1            Wrist

37.4 Action

37.4.1            Extension

37.4.2            Radial Deviation

37.5 Nerve Supply

37.5.1            Nerve

37.5.1.1   Radial

37.5.2            Roots

37.5.2.1   C6

37.5.2.2   C7

37.6 Synergists

37.6.1            Extensor Carpi Radialis Brevis

37.6.2            Extensor Carpi Ulnaris (Extension)

37.6.3            Flexor Carpi Radialis (Radial Deviation)

37.7 Category

37.7.1            Wrist, Hand, and Fingers Posterior Extensors Superficial (WHFPES)

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38      EXTENSOR CARPI ULNARIS

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38.1 Origin

38.1.1            By two heads from lateral epicondyle of humerus and middle 1/3 of posterior ridge of ulna

38.2 Insertion

38.2.1            Posterior surface of base of 5th metacarpal

38.3 Joint

38.3.1            Wrist

38.4 Action

38.4.1            Extension

38.4.2            Ulnar Deviation

38.5 Nerve Supply

38.5.1            Nerve

38.5.1.1   Posterior interosseous (deep radial)

38.5.2            Roots

38.5.2.1   C7

38.5.2.2   C8

38.6 Synergists

38.6.1            Extensor Carpi Radialis Longus

38.6.2            Extensor Carpi Radialis Brevis (Extension)

38.6.3            Flexor Carpi Ulnaris (Ulnar Deviation)

38.7 Category

38.7.1            Wrist, Hand, and Fingers Posterior Extensors Superficial (WHFPES)

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39      EXTENSOR DIGITI MINIMI

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39.1 Origin

39.1.1            The common tendon of the extensor digitorum

39.2 Insertion

39.2.1            The tendon of the extensor digitorum at the proximal phalanx of the little finger and into the dorsal expansion of the finger extensor tendons

39.3 Joints

39.3.1            Metacarpophalangeal (MCP)

39.3.2            Interphalangeal (IP)

39.3.3            Wrist

39.4 Action

39.4.1            Extension (Proximal Phalanx Of The Little Finger) (MCP)

39.4.2            Extension (Wrist)

39.4.3            Extension (Middle And Distal Phalanges Especially When The Proximal Phalanx Is Held In Flexion) (IP)

39.5 Nerve Supply

39.5.1             

39.5.1.1   Posterior interosseous (deep radial)

39.5.2             

39.5.2.1   C7

39.5.2.2   C8

39.5.3            NOTE

39.5.3.1   The posterior interosseous nerve is a direct continuation of the deep radial nerve after it has passed through the supinator .

39.6 Synergists

39.6.1            Extensor digitorum.

39.7 Category

39.7.1             

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40      EXTENSOR DIGITORUM

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40.1 Origin

40.1.1            Common extensor tendon from lateral epicondyle of humerus.

40.2 Insertion

40.2.1            By 4tendons, 1 to each finger, each tendon dividing into 3 slips, the middle one attaching to the dorsal surface of middle phalanx and the other 2 uniting to attach to dorsal surface of base of distal phalanx.

40.3 Action

40.3.1            Extends phalanges at the interphalangeal joints, con- tinued action extends the metacarpophalangeal and car- pometacarpal articulations. Assists in extending wrist.

40.4 Nerve Supply

40.4.1            Posterior interosseous, (deep radial) C7, 8.

40.5 Synergists

40.5.1            Extensor indicis, extensor digiti minimi, lumbri- cales.

40.6 Category

40.6.1             

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41      EXTENSOR DIGITORUM BREVIS

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41.1 Origin

41.1.1            The forepart of the supralateral surface of the calcaneus; lateral talocalcaneal ligament and inferior extensor retinaculum

41.2 Insertion

41.2.1            Branches into 3 tendons that insert into the lateral sides of the tendons of the extensor digitorum longus of the 2nd, 3rd and 4th toes.

41.3 Action

41.3.1            Extends the proximal phalanges of the 2rid, 3rd and 4th toes.

41.4 Nerve Supply

41.4.1            Deep peroneal, 81, 2.

41.5 Synergists

41.5.1            Extensor digitorum longus.

41.6 Category

41.6.1             

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42      EXTENSOR DIGITORUM LONGUS

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42.1 Origin

42.1.1            Lateral condyle of the tibia, head and proximal :?/4 of the anterior surface on the body of the fibula, proximal portion of the interosseus membrane, deep fascia and intermuscular septa.

42.2 Insertion

42.2.1            Divides into four tendons after passing under the extensor retinaculum, to insert on to the dorsal surfaces of the bases of the middle and distal phalanges of the 2nd -5th toes.

42.3 Action

42.3.1            Extends the lateral 4 toes. Dorsiflexes and everts foot at the ankle.

42.4 Nerve Supply

42.4.1            Deep peroneal L5, 51.

42.5 Synergists

42.5.1            Extensor digitorum brevis.

42.6 Category

42.6.1             

 

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43      EXTENSOR HALLUCIS BREVIS

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43.1 Origin

43.1.1            The forepart medial aspect of calcaneus; lateral talocal- canealligament, inferior extensor retinaculum.

43.2 Insertion

43.2.1            Dorsal surface of the base of proximal phalanx of hallux.

43.3 Action

43.3.1            Extends proximal phalanx of hallux.

43.4 Nerve Supply

43.4.1            Deep peroneal, 51, 2.

43.5 Synergists

43.5.1            Extensor hallucis longus.

43.6 Category

43.6.1             

43.7 Note

43.7.1            (Note: The extensor hallucis brevis is the medial section of the extensor digitorum brevis.)

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44      EXTENSOR HALLUCIS LONGUS

Back Table of Contents  

44.1 Origin

44.1.1            Middle V2 of the anterior surface of the fibula and the adjacent interosseous membrane.

44.2 Insertion

44.2.1            Dorsal surface of base of distal phalanx of hallux (big toe).

44.3 Action

44.3.1            Extends the distal phalanx of the big toe. Continued action extends proximal phalanx and dorsiflexes and inverts the foot at the ankle.

44.4 Nerve Supply

44.4.1            Deep peroneal, L5, 81

44.5 Synergists

44.5.1            Extensor hallucis brevis.

44.6 Category

44.6.1             

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45      EXTENSOR INDICIS

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45.1 Origin

45.1.1            Dorsal surface of distal half of ulna.

45.2 Insertion

45.2.1            Index finger extensor digitorum tendon.

45.3 Action

45.3.1            Extension of all phalanges of index finger. Assists in wrist extension.

45.4 Nerve Supply

45.4.1            Posterior Interosseous, (deep radial), C7,8.

45.5 Synergists

45.5.1            Extensor digitorum.

45.6 Category

45.6.1             

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46      EXTENSOR POLLICIS BREVIS

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46.1 Origin

46.1.1            The posterior surface of the distal end of the body of the ulna near the middle and the adjacent interosseous membrane.

46.2 Insertion

46.2.1            The posterior surface of the base of the proximal phalanx of the thumb.

46.3 Action

46.3.1            Extends the proximal phalanx of the thumb. Continued action extends and assists abduction of the 1 st metacarpal.

46.4 Nerve Supply

46.4.1            Posterior interosseous nerve (deep radial nerve), C6,7.

46.5 Synergists

46.5.1            Abductor pollicis longus, extensor pollicis longus.

46.6 Category

46.6.1             

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47      EXTENSOR POLLICIS LONGUS

Back Table of Contents  

47.1 Origin

47.1.1            Posterior surface of the middle 1/3 of the ulna and the interosseous membrane.

47.2 Insertion

47.2.1            The posterior surface of the base of the distal phalanx of the thumb.

47.3 Action

47.3.1            Extends the distal phalanx of the thumb. Continued action, extends proximal phalanx and metacarpal, and adducts the 1st metacarpal.

47.4 Nerve Supply

47.4.1            Posterior interosseous nerve (deep radial nerve) C7,8.

47.5 Synergists

47.5.1            Extensor pollicis brevis.

47.6 Category

47.6.1             

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48      EXTERNAL ABDOMINAL OBLIQUE=ANT DIV

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48.1 Origin

48.1.1            External surfaces and inferior borders of the Sth -12th ribs by tendinous slips that interdigitate with those of serratus anterior and latissimus dorsi.

48.2 Insertion

48.2.1            Linea alba by means of the broad abdominal aponeurosis from ribs to crest of pubis, inquinalligament and the anterior half of the iliac crest along the outer lip.

48.3 Action

48.3.1            Acting unilaterally, rotates the trunk to the opposite side, and flexes it laterally on the side of muscle contraction. If rotation is only activity, the opposite internal oblique is synergist. Acting bilaterally, flexes the trunk anteriorly, supports and compresses the abdominal viscera, giving anterior support to the spinal column. Gives anterior stabilization to pelvis, decreasing lordosis. Assists in forced expiration.

48.4 Nerve Supply

48.4.1            Branches of the 7th .12th intercostal nerves.

48.5 Synergists

48.5.1            Rectus abdominis, internal oblique and external oblique abdominals of opposite side. Psoas on lumbar spine in total trunk flexion.

48.6 Category

48.6.1             

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49      EXTERNAL ABDOMINAL OBLIQUE=LAT DIV

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49.1 Origin

49.1.1             

49.2 Insertion

49.2.1             

49.3 Action

49.3.1             

49.4 Nerve Supply

49.4.1             

49.5 Synergists

49.5.1             

49.6 Category

49.6.1             

 

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50      EXTERNAL ANAL SPHINCTER

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50.1 Origin

50.1.1             

50.2 Insertion

50.2.1             

50.3 Action

50.3.1             

50.4 Nerve Supply

50.4.1             

50.5 Synergists

50.5.1             

50.6 Category

50.6.1             

 

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51      EXTERNAL INTERCOSTALS

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51.1 Origin

51.1.1            Inferior border of rib above.

51.2 Insertion

51.2.1            Superior border of rib below

51.3 Action

51.3.1            Elevate ribs during inspiration.

51.4 Nerve Supply

51.4.1            Branches from corresponding intercostal nerves.

51.5 Synergists

51.5.1            Serratus posterior superior, levatores costarum. Scaleni group.

51.6 Category

51.6.1             

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52      EXTRINSIC AURICULAR MUSCLES

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52.1 Origin

52.1.1            Auriculari~ anterior: Lateral edge of the epicranial aponeurosis.

52.1.2            Auricularis superior: EQicranial aponeurosis. Auricularis posterior: Mastoid part of the temporal bone.

52.2 Insertion

52.2.1            Auricularis anterior: The spine of the helix.

52.2.2            Auricularis superior: The upper part of the cranial surface of the auricle.

52.2.3            Auricularis posterior: By two or three fasciculi into the ponticulus on the eminentia conchae.

52.3 Action

52.3.1            Minimal action in man.

52.3.2            Auricularis anterior: Draws auricle forwards and up.

52.3.3            Auricularis superior: Elevates the auricle.

52.3.4            Auricularis posterior: Draws the auricle back.

52.4 Nerve Supply

52.4.1            Auricularis anterior and superior: Temporal bral}ches 9f the fa~ial nerve (VII).

52.4.2            AuriCularis posterior: PosterIor aurIcular branch of the facial nerve (VII).

52.5 Arterial supply

52.5.1            Auricular rami from the posterior auricular branch of the external carotid artery, the anterior auricular branches of the superficial temporal artery, and the auricular branch of the occipital artery.

52.6 Synergists

52.6.1            Frontalis and occipitalis, indirectly.

52.7 Antagonist

52.7.1            None

52.8 Category

52.8.1             

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53      FLEXOR CARPI RADIALIS

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53.1 Origin

53.1.1            Common flexor tendon from medial epicondyle of humerus.

53.2 Insertion

53.2.1            Anterior surfaces of bases of 2nd and 3rd metacar- pals.

53.3 Action

53.3.1            Flexes and radially deviates the hand at the wrist.

53.4 Nerve Supply

53.4.1            Median nerve, C6, 7.

53.5 Synergists

53.5.1            Flexor carpi ulnaris and palmaris longus for flexion. Extension carpi radialis longus and brevis for radial deviation.

53.6 Category

53.6.1             

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54      FLEXOR CARPI ULNARIS

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54.1 Origin

54.1.1            By 2 heads from medial epicondyle of humerus and medial border of olecranon process of ulna.

54.2 Insertion

54.2.1            Palmar surface of pisiform and hamate carpal bones and base of Sth metacarpal.

54.3 Action

54.3.1            Flexes and ulnarly deviates the hand at the wrist.

54.4 Nerve Supply

54.4.1            Ulnar, C7, 8.

54.5 Synergists

54.5.1            Flexor carpi radials and palmaris longus for flexion. Extensor carpi ulnaris for ulnar deviation.

54.6 Category

54.6.1             

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55      FLEXOR DIGITI MINIMI BREVIS (FOOT)

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55.1 Origin

55.1.1            Base of the Sth metatarsal bone.

55.2 Insertion

55.2.1            Lateral side of the base of the proximal phalanx of the little toe.

55.3 Action

55.3.1            Flexes the proximal phalanx of the Sth toe.

55.4 Nerve Supply

55.4.1            Lateral plantar nerve, 82, 3.

55.5 Synergists

55.5.1            Flexor digitorum brevis, flexor digitorum longus, quadratus plantae.

55.6 Category

55.6.1             

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56      FLEXOR DIGITI MINIMI BREVIS (HAND)

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56.1 Origin

56.1.1            Hamulus or hook of the hamate bone and flexor retinaculum.

56.2 Insertion

56.2.1            Ulnar side of the base of the proximal phalanx of the Sth finger.

56.3 Action

56.3.1            Flexes the Sth digit at the metacarpophalangeal articula- tion.

56.4 Nerve Supply

56.4.1            Deep branch of ulnar nerve, C8, T1.

56.5 Synergists

56.5.1            Flexor digitorum superficialis, flexor digitorum profundus, opponens digiti minimi, interossei.

56.6 Category

56.6.1             

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57      FLEXOR DIGITORUM BREVIS

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57.1 Origin

57.1.1            Medial process of tuberosity of the calcaneus, central part of the plantar aponeurosis, and the intermuscular septa. The entire muscle belly is firmly united with the plantar aponeurosis.

57.2 Insertion

57.2.1            Divides into 4 tendons that insert into the middle phalanges of the 2nd -Sth toes.

57.3 Action

57.3.1            Plantar flexes the middle phalanges on the proximal phalanges, continued action flexes the proximal phalanges on the metatarsals.

57.4 Nerve Supply

57.4.1            Medial plantar, S2, 3.

57.5 Synergists

57.5.1            Flexor digitorum longus.

57.6 Category

57.6.1             

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58      FLEXOR DIGITORUM LONGUS

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58.1 Origin

58.1.1            Posterior surface of middle :}/5 of tibia.

58.2 Insertion

58.2.1            Divides into 4 tendons that insert on the plantar surfaces of bases of distal phalanges of the 2nd -Sth toes.

58.3 Action

58.3.1            Flexes phalanges at all interphalangeal and metatar- sophalangeal articulations of 2nd -Sth toes. Plantar flexes and inverts foot at the ankle.

58.4 Nerve Supply

58.4.1            Tibia, S2, 3.

58.5 Synergists

58.5.1            Tibialis posterior, flexor hallucis longus, flexor digitorum brevis.

58.6 Category

58.6.1             

58.7 View

58.7.1            Posterior and Plantar View

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59      FLEXOR DIGITORUM PROFUNDUS

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59.1 Origin

59.1.1            Upper :}f4 of the anterior and medial surfaces of the ulna, interosseous membrane and deep fascia of the forearm.

59.2 Insertion

59.2.1            4 tendons (1 to each finger) to palmar surface of base of distal phalanx, after passing through tendon of flexor digitorum superficialis.

59.3 Action

59.3.1            A exes the distal phalanges of the four fingers. Assists in flexing metacarpophalangeal, carpometacapal and wrist joints.

59.4 Nerve Supply

59.4.1            Nerve to portion of muscle which correlates with index and middle fingers, anterior interosseous branch of the median, C8, T1 ; nerve to portion of muscle which correlates with ring and little fingers, ulnar, C8, T1.

59.5 Synergists

59.5.1            Aexor digitorum superficialis.

59.6 Category

59.6.1             

59.7 View

59.7.1            Anterior View

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60      FLEXOR DIGITORUM SUPERFICIALIS

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60.1 Origin

60.1.1            HUMERO-ULNAR HEAD: Medial epicondyle of the humerus by the common flexor tendon, ulnar collateral ligament of the elbow and the coronoid process of ulna.

60.1.2            RADIAL: Oblique line of the radius extending from the radial tuberosity to the insertion of the pronator teres.

60.2 Insertion

60.2.1            4 tendons (1 for each finger) divide for the passage of the tendons of flexor digitorum profundus then insert as 2 slips on the sides of the shaft of the middle phalanx.

60.3 Action

60.3.1            Flexes the phalanx of each finger on the proximal phalanx. Continued action, flexes the proximal phalanx at the hand, flexes the hand at the wrist.

60.4 Nerve Supply

60.4.1            Median C7, 8, T1.

60.5 Synergists

60.5.1            Flexor digitorum profundus.

60.6 Category

60.6.1             

60.7 View

60.7.1             - Anterior View

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61      FLEXOR HALLUCIS BREVIS

Back Table of Contents  

61.1 Origin

61.1.1            Medial portion of the plantar surface of the cuboid bone, adjacent portion of the lateral cuneiform bone and prolongation of the tendon of the tibialis posterior.

61.2 Insertion

61.2.1            Medial and lateral sides of base of proximal phalanx of the big toe.

61.3 Action

61.3.1            Flexes metatarsophalangeal articulation of big toe.

61.4 Nerve Supply

61.4.1            Medial plantar, S2, 3.

61.5 Synergists

61.5.1            Flexor hallucis longus.

61.6 Category

61.6.1             

61.7 View

61.7.1             Plantar View (3rd Plantar Layer)

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62      FLEXOR HALLUCIS LONGUS

Back Table of Contents  

62.1 Origin

62.1.1            Distal ql3 of posterior surface of fibula, interosseous membrane and adjacent intermuscular septa and fascia.

62.2 Insertion

62.2.1            Plantar surface of the base of distal phalanx of the hallux (big toe).

62.3 Action

62.3.1            Flexes big toe. Aids in plantar flexion and inversion of the foot at the ankle. Gives medial ankle stabilization.

62.4 Nerve Supply

62.4.1            Tibial 82,3.

62.5 Synergists

62.5.1            Flexor hallucis brevis.

62.6 Category

62.6.1             

62.7 View

62.7.1             Posterior and Plantar View

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63      FLEXOR POLLICIS BREVIS

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63.1 Origin

63.1.1            SUPERFICIAL HEAD: Distal border of the flexor retinaculum and tubercle of the trapezium bone.

63.1.2            DEEP HEAD: Trapezoid and capitate bones.

63.2 Insertion

63.2.1            Radial side of the base of the proximal phalanx of the thumb.

63.3 Action

63.3.1            Flexes proximal phalanx of the thumb. Continued action, flexes the 1st metacarpal and rotates it medially.

63.4 Nerve Supply

63.4.1            SUPERFICIAL HEAD: Median, C6, 7; mostly cs and T1.

63.4.2            DEEP HEAD: Ulnar, C8, T1.

63.5 Synergists

63.5.1            Flexor pollicis longus, adductor pollicis.

63.6 Category

63.6.1             

63.7 View

63.7.1             Anterior View

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64      FLEXOR POLLICIS LONGUS

Back Table of Contents  

64.1 Origin

64.1.1            Anterior surface of middle 1/2 of radius. Adjacent interos- seous membrane and a slip from the coronoid process of the ulna or medial epicondyle of humerus.

64.2 Insertion

64.2.1            Palmar surface of the base of the distal phalanx of the thumb.

64.3 Action

64.3.1            Flexes the interphalangeal joint of the thumb. Continued action, flexes the metacarpophalangeal and carpometacarpal ar- ticulations.

64.4 Nerve Supply

64.4.1            Anterior interosseous branch of the median, C8, T1.

64.5 Synergists

64.5.1            Flexor pollicis brevis, adductor pollicis.

64.6 Category

64.6.1             

64.7 View

64.7.1             Anterior View

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65      FRONTALIS (EPICRANIUS)

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65.1 Origin

65.1.1            No bony origin, but arises from the epicranial aponeurosis (galea aponeurilica), anterior to the coronal suture.

65.2 Insertion

65.2.1            Fib~rs ale coqtinuous with procerus, corrugiltor supercllil and orblculans oculi below and the galea aponeuntlca above.

65.3 Action

65.3.1            Elevates the eyebrows and nasal skin while simultaneously protracting the scalp.

65.4 Nerve Supply

65.4.1            Temporal branches of the facial nerve (VII).

65.5 Arterial supply

65.5.1            SuRraorbital and supratrochlear branches of the Qpl,1thalmic artery. The frontal (anterior) branch of the supertlclal temporal artery.

