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LOWER LIMB • Tables

Superficial group of muscles in the posterior compartment of leg

(spinal segments in bold are the major segments innervating the muscle)

Muscle

 

Origin

Insertion

Innervation

Function

Gastrocnemius

1

Medial head—posterior surface of distal

Via calcaneal tendon,

Tibial nerve

Plantarflexes foot and flexes

 

 

femur just superior to medial condyle;

to posterior surface

[S1, S2]

knee

 

 

lateral head—upper posterolateral

of calcaneus

 

 

 

 

surface of lateral femoral condyle

 

 

 

Plantaris

2

Inferior part of lateral supracondylar line

Via calcaneal tendon,

Tibial nerve

Plantarflexes foot and flexes

 

 

of femur and oblique popliteal ligament

to posterior surface

[S1, S2]

knee

 

 

of knee

of calcaneus

 

 

Soleus

3

Soleal line and medial border of tibia;

Via calcaneal tendon,

Tibial nerve

Plantarflexes the foot

 

 

posterior aspect of fibular head and

to posterior surface

[S1, S2]

 

 

 

adjacent surfaces of neck and proximal

of calcaneus

 

 

 

 

shaft; tendinous arch between tibial and

 

 

 

 

 

fibular attachments

 

 

 

 

 

 

 

 

 

2

1

3

376

Tables 6

Deep group of muscles in the posterior compartment of leg

(spinal segments in bold are the major segments innervating the muscle)

Muscle

 

Origin

Insertion

Innervation

Function

Popliteus

1

Lateral femoral condyle

Posterior surface of

Tibial nerve

Stabilizes knee joint (resists

 

 

 

proximal tibia

[L4 to S1]

lateral rotation of tibia on femur)

 

 

 

 

 

Unlocks knee joint (laterally

 

 

 

 

 

rotates femur on fixed tibia)

Flexor hallucis

2

Posterior surface of fibula and

Plantar surface of distal

Tibial nerve

Flexes great toe

longus

 

adjacent interosseous

phalanx of great toe

[S2, S3]

 

 

 

membrane

 

 

 

Flexor digitorum

3 Medial side of posterior

longus

surface of the tibia

Plantar surfaces of bases

Tibial nerve

Flexes lateral four toes

of distal phalanges of the

[S2, S3]

 

lateral four toes

 

 

Tibialis posterior 4 Posterior surfaces of interosseous membrane and adjacent regions of tibia and fibula

Mainly to tuberosity of

Tibial nerve

Inversion and plantarflexion of

navicular and adjacent

[L4, L5]

foot; support of medial arch of

region of medial cuneiform

 

foot during walking

1

2

3

4

377

LOWER LIMB • Tables

Muscles of the lateral compartment of leg

(spinal segments in bold are the major segments innervating the muscle)

Muscle

Origin

Insertion

Innervation

Function

 

 

 

 

 

Fibularis longus

1 Upper lateral surface of

 

fibula, head of fibula, and

 

occasionally the lateral tibial

 

condyle

Undersurface of lateral sides

Superficial fibular

Eversion and plantarflexion

of distal end of medial

nerve [L5, S1, S2]

of foot; supports arches of

cuneiform and base of

 

foot

metatarsal I

 

 

Fibularis brevis

2 Lower two thirds of lateral

 

surface of shaft of fibula

Lateral tubercle at base of

Superficial fibular

Eversion of foot

metatarsal V

nerve [L5, S1, S2]

 

Muscles of the anterior compartment of leg

Tibialis anterior

3

Lateral surface of tibia and

Medial and inferior surfaces of

Deep fibular nerve

Dorsiflexion of foot at ankle

 

 

adjacent interosseous

medial cuneiform and

[L4, L5]

joint; inversion of foot;

 

 

membrane

adjacent surfaces on base of

 

dynamic support of medial

 

 

 

metatarsal I

 

arch of foot

Extensor

4

Middle one half of medial

Dorsal surface of base of

Deep fibular nerve

Extension of great toe and

hallucis longus

 

surface of fibula and adjacent

distal phalanx of great toe

[L5, S1]

dorsiflexion of foot

 

 

surface of interosseous

 

 

 

 

 

membrane

 

 

 

Extensor

5 Proximal one half of medial

digitorum longus

surface of fibula and related

 

surface of lateral tibial

 

condyle

Via dorsal digital expansions

Deep fibular nerve

Extension of lateral four toes

into bases of distal and

[L5, S1]

and dorsiflexion of foot

middle phalanges of lateral

 

 

four toes

 

 

Fibularis tertius

6 Distal part of medial surface

Dorsomedial surface of base

Deep fibular nerve

Dorsiflexion and eversion of

 

of fibula

of metatarsal V

[L5, S1]

foot

Muscles of the dorsal aspect of the foot

Extensor

7 Superolateral surface of the

digitorum brevis

calcaneus

Lateral sides of the tendons of

Deep fibular nerve

Extension of

extensor digitorum longus of

[S1, S2]

metatarsophalangeal joints

toes II to IV

 

of toes II to IV

Extensor

8 Superolateral surface of

Base of proximal phalanx of

Deep fibular nerve

Extension of

hallucis brevis

calcaneus

great toe

[S1, S2]

metatarsophalangeal joint

 

