BIO 206 (2) Muscles of the Body and Upper Limb

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    BIO 206 Muscles of the Body

    Christopher J. Kauhn M.S.

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    Muscle Criteria

    Each individual muscle canonly be properly described

    according to its 4 unique

    criteria.

    These criteria include:

    Origin

    Insertion

    Action

    Innervation

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    Muscle Criteria

    The Originis the non-movable point of

    attachment for a muscle

    when considering that

    muscles action.

    Even though the point of

    origin may be movable,

    the action of a particular

    muscle does not elicit

    movement at its ownorigin.

    Biceps Brachii originates

    on the coracoid process

    and the supraglenoidtubercle of the scapula.

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    Muscle Criteria

    The Insertionis themovable point of

    attachment for a muscle.

    Both the origin and

    insertion points are

    formed as the muscle

    tendon fuses with the

    periosteum (outer fibrous

    tissue) of bones at specific

    locations.

    Biceps Brachii

    inserts onto theradial tuberosity of

    the radius.

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    Muscle Criteria

    The Actionof a muscle isthe movement that muscle

    produces upon receiving

    its nervous innervation

    (muscle contraction).

    The action of a muscle

    dictates that the muscles

    insertion (moveable point

    of attachment) always

    moves toward the musclesorigin (non-movable point

    of attachment).

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    Muscle Criteria

    The Innervationof amuscle refers to the nerve

    supply to that particular

    muscle which leads to its

    contraction.

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    Movements at

    Synovial Joints

    ANGULAR MOVEMENTS:Flexion: bending of a jointso that the angle becomesmore acute.

    Extension: straightening

    of a flexed joint so that theangle becomes moreobtuse.

    Abduction: movement infrontal plane away fromthe median plane.

    Adduction: movement infrontal plane toward themedian plane.

    Circumductionis acombination of the above4 movements. Abduction Adduction

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    Movements at

    Synovial Joints

    Rotation Movements:

    Medialrotation: anterior

    aspect of the limb rotates

    medially

    Lateralrotation: anterior

    aspect of the limb rotates

    laterally

    Pronation: medial rotation

    of forearm

    Supination: lateral rotation

    of forearm

    Medial Rotation Lateral Rotation

    Pronation Supination

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    Movements at

    Synovial Joints

    Factors that limit movementat synovial joints include:

    The shape of thearticulating surfaces.

    Ligaments and thecapsule at the joint.

    Muscles that act on thejoint.

    Muscles are namedaccording to the following

    criteria: Location

    The muscles action

    The shape of the muscle

    The number of heads oforigin

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    Muscles of Facial Expression

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    Orbicularis Oculi

    Orbicularis Oculi is acircular muscle

    surrounding the orbit of

    the eye.

    The Orbital Part ofOrbicularis Oculi courses

    around the periphery of

    the eye orbit.

    The Palpebral Part of

    Orbicularis Oculi comprises

    the musculature of the

    eyelids and is responsible

    for blinking actions.

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    Zygomaticus Major

    and Minor

    Zygomaticus Major andZygomaticusMinor

    Both muscles are involved

    with elevation of the

    corners of the mouth uponsmiling.

    Orbicularis Oris is a

    circular muscle

    surrounding the mouth

    that is involved with

    contracting the lips.

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    Procerus & Risorius

    Procerusmuscles areinvolved with furrowing

    the brow and are located

    medial to the orbicularis

    oculi.

    Risoriusmuscles are

    located lateral to the

    orbicularis oris muscles

    and serve to expand thecorners of the mouth.

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    Zygomaticus Major

    and Minor

    Buccinator muscles arelocated laterally and deep

    along the sides of the

    cheeks.

    The buccinator muscleskeep the bolus of food

    close to the bicuspid and

    molar teeth while chewing.

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    Muscles of Mastication

    The following muscles are involved inelevation, depression, protrusion,

    retrusion of the mandible uponchewing.

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    Masseter

    MasseterOrigin: zygomatic bone

    Insertion: external ramus

    and angle of the mandible

    Action: elevation of the

    mandible

    Innervation: Mandibular

    branch of the Trigeminal n

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    Muscles of the Anterior Neck

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    Platysma

    The Platysma is asuperficial neck muscle

    which originates along the

    clavipectoral fascia and

    inserts at the inferior

    border of the body of themandible. The action of

    the platysma muscle is to

    elevate the skin of the

    neck.

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    Sternocleidomastoid

    Origin: Manubrium of thesternum and clavicle

    Insertion: Mastoid process

    of the temporal bone

    Action: Flexion of the head

    (if both sides areinnervated simultaneously)

    or rotation of the head

    toward the opposite side

    (if only one side is

    innervated).Innervation: CN XI,

    Accessory nerve

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    Suprahyoid and

    Infrahyoid Muscles

    The SuprahyoidandInfrahyoid muscle groups

    are located superior and

    inferior to the hyoid bone

    respectively.

    Their primary actions

    involve either depression

    or elevation of the hyoid

    bone anterior to the neck.

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    Muscles of Respiration

    The following muscles are involved in

    movements of the thoracic wall uponinspiration and expiration.