65.6 Synergists

65.6.1            Occipitalis.

65.7 Antagonists

65.7.1            Procerus, corrugator supercilii, and orbicularis oculi.

65.8 Category

65.8.1             

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66      GASTROCNEMIUS

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66.1 Origin

66.1.1            LATERAL HEAD: Lateral condyle and posterior surface of femur. Capsule of knee joint.

66.1.2            MEDIAL HEAD: Medial condyle and adjacent part of femur. cap- sule of knee joint.

66.2 Insertion

66.2.1            Posterior surface of calcaneus by means of tendo calcaneus (Achilles tendon).

66.3 Action

66.3.1            Plantar flexion and inversion of the foot.

66.3.2            REVERSED ORIGIN-INSERTION ACTION: Flexes leg at the knee. Dorsiflexion of foot increases knee flexion capability.

66.4 Nerve Supply

66.4.1            Tibial, S1, 2.

66.5 Synergists

66.5.1            Soleus, plantaris, tibialis posterior, peroneus lon- gus and brevis, flexor hallucis longus, flexor digitorum longus.

66.6 Category

66.6.1             

66.7 View

66.7.1            Posterior View

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67      GEMELLUS INFERIOR (1 of 6 Deep Lateral Rotators of Femur)

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67.1 Origin

67.1.1            Superior aspect of the ischial tuberosity.

67.2 Insertion

67.2.1            With the tendon of obturator intern us into the medial surface of the greater trochanter of the femur.

67.3 Action

67.3.1            Laterally rotates the extended thigh at the hip, can also produce horizontal extension. Abducts the flexed thigh.

67.4 Nerve Supply

67.4.1            Sacral plexus, L4, 5, S1.

67.5 Synergists

67.5.1            Piriformis, obturator externus, obturator internus, quadratus femoris, gemellus superior .

67.6 Category

67.6.1             

67.7 View

67.7.1             Posterior View

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68      GEMELLUS SUPERIOR (1 of 6 Deep Lateral Rotators of Femur)

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68.1 Origin

68.1.1            The outer surface of the ischial spine.

68.2 Insertion

68.2.1            With the tendon of obturator internus into the medial surface of the greater trochanter of the femur.

68.3 Action

68.3.1            Laterally rotates the extended thigh at the hip, can also produce horizontal extension. Abducts the flexed thigh.

68.4 Nerve Supply

68.4.1            Sacral plexus, L5, S1, 2.

68.5 Synergists

68.5.1            Piriformis, obturator externus, obturator internus, quadratus femoris, gemellus inferior .

68.6 Category

68.6.1             

68.7 View

68.7.1             Posterior View

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69      GENIOGLOSSUS

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69.1 Origin

69.1.1            The superior mental spines behind the mandibular symphysis, above the origin of geniohyoid.

69.2 Insertion

69.2.1            Inferior fibers: By thin aponeurosis, to the upper anterior surface of the hyoid body near the midline, a few fibers passing between hyoglossus and chondroglossus to blend with the pharyngeal middle constrictor.

69.2.2            Middle fibers: The hyodlossal membrane, which is the continuation of the lingual septum that connects the lingual root to the hyoid bone.

69.2.3            Superior fibers: The whole length of the ventral surface of the tongue, from root to apex, intermingling with the intrinsic lingual muscles.

69.3 Action

69.3.1            Forward traction of the tongue to protrude its apex from the mouth. Acting bilaterally, depresses the medial part of the tongue, making it concave from side to side.

69.4 Nerve Supply

69.4.1            Hypoglossal nerve {XII).

69.5 Arterial Supply

69.5.1            Lingual artery and its branches; dorsal lingual and sublingual rami, tonsillar rami of the facial artery.

69.6 Synergists

69.6.1            Hyoglossus and chondroglossus.

69.7 Antagonists

69.7.1            Styloglossus and palatoglossus.

69.8 Category

69.8.1             

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70      GENIOHYOID (SUPRAHYOID)

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70.1 Origin

70.1.1            Inferior mental spine behind mandibular symphysis.

70.2 Insertion

70.2.1            Anterior aspect of the hyoid bone.

70.3 Action

70.3.1            Elevation and anterior movement of the hyoid bone. When the hyoid is fixed by contraction of infrahyoid muscles, it depresses tlie mandible.

70.4 Nerve Supply

70.4.1            Branches of Cl traveling with the hypoglossal nerve.

70.5 Arterial Supply

70.5.1            Submental branch of the facial artery, the sublingual branch of the lingual artery.

70.6 Synergists

70.6.1            For elevation of hyoid: Digastric, mylohyoid and stylohyoid.

70.6.2            For mandibular depression: Digastric and mylohyoid.

70.7 Antagonists

70.7.1            For elevation of hyoid: Sternohyoid, omohyoid and thyrohyoid.

70.7.2            For mandibular depression: Temporalis, masseter and medial pterygoid.

70.7.3            For hyoid protrusion: Stylohyoid.

70.8 Category

70.8.1             

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71      GLUTEUS MAXIMUS

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71.1 Origin

71.1.1            Posterior gluteal line of ilium, aponeurosis of erector spinae, dorsal surface of sacrum, coccyx and sacrotuberous liga- ment.

71.2 Insertion

71.2.1            Gluteal tuberosity of femur and iliotibial tract of fascia lata.

71.3 Action

71.3.1            Extends thigh at the hip, assists in laterally rotating the thigh. The upper ':?/3 of the muscle are abductors and the lower 1/3 is inactive as an abductor or an adductor in the standing position.

71.3.2            REVERSED ORIGIN-INSERTION ACTION: When the leg is fixed as in standing, the gluteus maximus is an extensor of the pelvis on the thigh. In this case, it is a synergist to the abdominal muscles.

71.4 Nerve Supply

71.4.1            Inferior gluteal, L5, 51, 2.

71.5 Synergists

71.5.1            Hamstrings which are placed at a disadvantage by knee flexion.

71.6 Category

71.6.1             

71.7 View

71.7.1            Posterior View

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72      GLUTEUS MEDIUS

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72.1 Origin

72.1.1            Outer surface of ilium from iliac crest and posterior gluteal line above to the anterior gluteal line below, gluteal aponeurosis.

72.2 Insertion

72.2.1            Lateral surface of greater trochanter.

72.3 Action

72.3.1            Abducts femur at the hip and rotates it medially. Possible lateral rotation. With gluteus minimus is major lateral pelvic stabi- lizer. Aids in early activity of hip flexion.

72.4 Nerve Supply

72.4.1            Superior gluteal, L5, 51.

72.5 Synergists

72.5.1            Gluteus minimus, tensor fasciae latae, upper '2/3 of gluteus maximus.

72.6 Category

72.6.1             

72.7 View

72.7.1             Lateral View

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73      GLUTEUS MINIMUS ANT & POST

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73.1 Origin

73.1.1            Outer surface of ilium between anterior and inferior gluteal lines and margin of greater sciatic notch.

73.2 Insertion

73.2.1            Anterior border of greater trochanter.

73.3 Action

73.3.1            Abducts femur at the hip and rotates it medially. Lateral pelvic stabilizer. Aids in early activity of hip flexion

73.4 Nerve Supply

73.4.1            Superior gluteal, L5, S1.

73.5 Synergists

73.5.1            Gluteus medius, tensor fasciae latae, upper ';/3 of gluteus maximus.

73.6 Category

73.6.1             

73.7 View

73.7.1             Lateral View

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74      GRACILIS

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 Discussion

74.1 Origin

74.1.1            Anterior aspect of lower 1/2 of symphysis pubis and medial margin of inferior ramus of pubis.

74.2 Insertion

74.2.1            Anterior and medial surface of the shaft of the tibia just below the condyle.

74.3 Action

74.3.1            Adducts and medially rotates thigh. Flexes and medially rotates leg.

74.3.2            REVERSED ORIGIN-INSERTION ACTION: When the thigh is fixed, flexes the pelvis at hip.

74.4 Nerve Supply

74.4.1            Obturator, L2, 3.

74.5 Synergists

74.5.1            Adductor brevis, adductor longus, adductor mag- nus, pectineus.

74.6 Category

74.6.1             

74.7 View

74.7.1             Anterior View

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75      HYOGLOSSUS

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75.1 Origin

75.1.1            The whole length of the greater cornu and the front of the body of the hyoid bone.

75.2 Insertion

75.2.1            The side of the tongue between the styloglossus laterally and the inferior lingualis muscle medially.

75.3 Action

75.3.1            Depresses the tongue.

75.4 Nerve Supply

75.4.1            Hypoglossal nerve (XII).

75.5 Arterial Supply

75.5.1            Lingual artery and it's dorsal lingual rami.

75.5.2            Tonsillar rami of the facial-artery.

75.6 Synergists

75.6.1            Chondroglossus. Also the genioglossus when it contracts bilaterally.

75.7 Antagonists

75.7.1            Styloglossus and palatoglossus.

75.8 Category

75.8.1             

75.9 View

75.9.1             (Note: Styloid process and mastoid portion of temporal bone are superimposed.)

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76      ILIACUS

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76.1 Origin

76.1.1            Superior ;?/3 of the iliac fossa, internal border (inner lip) of iliac crest, anterior sacroiliac, lumbosacral and iliolumbar liga- ments, ala of sacrum.

76.2 Insertion

76.2.1            Lesser trochanter of femur and for a short distance below along medial border of shaft.

76.3 Action

76.3.1            Flexes thigh at the hip, minimal action in lateral rotation of the thigh.

76.3.2            REVERSED ORIGIN-INSERTION ACTION: When the thigh is fixed, the iliacus muscle flexes the pelvis on the thigh, as in rising to a sitting position from the supine position (sit up).

76.4 Nerve Supply

76.4.1            Femoral, L2, 3.

76.5 Synergists

76.5.1            Psoas major, adductor longus, adductor brevis, adductor magnus, rectus femoris.

76.6 Category

76.6.1             

76.7 View

76.7.1            Anterior View

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77      ILIOCOSTALIS CERVICIS

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77.1 Origin

77.1.1            Superior borders of the angles of the 3rd -6th ribs.

77.2 Insertion

77.2.1            The posterior tubercles of the transverse processes of the 4th, 5th and 6th cervical vertebrae.

77.3 Action

77.3.1            Acting bilaterally, extension of the spine. Acting unilaterally, laterally flexes the vertebral column.

77.4 Nerve Supply

77.4.1            Dorsal rami of the spinal nerves, C6, 7, 8.

77.5 Synergists

77.5.1            Splenius cervicis, semispinalis cervicis, longis- simus cervicis.

77.6 Category

77.6.1             

77.7 View

77.7.1             Posterior View

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78      ILIOCOSTALIS LUMBORUM

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78.1 Origin

78.1.1            Anterior surface of a broad and thick tendon which originates from the sacrum, spinous processes of the lumbar and 11th and 12th thoracic vertebrae, and from the medial lip of the iliac crest.

78.2 Insertion

78.2.1            Inferior borders of the angles of the lower 6 or 7 ribs.

78.3 Action

78.3.1            Acting bilaterally, extension of the spine, Acting unilaterally, laterally flexes the spine.

78.4 Nerve Supply

78.4.1            Dorsal rami of the spinal nerves.

78.5 Synergists

78.5.1            Longissimus thoracis, quadratus lumborum.

78.6 Category

78.6.1             

78.7 View

78.7.1             Posterior View

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79      ILIOCOSTALIS THORACIS

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79.1 Origin

79.1.1            Superior borders of the angles of lower 6 ribs medial to the tendons of insertion of the iliocostalis lumborum.

79.2 Insertion

79.2.1            Into the angles of the upper 6 or 7 ribs and into the transverse process of the 7th cervical vertebra.

79.3 Action

79.3.1            Acting bilaterally, extension of the spine. Acting unilaterally, laterally flexes the spine.

79.4 Nerve Supply

79.4.1            Dorsal rami of the spinal nerves.

79.5 Synergists

79.5.1            Iliocostalis lumborum, longissimus thoracis, spinalis thoracis, semispinalis thoracis.

79.6 Category

79.6.1             

79.7 View

79.7.1             Posterior View

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80      INCISIVUS LABII INFERIORIS

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80.1 Origin

80.1.1            The floor of the mandibles incisive fossa, late;ral to the mentalis muscle and below the emmence of the lateral mclsor tooth.

80.2 Insertion

80.2.1            To the orbicularis oris; suRerficial fibers reach the !lPex.and body of the modiolus while deep fibers reach the base and lrlfenor cornu.

80.3 Action

80.3.1            J;\ssis~s orpicularis o.ris (par~ peripheralis inferior and par margmalis mfenor) m protrudmg the lips.

80.4 Nerve Supply

80.4.1            Inferior buccal branches of the facial nerve (VII).

80.5 Arterial Supply

80.5.1            Inferior labial branch of the facial artery and mental branch from the inferior alveolar artery.

80.6 Synergists

80.6.1            Orbicularis oris, pars peripheralis inferior and pars margmalis mfenor

80.7 Antagonist

80.7.1            Buccinator, .depr~ssor anguli oris, risorius zygomaticus major and zygomaticus mmor.

80.8 Category

80.8.1             

80.9 Note

80.9.1             ( .denotes modiolus)

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81      INCISIVUS LABII SUPERIORIS

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81.1 Origin

81.1.1            Maxilla's incisive fossa superior to the eminence of the lateral incisor tooth.

81.2 Insertion

81.2.1            To the orbicularis oris; superficial fibers partly blend with levator ang1l;li oris and to the intermediate and apical modiolar zones. The deep fibers pass to the superior cornu and oasis moduli.

81.3 Action

81.3.1            Assists orbicularis oris (oars peripheralis superior and par marginalis superior) protrude the lips.

81.4 Nerve Supply

81.4.1            Superior buccal branches of the facial nerve (VII).

81.5 Arterial Supply

81.5.1            Superior labial branch of the facial artery.

81.6 Synergists

81.6.1            9rbicularis oris; pars peripheralis superior and par margmalts superIor.

81.7 Antagonists

81.7.1            Buccinator, zygomaticus major and minor, risorius, and depressor anguli oris.

81.8 Category

81.8.1             

81.9 Note

81.9.1             ( .denotes modiolus)

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82      INFERIOR LONGITUDINAL LINGUALIS

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82.1 Origin

82.1.1            The lin~al root with some fibres being connected to the body of the hyOId bone.

82.2 Insertion

82.2.1            Apex of the tongue.

82.3 Action

82.3.1            Shortens the and turns the apex and sides downward to make the dorsum convex.

82.4 Nerve Supply

82.4.1            Hypoglossal nerve (XII).

82.5 Arterial Supply

82.5.1            Lingual artery and its branches; dorsal lingual and sublingual rami.

82.6 Synergists

82.6.1            For shortening the tongue: Superior lingualis.

82.7 Antagonist

82.7.1            For depressing the apex and sides: Superior lingualis.

82.8 Category

82.8.1             

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83      INFERIOR OBLIQUE

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83.1 Origin

83.1.1            The orbital surface of the maxilla lateral to the nasolacrimal groove.

83.2 Insertion

83.2.1            To the sclera behind the equator into the posterolateral quadrant of the globe between the inferior and lateral recti.

83.3 Action

83.3.1            Depresses the posterior aspect of the eye, hence, rotates the visual axis upwards (elevation) and laterally (abduction). In the anteroposterior axis it extorts the eye.

83.4 Nerve Supply

83.4.1            Branch from the inferior division of the oculomotor nerve (III).

83.5 Arterial Supply

83.5.1            A branch from the infraorbital artery.

83.6 Synergists

83.6.1            Vertical axis: Lateral rectus and superior oblique.

83.6.2            Transverse axis: Superior rectus.

83.6.3            Anteroposterior axis: Inferior rectus.

83.7 Antagonists

83.7.1            Vertical axis: Medial rectus, superior rectus, and inferior rectus.

83.7.2            Transverse axis: Superior oblique and inferior rectus.

83.7.3            Anteroposterior axis: Superior oblique and superior ltL-t .rectus.

83.8 Category

83.8.1             

83.9 Note

83.9.1             (Note: All six extraocular muscles are involved, and act in concert during an eye movement; synergists and antagonists depend on the fIXation poin~ of the eye prior to movement.) O J

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84      INFERIOR PHARYNGEAL CONSTRICTOR

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84.1 Origin/Insertion

84.1.1            Anterior attachment:

84.1.1.1               Cricopha:ryngeal part: Side of the cricoid cartilage back to the inferior cornu of the thyroid cartilage.

84.1.1.2               Thyropharyngeus part: Oblique line of the thyroid lamina and a tendinous band behind this to the inferior thyroid tubercle.. the superior aspect of the cricoid cartilage and tne inferior cornu of the thyroid cartilage.

84.1.2            Posterior attachment:

84.1.2.1               Inferior fibres: Blend with the cricular esophageal fibers.

84.1.2.2               Middle fibres: Posterior median pharyngeal raphe.

84.1.2.3               Superior fibres: Median pharyngeal raphe, overlapping the middle pnaryngeal constrictor.

84.2 Action

84.2.1            General sphincteric and peristaltic action during swalloWIng.

84.3 Nerve Supply

84.3.1            Pharyngeal branch of the vagus nerve (X), with filaments fromthe cra.nia1 accessory I;lerve tpat pass through the pharyngeal plexus. CrIcopharyngeus IS also mnervate;d by recurrent laryngeal and externarbranch of the superIor laryngeal nerves.

84.4 Arterial Supply

84.4.1            Branches from the superior thyroid artery and pharyngeal branches from the inferior thyroid artery.

84.5 Synergists

84.5.1            Superior and middle pharyngeal constrictors.

84.6 Antagonist

84.6.1            None

84.7 Category

84.7.1             

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85      INFERIOR RECTUS

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85.1 Origin

85.1.1            inferior margin of optic canal on common annular tendon.

85.2 Insertion

85.2.1            Anteroinferior margin of the eye into the sclera about 6.5 mm. posterior to the margin of the cornea.

85.3 Action

85.3.1            Depresses the anterior of the eye, hence, rotates the eye in the transverse axis downwards. In the vertical axis it aids in m~d!al rotation (adduction) of the eye. In the anteroposterior axlS it extorts the eye.

85.4 Nerve Supply

85.4.1            Branch from the inferior division of the oculomotor nerve (III).

85.5 Arterial Supply

85.5.1            Muscular rami of the ophthalmic artery and a branch from the infraorbital artery.

85.6 Synergists

85.6.1            Vertical axis: Medial rectus and superior rectus.

85.6.2            Transverse axis: Superior oblique.

85.6.3            Anteroposterior axis: Inferior oblique.

85.7 Antagonists

85.7.1            Vertical axis: Inferior oblique, lateral rectus and superior oblique.

85.7.2            Transverse axis: Superior rectus and inferior oblique.

85.7.3            Anteroposterior axis; Superior rectus and superior oblique.

85.8 Category

85.8.1             

85.9 Note

85.9.1            {Note: All six extraocular muscles are involved, and act in concert duri~g a.n eye .movement; syn.ergists and anta~onists depend on the flXatlon pomt of the eye pnor to movement.)

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86      INFRASPINATUS (Rotator Cuff Muscle)

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86.1 Origin

86.1.1            Infraspinous fossa of scapula

86.2 Insertion

86.2.1            Posterior aspect of greater tubercle of humerus, and capsule of shoulder joint.

86.3 Action

86.3.1            Lateral rotation of humerus at the shoulder. Stabilization of the glenohumeral joint.

86.3.2            REVERSED ORIGIN- INSERTION ACTION: With the arm fixed, abducts the inferior angle of the scapula.

86.4 Nerve Supply

86.4.1            Suprascapular, C4, 5, 6.

86.5 Synergists

86.5.1            Teres minor, subscapularis, supraspinatus, del- toid.

86.6 Category

86.6.1             

86.7 View

86.7.1             Posterior View

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87      INTERNAL ABDOMINAL OBLIQUE (Anterior Division)

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87.1 Origin

87.1.1            Lateral '.?/3 of the inquinalligament and the anterior 1/3 of the middle (or intermediate) line of the iliac crest.

87.2 Insertion

87.2.1            Crest of the pubis and the linea alba by its aponeurosis.

87.3 Action

87.3.1            Acting unilaterally, rotates the trunk to the same side, and laterally flexes the trunk toward the side of muscle contraction. Acting bilaterally, flexes the vertebral column, approximating the anterior thorax and pelvis. Supports and compresses the ab- dominal viscera. Assists in forced expiration.