 

 

 

of great toe

378

Tables 6

3

4 5

2

1

6

7

8

379

LOWER LIMB • Tables

First layer of muscles in the sole of the foot

(spinal segments in bold are the major segments innervating the muscle)

Muscle

 

Origin

Insertion

Innervation

Function

Abductor

1

Medial process of

Medial side of base of

Medial plantar nerve from

Abducts and flexes great toe at

hallucis

 

calcaneal tuberosity

proximal phalanx of

the tibial nerve

metatarsophalangeal joint

 

 

 

great toe

[S1, S2, S3]

 

Flexor digitorum

2

Medial process of

Sides of plantar surface

Medial plantar nerve from

Flexes lateral four toes at

brevis

 

calcaneal tuberosity and

of middle phalanges of

the tibial nerve

proximal interphalangeal joint

 

 

plantar aponeurosis

lateral four toes

[S1, S2, S3]

 

Abductor digiti

3 Lateral and medial

minimi

processes of calcaneal

 

tuberosity, and band of

 

connective tissue

 

connecting calcaneus

 

with base of metatarsal V

Lateral side of base of

Lateral plantar nerve from

Abducts little toe at the

proximal phalanx of little

the tibial nerve

metatarsophalangeal joint

toe

[S1, S2, S3]

 

Second layer of muscles in the sole of the foot

Quadratus

4 Medial surface of

Lateral side of tendon of

Lateral plantar nerve from

Assists flexor digitorum longus

plantae

calcaneus and lateral

flexor digitorum longus

tibial nerve [S1, S2, S3]

tendon in flexing toes II to V

 

process of calcaneal

in proximal sole of the

 

 

 

tuberosity

foot

 

 

Lumbricals

5 First lumbrical—medial

 

side of tendon of flexor

 

digitorum longus

 

associated with toe II;

 

second, third, and fourth

 

lumbricals—adjacent

 

surfaces of adjacent

 

tendons of flexor

 

digitorum longus

Medial free margins of extensor hoods of toes II to V

First lumbrical—medial plantar nerve from the tibial nerve; second, third, and fourth lumbricals—lateral plantar nerve from the tibial nerve [S2, S3]

Flexion of metatarsophalangeal joint and extension of interphalangeal joints

5

3

1

4

 

2

380

Tables 6

Third layer of muscles in the sole of the foot

(spinal segments in bold are the major segments innervating the muscle)

Muscle

Origin

Insertion

Innervation

Function

 

 

 

 

 

Flexor digiti

1

Base of metatarsal V and

minimi brevis

 

related sheath of fibularis

longus tendon

Lateral side of base of

Lateral plantar nerve

Flexes little toe at

proximal phalanx of little

from tibial nerve [S2, S3]

metatarsophalangeal joint

toe

 

 

Flexor hallucis

2

Plantar surface of cuboid and

brevis

 

lateral cuneiform; tendon of

tibialis posterior

Lateral and medial sides

Medial plantar nerve

Flexes metatarsophalangeal

of base of proximal

from tibial nerve

joint of the great toe

phalanx of the great toe

[S1, S2]

 

Adductor

3

Transverse head—ligaments

hallucis

 

associated with

metatarsophalangeal joints of lateral three toes; oblique head—bases of metatarsals II to IV and from sheath covering fibularis longus

Lateral side of base of

Lateral plantar nerve

Adducts great toe at

proximal phalanx of great

from tibial nerve

metatarsophalangeal joint

toe

[S2, S3]

 

Fourth layer of muscles in the sole of the foot

Dorsal

4 Sides of adjacent metatarsals

Extensor hoods and bases

interossei

 

of proximal phalanges of

 

 

toes II to IV

Lateral plantar nerve from tibial nerve; first and second dorsal interossei also innervated by deep fibular nerve [S2, S3]

Abduction of toes II to IV at metatarsophalangeal joints; resist extension of metatarsophalangeal joints and flexion of interphalangeal joints

Plantar

5 Medial sides of metatarsals

interossei

of toes III to V

Extensor hoods and bases

Lateral plantar nerve

Adduction of toes III to V at

of proximal phalanges of

from tibial nerve [S2, S3]

metatarsophalangeal joints;

toes III to V

 

resist extension of the

 

 

metatarsophalangeal joints

 

 

and flexion of the

 

 

interphalangeal joints

 

 

3

1

2

4

 

 

 

 

5

381

Tables 7

Muscles of the posterior scapular region

(spinal segments in bold are the major segments innervating the muscle)

Muscle

Origin

Insertion

Innervation

Function

 

 

 

 

 