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    Diaphragm

    The Diaphragm receives itsinnervation from thePhrenic Nerve (derivedfrom cervical spinal nervesC3, C4 and C5).

    The Diaphragmis the

    primary muscle involvedwith respiration and, uponcontraction, will result inthe elevation of the ribcage (increasing thenegative hydrostaticpressure between theparietal and visceralpleura) thus forcing air intothe lungs.

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    Muscles of

    Respiration

    The External IntercostalMuscles originate from the

    lower margins of the first

    eleven ribs.

    The muscle fibers course

    inferiorly and anteriorly toinsert along the upper

    margins of the infrajacent

    ribs below.

    External Intercostal

    Muscles function in

    elevating the rib cage and

    are important for

    Inspiration. (E.I.I.)

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    Muscles of

    Respiration

    The Internal andInnermost IntercostalMuscles originate alongthe upper margins of thefirst eleven ribs and costalcartilages.

    The muscle fibers coursesuperiorly and medially toinsert at the lower marginof the suprajacent ribs andcostal cartilages.

    Internal and InnermostIntercostal Musclesfunction in depression ofthe rib cage and areimportant for Expiration.(I.I.E)

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    Muscles of the Trunk

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    External Oblique

    Origin: Lower 8 ribs (Theorigin of external obliqueinterdigitates with thelatissimus dorsi andserratus anteriormuscles.)

    Insertion: Iliac crest andRectus sheath (via anaponeurosis)

    Action: Rotation andlateral flexion of thetrunk, Forced expiration

    Innervation: Thoraco-abdominal nerves (T7-T11) and the Subcostalnerves (T12)

    The aponeurosis of theexternal oblique forms the

    INGUINAL LIGAMENT.

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    Internal Oblique

    Origin: Iliac crest

    Insertion: Costalmargin, Rectus sheathvia an aponeurosis,Pubic crest

    Action: Rotation andlateral flexion of thetrunk, Forced expiration

    Innervation: Thoraco-Abdominal nerves (T7-T11) and Subcostal

    nerves (T12)The muscle fibers of theinternal oblique courseanteriorly and superiorly inthe upper half andtransversely in the lower

    half.

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    Transversus

    Abdominis

    Origin: Iliac crest, Lower6 costal cartilages andfascia of the back

    Insertion: Rectussheath via anaponeurosis

    Action: Rotation andlateral flexion of thetrunk, Forced expiration

    Innervation: Thoraco-abdominal nerves (T7-

    T11) and subcostalnerves (T12)

    The muscle fibers oftransversus abdominiscourse transversely as itsname indicates.

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    Rectus Abdominis

    Origin: Xiphoid Processand Costal Cartilages ofribs 5-7

    Insertion: Pubic crestand symphysis

    Action: Flexion of the

    trunk Innervation: Thoraco-

    Abdominal nerves (T7-T11) and Subcostalnerves (T12)

    The muscle fibers of rectusabdominis course verticallyand the muscle is enclosedby the RECTUS SHEATH.

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    Rectus Sheath

    The RectusSheath is thefibrous connective tissue

    that envelopes the rectus

    abdominis muscle.

    It is formed by theAponeurosis (flattened

    tendon)of the external

    oblique, internal oblique

    and transversus

    abdominus muscles.

    Midsagittally, the rectus

    sheath flattens to form the

    Linea Alba.

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    Inguinal Ligament

    The InguinalLigamentisan aponeurosis of the

    external oblique muscle.

    The inguinal ligament

    attaches from the anteriorsuperior iliac spine to the

    pubic tubercle.

    Nerves and vasculature

    course from the pelvicregion toward the anterior

    thigh by passing deep to

    the inguinal ligament.

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    Erector Spinae

    ILIOCOSTALISis the most lateral of theerector spinae muscles,extending from the ilium tothe ribs.

    LONGISSIMUS

    is the longest of the groupextending from the sacrumto the base of the skull.

    SPINALISis approximately 1 cm wideand is the most medial of

    the group, coursing alongeither side of the spinousprocesses.

    The Erector Spinae musclegroup act in coordination to

    keep the spine erect.

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    Quadratus

    Lumborum

    Quadratus Lumborum is apostural muscle and hip

    stabilizer located along the

    posterior abdominal

    region.

    Origin: iliac crest andilio-lumbar ligament

    Insertion: 12thrib and

    transverse processes of

    lumbar vertebrae

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    Muscles of the Superficial Back