87.4 Nerve Supply

87.4.1            Ventral rami of T7 -12, and iliohypogastric and ilioinquinal nerves, L 1.

87.5 Synergists

87.5.1            Opposite external oblique, rectus abdominis.

87.6 Category

87.6.1             

87.7 View

87.7.1            Lateral View

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88      INTERNAL ABDOMINAL OBLIQUE (Lateral Division)

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88.1 Origin

88.1.1            Middle 1/3 of the iliac crest on the middle line and thoraco lumbar fascia.

88.2 Insertion

88.2.1            Inferior borders of the 1Oth, 11th and 12th ribs.

88.3 Action

88.3.1            Acting unilaterally, approximates thorax and pelvis laterally. Contributes to rotation of the trunk on the fixed pelvis toward the side of contraction.

88.3.2            Acting bilaterally, flexes the trunk on the pelvis.

88.4 Nerve Supply

88.4.1            Ventral rami of T7 -12, and iliohypogastric and ilioinquinal nerves, L 1.

88.5 Synergists

88.5.1            : Internal oblique (anterior division, contralateral ex- ternal oblique, rectus abdominis.

88.6 Category

88.6.1             

88.7 View

88.7.1             Lateral View

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89      INTERNAL INTERCOSTALS

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89.1 Origin

89.1.1            Superior border of rib below.

89.2 Insertion

89.2.1            Inferior border of rib above.

89.3 Action

89.3.1            Depress the ribs during expiration.

89.4 Nerve Supply

89.4.1            Branches from corresponding intercostal nerves.

89.5 Synergists

89.5.1            Serratus posterior inferior. Quadratus lumborum.

89.6 Category

89.6.1             

89.7 View

89.7.1             Lateral View

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90      INTERSPINALES

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90.1 Origin and Insertion

90.1.1            Pairs of small muscles joining the spinous processes of adjacent vertebrae, one on each side of the interspinous ligament. Continuous in the cervical region extending from the axis to the 2nd thoracic vertebra and in the lumbar region from the first lumbar vertebra to the sacrum.

90.2 Action

90.2.1            Extension of the spine.

90.3 Nerve Supply

90.3.1            Dorsal rami of the spinal nerves.

90.4 Synergists

90.4.1            Multifidus rotatores, intertransversarii groups.

90.5 Category

90.5.1             

90.6 View

90.6.1            Posterlor an tera lew

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91      INTERTRANSVERSARII

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91.1 Origin and Insertion

91.1.1            Pairs of small muscles, anterior and posterior, on each side of the spine joining the transverse proces- ses of adjacent vertebrae. They extend from the atlas to the first thoracic vertebra and from the 10th thoracic vertebra to the last lumbar vertebra.

91.2 Action

91.2.1            Acting unilaterally, lateral flexion of the spine.

91.3 Nerve Supply

91.3.1            Ventral and dorsal rami of the spinal nerves.

91.4 Synergists

91.4.1            Interspinales, rotatores, multifidus groups.

91.5 Category

91.5.1             

91.6 View

91.6.1            Posterior View

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92      INTRINSIC AURICULAR MUSCLES

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92.1 Origin

92.1.1            Helicis major: Spine of helix.

92.1.2            Helicis minor: Cavum conchae.

92.1.3            Tragicus: Superolateral aspect of the tragus.

92.1.4            Antitragicus: Outer part of the antitragus prominence.

92.1.5            Transverse auriculae: Eminentia conchae on the cranial aspect of the auricle.

92.1.6            Obliquus auriculae: Upper and posterior parts of the eminentia conchae on the cranial aspect of the auricle.

92.2 Insertion

92.2.1            Helicis major: The anterior border of the helix, where the helixis about to cUlVe back.

92.2.2            Helicis minor: The crus of commencement of the helix.

92.2.3            Tragicus: Inferolateral aspect of the tragus.

92.2.4            Antitragicus: The tail of the helix and the antihelix.

92.2.5            Transverse auriculae: Eminentia scaphae on the cranial aspect of the auricle.

92.2.6            G Obliquus auriculae: Eminentia triangularis on the J O .cranial aspect of the auricle.

92.3 Action

92.3.1            Minimal action in man.

92.4 Nerve Supply

92.4.1            Lateral surface muscles; temporal branch of the facial nerve (VII).

92.4.2            Cranial surface muscles; posterior auricular branch of the facial nerve (VII).

92.5 Arterial Supply

92.5.1            Auric.ular rami from the.poster.ior auricular branch of the external carotid artery, the antenor auncular branches of the superficial tempora1 artery, and auricular branch from the occipital artery.

92.6 Synergists

92.6.1             

92.7 Category

92.7.1             

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93      ISCHIOCAVERNOSUS

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93.1 Origin

93.1.1             

93.2 Insertion

93.2.1             

93.3 Action

93.3.1             

93.4 Nerve Supply

93.4.1             

93.5 Synergists

93.5.1             

93.6 Category

93.6.1             

 

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94      LATERAL CRICOARYTENOID

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94.1 Origin

94.1.1            Uppelborder~fthe cricoid arch.

94.2 Insertion

94.2.1            Ape;x of the af..Y.tenoid muscular process, just lateral to the posterIor crIcoarytenoIds attachments.

94.3 Action

94.3.1            Rotates the arytenoid, thus closing the attached vocal folds (adductor of vocal cords).

94.4 Nerve Supply

94.4.1            Recurrent laryngeal branch of the vagus nerve (X)

94.5 Arterial Supply

94.5.1            Superior laryngeal branch of the suRerior thyroid artery and the inferior laryngeal branch of the inferior thyroId artery

94.6 Synergists

94.6.1            Transverse arytenoids

94.7 Antagonist

94.7.1            Posterior cricoarytenoid

94.8 Category

94.8.1             

 

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95      LATERAL PTERYGOID

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95.1 Origin

95.1.1            Upper head: Infratemporal crest and lateral surface of tlie greater wing of the sphenoid

95.1.2            Lower head: Lateral surface of lateral pterygoid plate

95.2 Insertion

95.2.1            The depression on the anterior aspect of the m,andibular neck (pteryg9id fo,:e~) and to the articular capsule and dISC of the temporomanQlbular JOInt

95.3 Action

95.3.1            Aids in opening the jaw; protrudes the mandible; moves mandible from side to sIde

95.3.2            Acting with thy ipsilateral medial pterygoId It rotates the mandIble on a vertIcal axIS

95.4 Nerve Supply

95.4.1            Branches from the anterior trunk of the mandibular division of the trigeminal nerve (V3)

95.5 Arterial Supply

95.5.1            Lateral pterygoid branch of the maxillary artery, a,nd for the upper head, the accessory meningeal branch of the maxIllary artery

95.6 Synergists

95.6.1            For opening the jaw: Digastric, mylohyoid and geniohyoid when infrahyoid muscles contract to fix fiyoid Done, and platysma

95.6.2            For protrusion: Medial pterygoids. For side-to-side: Masseter

95.7 Antagonists

95.7.1            For opening the jaw: The anterior fibers of the temporalis, the masseter and medial pterygoids

95.7.2            For protrusion: The posterior fibers of the temporalis

95.8 Category

95.8.1             

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96      LATERAL RECTUS

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96.1 Origin

96.1.1            Inferolateral margin of the optic canal on the common annular tendon with a small tendinous slip attached to the orbital surface of the greater wing of the sphenoid, lateral to the annulus

96.2 Insertion

96.2.1            Lateral margin of the eye into the sclera about 6.9 mm posterior to the margin of the cornea

96.3 Action

96.3.1            In the vertical axis it laterally rotates (abducts) the eye

96.4 Nerve Supply

96.4.1            Abducent nerve (VI)

96.5 Arterial Supply

96.5.1            Muscular rami from the lacrimal branch of the ophthalmic artery

96.6 Synergists

96.6.1            Superior and inferior oblique

96.7 Antagonists

96.7.1            Medial rectus, inferior rectus and superior rectus

96.8 Category

96.8.1             

96.9 Note

96.9.1             (No.te: All six extraocular muscles,are involved, an~ act in concert dun~g a.n. eye,movement; syn,erglsts and anta~ornsts depend on the flXatlon pomt of the eye pnor to movement.)

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97      LATISSIMUS DORSI

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97.1 Origin

97.1.1            Broad aponeurosis that originates on the spinous proces- ses of lower 6 thoracic and all lumbar vertebrae; posterior crest of ilium, posterior surface of sacrum, lower 3 or 4 ribs, and an attachment to the inferior angle of the scapula

97.2 Insertion

97.2.1            Flat tendon that twists upon itself to insert into the intertubercular sulcus of the humerus, just anterior to and parallel with tendon of pectoralis major

97.3 Action

97.3.1            Extends, retracts and medially rotates the humerus at the shoulder. Through its action on the humerus it depresses, retracts and rotates the scapula downwards. Assists in forced expiration

97.4 Nerve Supply

97.4.1            Thoracodorsal from brachial plexus, C6, 7, 8

97.5 Synergists

97.5.1            Rhomboids, pectoralis major, teres major

97.6 Category

97.6.1             

97.7 View

97.7.1             Posterior View

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98      LEVATOR ANGULI ORIS(CANINUS)

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98.1 Origin

98.1.1            The canine fossa below the infraorbital foramen

98.2 Insertion

98.2.1            The modiolus at the angle of the mouth, min.e;lingwith the zygomaticus major, depressor ang\l;li oris, and of orbicularIs oris. Some superficial fi5ers atfach to the floor of the lower part of the nasolabiarfurrow

98.3 Action

98.3.1            Raises the angle of the mouth. Fixes the modiolus

98.4 Nerve Supply

98.4.1            Superior buccal branches of the facial ne1Ve (VII)

98.5 Arterial Supply

98.5.1            Branches from facial and infra-orbital arteries

98.6 Synergists

98.6.1            For elevation of the modiolus: Zygomaticus major

98.6.2            For elevation of buccal angle: Lateral slip of levator labii superioris alaC?que nasi, levator labii superioris and zygomatIcus mInor

98.7 Antagonists

98.7.1            Depressor anguli oris, platysma and orbicularis OrIs

98.8 Category

98.8.1             

98.9 Note

98.9.1             ( .denotes modiolus)

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99      LEVATOR ANI, ILIAC PART(ILIOCOCCYGEUS)

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99.1 Origin

99.1.1             

99.2 Insertion

99.2.1             

99.3 Action

99.3.1             

99.4 Nerve Supply

99.4.1             

99.5 Synergists

99.5.1             

99.6 Category

99.6.1             

 

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100                     LEVATOR ANI, PUBIC PART(PUBOCOCCYGEUS)

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100.1                   Origin

100.1.1       

100.2                   Insertion

100.2.1       

100.3                   Action

100.3.1       

100.4                   Nerve Supply

100.4.1       

100.5                   Synergists

100.5.1       

100.6                   Category

100.6.1       

 

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101                     LEVATOR LABII SUPERIORIS

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101.1                   Origin

101.1.1      The inferior orbital mar.e;in on both the maxilla and zygomatic bones above the infraorbital foramen

101.2                   Insertion

101.2.1      The upper lip between the lateral slip of levator labii superioris alaequ.e n.asi and zygomaticus minor. Also, superficial to the levator anguli OrIS

101.3                   Action

101.3.1      Elevates and everts the upper lip

101.4                   Nerve Supply

101.4.1      Superior buccal branches of the facial nerve (VII)

101.5                   Arterial Supply

101.5.1      Branches from infraorbital artery, branches from the facial and transverse facial arteries

101.6                   Synergists

101.6.1      Lateral slip of levator labii superioris alaeque nasi, levator anguli oris and zygomaticus major and minor

101.7                   Antagonists

101.7.1      Depressor anguli oris and orbicularis oris

101.8                   Category

101.8.1       

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102                     LEVATOR LABII SUPERIORIS ALAEQUE NASI

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102.1                   Origin

102.1.1      Upper part of the frontal process of the maxillary bone

102.2                   Insertion

102.2.1      Medial slip: The greater alar cartilage and skin of nose

102.2.2      Lateral slip: Inserts into the lip blending with the orbicularis oris and levator labii superioris

102.3                   Action

102.3.1      Medial slip: Dilates the nostril; displaces laterally the curvature of the inferolateral convex circumalar furrow

102.3.2      Lateral slip: Raises and everts the upper lip. Raises the curvature of the nasolabial furrows superior part (direct labial tractor)

102.4                   Nerve Supply

102.4.1      Superior buccal branches of the facial nerve (VII)

102.5                   Arterial Supply

102.5.1      Lateral nasal branch from the facial artery, !lIar bra~ches from the superior labial artery and rami from tlie Infraorbital artery

102.6                   Synergists

102.6.1      Medial slip: Dilator nasi

102.6.2      Latera.1 slip: Levator labii sll;pet:ioris, zygomaticus major and mmor and levator anguh OrIs

102.7                   Antagonsts

102.7.1      Depressor anguli oris and orbicularis oris

102.8                   Category

102.8.1       

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103                     LEVATOR PALPEBRAE SUPERIORIS

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103.1                   Origin

103.1.1       

103.2                   Insertion

103.2.1       

103.3                   Action

103.3.1       

103.4                   Nerve Supply

103.4.1       

103.5                   Synergists

103.5.1       

103.6                   Category

103.6.1      Eye Ball & Facial Expression

 

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104                     LEVATOR SCAPULAE

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104.1                   Origin

104.1.1      Transverse processes of first four cervical vertebrae

104.2                   Insertion

104.2.1      Vertebral border of scapula between superior angle and scapular spine

104.3                   Action

104.3.1      Elevates the scapula and rotates the scapula downwards so the glenoid cavity faces inferiorly. Working with the upper trapezius, elevates and retracts the scapula

104.3.2      REVERSED ORIGIN-INSERTION ACTION: When scapula is fixed, laterally flexes and slightly rotates cervical spine to the same side

104.4                   Nerve Supply

104.4.1      Dorsal scapular C5, and ventral rami of C3, 4

104.5                   Synergists

104.5.1      Rhomboids and trapezius

104.6                   Category

104.6.1       

104.7                   View

104.7.1       Posterior View

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105                     LEVATOR VELI PALATINI

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105.1                   Origin

105.1.1      The inferior surface of the apex of the petrous part of the temporal bone, the uEPer part of the carotid sheath, and the inferior aspect of the cartIlaginous part of the auditory tube

105.2                   Insertion

105.2.1      Blends in the soft palate and palatine aponeurosis with it's opposite between the two strands of the palatopharyngeus muscle

105.3                   Action

105.3.1      Elevates the soft palate, closing off the passage between the nasopharynx and oropharynx

105.4                   Nerve Supply

105.4.1      Pharyngeal branch of the vagus (X), with the filaments chiefly from the cranial accessory nerve that pass through the pharyngeal plexus

105.5                   Arterial Supply

105.5.1      Greater palatine branch of the maxillary artery, the ascending palatine branch of the facial artery, a variable ramus from tne ascending pharyngeaL artery

105.5.2       

105.6                   Synergists

105.6.1      None

105.7                   Antagonist

105.7.1      None

105.8                   Category

105.8.1       

105.9                   View

105.9.1      (Note: The maxillary artery is cut.)

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106                     LEVATORES COSTARUM BREVES

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106.1                   Origin

106.1.1      Transverse processes of the 7th cervical and upper 11 thoracic vertebrae

106.2                   Insertion

106.2.1      The outer surface of the rib immediately below the vertebra from which it takes origin, between the tubercle and the angle

106.3                   Action

106.3.1      Elevate the ribs during inspiration. Extend the vertebral column, bend it laterally and rotate it slightly toward the opposite side

106.4                   Nerve Supply

106.4.1      From the corresponding thoracic dorsal rami lateral branches

106.5                   Synergists

106.5.1      External intercostals

106.5.2      Serratus posterior superior

106.5.3      Internal intercostals

106.6                   Category

106.6.1       

106.7                   View

106.7.1       Posterior View

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107                     LEVATORES COSTARUM LONGI

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107.1                   Origin

107.1.1      Transverse processes of the 7th -1Oth thoracic vertebrae

107.2                   Insertion

107.2.1      The outer surface of the 2nd rib below its origin, between the tubercle and the angle

107.3                   Action

107.3.1      Elevate the ribs during inspiration. Extend the vertebral column, bend it laterally and rotate it slightly toward the opposite side

107.4                   Nerve Supply

107.4.1      From the corresponding thoracic dorsal rami lateral branches

107.5                   Synergists

107.5.1      External intercostals, internal intercostals, levator costarum brevis

107.6                   Category

107.6.1       

107.7                   View

107.7.1       Posterior View

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108                     LONGISSIMUS CAPITIS

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108.1                   Origin

108.1.1      Transverse processes of the 1st -Sth thoracic vertebrae and the articular processes of the 4th -7th cervical vertebrae

108.2                   Insertion

108.2.1      The posterior margin of the mastoid process

108.3                   Action

108.3.1      Acting bilaterally, extends the head; acting unilaterally, laterally flexes and rotates the head to the same side

108.4                   Nerve Supply

108.4.1      Dorsal rami of the spinal nerves

108.5                   Synergists

108.5.1      Semispinalis capitis, spinalis capitis, longissimus cervicis

108.6                   Category

108.6.1       

108.7                   View

108.7.1       Posterior View

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109                     LONGISSIMUS CERVICIS

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109.1                   Origin

109.1.1      Transverse processes of the 1 st -Sth thoracic vertebrae

109.2                   Insertion

109.2.1      Transverse processes of the 2nd -6th cervical ver- tebrae and sometimes to the atlas transverse process

109.3                   Action

109.3.1      Acting unilaterally, laterally flexes the neck

109.3.2      Acting bilaterally, extension of the neck

109.4                   Nerve Supply

109.4.1      Dorsal rami of the spinal nerves

109.5                   Synergists

109.5.1      Semispinalis capitis

109.5.2      Semispinalis cervicis

109.5.3      Iliocos- talis cervicis

109.5.4      Longissimus cervicis

109.5.5      Longissimus capitis

109.5.6      Spinalis cervicis

109.5.7      Deep posterior spinal group

109.6                   Category

109.6.1       

109.7                   View

109.7.1      Posterior View

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110                     LONGISSIMUS THORACIS

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110.1                   Origin

110.1.1      The common broad thick tendon with the iliocostalis lumborum, fibers from the transverse and accessory processes of the lumbar vertebrae and thoracolumbar fascia

110.2                   Insertion

110.2.1      The tips of transverse process of all thoracic ver- tebrae and the lower 9 or 10 ribs between the tubercles and angles

110.3                   Action

110.3.1      Acting unilaterally, laterally flexes the vertebral column.

110.3.2      Acting bilaterally, extension of vertebral column; draws ribs down

110.4                   Nerve Supply

110.4.1      Dorsal rami of the spinal nerves

110.5                   Synergists

110.5.1      : Iliocostalis lumborum, iliocostalis thoracis, quad- ratus lumborum

110.6                   Category

110.6.1       

110.7                   View

110.7.1       Posterior View

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111                     LONGUS CAPITIS

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111.1                   Origin

111.1.1      Anterior tubercles of transverse processes of the 3rd -6th cervical vertebrae

111.2                   Insertion

111.2.1      Inferior surface of the basilar portion of the occipital bone

111.3                   Action

111.3.1      Acting bilaterally, flexes cervical vertebrae and head.

111.3.2      Acting unilaterally, rotates and laterally flexes cervical vertebrae and head to the same side

111.4                   Nerve Supply

111.4.1      Ventral rami of C1, 2, 3

111.5                   Synergists

111.5.1      : Longus colli, sternocleidomastoid, scalenus group, suprahyoid, infrahyoid and the platysma

111.6                   Category

111.6.1       

111.7                   View

111.7.1      Anterior View

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112                     LONGUS CAPITIS ANTERIOR

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112.1                   Origin

112.1.1       

112.2                   Insertion

112.2.1       

112.3                   Action

112.3.1       

112.4                   Nerve Supply

112.4.1       

112.5                   Synergists

112.5.1       

112.6                   Category

112.6.1       

 

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113                     LONGUS COLLI

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113.1                   Origin

113.1.1      INFERIOR OBLIQUE PART: Ist, 2nd or 3rd thoracic vertebral bodies

113.1.2      SUPERIOR OBLIQUE PART: Anterior tubercles of 3rd, 4th and Sth cervical transverse processes

113.1.3      VERTICAL PART: Anterior aspects of the Sth, 6th and 7th cervical and 1st, 2nd and 3rd thoracic vertebral bodies

113.2                   Insertion

113.2.1      INFERIOR OBLIQUE PART: Anterior tubercles of the Sth, 6th or 7th cervical transverse processes

113.2.2      SUPERIOR OBLIQUE PART: Anterolateral surface of the atlanta anterior tubercle, anterior tubercle

113.2.3      VERTICAL PART: Anterior aspects of the 2nd, 3rd and 4th cervi- cal vertebral bodies

113.3                   Action

113.3.1      Acting bilaterally, flexes cervical vertebrae. Acting unilaterally, assists in rotation to opposite side and lateral flexion

113.4                   Nerve Supply

113.4.1      Ventral rami of C2 -6

113.5                   Synergists

113.5.1      Scalenus group, sternocleidomastoid, longus capitis, suprahyoid, infrahyoid and the platysma

113.6                   Category

113.6.1       

113.7                   View

113.7.1       Anterior View

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114                     LUMBRICALS (FOOT)

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114.1                   Origin

114.1.1      From two adjacent tendons of the flexor digitorum lon- gus, except the first, which arises from the medial side of the first tendon of the flexor digitorum longus

114.2                   Insertion

114.2.1      On the medial side of the proximal phalanx, into the dorsal expansions of the tendons to the extensor digitorum longus of the 2nd .Sth toes

114.3                   Action

114.3.1      Extends interphalangeal joints and assists in flexing metatarsalphalangeal joints of the 2nd .Sth toes

114.4                   Nerve Supply

114.4.1      1st lumbricale: medial plantar, S2, 3. 2nd, 3rd, 4th lumbricales: lateral plantar, 82, 3

114.5                   Synergists

114.5.1      Flexor digitorum brevis and longus for the metatar- sophalangeal articulation, extensor digitorum longus and brevis for the extensor function; dorsal and plantar interossei

114.6                   Category

114.6.1       

114.7                   View

114.7.1       Plantar View (2nd Plantar Layer)

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115                     LUMBRICALS (HAND)

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115.1                   Origin

115.1.1      Tendons of flexor digitorum profundus in center of palm

115.2                   Insertion

115.2.1      Around the radial side of the metacarpal bone and into the extensor expansion

115.3                   Action

115.3.1      Principal extensors of the interphalangeal joints. Weak flexor of the metacarpophalangeal joints

115.4                   Nerve Supply

115.4.1      1 st and 2nd lumbricals from 3rd and 4th palmar digital branches of the median nerve. 3rd and 4th lumbricals from deep branch of the ulnar nerve, C8, T1

115.5                   Synergists

115.5.1      Dorsal interossei, palmar interossei, flexor digitorum profundus, flexor digitorum superficialis

115.6                   Category

115.6.1       

115.7                   View

115.7.1      Anterior View

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116                     MASSETER

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116.1                   Origin

116.1.1      Superficial layer: Zygomatic process of the maxillary bone and the anterior 2/3 of tlle inferior border of the zygomatic arch

116.1.2      Dee-p layer: Posterior li3 of inferior border and medial surface of zygomatic arch

116.2                   Insertion

116.2.1      Superficial layer: Angle of mandible (continuous with medial pte.rygoid) ana lower posterior 1/2 of the lateral surface of ItS ramus

116.2.2      Deep layer: Upper part of the mandibular ramus and lateral surface of coronoid process

116.3                   Action

116.3.1      Closes jaw, forms mandibular sling with the medial pterygoid.

116.3.2      Minimal action in side-to-side, protraction and retraction movements

116.4                   Nerve Supply

116.4.1      Masseteric branch from the anterior trunk of the mandibular division of the trigeminal nerve (V3)

116.5                   Arterial Supply

116.5.1      Masseteric branch of maxillary artery and branches froth the facial and transverse facial arteries

116.6                   Synergists

116.6.1      The masseter and medial pterygoid act together forming the mandibular sling. Temporalis muscle

116.7                   Antagonists

116.7.1      Digastric, mylohyoid and geniohyoid when InfrahyoId muscles contract to flX hyoId bone

116.8                   Category

116.8.1       

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117                     MEDIAL PTERYGOID

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117.1                   Origin

117.1.1      Deep attachments

117.1.1.1                      Medial aspect of the lateral pterygoid plate an<;l gI:ooved surface of the pyra~idal process of the palatine bone

117.1.2      Superficial attachment

117.1.2.1                      Lateral surfaces of the pyra.midal proce.ss of the palatine bone and the maxIllary tuDeroslty

117.2                   Insertion

117.2.1      A strong tendinous lamina inferoposterior to the medial surfaces of the mandibular ramus and angle

117.3                   Action

117.3.1      Closes the jaw. Forms mandibular slinK with masseter muscle. Acting with tile ipsilateral lateral pterygoid, it rotates the mandible to the opposite slGe

117.4                   Nerve Supply

117.4.1      Branches from the anterior trunk of the mandibular division of the trigeminal nerve (V3)

117.5                   Arterial Supply

117.5.1      Branches from maxillary artery; Medial pterygoid artery and accessory meningeal artery

117.6                   Synergists

117.6.1      For closing the jaw; Masseter and anterior fibers of temporahs

117.7                   Antagonists

117.7.1      For closing the jaw; Mylohyoid, digastric and geniohyoid when infrahyoid muscles contract to fix hyoidDone

117.8                   Category

117.8.1       

117.9                   View

117.9.1       (Note: Zygomatic bone and ramus of mandible have been removed).

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118                     MEDIAL RECTUS

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118.1                   Origin

118.1.1      Superomedial, medial and inferomedial margins of the optic canal on the common annular tendon

118.2                   Insertion

118.2.1      Anteromedial margin of the eye into the sclera about 5.5 mm posterior to the margIn of the cornea

118.3                   Action

118.3.1      In the vertical axis it medially rotates (adducts) the eye

118.4                   Nerve Supply

118.4.1      Branch from the inferior division of the oculomotor nerve (III)

118.5                   Arterial Supply

118.5.1      Muscular rami from the ophthalmic branch of the internal carotid artery

118.6                   Synergists

118.6.1      Superior and inferior rectus

118.7                   Antagonists

118.7.1      Lateral rectus, superior and inferior oblique

118.8                   Category

118.8.1       

118.9                    

118.9.1       (Note: All six extraocular muscles are involved, and act in concert during an eye movement; synergists and antagonists depend on the fIXation point of the eye prior to movement.)

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119                     MENTALIS

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119.1                   Origin

119.1.1      From the incisive fossa of the mandible

119.2                   Insertion

119.2.1      The skin of the chin

119.3                   Action

119.3.1      Raises the mental tissues, mentolabial sulcus and base of the lower lip

119.4                   Nerve Supply

119.4.1      Mandibular marginal branch of the facial nerve (VII)

119.5                   Arterial Supply

119.5.1      Mental branch of inferior alveolar artery and inferior labial and submental branches of the facial artery

119.6                   Synergists

119.6.1      Levator anguli oris and zygomaticus major

119.7                   Antagonists

119.7.1      Depressor labii inferioris and depressor anguli OrIs

119.8                   Category

119.8.1       

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120                     MIDDLE PHARYNGEAL CONSTRICTOR

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120.1                   Origin/Insertion

120.1.1      Anterior attachments

120.1.1.1                      Chondropharyngeal part: The lesser hyoid c.ornu ana the lower part of the stylohyoid ltgament

120.1.1.2                      Ceratopha!'Jngeal part: The whole upI?er border of tlie greafer cornu of the hyoid bone

120.1.2      Posterior attachment

120.1.2.1                      The posterior median pharypgeal raphe.

120.1.2.2                      Superior:ly, fib.ers oyerlaRPing the superIor pharyngeal constrIctor; ferlorly, libers blend with the inferior pharyngeal constrictor

120.2                   Action

120.2.1      General sphincteric and peristaltic action during swalloWIng

120.3                   Nerve Supply

120.3.1      Pharyn~eal branch of the vagus nerve (X), with filaments from the crania1 accessory nerve thaI pass throug1i the pharyngeal plexus

120.4                   Arterial Supply

120.4.1      Ascending pharyngeal artery, ascending Ralatine and tonsillar branches of the facial artery; the dorsal lingual branch of the lingual artery

120.5                   Synergists

120.5.1      Inferior and superior pharyngeal constrictors

120.6                   Antagonist

120.6.1      Stylopharyngeus dilates the pharynx

120.7                   Category

120.7.1       

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121                     MULTIFIDUS

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121.1                   Origin

121.1.1      A series of pairs of small muscles extending the full length of the spine just superlicial to the rotatores and each spanning 2 or 3 intervertebral spaces before inserting

121.1.2      Posterior surface of the sacrum, the dorsal end of the iliac crest, the mamillary and transverse processes of the lumbar and the thoracic vertebrae and the articular processes of the 4th -7th cervical vertebrae

121.2                   Insertion

121.2.1      Spinous processes of all the vertebrae except the atlas

121.3                   Action

121.3.1      Acting unilaterally, lateral flexion and rotation to the opposite side. Acting bilaterally, extension of the spine

121.4                   Nerve Supply

121.4.1      Dorsal rami of the spinal nerves

121.5                   Synergists

121.5.1      Rotatores, interspinales, intertransversarii groups

121.6                   Category

121.6.1       

121.7                   View

121.7.1       Posterior View

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122                     MUSCULUS UVULAE

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122.1                   Origin

122.1.1      Posterior nasal spine of the palatine bone and to the palatine aponeurosis

122.2                   Insertion

122.2.1      Uvular mucosa

122.3                   Action

122.3.1      Elevation and retraction of the uvula

122.4                   Nerve Supply

122.4.1      Pharyngeal branch of the vagus (X), with the filaments chiefly from the cranial accessory nerve that pass through the pharyngeal plexus

122.5                   Arterial Supply

122.5.1      Greater palatine branch of the maxillary artery, the ascending palatine branch of the facial artery, a variable ramus from the ascending pharyngeal artery

122.6                   Synergists

122.6.1      None

122.7                   Antagonist

122.7.1       

122.8                   Category

122.8.1       

122.9                   View

122.9.1       (Note: Maxillary artery is cut.)

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123                     MYLOHYOID (SUPRAHYOID)

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123.1                   Origin

123.1.1      The mylohyoid line on the mandible

123.2                   Insertion

123.2.1      Posterior fibers

123.2.1.1                      Anterior aspect of the hyoid body near its lower border

123.2.2      Middle and anterior fibers

123.2.2.1                      Decussate in a median fibrous raphe stretching from the mandibular symphysis to the hyold,bone

123.3                   Action

123.3.1      Elevation of the floor of mouth as during mastication and swallowing

123.3.2      Elevates the hyoid bone or depresses the mandible

123.4                   Nerve Supply

123.4.1      Mylohyoid branch of the inferior alveolar nerve from the trigeminal nerve (V3)

123.5                   Arterial Supply

123.5.1      Mylohyoid branch of the inferior alveolar artery, the submental branch of the facial artery and the sublingual brancn of the lingual artery

123.6                   Synergists

123.6.1      Digastric, stylohyoid and geniohyoid

123.7                   Antagonists

123.7.1      Infrahyoid muscles (sternohyoid, omohyoid, and ~ thyrohyoId)

123.8                   Category

123.8.1       

123.9                   VIew

123.9.1       (Note: The mandible and zygomatic arch have two different sagittal sectIons).

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124                     NASALIS, ALAR PORTION

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124.1                   Origin

124.1.1       

124.2                   Insertion

124.2.1       

124.3                   Action

124.3.1       

124.4                   Nerve Supply

124.4.1       

124.5                   Synergists

124.5.1       

124.6                   Category

124.6.1       

 

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125                     NASALIS (COMPRESSOR & DILATOR NARIS)

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125.1                   Origin

125.1.1      Compressor naris

125.1.1.1                      The maxilla, lateral to its incisive fossa

125.1.2      Dilator naris

125.1.2.1                      The maxilla, inferomedial to and partially blended with the compressor

125.2                   Insertion

125.2.1      Compressor naris

125.2.1.1                      The expanded aponeurosis, contInuous with that on the opposite side, and also blends with the aponeurosis of procerus

125.2.2      Dilator naris

125.2.2.1                      The cartilaginous ala nasi

125.3                   Action

125.3.1      Compressor naris

125.3.1.1                      Compresses the nasal aperture at the junction of the vestibule and nasal cavity

125.3.2      Dilator naris

125.3.2.1                      Depresses the ala laterally, widening the anterIor nasal aperture

125.4                   Nerve Supply

125.4.1      Superior buccal branches of the facial nerve(VII)

125.5                   Arterial Supply

125.5.1      Lateral nasal branch of the facial and alar ram~ from t~e superior labial branch of the facial artery. Rami from the Infraorbital artery

125.6                   Synergists

125.6.1      For dilation of nasal cavity; the medial slips of the labii superioris alaeque nasi, and depressor septi

125.7                   Antagonist

125.7.1      None

125.8                   Category

125.8.1       

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126                     OBLIQUE ARYTENOID & ARYEPIGLOTTICUS

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126.1                   Origin/Insertion

126.1.1      Run obliquely from the muscular process of one ary.tenoid to the other (oblique arytenoid) and from the apex into the aryepiglottic fold (aryepiglottlcus)

126.2                   Action

126.2.1      Oblique arytenoids

126.2.1.1                      Adduction of the aryepiglottic fold and vocal cords, acting as a sphincter of the laryngeal inlet

126.2.2      Ary~piglotticus

126.2.2.1                      Appt:oximates the arytenoid cartIIages to the epIglottIc tubercle

126.3                   Nerve Supply

126.3.1      Recurrent laryngeal branch of the vagus nerve (X)

126.4                   Arterial Supply

126.4.1      Superior laryngeal branch 9f th.e superi9r thyroId artery and mfenor laryngeal branch of the mfenor tfiyrold artery

126.5                   Synergists

126.5.1      Transverse arytenoids

126.6                   Antagonist

126.6.1      Thyroepiglottic

126.7                   Category

126.7.1       

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127                     OBLIQUUS CAPITIS INFERIOR

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127.1                   Origin

127.1.1      The apex of the spinous process of the axis

127.2                   Insertion

127.2.1      The inferior and dorsal part of the transverse process of the atlas

127.3                   Action

127.3.1      Rotates the atlas, turning the face toward the same side

127.4                   Nerve Supply

127.4.1      Suboccipital nerve dorsal ramus C1

127.5                   Synergists

127.5.1      Longissimus capitis, rectus capitis posterior major

127.6                   Category

127.6.1       

127.7                   View

127.7.1       Posterior View

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128                     OBLIQUUS CAPITIS SUPERIOR

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128.1                   Origin

128.1.1      The superior surface of the transverse process of the atlas

128.2                   Insertion

128.2.1      Between the superior and inferior nuchal lines of the occipital bone, lateral to the semispinalis capitis

128.3                   Action

128.3.1      Extension and lateral flexion of the head at the neck

128.4                   Nerve Supply

128.4.1      Suboccipital nerve, dorsal ramus C1

128.5                   Synergists

128.5.1      Rectus capitis posterior minor, rectus capitis posterior major, longissimus capitis, semispinalis capitis

128.6                   Category

128.6.1       

128.7                   View

128.7.1       Posterior View

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129                     OBTURATOR EXTERNUS (1 of 6 Deep Lateral Rotators of Femur)

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129.1                   Origin

129.1.1      Outer surface of obturator membrane and the margin of bone immediately around the medial side of the obturatorforamen, from the rami of the pubis and the inferior ramus of the ischium

129.2                   Insertion

129.2.1      Trochanteric fossa on the medial aspect of the greater trochanter

129.3                   Action

129.3.1      Lateral rotation of femur at the hip

129.4                   Nerve Supply

129.4.1      Obturator, L3,4

129.5                   Synergists

129.5.1      Piriformis

129.5.2      Superior and inferior gemelli

129.5.3      Obturator internus

129.5.4      Quadratus femoris

129.6                   Category

129.6.1       

129.7                   View

129.7.1       Posterior View

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130                     OBTURATOR INTERNUS (1 of 6 Deep Lateral Rotators of Femur)

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130.1                   Origin

130.1.1      Pelvic surface of obturator membrane and bony margin of the obturator foramen

130.2                   Insertion

130.2.1      Medial surface of the greater trochanter of the femur

130.3                   Action

130.3.1      Laterally rotates the extended thigh at the hip can also produce horizontal extension

130.3.2      Abducts the flexed thigh

130.4                   Nerve Supply

130.4.1      Sacral plexus, L5, S1, 2

130.5                   Synergists

130.5.1      Piriformis, obturator externus, quadratus femoris, superior and inferior gemelli

130.6                   Category

130.6.1       

130.7                   View

130.7.1       Posterior View

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131                     OCCIPITALIS (EPICRANIUS)

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131.1                   Origin

131.1.1      Lateral two thirds of the highest nuchal line of occipital bone and mastoid part of temporal bone

131.2                   Insertion

131.2.1      The cranial aponeurosis, galea aponeuritica

131.3                   Action

131.3.1      Retract sca1[); through the galea aponeuritica, it assists in raising the upper eyeltos

131.4                   Nerve Supply

131.4.1      Occip-ital branch of the posterior auricular nerve from the facial nerve (VII)

131.5                   Arterial Supply

131.5.1      Posterior auricular artery and occipital artery

131.6                   Synergists

131.6.1      Frontalis

131.7                   Antagonist

131.7.1      Platysma (indirectly)

131.8                   Category

131.8.1       

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132                     OMOHYOID SUPERIOR & INFERIOR (INFRAHYOID)

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132.1                   Origin

132.1.1      Inferior belly

132.1.1.1                      Upper scapular border, near the suprascapular notch and occasIonally tlie superior transverse scapular ligament

132.1.2      Superior belly

132.1.2.1                      Intermediate tendon, located near the lateral border of the sternohyoid. The intermediate tendon is attached to the clavicle and first rib by a sling of deep cervical fascia

132.2                   Insertion

132.2.1      Inferior belly

132.2.1.1                      Intermediate tendon, located near the lateral border of the sternohyoId

132.2.2      Su~erior belly

132.2.2.1                      The lower border of the hyoid body, just lateral to the sternohyoid attachment

132.3                   Action

132.3.1      Both bellies lowers the hyoid after it has been raised

132.4                   Nerve Supply

132.4.1      Inferior belly

132.4.1.1                      Inferior ramus of the ansa cervicalis (C2, C3)

132.4.2      Superior belly

132.4.2.1                      Superior ramus of ansa cervicalis (Cl, C2)

132.5                   Arterial Supply

132.5.1      Inferior belly

132.5.1.1                      Suprascapular artery

132.5.2      Superior belly

132.5.2.1                      Superior and inferior thyroid arteries

132.6                   Synergists

132.6.1      Sternohyoid, sternothyroid and thyrohyoid

132.7                   Antagonists

132.7.1      Suprahyoid muscles (e.g., digastric)

132.8                   Category

132.8.1       

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133                     OPPONENS DIGITI MINIMI

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133.1                   Origin

133.1.1      Hamulus or hook of the hamate bone and flexor retinaculum

133.2                   Insertion

133.2.1      Entire length of ulnar border of 5th metacarpal

133.3                   Action

133.3.1      Flexes and slightly laterally rotates the 5th metacarpal. Helps to cup the palm of the hand

133.4                   Nerve Supply

133.4.1      Deep branch of ulnar nerve, C8, T1

133.5                   Synergists

133.5.1      Flexor digiti minimi brevis, abductor digiti minimi

133.6                   Category

133.6.1       

133.7                   View

133.7.1       Anterior View -

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134                     OPPONENS POLLICIS

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134.1                   Origin

134.1.1      Flexor retinaculum and tubercle of trapezium bone

134.2                   Insertion

134.2.1      Radial side of entire length of first metacarpal bone

134.3                   Action

134.3.1      Flexes and abducts the first metacarpal with slight medial rotation

134.4                   Nerve Supply

134.4.1      Median, C8, T1 and commonly a ramus from the deep terminal branch of ulnar

134.5                   Synergists

134.5.1      Abductor pollicis, adductor pollicis

134.6                   Category

134.6.1       

134.7                   View

134.7.1       Anterior View

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135                     ORBICULARIS OCULI

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135.1                   Origin

135.1.1      Orbital part

135.1.1.1                      Nasal part of the frontal bone lthe frontal p;rocess of the maxilla and the media palpebral ligament between them

135.1.2      Palpebral part

135.1.2.1                      Medial palpebral ligament

135.1.3      Lacrimal part

135.1.3.1                      Just Rosterior of the lacrimal sac to the upper part of the lacrimal crest

135.2                   Insertion

135.2.1      Orbit.al part

135.2.1.1                      Surround~ orbi~ and &preads into the anterIOr temporal regIon, Infraorbital cheek and superciliary region. (Nofe: no bony attachments)