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    Trapezius

    Origin: Skull, cervical andthoracic vertebrae

    Insertion: Clavicle,

    acromion, spine of scapula

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    Latissimus Dorsi

    Origin: Thoracic andlumbar vertebrae, sacrum,

    iliac crest

    Insertion: Intertubercular

    groove of the humerus

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    Latissimus Dorsi

    Origin: Thoracic andlumbar vertebrae, sacrum,

    iliac crest

    Insertion: Intertubercular

    groove of the humerus

    Action: Adduction,

    extension, medial rotation

    or the arm

    Innervation: Thoracodorsal

    nerve

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    Levator Scapula

    Origin: Cervical vertebraeC1 to C4

    Insertion: medial border of

    the scapula above the level

    of the scapular spine

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    Levator Scapula

    Origin: Cervical vertebraeC1 to C4

    Insertion: medial border of

    the scapula above the level

    of the scapular spine

    Action: elevation of the

    scapula

    Innervation: Cervical spinal

    nerves C3 & C4, accessory

    nerve

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    Rhomboid Minor

    Origin: Cervical vertebraeC7 and Thoracic vertebrae

    T1

    Insertion: medial border of

    the scapula at the level ofthe scapular spine

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    Rhomboid Minor

    Origin: Cervical vertebraeC7 and Thoracic Vertebrae

    T1

    Insertion: Medial border of

    the scapula at the level ofthe scapular spine

    Action: Adduction of the

    scapula

    Innervation: Dorsal

    scapular nerve

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    Rhomboid Major

    Origin: Thoracic VertebraeT2 through T5

    Insertion: Medial border of

    the scapula below the level

    of the scapular spine

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    Rhomboid Major

    Origin: Thoracic VertebraeT2 through T5

    Insertion: Medial border of

    the scapula below the level

    of the scapular spine

    Action: Adduction of the

    scapula

    Innervation: Dorsal

    scapular nerve

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    Muscles of the Chest

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    Pectoralis Major

    Origin:Clavicular part- medial half

    of the clavicle

    Sternocostal part- sternum

    and first 6 costal cartilages

    Insertion: Crest of greater

    tubercle of the humerus

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    Pectoralis Minor

    Origin: Ribs 2-5

    Insertion:Coracoid process

    of the scapula

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    Pectoralis Minor

    Origin: Ribs 2-5

    Insertion: Coracoid process

    of the scapula

    Action: depression of the

    scapula

    Innervation: medial

    pectoral nerve

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    Serratus Anterior

    Origin: Ribs 1-8

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    Serratus Anterior

    Origin: Ribs 1-8

    Insertion: Medial border of

    scapula

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    Serratus Anterior

    Origin: Ribs 1-8

    Insertion: Medial border of

    scapula

    Action: Upward rotation of

    the scapula (so that the

    inferior angle of the

    scapula rotates laterally)

    Innervation: Long thoracic

    nerve

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    Serratus Anterior

    Action: Upward rotation ofthe scapula (so that the

    inferior angle of the

    scapula rotates laterally)

    When the arm is abductedto 90 degrees, the long

    thoracic nerve innervates

    serratus anterior which

    rotates the acromion out

    of the way of the greatertubercle; allowing greater

    than 90 degrees of

    abduction.

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    Muscles of the Shoulder

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    Deltoid

    Origin: spine of thescapula, acromion, clavicle

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    Deltoid

    Origin: spine of thescapula, acromion, clavicle

    Insertion: deltoid

    tuberosity of the humerus

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    Deltoid

    Origin: spine of thescapula, acromion, clavicle

    Insertion: deltoid

    tuberosity of the humerus

    Action: flexion, extension,

    abduction medial and

    lateral rotation of the arm

    at the shoulder joint

    Innervation: Axillary nerve

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    Supraspinatus

    Origin: supraspinous fossa

    Insertion: greater tubercle

    of humerus

    *Rotator Cuff Muscle

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    Supraspinatus

    Origin: supraspinous fossa

    Insertion: greater tubercle

    of humerus

    Action: abduction of the

    arm at the shoulder joint

    Innervation: suprascapular

    nerve

    *Rotator Cuff Muscle

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    Infraspinatus

    Origin: infraspinous fossa

    Insertion: greater tubercle

    of humerus

    *Rotator Cuff Muscle

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    Infraspinatus

    Origin: infraspinous fossa

    Insertion: greater tubercle

    of humerus

    Action: lateral rotation of

    the arm at the shoulder

    joint

    Innervation: suprascapular

    nerve

    *Rotator Cuff Muscle

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    Teres Minor

    Origin: lateral border ofthe infraspinous fossa

    Insertion: greater tubercle

    of humerus

    *Rotator Cuff Muscle

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    Teres Minor

    Origin: lateral border ofthe infraspinous fossa

    Insertion: greater tubercle

    of humerus

    Action: lateral rotation of

    the arm at the shoulder

    joint

    Innervation: axillary nerve

    *Rotator Cuff Muscle

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    Subscapularis

    Origin: subscapular fossa

    Insertion: lesser tubercle

    of humerus

    *Rotator Cuff Muscle

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    Subscapularis

    Origin: subscapular fossa

    Insertion: lesser tubercle

    of humerus

    Action: medial rotation ofthe arm at the shoulder

    joint

    Innervation: upper and

    lower subscapular nerves

    *Rotator Cuff Muscle

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    Teres Major

    Origin: inferior angle of theinfraspinous fossa

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    Teres Major

    Origin: inferior angle of theinfraspinous fossa

    Insertion: crest of the

    lesser tubercle of humerus

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    Teres Major

    Origin: inferior angle of theinfraspinous fossa

    Insertion: crest of the

    lesser tubercle of humerus

    Action: adduction and

    medial rotation of the arm

    at the shoulder joint

    Innervation: lower

    subscapular nerve