135.2.2      Palpebral part

135.2.2.1                      Across eyelids anterior to the orbital septum, inserting into the lateral palpebral raphe

135.2.3      Lacrimal part

135.2.3.1                      S~perior and inferior tarsi and the lateral palpebral rapfie

135.3                   Action

135.3.1      Orbital part

135.3.1.1                      Protrusion of the eyebrows, and closes the eyelids, usually a voluntary action

135.3.2      Palpebral part

135.3.2.1                      Closes lids during blinking

135.3.3      Lacrimal part

135.3.3.1                      Draws lids and lacrimal papillae medially, also compresses the lacrimal sac

135.4                   Nerve Supply

135.4.1      Temporal & zygomatic branches facial nerve (VU)

135.5                   Arterial Supply

135.5.1      Zygomatico-orbital artery, palpebral branches from the ophthalmic and lacrimal arteries

135.6                   Synergists

135.6.1      For protrusion; corrugator supercilii and procerus

135.7                   Antagonists

135.7.1      Levator palRebrae superioris for closing the eyelids and the frontalis muscle lor protrusIon of the eyebrows

135.8                   Category

135.8.1       

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136                     ORBICULARIS ORIS

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136.1                   Origin/Insertion

136.1.1      l:atera~ attac~l.tlel!ts

136.1.1.1                      La.bial aspect of the modiol\!s with fibers Interdlgltat~ng ~lth those from thy buc.clnatorl depresso.r an~11 OrIS, levator angulI OrIS ana zygomaticus major

136.1.2      Pars peripheralis superior

136.1.2.1                      The highest fibers extend to th.e nasorabial s~lc~s, nasal .!lla anq s.eptum .and are reinforced from InCISlVUS labll superlorls and Its fibers from the contralateral side

136.1.3      Pars peripheralis inferior

136.1.3.1                      The lowest fibers to the mento1abial sulcus. Reinforcement from incisivus labii inferior and fibers from the contralateral side

136.1.4      Pars marginalis inferior and superior

136.1.4.1                      Fibers meet and interlace with their contralateral partners in the red- lipped dermis

136.2                   Action

136.2.1      Direct closure of lips by its deep fibers. b!ipg lips tog.ether and als~ Qrotrudes then forward Dy superficial, prIncipally decussatlng fibers

136.3                   Nerve Supply

136.3.1      Buccal branches of the facial nerve (VII)

136.4                   Arterial Supply

136.4.1      Superior and inferior labial branch of the facial artery and mental branches of the inferior alveolar artery

136.5                   Synergists

136.5.1      lncisivus labii superior, incisivus labii inferior and mentalis

136.6                   Antagonists

136.6.1      La;te~al slip of leyator lajJii suRerioris alaequ.e na~i, levator lab 11 su.perlorls, zygomaticus mInor, levator angulI OrIS, zygomati~s major, depressor labii inferioris, depressor anguli oris, ana buccInator

136.7                   Category

136.7.1       

136.8                   Note

136.8.1       (Denotes modiolus)

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137                     PALATOGLOSSUS (Palatoglossal arch; Anterior pillar)

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137.1                   Origin

137.1.1      The oral surface of the palatine aponeurosis, where it is continuous with its muscle fibers from the contralateral side

137.2                   Insertion

137.2.1      Anterior to the tonsil to the side of the tongue, with fibres over the lingual dorsum, and others deep to intermingle with the transverse 1ingualis

137.3                   Action

137.3.1      Elevates the root of the tongue and approximates the palatoglossal arch, closing the ismus of the fauces, thus shutting off the oral cavity from oropharynx

137.4                   Nerve Supply

137.4.1      Pharyngeal branch of the vagus nerve (X), with filaments chiefly from the cranial accessory nerve that pass through the pharyngeal plexus

137.5                   Arterial Supply

137.5.1      Greater palatine branch of the maxillary artery, the ascending palatine and tonsillar branches of the facial artery, the dorsal lingual branches of the lingual artery

137.6                   Synergists

137.6.1      For elevation of the tongue

137.6.1.1                      Styloglossus

137.7                   Antagonists

137.7.1      For elevation of tongue base

137.7.1.1                      Supra-and infra-hyoid muscles

137.8                   Category

137.8.1      Tongue & soft palate

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138                     PALATOPHARYNGEUS (Palatopharyngeal arch; Posterior pillar)

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138.1                   Origin

138.1.1      Anterior fibres

138.1.1.1                      The posterior border of the hard palate and from the palatine aponeurosis with the fibres interdigitating with it's opposite across the midline, between the levator veli pa1atine

138.1.2      Posterior fibres

138.1.2.1                      Posterior to the levator veli palatini, the pharyngeal aspect of the palate and joining the posterior band of the opposite muscle in the midline

138.1.3      United fibres

138.1.3.1                      At the soft palates posterolateral border the anterior and posterior fibres unite with the salpingopharyngeus muscle

138.2                   Insertion

138.2.1      Poster~or border .of the t~yroid cart.ila,ge, pharyngeal fibrous tissue and fibres crossmg the midlme postenorly, decussating with it's opposite muscle

138.3                   Action

138.3.1      Elevates and draws pharnyx forward and medially during swallowing

138.4                   Nerve Supply

138.4.1      Pharyngeal branch of the vagus nerve (X), with filaments chiefly from the cranial accessory nerve that pass through the paryngeal plexus

138.5                   Arterial Supply

138.5.1      Ascending pha~geal artery, asce~ding palatine and tonsillar branches of facial and maxillary arteries, greater palatine, pharyngeal, and the artery of the pterygoid canal

138.6                   Synergists

138.6.1      Salpingopharyngeus and stylopharyngeus act as pharyngeal elevators

138.7                   Antagonists

138.7.1      Infrahyoid muscles lower pharynx during late stages of swallowing

138.8                   Category

138.8.1      Pharynx longitudinal layer & soft palate

138.9                   View

138.9.1      (Note: Salpingopharyngeus muscle is also illustrated).

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139                     PALMAR INTEROSSEI (HAND)

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139.1                   Origin

139.1.1      Sides of the metacarpals l' 2, 4 and 5

139.2                   Insertion

139.2.1      Extensor expansion of the respective digit with pos- sible attachment to the base of the proximal phalanx

139.3                   Action

139.3.1      Adducts the thumb, index, ring and little fingers toward the middle finger. All four assist in flexing the proximal phalanges of the thumb, index, ring and little fingers at the metacarpophalan- geal joints, and in extending the middle and distal phalanges

139.4                   Nerve Supply

139.4.1      Deep branch of the ulnar nerve, C8, T1

139.5                   Synergists

139.5.1      Dorsal interossei, lumbricals, extensor indicis, flexor digitorum superficialis, flexor digitorum profundus

139.6                   Category

139.6.1       

139.7                   View

139.7.1      Anterior View

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140                     PALMARIS BREVIS

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140.1                   Origin

140.1.1       

140.2                   Insertion

140.2.1       

140.3                   Action

140.3.1       

140.4                   Nerve Supply

140.4.1       

140.5                   Synergists

140.5.1       

140.6                   Category

140.6.1       

 

 

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141                     PALMARIS LONGUS

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141.1                   Origin

141.1.1      Common flexor tendon from medial epicondyle of humerus

141.2                   Insertion

141.2.1      Flexor retinaculum and palmar aponeurosis

141.3                   Action

141.3.1      Flexes hand at the wrist

141.4                   Nerve Supply

141.4.1      Median C7, 8

141.5                   Synergists

141.5.1      Flexor carpi radialis, flexor carpi ulnaris, flexor digitorum superficialis

141.6                   Category

141.6.1       

141.7                   View

141.7.1      Anterior View

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142                     PECTINEUS

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142.1                   Origin

142.1.1      Superior surface of the pubis, the pectineal line between iliopectineal eminence and pubic tubercle

142.2                   Insertion

142.2.1      Pectineal line of femur, from lesser trochanter to linea aspera

142.3                   Action

142.3.1      Adduction of thigh at hip

142.3.2      Assistance in thigh flexion and medial rotation at the hip

142.4                   Nerve Supply

142.4.1      Femoral and obturator nerves, L2, 3, 4

142.5                   Synergists

142.5.1      Adductor brevis, adductor longus, adductor mag- nus, gracilis

142.6                   Category

142.6.1       

142.7                   View

142.7.1      Anterior View

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143                     PECTORALIS MAJOR CLAVICULAR

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143.1                   Origin

143.1.1      Anterior surface of the medial 1/2 of the clavicle

143.2                   Insertion

143.2.1      Lateral lip of the intertubercular sulcus of the humerus

143.2.2      Crest of greater tubercle

143.3                   Action

143.3.1      Flexion, adduction, horizontal flexion and medial rotation of the humerus at the shoulder

143.4                   Nerve Supply

143.4.1      Lateral pectoral, C5, 6

143.5                   Synergists

143.5.1      Biceps brachi, pectoralis major (sternal division), latissimus dorsi, deltoid (anterior division)

143.6                   Category

143.6.1       

143.7                   View

143.7.1      Anterior View

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144                     PECTORALIS MAJOR STERNAL

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144.1                   Origin

144.1.1      Sternum to 7th rib, cartilages of true ribs and aponeurosis of external abdominal oblique muscle

144.2                   Insertion

144.2.1      Lateral lip of the intertubercular sulcus of the humerus

144.2.2      Crest of greater tubercle

144.3                   Action

144.3.1      Flexion, adduction ,medial rotation and horizontal flexion of the humerus at the shoulder. Also extends flexed humerus. Through its action on the humerus it depresses, protracts and rotates scapula downwards

144.4                   Nerve Supply

144.4.1      Lateral and medial pectoral, C7, 8, T1

144.5                   Synergists

144.5.1      Latissimus dorsi, subscapularis, teres major

144.6                   Category

144.6.1       

144.7                   View

144.7.1      Anterior View

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145                     PECTORALIS MINOR

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145.1                   Origin

145.1.1      Anterior surfaces of 3rd, 4th and 5th ribs near the costal cartilages

145.2                   Insertion

145.2.1      Coracoid process of the scapula

145.3                   Action

145.3.1      Depresses scapula and rotates scapula downward. Im- portant anterior shoulder stabilizer

145.3.2      Reversed origin-insertion action

145.3.2.1                      When the scapula is fixed, it aids in rib elevation in forced inspiration

145.4                   Nerve Supply

145.4.1      Medial pectoral nerve from brachial plexus, C6, 7, 8

145.5                   Synergists

145.5.1      Pectoralis major, serratus anterior

145.6                   Category

145.6.1       

145.7                   View

145.7.1      Anterior View

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146                     PERONEUS BREVIS

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146.1                   Origin

146.1.1      Distal '2/3 of the lateral surface of the body of fibula and the adjacent intermuscular septa

146.2                   Insertion

146.2.1      Tuberosity on lateral side of base of Sth metatarsal

146.3                   Action

146.3.1      Eversion and plantar flexion of the foot at the ankle. Gives lateral stability to the ankle

146.4                   Nerve Supply

146.4.1      Superficial peroneal, LS, S1, 2

146.5                   Synergists

146.5.1      Gastrocnemius, soleus for plantar flexion, Peroneus longus and tertius for eversion

146.6                   Category

146.6.1       

146.7                   View

146.7.1      Lateral and Plantar View

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147                     PERONEUS LONGUS

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147.1                   Origin

147.1.1      Head and proximal ':!/3 of lateral surface of fibula, inter- muscular septa and adjacent fascia

147.2                   Insertion

147.2.1      Lateral margin of plantar surface of 1 st cuneiform and base of 1st metatarsal

147.3                   Action

147.3.1      Eversion and plantar flexion of the foot at the ankle. Gives lateral stability to the ankle

147.4                   Nerve Supply

147.4.1      Superficial peroneal, L5, S1, 2

147.5                   Synergists

147.5.1      Gastrocnemius, soleus, for plantar flexion, peroneus brevis and tertius for eversion

147.6                   Category

147.6.1       

147.7                   View

147.7.1      Lateral and Plantar View

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148                     PERONEUS TERTIUS

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148.1                   Origin

148.1.1      Distal 1/3 of the anterior surface of the fibula, interosseous membrane and adjacent intermuscular septum

148.2                   Insertion

148.2.1      Dorsal surface of the base of the Sth metatarsal

148.3                   Action

148.3.1      Dorsiflexes and everts the foot at the ankle

148.4                   Nerve Supply

148.4.1      Deep peroneal, L5. 81

148.5                   Synergists

148.5.1      Extensor digitorum longus for dorsiflexion, peroneus longus and brevis (for eversion)

148.6                   Category

148.6.1       

148.7                   View

148.7.1      Lateral View

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149                     PIRIFORMIS (1 of 6 Deep Lateral Rotators of Femur)

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149.1                   Origin

149.1.1      Anterior surface of sacrum between and lateral to anterior sacral foramina, capsule of sacroiliac articulation, margin of the greater sciatic foramen, and sacrotuberous ligament

149.2                   Insertion

149.2.1      Superior border of greater trochanter of femur

149.3                   Action

149.3.1      Rotates thigh laterally and abducts the flexed thigh at the hip

149.4                   Nerve Supply

149.4.1      Sacral plexus, L5, S1, 2

149.5                   Synergists

149.5.1      Superior and inferior gemelli, quadratus femoris, internal and external obturators

149.6                   Category

149.6.1       

149.7                   View

149.7.1      Posterior View

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150                     PLANTAR INTEROSSEI (FOOT)

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150.1                   Origin

150.1.1      There are 3 plantar interossei arising from the bases and medial plantar surfaces of the 3rd, 4th and Sth metatarsal bones

150.2                   Insertion

150.2.1      Medial sides of the bases of the proximal phalanges of the same toes and into the extensor expansion

150.3                   Action

150.3.1      Adducts the 3rd, 4th and Sth toes toward the axis of the 2nd toe. Flex the proximal and extend the distal phalanges

150.4                   Nerve Supply

150.4.1      Lateral plantar, 82, 3

150.5                   Synergists

150.5.1      Dorsal interossei

150.6                   Category

150.6.1       

150.7                   View

150.7.1      Plantar View (4th Plantar Layer)

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151                     PLANTARIS

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151.1                   Origin

151.1.1      Lower part of lateral supracondylar line of femur and from the oblique popliteal ligament of the knee joint

151.2                   Insertion

151.2.1      The posterior part of the calcaneus medial to the Achilles tendon

151.3                   Action

151.3.1      Plantar flexes and inverts the foot at the ankle, flexes the leg at the knee

151.4                   Nerve Supply

151.4.1      Tibial nerve, 81, 2

151.5                   Synergists

151.5.1      Gastrocnemius, soleus, tibialis posterior, peroneus longus and brevis, flexor hallucis longus, flexor digitorum longus

151.6                   Category

151.6.1       

151.7                   View

151.7.1      Posterior View

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152                     PLATYSMA

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152.1                   Origin

152.1.1      Broad. fascial.sheet over the .~pper parts of the pectoralis major and antenor portion of the deltbld

152.2                   Insertion

152.2.1      Anterior Fibers

152.2.1.1                      Interlace across the midline inferoposterior to symphysis menti

152.2.2      Intermediate Fibers

152.2.2.1                      Pars mandibularis lthe lower border of the body of the mandible. Pars abialis, deep t.o depressor angu1i oris to the lateral half of the lower lip

152.2.3      Posterior Fibers

152.2.3.1                      Pars modiolaris, the skin and subcutaneous tissue blending with the muscles at the modiolus near the buccal ang1e

152.3                   Action

152.3.1      Anterior Fibers

152.3.1.1                      Assist mandibular depression

152.3.2      Intermediate Fibers

152.3.2.1                      Pars labialis depress the lower lip

152.3.3      Posterior Fibers

152.3.3.1                      Pars modiolaris, depress the buccal angle

152.4                   Nerve Supply

152.4.1      Cervical branch of the facial nerve (VII)

152.5                   Arterial Supply

152.5.1      Submental and inferiouabial branches of the facial arteries, mental branch of the inferior alveolar artery, superior !ind inferior l~ryngeal arteries, and perforating branclies of the Internal thoracic artery

152.6                   Synergists

152.6.1      Depressor anguli oris

152.7                   Antagonist

152.7.1      Levator anguli oris

152.8                   Category

152.8.1       

152.9                   Note

152.9.1      (Denotes modiolus)

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153                     POPLITEUS

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153.1                   Origin

153.1.1      Lateral condyle of femur, outer margin of lateral menis- cus, arcuate popliteal ligament and capsule of knee joint

153.2                   Insertion

153.2.1      Posterior surface of tibia above solealline

153.3                   Action

153.3.1      Rotates the tibia medially on the femur or the femur laterally on the tibia, depending on the one fixed. Withdraws the meniscus during flexion, and provides rotatory stability to the femur on the tibia. Brings the knee out of the position of full extension. Helps with posterior stability of the knee

153.4                   Nerve Supply

153.4.1      Tibial, L4, 5, 81

153.5                   Synergists

153.5.1       

153.6                   Category

153.6.1       

153.7                   View

153.7.1      Posterior View

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154                     POSTERIOR CRICOARYTENOID

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154.1                   Origin

154.1.1      Posterior surface of the cricoid lamina, the inferomedial aspect of the depression present to the side of the midline

154.2                   Insertion

154.2.1      The apex of the arytenoid muscular process, just medial to the lateral cricoarytenoid's attachment

154.3                   Action

154.3.1      Rotates the a~enoid cartilages laterally at the cricoarytenoid joints. The only muscle to aDduct the vocal cords. This muscle alSo tenses the vocal cords

154.4                   Nerve Supply

154.4.1      Recurrent laryngeal branch of the vagus nerve (X)

154.5                   Arterial Supply

154.5.1      SuRerior laryngeal branch of the suRerior thyro!d artery and the iliferior laryngeal branch of the inferior thyrOId artery

154.6                   Synergists

154.6.1      For glottis deviation

154.6.1.1                      None

154.6.2      For regulating tension of vocal folds

154.6.2.1                      Cricothyroid

154.7                   Antagonists

154.7.1      For glottic deviation

154.7.1.1                      Lateral cricoarytenoids, oblique and transverse arytenoids

154.7.2      For regulating tension in vocal folds

154.7.2.1                      Thyroarytenoids and vocalis

154.8                   Category

154.8.1       

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155                     PROCERUS

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155.1                   Origin

155.1.1      The facial aponeurosis covering the lower part of the nasal bone and lateral nasaf cartilage

155.2                   Insertion

155.2.1      Superficial fascia between the eyebrows and continuous with frontalis

155.3                   Action

155.3.1      Depresses the medial end of the eyebrow

155.4                   Nerve Supply

155.4.1      Superior buccal branches of the facial nerve (VII)

155.5                   Arterial Supply

155.5.1      Supratrochlear, supraorbital and dorsal nasal branches of the ophthalmic artery

155.6                   Synergists

155.6.1      Corrugator supercilii and orbicularis oculi

155.7                   Antagonist

155.7.1      Frontalis

155.8                   Category

155.8.1       

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156                     PRONATOR QUADRATUS

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156.1                   Origin

156.1.1      Distal 1/4 of the anterior surface of the ulna

156.2                   Insertion

156.2.1      Distal 1/4 of the anterior surface of the radius. ACTION: Pronates the forearm

156.3                   Action

156.3.1       

156.4                   Nerve Supply

156.4.1      Anterior interosseous branch of median nerve, C8, T1

156.5                   Synergists

156.5.1      Pronator teres

156.6                   Category

156.6.1       

156.7                   View

156.7.1      Anterior View

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157                     PRONATOR TERES

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157.1                   Origin

157.1.1      Humeral head

157.1.1.1                      Common flexor tendon from medial epicon- dyle of humerus and common flexor tendon

157.1.2      Ulnar head

157.1.2.1                      Medial side of coronoid process of ulna

157.2                   Insertion

157.2.1      Middle 1/3 of lateral surface of radius

157.3                   Action

157.3.1      Pronation of forearm and flexion of forearm at the elbow

157.4                   Nerve Supply

157.4.1      Median, C6, 7

157.5                   Synergists

157.5.1      Pronator quadratus

157.6                   Category

157.6.1       

157.7                   View

157.7.1      Anterior View

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158                     PSOAS MAJOR

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158.1                   Origin

158.1.1      Anterior surfaces of transverse processes. Lateral borders of vertebral bodies and corresponding intervertebral discs of T12 - L5

158.2                   Insertion

158.2.1      Lesser trochanter of femur and for short distance below along medial border of the shaft

158.3                   Action

158.3.1      Flexion of the thigh at the hip. Minimal action in lateral rotation of the thigh

158.3.2      REVERSED ORIGIN-INSERTION ACTION

158.3.2.1                      When the thigh is fixed, the psoas muscle pulls on the vertebrae and flexes the spine and pelvis on the thigh (sit up)

158.4                   Nerve Supply

158.4.1      Lumbar plexus, L1, 2, 3

158.5                   Synergists

158.5.1      Iliacus, adductor brevis, adductor longus, adductor magnus, rectus femoris

158.6                   Category

158.6.1       

158.7                   View

158.7.1      Anterior View

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159                     PSOAS MINOR

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159.1                   Origin

159.1.1       

159.2                   Insertion

159.2.1       

159.3                   Action

159.3.1       

159.4                   Nerve Supply

159.4.1       

159.5                   Synergists

159.5.1       

159.6                   Category

159.6.1       

 

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160                     PYRAMIDALIS

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160.1                   Origin

160.1.1      Anterior aspect of the symphysis pubis and pubic bone

160.2                   Insertion

160.2.1      Linea alba, midway between the umbilicus and pubis

160.3                   Action

160.3.1      Compresses the abdomen, supports abdominal viscera, tenses the linea alba and is active in forced expiration

160.4                   Nerve Supply

160.4.1      Subcostal nerve, T12

160.5                   Synergists

160.5.1      Rectus abdominis, external abdominal oblique, internal abdominal oblique, transversus abdominis

160.6                   Category

160.6.1       

160.7                   View

160.7.1      Anterior View

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161                     QUADRATUS FEMORIS (1 of 6 Deep Lateral Rotators of the Femur)

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161.1                   Origin

161.1.1      Superior aspect of the lateral border of the ischial tuberosity

161.2                   Insertion

161.2.1      Superior aspect of the quadrate line which extends downward from the intertrochanteric crest of the femur

161.3                   Action

161.3.1      Lateral rotation of the femur at the hip

161.4                   Nerve Supply

161.4.1      Sacral plexus, L4, 5, S1

161.5                   Synergists

161.5.1      Piriformis, obturator externus, obturator internus, superior and inferior gemelli

161.6                   Category

161.6.1       

161.7                   View

161.7.1       Posterior View

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162                     QUADRATUS LUMBORUM

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162.1                   Origin

162.1.1      Iliolumbar ligament, posterior part of the iliac crest

162.2                   Insertion

162.2.1      Inferior border of the 12th rib and transverse proces- ses of the upper 4 lumbar vertebrae

162.3                   Action

162.3.1      Lateral flexion of lumbar vertebral column; helps action of the diaphragm in inspiration

162.4                   Nerve Supply

162.4.1      Lumbar plexus, T12, L1, 2, 3

162.5                   Synergists

162.5.1      Internal and external abdominal obliques, iliocos- talis lumborum, longissimus thoracis and psoas major

162.6                   Category

162.6.1       

162.7                   View

162.7.1      Posterior View

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163                     QUADRATUS PLANTAE

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163.1                   Origin

163.1.1      Two heads from the medial and lateral sides of the inferior surface of the calcaneus

163.2                   Insertion

163.2.1      Lateral border of the tendon of the flexor digitorum longus

163.3                   Action

163.3.1      Flexes the 2nd -Sth toes

163.4                   Nerve Supply

163.4.1      Lateral plantar, S2, 3

163.5                   Synergists

163.5.1      Flexor digitorum longus, flexor digitorum brevis

163.6                   Category

163.6.1       

163.7                   VIew

163.7.1      Plantar View (2nd Plantar Layer)

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164                     RECTUS ABDOMINIS (4 Divisions as 1)

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164.1                   Origin

164.1.1      The pubic crest and the symphysis pubis

164.2                   Insertion

164.2.1      The costal cartilages of the Sth, 6th and 7th ribs and the side of the xiphoid process

164.3                   Action

164.3.1      Flexion and lateral flexion of the trunk. In standing position, supports organs anteriorly, gives anterior support to lum- bar spine. With aid of gluteus maximus and hamstrings keeps pelvis from going into anterior tilt, decreasing lumbar lordosis

164.4                   Nerve Supply

164.4.1      Ventral rami of TS -12. The various levels of the rectus abdominis, superior, inferior as well as those between in- scriptions receive nerve supply from different levels. Therefore act independently as they influence each other

164.5                   Synergists

164.5.1      Internal and external oblique abdominals, pyramidalis

164.6                   Category

164.6.1       

164.7                   View

164.7.1      Anterior View

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165                     RECTUS CAPITIS ANTERIOR

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165.1                   Origin

165.1.1      Anterior surface of the lateral mass of the atlas and the root of its transverse process

165.2                   Insertion

165.2.1      The inferior surface of the basilar part of the occipital bone anterior to the occipital condyle

165.3                   Action

165.3.1      Aids in flexion of the head at the neck

165.4                   Nerve Supply

165.4.1      Ventral rami of C1, 2

165.5                   Synergists

165.5.1      Sternocleidomastoid, longus calli, longus capitis

165.6                   Category

165.6.1       

165.7                   View

165.7.1      Anterlor View

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166                     RECTUS CAPITIS LATERALIS

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166.1                   Origin

166.1.1      Superior surface of the transverse processes of the atlas

166.2                   Insertion

166.2.1      Inferior surface of the jugular process of the occipital bone

166.3                   Action

166.3.1      Aids in lateral flexion of the head on the neck

166.4                   Nerve Supply

166.4.1      Ventral rami of C1, 2

166.5                   Synergists

166.5.1      : Longus capitis, longissimus capitis, semispinalis capitis

166.6                   Category

166.7                   View

166.7.1      Anterior View

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167                     RECTUS CAPITIS POSTERIOR MAJOR

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167.1                   Origin

167.1.1      From the spinous process of the axis

167.2                   Insertion

167.2.1      The lateral part of the inferior nuchal line of the occipital bone and the surface of the bone immediately inferior to the line

167.3                   Action

167.3.1      Extends the head and rotates it to the same side

167.4                   Nerve Supply

167.4.1      Suboccipital nerve, dorsal ramus of C1

167.5                   Synergists

167.5.1      Rectus capitis posterior minor, obliquus capitis superior, longissimus capitis, semispinalis capitis

167.6                   Category

167.6.1       

167.7                   View

167.7.1      Posterior View

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168                     RECTUS CAPITIS POSTERIOR MINOR

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168.1                   Origin

168.1.1      The tubercle on the posterior arch of the atlas

168.2                   Insertion

168.2.1      The medial part of the inferior nuchal line of the occipital bone and the surface between it and the foramen mag- num

168.3                   Action

168.3.1      Extends the head at the neck

168.4                   Nerve Supply

168.4.1      Suboccipital nerve, dorsal ramus C1

168.5                   Synergists

168.5.1      Rectus capitis posterior major, obliquus capitis superior, longissimus capitis, semispinalis capitis

168.6                   Category

168.6.1       

168.7                   View

168.7.1      Posterior View

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169                     RECTUS FEMORIS (Quadriceps Femoris) (1 of 4 Quadriceps)

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169.1                   Origin

169.1.1      STRAIGHT HEAD

169.1.1.1          Anterior inferior iliac spine

169.1.2      REFLECTED HEAD

169.1.2.1          Groove on upper brim of acetabulum

169.2                   Insertion

169.2.1      Upper border of patella and through the patellar ligament into tibial tuberosity

169.3                   Action

169.3.1      Extension of leg at the knee

169.3.2      Flexion of thigh at the hip

169.3.3      REVERSED ORIGIN-INSERTION ACTION

169.3.3.1                      Flexes the pelvis on the femur and gives anterior stabilization to the pelvis

169.4                   Nerve Supply

169.4.1      Femoral, L2, 3, 4

169.5                   Synergists

169.5.1      Psoas, sartorius, tensor fasciae latae, vasti lateralis, medialis and intermedius

169.6                   Category

169.6.1       

169.7                   View

169.7.1      Anterior View

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170                     RHOMBOID MAJOR

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170.1                   Origin

170.1.1      Spinous processes of 2nd -5th thoracic vertebrae

170.2                   Insertion

170.2.1      Medial border of scapula from spine to inferior angle

170.3                   Action

170.3.1      Retracts and elevates the scapula

170.3.2      The inferior fibers aid in rotating the glenoid cavity inferiorly

170.4                   Nerve Supply

170.4.1      Dorsal scapular, C4, 5

170.5                   Synergists

170.5.1      Upper, middle and lower trapezius, levator scapulae, latissimus dorsi, rhomboid minor

170.6                   Category

170.6.1       

170.7                   View

170.7.1      Posterior View

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171                     RHOMBOID MINOR

Back Table of Contents  

171.1                   Origin

171.1.1      Lower part of ligamentum nuchae, spinous processes of C7 and T1

171.2                   Insertion

171.2.1      Medial border of scapula at the root of the spine of the scapula

171.3                   Action

171.3.1      Retracts and elevates the scapula. Assists in rotating the scapula downwards

171.4                   Nerve Supply

171.4.1      Dorsal scapular, C4, 5

171.5                   Synergists

171.5.1      Upper, middle and lower trapezius, levator scapulae, latissimus dorsi and rhomboid major

171.6                   Category

171.6.1       

171.7                   View

171.7.1      Posterior View

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172                     RISORIUS

Back Table of Contents  

172.1                   Origin

172.1.1      Parotid fascia over the masseter muscle

172.1.2      (Note: There are numerous variations)

172.2                   Insertion

172.2.1      The angle of the mouth

172.3                   Action

172.3.1      Retracts the angle of mouth

172.4                   Nerve Supply

172.4.1      Inferior buccal branch of the facial nerve (VII)

172.5                   Arterial Supply

172.5.1      Branches from the facial and transverse facial arteries

172.6                   Synergists

172.6.1      Zygomaticus major and buccinator

172.7                   Antagonist

172.7.1      Orbicularis oris

172.8                   Category

172.8.1       

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173                     ROTATORES BREVIS

Back Table of Contents  

173.1                   Origin

173.1.1      A series of pairs of small muscles extending from the sacrum to the axis

173.1.2      Transverse processes of the vertebrae

173.2                   Insertion

173.2.1      Bases of the spinous processes (lamina) of the 1st vertebra above

173.3                   Action

173.3.1      Acting unilaterally, rotation of the spine to the opposite side. Acting bilaterally, extension of the spine

173.4                   Nerve Supply

173.4.1      Dorsal rami of the spinal nerves

173.5                   Synergists

173.5.1      Intertransversarii, interspinales, multifidus and rotatores longus

173.6                   Category

173.6.1       

173.7                    

173.7.1       Posterior View

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174                     ROTATORES LONGUS

Back Table of Contents  

174.1                   Origin

174.1.1      A series of pairs of small muscles extending from the sacrum to the axis

174.1.2      Transverse processes of the vertebrae

174.2                   Insertion

174.2.1      Bases of the spinous processes (lamina) of the 2nd vertebra above

174.3                   Action

174.3.1      Acting unilaterally, rotation of the spine to the opposite side. Acting bilaterally, extension of the spine

174.4                   Nerve Supply

174.4.1      Dorsal rami of the spinal nerves

174.5                   Synergists

174.5.1      Intertransversarii, interspinales, multifidus and rotatores brevis

174.6                   Category

174.6.1       

174.7                   View

174.7.1      Posterior View

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175                     SALPINGOPHARYNGEUS

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175.1                   Origin

175.1.1      Inferior part of the cartilaF.e of the auditory tube (torus tubarius) near the tube's phafYngearopening

175.2                   Insertion

175.2.1      Blends with palatopharyngeus

175.3                   Action

175.3.1      Elevation of the upper lateral pharyngeal wall

175.4                   Nerve Supply

175.4.1      Pharyngeal branch of the va~s (X), with the skeletomotor branches from the cranial parts of tb:e spinal accessory nerve that pass through the pliaryngeal plexus

175.5                   Arterial Supply

175.5.1      Greater palatine branch of the maxillary artery; the ascending palatine and tonsillar branches of the facial artery; a variable ramus from the ascending pharyngeal artery

175.6                   Synergists

175.6.1      Palatopharyngeus and stylopharyngeus

175.7                   Antagonists

175.7.1      Infrahyoid muscles lower pharynx during late stages of swalloWIng

175.8                   Category

175.8.1       

175.9                   View

175.9.1       The palatopharyngeus muscle has also been illustrated

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176                     SARTORIUS

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176.1                   Origin

176.1.1      Anterior superior iliac spine and upper half of the notch below it

176.2                   Insertion

176.2.1      Anterior and medial surface of the shaft of the tibia just below the condyle

176.3                   Action

176.3.1      Flexes, laterally rotates and abducts the thigh. Flexes and assists in medial rotation of the leg

176.3.2      Reversed origin-insertion action

176.3.2.1                      When femur and knee are fixed, flexes the pelvis on the hip and gives anterior stabilization to the pelvis

176.4                   Nerve Supply

176.4.1      Femoral, L2, 3

176.5                   Synergists

176.5.1      Biceps femoris, semitendinous, semi- membranosus, gracilis

176.6                   Category

176.6.1       

176.7                   VIew

176.7.1      Anterior View

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177                     SCALENUS ANTERIOR

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177.1                   Origin

177.1.1      Scalene tubercle and ridgeon superior surface of the 1 st rib

177.2                   Insertion

177.2.1      Anterior tubercles of the transverse processes of the 3rd -6th cervicle vertebrae

177.3                   Action

177.3.1      Acting unilaterally, flexes and rotates cervical spine to the opposite side. When acting bilaterally, flexes the neck and raises the 1st rib

177.4                   Nerve Supply

177.4.1      Ventral rami, C4,5,6

177.5                   Synergists

177.5.1      Sternocleidomastoid, scalenus medius and scalenus posterior, longus capitis, longus colli, suprahyoid, infrahyoid and the platysma

177.6                   Category

177.6.1       

177.7                   View

177.7.1       Anterior View

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178                     SCALENUS MEDIUS

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178.1                   Origin

178.1.1      Superior surface of the 1 st rib behind subclavian groove

178.2                   Insertion

178.2.1      Posterior tubercles of the transverse processes of 2nd -7th cervical vertebrae

178.3                   Action

178.3.1      Acting unilaterally, laterally flexes and rotates cervical spine to the opposite side. When acting bilaterally, flexes the neck and raises the 1 sI rib

178.4                   Nerve Supply

178.4.1      Ventral rami of C3 -8

178.5                   Synergists

178.5.1      Sternocleidomastoid, scalenus anterior and scalenus posterior, longus capitis, longus colli, suprahyoid, infrahyoid and the platysma

178.6                   Category

178.6.1       

178.7                   VIew

178.7.1      Anterior View

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179                     SCALENUS POSTERIOR

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179.1                   Origin

179.1.1      Outer surface of 2nd rib behind attachment of serratus anterior

179.2                   Insertion

179.2.1      Posterior tubercles of transverse processes of 4th, 5th and 6th cervical vertebrae

179.3                   Action

179.3.1      Acting unilaterally, laterally flexes and rotates cervical spine to the opposite side. When acting bilaterally, flexes the neck and raises the 2nd rib

179.4                   Nerve Supply

179.4.1      Ventral rami, C6,7,8

179.5                   Synergists

179.5.1      Scalenus medius, scalenus anterior, sternocleidomastoid, longus capitis, longus colli, suprahyoid, infrahyoid and the platysma

179.6                   Category

179.6.1       

179.7                   VIew

179.7.1      Anterior View

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180                     SEMIMEMBRANOSUS (Medial Hamstring)

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180.1                   Origin

180.1.1      Upper and lateral aspect of ischial tuberosity

180.2                   Insertion

180.2.1      Posterior surface of medial condyle of the tibia

180.3                   Action

180.3.1      Flexes and medially rotates the leg at the knee. Extends, adducts and medially rotates the thigh at the hip

180.3.2      Reversed origin-insertion action

180.3.2.1                      When the thigh is fixed, gives posterior stability to the pelvis and extends the pelvis on the hip

180.4                   Nerve Supply

180.4.1      Sciatic (tibial portion), L5, S1, 2

180.5                   Synergists

180.5.1      Semitendinosus, biceps femoris, gastrocnemius, gracilis, sartorius

180.6                   Category

180.6.1       

180.7                   View

180.7.1      Posterior View

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181                     SEMISPINALIS CAPITIS

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181.1                   Origin

181.1.1      7th cervical and 1st -6th thoracic transverse processes and articular processes of 4th, Sth and 6th cervical vertebrae

181.2                   Insertion

181.2.1      Between superior and inferior nuchal lines of the occipital bone

181.3                   Action

181.3.1      Extension and lateral flexion of the neck and head, and rotation to the opposite side

181.4                   Nerve Supply

181.4.1      Dorsal rami of the cervical nerves

181.5                   Synergists

181.5.1      Splenius group, semispinalis cervicis

181.6                   Category

181.6.1       

181.7                   View

181.7.1      Posterior View

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182                     SEMISPINALIS CERVICIS

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182.1                   Origin

182.1.1      Transverse processes of the 1st -6th thoracic vertebrae

182.2                   Insertion

182.2.1      Spinous processes of 2nd -5th cervical vertebrae

182.3                   Action

182.3.1      Acting bilaterally, extension of the cervical spine

182.3.2      Acting unilaterally, lateral flexion of the neck and head and rotation ot the opposite side

182.4                   Nerve Supply

182.4.1      Dorsal rami of the cervical nerves

182.5                   Synergists

182.5.1      Semispinalis capitis, splenius cervicis, iliocostalis cervicis, longissimus capitis, longissimus cervicis

182.6                   Category

182.6.1       

182.7                   View

182.7.1      Posterior View

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183                     SEMISPINALIS THORACIS

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183.1                   Origin

183.1.1      The transverse processes of the 6th -1Oth thoracic ver- tebrae

183.2                   Insertion

183.2.1      The spinous processes of the 1st -4th thoracic and the 6th and 7th cervical vertebrae

183.3                   Action

183.3.1      Extends the spine and rotates it towards the opposite side

183.4                   Nerve Supply

183.4.1      Dorsal rami of the thoracic nerves, T1 -6

183.5                   Synergists

183.5.1      Longissimus thoracis, iliocostalis thoracis, spinalis thoracis

183.6                   Category

183.6.1       

183.7                   View

183.7.1      Posterior View

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184                     SEMITENDINOSUS (Medial Hamstring)

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184.1                   Origin

184.1.1      : Ischial tuberosity with tendon of the long head of the biceps femoris

184.2                   Insertion

184.2.1      Anterior and medial surface of the shaft of the tibia just below the condyle

184.3                   Action

184.3.1      Flexes and medially rotates the leg at the knee. Extends, adducts and medially rotates the thigh at the hip

184.3.2      Reversed origin-insertion action

184.3.2.1                      When thigh is fixed, assists posterior stability of the pelvis and extends the pelvis on the hip

184.4                   Nerve Supply

184.4.1      Sciatic (tibial portion), L5, 51, 2

184.5                   Synergists

184.5.1      Semimembranosus, biceps femoris, gastroc- nemius, gracilis, sartorius

184.6                   Category

184.6.1       

184.7                   View

184.7.1      Posterior View

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185                     SERRATUS ANTERIOR

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185.1                   Origin

185.1.1      Superior lateral surfaces of upper 8 or 9 ribs at the side of the chest

185.2                   Insertion

185.2.1      Costal surface of the vertebral border along the inferior angle of scapula

185.3                   Action

185.3.1      Protracts scapula and rotates it upwards to point the glenoid cavity superiorly. Stabilizes vertebral border of scapula to thoracic cage, along with rhomboids and middle trapezius

185.4                   Nerve Supply

185.4.1      Long thoracic, C5, 6, 7. SYNERGIST: Pectoralis minor

185.5                   Synergists

185.5.1       

185.6                   Category

185.7                   View

185.7.1       Lateral View

185.7.2       The scapula is pulled back off the rib cage to view the anterior surface of the scapula

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186                     SERRATUS POSTERIOR INFERIOR

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186.1                   Origin

186.1.1      Spinous processes of 11 th and 12th thoracic and 1 st, 2nd and 3rd lumbar vertebrae, and the thoracolumbar fascia

186.2                   Insertion

186.2.1      Inferior borders of lower 4 ribs just beyond their angles

186.3                   Action

186.3.1      Counteracts the pull of the diaphragm by drawing the ribs posterior and inferior, aids in respiration

186.4                   Nerve Supply

186.4.1      Ventral rami of T9 -12. SYNERGISTS: Internal intercostals

186.5                   Synergists

186.5.1       

186.6                   Category

186.6.1       

186.7                   View

186.7.1       Posterior View

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187                     SERRATUS POSTERIOR SUPERIOR

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187.1                   Origin

187.1.1      Lower portion of ligamentum nuchae and spinous processes of the 7th cervical and 1st, 2nd and 3rd thoracic ver- tebrae

187.2                   Insertion

187.2.1      Superior borders of 2nd -5th ribs distal to the angles

187.3                   Action

187.3.1      Elevates the ribs and is a muscle of inspiration

187.4                   Nerve Supply

187.4.1      Ventral rami of T2 -5

187.5                   Synergists

187.5.1      Levatores costarum breves, scalenus posterior

187.6                   Category

187.6.1       

187.7                   View

187.7.1      Posterior View

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188                     SOLEUS

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188.1                   Origin

188.1.1      Posterior surface of the head and upper 1/3 of the shaft of the fibia. 8olealline and middle 1/3 of the medial border of the tibia, tendinous arch between tibia and fibula

188.2                   Insertion

188.2.1      Into calcaneus with gastrocnemius by way of the Achilles tendon

188.3                   Action

188.3.1      Plantar flexion and inversion of the foot at the ankle

188.3.2      Reversed origin-insertion action

188.3.2.1                      When standing, the calcaneus becomes the fixed origin of the muscle. The soleus muscle stabilizes the tibia on the calcaneus limiting forward sway

188.4                   Nerve Supply

188.4.1      Tibia, 81, 2

188.5                   Synergists

188.5.1      Gastrocnemius, plantaris, tibialis posterior, peroneus longus and brevis, flexor hallucis longus and flexor digitorum longus

188.6                   Category

188.6.1       

188.7                   View

188.7.1      Posterior View

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189                     SPHINCTER PUPILLAE

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189.1                   Origin/Insertion

189.1.1      From collagenous connective tissue at the pupillary end 0( the dilator muscle passing circumferentially around the pupiL

189.2                   Action

189.2.1      Constriction of the pupil to adjust to near vision by increasing the depth of focus and/ or to increased light

189.3                   Nerve Supply

189.3.1      Para~pathetic fibers through the oculomotor nerve (III) from the Edmger-Westphal nucleus

189.4                   Arterial Supply

189.4.1      Long posterior and anterior ciliary rami from the ophthalmic and lacrimal branches of the internal carotid artery

189.5                   Synergists

189.5.1      None

189.6                   Antagonist

189.6.1      Dilator pupillae

189.7                   Category

189.7.1       

189.8                   View

189.8.1      The lower s are enlarged horizontal sections

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190                     SPINALIS CAPITIS

Back Table of Contents  

190.1                   Origin

190.1.1       

190.2                   Insertion

190.2.1       

190.3                   Action

190.3.1       

190.4                   Nerve Supply

190.4.1       

190.5                   Synergists

190.5.1       

190.6                   Category

190.6.1       

 

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191                     SPINALIS CERVICIS

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191.1                   Origin

191.1.1      The lower portion of the ligamentum nuchae, spinous processes of the 7th cervical and sometimes the 1st and 2nd thoracic vertebrae

191.2                   Insertion

191.2.1      The spinous process of the axis and sometimes the 3rd and 4th cervical spinous processes

191.3                   Action

191.3.1      Acting unilaterally, lateral flexion of the spine. Acting bilaterally, extension of the spine

191.4                   Nerve Supply

191.4.1      Dorsal rami of the spinal nerves

191.5                   Synergists

191.5.1      Longissimus cervicis, semispinalis cervicis, splenius cervicis, iliocostalis cervicis

191.6                   Category

191.6.1       

191.7                   View

191.7.1      Posterior View

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192                     SPINALIS THORACIS

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192.1                   Origin

192.1.1      The spinous processes of the 1st and 2nd lumbar ver- tebrae, the thoracic vertebrae 11 and 12

192.2                   Insertion

192.2.1      The spinous processes of the upper thoracic ver- tebrae varying from 4 -8

192.3                   Action

192.3.1      Acting unilaterally, lateral flexion of the spine. Acting bilaterally, extension of the spine

192.4                   Nerve Supply

192.4.1      Dorsal rami of the spinal nerves

192.5                   Synergists

192.5.1      Semispinalis thoracis, longissimus thoracis, iliocostalis thoracis, iliocostalis lumborum, longissimus thoracis, quadratus lumborum

192.6                   Category

192.6.1       

192.7                   VIew

192.7.1      Posterior View

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193                     SPINCTER ANI EXTERNUS

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193.1                   Origin

193.1.1       

193.2                   Insertion

193.2.1       

193.3                   Action

193.3.1       

193.4                   Nerve Supply

193.4.1       

193.5                   Synergists

193.5.1       

193.6                   Category

193.6.1       

 

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194                     SPLENIUS CAPITIS

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194.1                   Origin

194.1.1      Spinous processes of C7- T3, inferior half of ligamentum nuchae

194.2                   Insertion

194.2.1      Mastoid process and lateral third of the superior nuchal line

194.3                   Action

194.3.1      Acting bilaterally, extends the head and neck. Acting unilaterally, laterally flexes and rotates head and neck to the same side

194.4                   Nerve Supply

194.4.1      Dorsal rami of the middle cervical spinal nerves

194.5                   Synergists

194.5.1      Splenius cervicis, semispinalis capitis, semi- spinalis cervicis, superior portion of the trapezius

194.6                   Category

194.6.1       

Posterior View

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195                     SPLENIUS CERVICIS

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195.1                   Origin

195.1.1      Spinous processes of 3rd -6th thoracic vertebrae

195.2                   Insertion

195.2.1      1st, 2nd, 3rd and sometimes the 4th cervical ver- tebrae transverse processes on the posterior aspect

195.3                   Action

195.3.1      Acting bilaterally, extends the head and neck. Acting unilaterally, laterally flexes and rotates the neck to the same side

195.4                   Nerve Supply

195.4.1      Dorsal rami of the lower cervical spinal nerves

195.5                   Synergists

195.5.1      Splenius capitis, semispinalis capitis, semispinalis cervicis, superior portion of trapezius, for extension and lateral flexion

195.6                   Category

195.6.1       

195.7                   View

195.7.1      Posterior View

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196                     STAPEDIUS

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196.1                   Origin

196.1.1      From the. poster!or wall of the tympanic cavity, a conical caVIty In the pyramidal emInence

196.2                   Insertion

196.2.1      The posterior surface on the neck of the stapes

196.3                   Action

196.3.1      Pulls the head of the stapes posteriorly, fiXing the ossicular c~ai.n (malleus. incus and stapes) and, ~hereby, reducing the tranSm1SSlOn of sound energy through the middle ear

196.4                   Nerve Supply

196.4.1      Stapedial branch of the facial nerve (VII)

196.5                   Arterial Supply

196.5.1      Stylomastoid branch of the occipital or posterior auricular artenes. Other arteries of the tympanic cavity; superior tympanic branch of the middle meningeal arle!y, the anlerior: tympanic branch of th~ maxillary artery, the inferior tymp~mc branc\t of the ascend1f!g pharyngeal.artery and the carot1COtympamc branch of the Internal carot1d artery

196.6                   Synergists

196.6.1      The te!lsor tympani and stapedius act together to tense the ossicular cham

196.7                   Antagonist

196.7.1      None

196.8                   Category

196.8.1       

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197                     STERNALIS

Back Table of Contents  

197.1                   Origin

197.1.1       

197.2                   Insertion

197.2.1       

197.3                   Action

197.3.1       

197.4                   Nerve Supply

197.4.1       

197.5                   Synergists

197.5.1       

197.6                   Category

197.6.1       

 

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198                     STERNOCLEIDOMASTOID

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198.1                   Origin

198.1.1      Sternal Head

198.1.1.1                      Anterior surface of the manubrium

198.1.2      Clavicular Head

198.1.2.1                      Superior surface of the medial 1/3 of the clavicle

198.2                   Insertion

198.2.1      Lateral surface of the mastoid process of the tem- poral bone and lateral half of the superior nuchal line of the occipital bone

198.3                   Action

198.3.1      Acting unilaterally, draws the head toward the ipsilateral shoulder and rotates the head to the opposite side. Acting bilateral- ly, flexes the head

198.4                   Nerve Supply

198.4.1      Ventral rami of C2, 3. Spinal portion of the accessory nerve (cranial X1)

198.5                   Synergists

198.5.1      Scalene group

198.6                   Category

198.6.1       

198.7                   View

198.7.1      Anterior View

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199                     STERNOHYOID (INFRAHYOID)

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199.1                   Origin

199.1.1      The posterior aspect of the clavicle and the upper posterior aspect of the manubrium sterni

199.2                   Insertion

199.2.1      Inferior border of the hyoid body

199.3                   Action

199.3.1      Hyoid depression

199.4                   Nerve Supply

199.4.1      Ansa cervicalis (Cl, C2, C3)

199.5                   Arterial Supply

199.5.1      Muscular branches from the superior and inferior thyroid arteries

199.6                   Synergists

199.6.1      Other infrahyoid muscles (thyrohyoid, omohyoid and sternothyroid)

199.7                   Antagonists

199.7.1      Supra~yoid muscles (e.g., stylohyoid, digastric, gemohyold and mylollyolCl)

199.8                   Category

199.8.1       

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200                     STERNOTHYROID (INFRAHYOID)

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200.1                   Origin

200.1.1      The posterior manubrial surface inferior to the ste~ohyoid orIgin, and to the posterior edge of the fIrst costal cartIlage

200.2                   Insertion

200.2.1      The oblique line on the thyroid lamina

200.3                   Action

200.3.1      Depression of the elevated larynx

200.4                   Nerve Supply

200.4.1      Ansa cervicalis (Cl, C2, C3)

200.5                   Arterial Supply

200.5.1      Muscular branches from the superior and inferior thyroid arteries

200.6                   Synergists

200.6.1      All infrahyoid muscles lower the hyoid bone and, therefore, mdIrectly the larynx

200.7                   Antagonists

200.7.1      Thyrohyoid and, indirectly, the suprahyoid muscles

200.8                   Category

200.8.1       

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201                     STYLOGLOSSUS

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201.1                   Origin

201.1.1      Anterior and lateral aspect of the styloid process, near its apex and from the styloid end of the stylomandibu1ar ligament

201.2                   Insertion

201.2.1      Lon~itudinal part

201.2.1.1                      Blend with the inferior longitudinal muscle in front of the hypoglossus

201.2.2      Oblique part

201.2.2.1                      Overlapping and decussating with the hyoglossus

201.3                   Action

201.3.1      Draw the tongue up and backwards

201.4                   Nerve Supply

201.4.1      Hypoglossal nerve (XII)

201.5                   Arterial Supply

201.5.1      Lingual arteries and its branches; dorsal lingual and sublingual rami. Tonsitlar rami of the facial artery

201.6                   Synergists

201.6.1      Palatoglossus

201.7                   Antagonists

201.7.1      Hyoglossus and genioglossus

201.8                   Category

201.8.1       

201.9                   View

201.9.1      The styloid process and mastoid process have been superimposed to this sagittal section

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202                     STYLOHYOID (SUPRAHYOID)

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202.1                   Origin

202.1.1      Posterior aspect of styloid process near its base

202.2                   Insertion

202.2.1      Splits around digastric muscle (posterior belly) and is attached to hyoid body at its junction with the greater cornu

202.3                   Action

202.3.1      Elevates and retracts the hyoid bone

202.4                   Nerve Supply

202.4.1      Stylohyoid branch of the facial nerve (VII)

202.5                   Arterial Supply

202.5.1      Posterior auricular artery and muscular branches of the occipital artery

202.6                   Synergists

202.6.1      For. the. hyoid elevation

202.6.1.1                      Digastric, mylohyoid and gemohyold

202.7                   Antagonists

202.7.1      For the. hyoid elevation

202.7.1.1                      Sternohyoid, thyrohyoid and omohyoid

202.7.2      For hyoid retraction

202.7.2.1                      Geniohyoid

202.8                   Category

202.8.1       

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203                     STYLOPHARYNGEUS

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203.1                   Origin

203.1.1      Medial side of the base of the styloid process

203.2                   Insertion

203.2.1      Blends between superior and middle pharyngeal constrictors within the lateral glosso-eRiglottic fold, and with the palatopharyngeus to the posterior borCler of the thyroid cartilage

203.3                   Action

203.3.1      Elevation and dilation of the pharynx during early phase of swallowing

203.4                   Nerve Supply

203.4.1      Muscular branch of the glossopharyngeal nerve

203.5                   Arterial Supply

203.5.1      Ascending pharyngeal artery, ascending Ralatine artery, tonsillar artery, dOrsa11ing1;lal branch of the lingual artery and rami from tne superior thyroid artery

203.6                   Synergists

203.6.1      For pharyngeal elevation

203.6.1.1                      Salpingopharyngeus and palatopharyngeus

203.6.2      For pharyngeal dilation

203.6.2.1                      None

203.7                   Antagonists

203.7.1      The infrahyoid muscles lower pharynx during late stages of.sw~llowing. The pharyngeal constrictors oppose pharyngeal dilatlon

203.8                   Category

203.8.1       

203.9                   View

203.9.1      The palatopharyngeus and the superior .and middle pharyngeal constrlctor muscles have also been illustrated

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204                     SUBCLAVIUS

Back Table of Contents  

204.1                   Origin

204.1.1      1st rib at the junction of the costal cartilage

204.2                   Insertion

204.2.1      Groove on the inferior surface of the clavicle, between the costoclavicular and conoid ligaments

204.3                   Action

204.3.1      Depresses clavicle, pulls it inferiorly and anteriorly

204.4                   Nerve Supply

204.4.1      Subclavian branch of the brachial plexus, C5, 6

204.5                   Synergists

204.5.1       

204.6                   Category

204.6.1       

204.7                   View

204.7.1      Anterior View

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205                     SUBSCAPULARIS (Rotator Cuff Muscle)

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205.1                   Origin

205.1.1      Entire anterior surface of the subscapular fossa

205.2                   Insertion

205.2.1      Lesser tubercle of humerus and capsule of shoulder joint

205.3                   Action

205.3.1      Medial rotation of the humerus atthe shoulder. Stabiliza- tion of the glenohumeral joint

205.3.2      Reversed origin- insertion action

205.3.2.1                      When the humerus is stabilized, abducts the inferior border of the scapula

205.4                   Nerve Supply

205.4.1      Upper and lower subscapular, C5, 6, 7

205.5                   Synergists

205.5.1      Teres major, pectoralis major, latissimus dorsi

205.6                   Category

205.6.1       

205.7                   View

205.7.1       Anterior View

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206                     SUPERFICIAL TRANSVERSE PERINEUS (SUPERFICIALIS)

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206.1                   Origin

206.1.1       

206.2                   Insertion

206.2.1       

206.3                   Action

206.3.1       

206.4                   Nerve Supply

206.4.1       

206.5                   Synergists

206.5.1       

206.6                   Category

206.6.1       

 

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207                     SUPERIOR LONGITUDINAL LINGUALIS

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207.1                   Origin

207.1.1      The submucous fibrous tissue near the epiglottis and the median fibrous septum

207.2                   Insertion

207.2.1      The lingual apex and margins of the tongue

207.3                   Action

207.3.1      Shortens the tongue and turns the apex and sides upwards to make the dorsum concave

207.4                   Nerve Supply

207.4.1      Hypoglossal (XII)

207.5                   Arterial Supply

207.5.1      Lingual artery and its branches; dorsal -lingual and sublingual rami

207.5.2      Tonsillar rami of the facial artery

207.6                   Synergists

207.6.1      For shortening the tongue

207.6.1.1                      Inferior longitudinal

207.7                   Antagonist

207.7.1      For raising the apex and side

207.7.1.1                      Inferior longitudinal

207.8                   Category

207.8.1       

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208                     SUPERIOR OBLIQUE

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208.1                   Origin

208.1.1      Body of the lesser wing, of the sphenoid sureromedial to the optic canal and to the tendinous attachment o the superior rectus

208.2                   Insertion

208.2.1      After traversing the trochlea, the fibrocartilaginous loop, the round tendon is Qeflected to the sclera behind the equat.or in its superol~teral posterior quadrant, between the superIOr and latera1 recti

208.3                   Action

208.3.1      Elevates the posterior aspect of the eye, hence, rotates the visu.al axis (and pupil) do~ward.s (de:presslon) and laterally (abduction). In the anteroposterIor axIS, It mtorts the eye

208.4                   Nerve Supply

208.4.1      Trochlear nerve (IV)

208.5                   Arterial Supply

208.5.1      Muscular branch of the ophthalmic artery from the internal carotid artery

208.6                   Synergists

208.6.1      Vertical axis

208.6.1.1                      Lateral rectus and inferior oblique

208.6.2      Transverse axis

208.6.2.1                      Inferior rectus

208.6.3      Anteroposterior axis

208.6.3.1                      Superior rectus

208.7                   Antagonists

208.7.1      Vertical axis: Superior rectus, medial rectus, and inferior rectus

208.7.2      Transverse axis: Inferior oblique and superior rectus

208.7.3      Anteroposterior axis: Inferior oblique and inferior rectus

208.8                   Category

208.8.1       

208.9                   Note

208.9.1      All six extraocular muscles are involved, and act in concert during an eye movement; synergists and antagonists depend on 1..t~ fixation point of the eye prior to movement

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209                     SUPERIOR PHARYNGEAL CONSTRICTOR

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209.1                   Origin/Insertion

209.1.1      Anterior attachment: Pterygopharyngeal part of hamulus on medial pterygoid plate

209.1.2      Buccopharyngeal part: Pterygomandibular raphe

209.1.3      l\:Iylopharyngeal part: Posterior end of the mylohyoid lme on mandible

209.1.4      Glossopharyngeal part: A few fibres to the side of the tongue

209.1.5      Posterior attachments: The posterior median pharyngeauaphe and by an apon~urosis to the pharyngeal tubercle on the basilar part of the occipital bone

209.2                   Action

209.2.1      General sphincteric and peristallic action during swalloWing

209.3                   Nerve Supply

209.3.1      Pharyngeal branch of the vagus (X), with the skeletomotor branches from the cranial parts of the spinal accessory nerve that pass through the pharyngeal plexus

209.4                   Arterial Supply

209.4.1      Ascending pharyngeal artery ascending Ralatine and tonsillar branches Of the facial artery. Branches of the maxillary artery; greater palatine, pha~gear and the artery of the pterygOia canal. tne dorsallingualDrancli of the lingual artery

209.5                   Synergists

209.5.1      Inferior and middle pharyngeal constrictors

209.6                   Antagonist

209.6.1      Stylopharyngeus dilates the pharynx

209.7                   Category

209.7.1       

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210                     SUPERIOR RECTUS

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210.1                   Origin

210.1.1      Superolateral margin of the optic canal on the common annular tendon

210.2                   Insertion

210.2.1      Anterosuperior margin of the eye into the sclera about 7.7 mm posterior to the margin of the cornea

210.3                   Action

210.3.1      Elevates the anterior aspect of the eye, hense rotates eye in the transverse axis upwards (elevation). In the vertical axis, it aids in I!1edia~ ~o~ation (adduction) of the eye. In the anteroposterIor ax1S it mtorts the eye

210.4                   Nerve Supply

210.4.1      Branch from the superior division of the oculomotor nerve (III)

210.5                   Arterial Supply

210.5.1      Muscular rami from the supraorbital branch of the ophthalmic artery

210.6                   Synergists

210.6.1      Vertical axis: Medial and inferior rectus.

210.6.2      Transverse axis: Inferior oblique. .

210.6.3      Anteroposterior axis: Superior oblique

210.7                   Antagonists

210.7.1      Vertical axis: Inferior and superior oblique, lateral rectus.

210.7.2      Transverse ttxis: Inferior rectus and superior oblique.

210.7.3      Anteroposterior axis: Inferior rectus and inferior oblique

210.8                   Category

210.8.1       

210.9                   Note

210.9.1      All six extraocular muscles are involved, and act in concert during an eye movement; synergists and antagonists depend on the fiXation point of the eye prior to movement

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211                     SUPINATOR ?

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211.1                   Origin

211.1.1      Lateral epicondyle of humerus, radial collateral ligament of elbow, annular ligament of radius and the supinator crest of ulna

211.2                   Insertion

211.2.1      An oblique line on the lateral anterior surface of the upper 1/3 of radius

211.3                   Action

211.3.1      Supinates the forearm

211.4                   Nerve Supply

211.4.1      Posterior interosseous, (deep radial) , C5, 6

211.5                   Synergists

211.5.1      Biceps brachii

211.6                   Category

211.6.1       

211.7                   View

211.7.1      Posterlor View

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212                     SUPRASPINATUS (Rotator Cuff Muscle)

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212.1                   Origin

212.1.1      Medial '2/3 of supraspinous fossa

212.2                   Insertion

212.2.1      Superior surface of greater tubercle of humerus and capsule of shoulder joint

212.3                   Action

212.3.1      Abduction of humerus at the shoulder joint. Stabilization of the glenohumeral joint

212.4                   Nerve Supply

212.4.1      Suprascapular, C4, 5, 6

212.5                   Synergists

212.5.1      Deltoid

212.6                   Category

212.6.1       

212.7                   View

212.7.1      Posterior View

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213                     TEMPORALIS

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213.1                   Origin

213.1.1      Arises from the temporal fossa, and from the deep surface of the temporal fascia

213.2                   Insertion

213.2.1      Passing between th,e zygomatic arch and cr,anial wall to the medial surface, aRex" antenor border of the coronold process and border of the mand1bular ramus

213.3                   Action

213.3.1      Closes the. jaw by the anterior fibers. Posterior .fibers retract from protruslOn and thereby fiX the temporomand1bular joint. The muscle is also concerned in lateral grinding movements

213.4                   Nerve Supply

213.4.1      DeeR tem poral branches from the anterior trunk of the mandibular division o the trigeminal nerve (V3)

213.5                   Arterial Supply

213.5.1      Deep temporal branches of the maxillary artery... !Diddle temporal, frontal and parietal branches of the supemc1al temporal artery

213.6                   Synergists

213.6.1      For closing the jaw: Masseter and medial pterygoids.

213.6.2      For retraction: None

213.7                   Antagonists

213.7.1      For closipg the jaw: I,.atera,l-pter;ygoiqs and th,e digastric, mylohyold \!nd gernohyolo wlien 1nfrahyold muscles contract to fiX hyOld bone.

213.7.2      For retraction from protrusion: Lateral pterygoid

213.8                   Category

213.8.1       

213.9                   View

213.9.1      The zygomatic arch has been removed

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214                     TENSOR FASCIAE LATAE

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214.1                   Origin

214.1.1      Anterior part of outer lip of iliac crest, outer surface of anterior superior iliac spine

214.2                   Insertion

214.2.1      Iliotibial band of fascia lata on the anterolateral aspect of thigh, about 1/3 of the way down

214.3                   Action

214.3.1      Thigh flexion at the hip, abduction, and medial rotation. Stabilizes the knee laterally. Tenses the iliotibial tract

214.4                   Nerve Supply

214.4.1      Superior gluteal, L4, 5, S1

214.5                   Synergists

214.5.1      Gluteus medius, gluteus minimus, and upper fibers of the gluteus maximus

214.6                   Category

214.6.1       

214.7                   View

214.7.1      Anterior and Lateral View

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215                     TENSOR TYMPANI

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215.1                   Origin

215.1.1      The cartilaginous part of the pharyn~otympanic tube and the adjoining part of the greater wing of tile sphenoid

215.2                   Insertion

215.2.1      Reflected around the process cochleariformis to the handle of the malleus near its root

215.3                   Action

215.3.1      Pulls the malleus medially thereby tensin,g the tyn:Ipanic membrane and fixing the ossicular chain (malleus, mcus and stapes)

215.4                   Nerve Supply

215.4.1      Bra1:tch of the ne1Ve to the, med,ial pterygoid a ramus from the mandIbular branch of the trlgemmar nerve (V3)

215.5                   Arterial Supply

215.5.1      Superior tympanic ramus from the middle meningeal branch of the maxillary artery, Other arteries of the tympanic cavitY; the anterior tym ranic Dranch of the maxillary arte;ry, the styll?mastoi~ bra,nch o the ,occipital or posterior . aurIcular arterIes, the mferlor tympanIc branch oflhe ascendmg pharyngeal artery and the caroticotympanic branch of the internal carotid artery

215.6                   Synergists

215.6.1      The te!lsor tympani and stapedius act together to tense the ossIcular cham

215.7                   Antagonist

215.7.1      None

215.8                   Category

215.8.1       

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216                     TENSOR VELI PALATINI

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216.1                   Origin

216.1.1      The scaphoid fossa of the pterygoid process, the lateral lamina of the cartilage part of the auditory tube and the medial aspect of the sphenoldaf spine

216.2                   Insertion

216.2.1      By a tendon turning around the hamulus of the medial pterygoid p!ate to the .palatine aponeuro~is and the osseous surfaces behmd the palatme crest on the honzontal plate of the palatine bone

216.3                   Action

216.3.1      Unilaterally: The muscle pulls the soft palate to the same side.

216.3.2      Bilaterally: It tightens the soft palate, closing off the nasopharynx and oropharynx

216.4                   Nerve Supply

216.4.1      Mandibular branch of trigeminal nerve (V3)

216.5                   Arterial Supply

216.5.1      Greater palatine branch of the maxillary artery, the ascending palatine artery and the ascending pharyngeal artery

216.6                   Synergists

216.6.1      Levator veli palatini for closing the nasopharynx

216.7                   Antagonist

216.7.1      None

216.8                   Category

216.8.1       

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217                     TERES MAJOR

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217.1                   Origin

217.1.1      Dorsal surface of inferior angle of the scapula on lower 1/3 of scapular axillary border

217.2                   Insertion

217.2.1      Medial lip of intertubercular sulcus of humerus. Medial to latissimus dorsi tendon

217.3                   Action

217.3.1      Adducts and medially rotates humerus at the shoulder. Extends the shoulder joint. REVERSED ORIGIN-INSERTION ACTION: When arm is fixed, adducts and elevates inferior angle of scapula

217.4                   Nerve Supply

217.4.1      Lower subscapular, C6, 7

217.5                   Synergists

217.5.1      Latissimus dorsi, subscapularis

217.6                   Category

217.6.1       

217.7                   View

217.7.1       Posterior View

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218                     TERES MINOR (Rotator Cuff Muscle)

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218.1                   Origin

218.1.1      Superior ;?/3 of dorsal surface of axillary border of scapula:

218.2                   Insertion

218.2.1      Inferior aspect of greater tubercle of the humerus, capsule of the shoulder joint

218.3                   Action

218.3.1      Lateral rotation of humerus at the shoulder, Stabilization of head of humerus. REVERSED ORIGIN- INSERTION ACTION: When humerus is stabilized, abducts the inferior angle of the scapula

218.4                   Nerve Supply

218.4.1      Axillary, C4, 5, 6

218.5                   Synergists

218.5.1      Infraspinatus, subscapularis

218.6                   Category

218.6.1       

218.7                   View

218.7.1      Posterlor View

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219                     THYROARYTENOID VOCALIS & THYROEPIGLOTTICUS

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219.1                   Origin

219.1.1      The thyroid cartilage and cricothyroid ligament

219.2                   Insertion

219.2.1      Vocalis: To the vocal process and anterolateral surface of the arytenoid cartilage. Thyroarytenoid: To the anterolateral arytenoid suiface and upper fovea on it. Thyroepiglotticus: To the epiglottic fold and margin

219.3                   Action

219.3.1      Thyroarytenoid and vocalis: Draws the arytenoid cartilages ventrally producing vocal fold relaxation. Th):roel?iglotticus: Abduction of the aryepiglottic folCIs, widening the laryngeal inlet

219.4                   Nerve Supply

219.4.1      Recurrent laryngeal branch of the vagus (X)

219.5                   Arterial Supply

219.5.1      Laryngeal branches from the superior and inferior thyroid arteries

219.6                   Synergists

219.6.1      None

219.7                   Antagonists

219.7.1      For vo.cal fqld tension. regulation: Cricothyroids and posterIor CrICoarytenolds. For laryngeal ~nlet modification: Oblique arytenoids ahJ aryeplglottlCUS

219.8                   Category

219.8.1       

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220                     THYTROHYOID (INFRAHYOID)

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220.1                   Origin

220.1.1      Oblique line of thyroid lamina

220.2                   Insertion

220.2.1      Lower border of the greater cornu and adjacent body of hyoid

220.3                   Action

220.3.1      Hyoid depression and/or elevation of the larynx

220.4                   Nerve Supply

220.4.1      Branches of Cl traveling with the hypoglossal nerve

220.5                   Arterial Supply

220.5.1      Superior thyroid artery and its branches; infrahyoid~ cricohy<?id apd superior laryngeal arteries. Muscular branches Ifom the mfenor thyroId artery

220.6                   Synergists

220.6.1      For hyoid d~pression: Sternohyoid, omohyoid and sternothyroId. For laryngeal elevation: Indirectly suprahyoid muscles and stylopharyngeus

220.7                   Antagonists

220.7.1      For .hyoid; depression: Digastric, mylohyoid and gemohyold. For laryngeal elevation: Sternothyroid

220.8                   Category

220.8.1       

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221                     TIBIALIS ANTERIOR

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221.1                   Origin

221.1.1      Lateral condyle of tibia, proximal 0/3 of lateral surface of tibia, interosseous membrane, deep fascia and lateral intermus- cular septum

221.2                   Insertion

221.2.1      Plantar surface of base of first metatarsal and medial plantar surface of first cuneiform

221.3                   Action

221.3.1      Dorsiflexes and inverts foot at the ankle. REVERSED ORIGIN-INSERTION ACTION: When standing, the foot is fixed and becomes the origin. Action causes forward body lean antagonistic to the plantar flexion of the soleus and gastroc- nemius. Active in the balance mechanism of anterior and posterior sway

221.4                   Nerve Supply

221.4.1      Deep peroneal, L4, 5

221.5                   Synergists

221.5.1      Extensor hallucis longus, extensor digitorum lon- gus

221.6                   Category

221.6.1       

221.7                   View

221.7.1      Anterior and Plantar View

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222                     TIBIALIS POSTERIOR

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222.1                   Origin

222.1.1      Lateral part of posterior surface of tibia, proximal :?/3 of medial surface of fibula, interosseous membrane, intermuscular septa and deep fascia

222.2                   Insertion

222.2.1      Tuberosity of navicular bone with branches to sus- tenaculum tali of calcaneus, plantar surfaces of all three cuneiforms and cuboid and to bases of the 2nd , 3rd and 4th metatarsal bones

222.3                   Action

222.3.1      Inverts and plantar flexes the foot at the ankle. Medial ankle stabilizer

222.4                   Nerve Supply

222.4.1      Tibial, L4, 5

222.5                   Synergists

222.5.1      Flexor hallucis longus, flexor digitorum longus

222.6                   Category

222.6.1       

222.7                   VIew

222.7.1      Posterior and Plantar View

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223                     TRANSVERSUS ABDOMINIS

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223.1                   Origin

223.1.1      : Lateral 1/3 of the inquinalligament, anterior ';/3 of inner lip of the iliac crest, thoracolumbar fascia and from the inner edges of the lower 6 costal cartilages

223.2                   Insertion

223.2.1      The linea alba by its aponeurosis

223.3                   Action

223.3.1      Constricts abdominal contents; assists in forced expira- tion

223.4                   Nerve Supply

223.4.1      Branches of the 7th .12th intercostal and the iliohypogastric and ilioinquinal nerves, L 1

223.5                   Synergists

223.5.1       

223.6                   Category

223.6.1       

223.7                   View

223.7.1      Lateral View

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224                     TRANSVERSE ARYTENOID

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224.1                   Origin/Insertion

224.1.1      Arises from, and inserts onto, the medial aspects of the contralateral muscular process and posterior suifaces of arytenoids

224.2                   Action

224.2.1      The a~enoid cartilages are adducted and the attached vocal folds close (closure of the rima glottis)

224.3                   Nerve Supply

224.3.1      Recurrent laryngeal branch of the vagus nerve (X)

224.4                   Arterial Supply

224.4.1      SuRerior laryngeal branch of the suRerior thyroid artery and the inferior laryngeal branch of the inferior thyroid artery

224.5                   Synergists

224.5.1      Lateral cricoarytenoids

224.6                   Antagonist

224.6.1      Posterior cricoarytenoids

224.7                   Category

224.7.1       

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225                     TRANSVERSE LINGUALIS (BODY OF TONGUE)

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225.1                   Origin

225.1.1      Median fibrous septum

225.2                   Insertion

225.2.1      The submucous fibrous tissue at the lingual margin, posteriorly blending with the palatoglossal muscle (via palatoglossal arch)

225.3                   Action

225.3.1      Narrows and elongates the tongue

225.4                   Nerve Supply

225.4.1      Hypoglossal nerve (XII)

225.5                   Arterial Supply

225.5.1      Lingual artery and its branches, dorsal lingual and sublingual rami. Tonsillar rami of the facial artery

225.6                   Synergists

225.6.1      None

225.7                   Antagonist

225.7.1      None

225.8                   Category

225.8.1       

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226                     TRANSVERSE PERINEUS (PROFUNDUS)

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226.1                   Origin

226.1.1       

226.2                   Insertion

226.2.1       

226.3                   Action

226.3.1       

226.4                   Nerve Supply

226.4.1       

226.5                   Synergists

226.5.1       

226.6                   Category

226.6.1       

 

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227                     TRAPEZIUS LOWER (Lower Division)

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227.1                   Origin

227.1.1      Spinous processes of 6th -12th thoracic vertebrae

227.2                   Insertion

227.2.1      Medial 1/3 of spine of the scapula

227.3                   Action

227.3.1      Depresses the scapula. Retracts the scapula. Rotates the scapula upwards so the glenoid cavity faces superiorly. Gives inferior stabilization of scapula-,fJds to maintain spine in extension

227.4                   Nerve Supply

227.4.1      Spinal accessory and ventral rami C3, 4

227.5                   Synergists

227.5.1      Trapezius upper and lower divisions

227.6                   Category

227.6.1       

227.7                   View

227.7.1       Posterior View

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228                     TRAPEZIUS MIDDLE

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228.1                   Origin

228.1.1      Spinous processes of 1st -Sth thoracic vertebrae

228.2                   Insertion

228.2.1      Superior border of spine of scapula

228.3                   Action

228.3.1      Retracts and aids in elevation of scapula

228.4                   Nerve Supply

228.4.1      Spinal accessory and ventral rami, C3, 4

228.5                   Synergists

228.5.1      Rhomboids, levator scapulae, upper and lower divisions of trapezius

228.6                   Category

228.6.1       

228.7                   View

228.7.1      Posterior View

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229                     TRAPEZIUS UPPER

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229.1                   Origin

229.1.1      External occipital protuberance, medial 1/3 of superior nuchal line, ligamentum nuchae and spinous process of the 7th cervical vertebra

229.2                   Insertion

229.2.1      Lateral 1/3 of clavicle and acromion process

229.3                   Action

229.3.1      Elevates the scapula as in shrugging the shoulders. Rotates the scapula upwards so the glenoid cavity faces superiorly, when acting with the other sections of the trapezius it retracts the scapula. REVERSED ORIGIN-INSERTION ACTION: Laterally flexes head and neck to side of contraction. Rotates head and neck away from side of contraction. Acting bilaterally, extends the head and neck

229.4                   Nerve Supply

229.4.1      Spinal accessory and ventral rami of C3, 4

229.5                   Synergists

229.5.1      Levator scapulae, clavicular head of the ster- nocleidomastoid, middle and lower trapezius

229.6                   Category

229.6.1       

229.7                   View

229.7.1      Posterior View

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230                     TRICEPS BRACHII

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230.1                   Origin

230.1.1      LONG HEAD: Infraglenoid tubercle of scapula. LATERAL HEAD: Superior 1/2 of posterior lateral surface of humerus. MEDIAL HEAD: Inferior '2/3 on the posterior surface of the humerus

230.2                   Insertion

230.2.1      Supraposterior surface of the olecranon process of the ulna and deep fascia of the forearm

230.3                   Action

230.3.1      Extends forearm at the elbow. Long head aids in adduc- tion and extension of the arm at the shoulder

230.4                   Nerve Supply

230.4.1      Radial, C6, 7, 8, with separate branches for each head

230.5                   Synergists

230.5.1      Anconeus

230.6                   Category

230.6.1       

230.7                   View

230.7.1       Posterior View

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231                     URETHRAL SPHINCTER

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231.1                   Origin

231.1.1       

231.2                   Insertion

231.2.1       

231.3                   Action

231.3.1       

231.4                   Nerve Supply

231.4.1       

231.5                   Synergists

231.5.1       

231.6                   Category

231.6.1       

 

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232                     VASTUS INTERMEDIUS (QUADRICEPS FEMORIS) (1 of 4 Quadriceps)

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232.1                   Origin

232.1.1      Proximal ;?/3 of the anterolateral surface of the femur, lower 1/2 of the linea aspera, upper part of the lateral supracondylar line, lateral intermuscular septum

232.2                   Insertion

232.2.1      By tendons of the rectus and vasti muscles into the superior border of the patella and through the patellar ligament into the tibial tuberosity

232.3                   Action

232.3.1      Extends the leg at the knee

232.4                   Nerve Supply

232.4.1      Femoral, L2, 3, 4

232.5                   Synergists

232.5.1      Rectus femoris, vastus medialis, vastus lateralis

232.6                   Gray

232.6.1       The Articularis genu (Subcrureus) (Fig. 430) is a small muscle, usually distinct from the Vastus intermedius, but occasionally blended with it; it arises from the anterior surface of the lower part of the body of the femur, and is inserted into the upper part of the synovial membrane of the knee-joint. It sometimes consists of several separate muscular bundles. Discussion

232.7                   Category

232.7.1       

232.8                   View

232.8.1      Anterior View

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233                     VASTUS LATERALIS (Quadriceps Femoris) (1 of 4 Quadriceps)

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233.1                   Origin

233.1.1      Upper part of intertrochanteric line, anterior and lower borders of greater trochanter, lateral lip of gluteal tuberosity , upper half of linea aspera, lateral intermuscular septum, and tendon of the gluteus maximus

233.2                   Insertion

233.2.1      Lateral border of the patella and through the patellar ligament into the tibial tuberosity

233.3                   Action

233.3.1      Extends the leg at the knee and draws the patella laterally

233.4                   Nerve Supply

233.4.1      Femoral, L2, 3, 4

233.5                   Synergists

233.5.1      Rectus femoris, vastus intermedius, vastus medialis

233.6                   Category

233.6.1       

233.7                   View

233.7.1      Anterior View

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234                     VASTUS MEDIALIS (Quadriceps Femoris) (1 of 4 Quadriceps)

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234.1                   Origin

234.1.1      Lower 1/2 of the intertrochanteric line, medial lip of linea aspera, upper part of medial supracondylar line, medial intermus- cular septum, tendons of adductor magnus and adductor longus

234.2                   Insertion

234.2.1      Medial border of the patella and through the ligamen- tum patellae into the tibial tuberosity

234.3                   Action

234.3.1      Extends the leg at the knee and draws the patella medially

234.4                   Nerve Supply

234.4.1      Femoral, L2, 3, 4

234.5                   Synergists

234.5.1      Rectus femoris, vastus lateralis, vastus inter- medius

234.6                   Category

234.6.1       

234.7                   View

234.7.1      Anterior View

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235                     VERTICAL LINGUALIS (BODY OF TONGUE)

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235.1                   Origin/Insertion

235.1.1      Dorsal to the ventral aspects of the tongue, in the anterolateral regions

235.2                   Action

235.2.1      Flattens and widens the tongue

235.3                   Nerve Supply

235.3.1      Hypoglossal nerve (XII)

235.4                   Arterial Supply

235.4.1      Lingual artery and its branches; dorsal lingual and rami

235.5                   Synergists

235.5.1      None

235.6                   Antagonist

235.6.1      None

235.7                   Category

235.7.1       

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236                     ZYGOMATICUS MAJOR

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236.1                   Origin

236.1.1      The zygomatic bone anterior of the zygomaticotemporal suture

236.2                   Insertion

236.2.1      The II:tod!olus, blending with the fibers of the !eva~or and depressor angulI OrIS and muscular bands of the orbIcularIs OrIS

236.3                   Action

236.3.1      Retracts and elevates the modiolus and angle of mouth. Fixes the modiolus

236.4                   Nerve Supply

236.4.1      Superior buccal branches of the facial nerve (VII)

236.5                   Arterial Supply

236.5.1      Branches from the facial and transverse facial arteries

236.6                   Synergists

236.6.1      For elevation of the modiolus: Levator anguli oris. For elevatio.1:t of the. b~ccal angle: La!eral slip of th levato.r )abll superlOr}s al3;eque nasI, levator labll superlorls and zygomatIcus mInor

236.7                   Antagonists

236.7.1      Orbicularis oris, depressor anguli oris and platysma

236.8                   Category

236.8.1       

236.9                   Note

236.9.1      Denotes modiolus

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237                     ZYGOMATICUS MINOR

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237.1                   Origin

237.1.1      The zygomatic bone behind the zygomaticomaxillary suture

237.2                   Insertion

237.2.1      The upper lip blending with the levator labii supenons and zygomaficus major

237.3                   Action

237.3.1      Elevates the upper lip. Assists in elevating nasolabial furrow

237.4                   Nerve Supply

237.4.1      Superior buccal branches of the facial nerve (VII)

237.5                   Arterial Supply

237.5.1      Branches from the facial and transverse facial arteries

237.6                   Synergists

237.6.1      For direct labial traction: Lateral slip of levator labii superioris alaeque nasi and labii supenoris . For modiolar deviation: Levator anguli and zygomaticus major

237.7                   Antagonists

237.7.1      Orbicularis oris and depressor anguli oris

237.8                   Category

237.8.1       

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238                      

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238.1                   Origin

238.1.1       

238.2                   Insertion

238.2.1       

238.3                   Action

238.3.1       

238.4                   Nerve Supply

238.4.1       

238.5                   Synergists

238.5.1       

238.6                   Category

238.6.1       

 

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