Supraspinatus 1 Medial two thirds of the supraspinous fossa of the scapula and the deep fascia that covers the muscle

Most superior facet on the

Suprascapular

Rotator cuff muscle;

greater tubercle of the

nerve [C5, C6]

initiation of abduction of

humerus

 

arm to 15° at glenohumeral

 

 

joint

Infraspinatus

2

Medial two thirds of the

Middle facet on posterior

Suprascapular

Rotator cuff muscle; lateral

 

 

infraspinous fossa of the

surface of the greater tubercle

nerve [C5, C6]

rotation of arm at the

 

 

scapula and the deep fascia

of the humerus

 

glenohumeral joint

 

 

that covers the muscle

 

 

 

Teres minor

3

Upper two thirds of a flattened

Inferior facet on the posterior

Axillary nerve

Rotator cuff muscle; lateral

 

 

strip of bone on the posterior

surface of the greater tubercle

[C5, C6]

rotation of arm at the

 

 

surface of the scapula

of the humerus

 

glenohumeral joint

 

 

immediately adjacent to the

 

 

 

 

 

lateral border of the scapula

 

 

 

Teres major

4 Elongate oval area on the

 

posterior surface of the

 

inferior angle of the scapula

Medial lip of the intertubercular

Inferior subscapular

Medial rotation and

sulcus on the anterior surface

nerve [C5, C6, C7]

extension of the arm at the

of the humerus

 

glenohumeral joint

Long head of

5 Infraglenoid tubercle on

Common tendon of insertion

Radial nerve

Extension of the forearm at

triceps brachii

scapula

with medial and lateral heads

[C6, C7, C8]

the elbow joint; accessory

 

 

on the olecranon process of

 

adductor and extensor of

 

 

ulna

 

the arm at the glenohumeral

 

 

 

 

joint

1

3

4

5

2

463

UPPER LIMB • Tables

Muscles of the anterior wall of the axilla

(spinal segments in bold are the major segments innervating the muscle)

Muscle

 

Origin

Insertion

Innervation

Function

Pectoralis

1 Clavicular head—anterior

Lateral lip of

Medial and lateral

Flexion, adduction, and

major

 

surface of medial half of

intertubercular sulcus of

pectoral nerves;

medial rotation of arm at

 

 

clavicle; sternocostal head—

humerus

clavicular head

glenohumeral joint;

 

 

anterior surface of sternum; first

 

[C5, C6]; sternocostal

clavicular head—flexion of

 

 

seven costal cartilages; sternal

 

head [C6, C7, C8, T1]

extended arm; sternocostal

 

 

end of sixth rib; aponeurosis of

 

 

head—extension of flexed

 

 

external oblique

 

 

arm

Subclavius

2 First rib at junction between rib

 

and costal cartilage

Groove on inferior surface

Nerve to subclavius

Pulls tip of shoulder down;

of middle one third of

[C5, C6]

pulls clavicle medially to

clavicle

 

stabilize sternoclavicular joint

Pectoralis

3 Anterior surfaces and superior

minor

borders of ribs III to V; and

 

from deep fascia overlying the

 

related intercostal spaces

Coracoid process of

Medial pectoral nerve

Pulls tip of shoulder down;

scapula (medial border

[C5, C6, C7, C8, T1]

protracts scapula

and upper surface)

 

 

Muscles of the medial wall of the axilla

Serratus

4

Lateral surfaces of upper 8–9

Costal surface of medial

Long thoracic nerve

Protraction and rotation of the

anterior

 

ribs and deep fascia overlying

border of scapula

[C5, C6, C7]

scapula; keeps medial border

 

 

the related intercostal spaces

 

 

and inferior angle of scapula

 

 

 

 

 

opposed to thoracic wall

 

 

 

 

 

 

Muscles of the lateral and posterior wall of the axilla

(spinal segments enclosed in parentheses do not consistently innervate the muscle)

Subscapularis 5 Medial two thirds of subscapular

Lesser tubercle of

Upper and lower

Rotator cuff muscle; medial

fossa

humerus

subscapular nerves

rotation of the arm at the

 

 

[C5, C6, (C7)]

glenohumeral joint

Teres major

6 Elongate oval area on the

 

posterior surface of the inferior

 

angle of the scapula

Medial lip of the

Lower subscapular

Medial rotation and

intertubercular sulcus on

nerve [C5, C6, C7]

extension of the arm at the

the anterior surface of the

 

glenohumeral joint

humerus

 

 

Latissimus

7 Spinous processes of lower six

Floor of intertubercular

Thoracodorsal nerve

Adduction, medial rotation,

dorsi

thoracic vertebrae and related

sulcus

[C6, C7, C8]

and extension of the arm at

 

interspinous ligaments; via the

 

 

the glenohumeral joint

 

thoracolumbar fascia to the

 

 

 

 

spinous processes of the lumbar

 

 

 

 

vertebrae, related interspinous

 

 

 

 

ligaments, and iliac crest; lower

 

 

 

 

3–4 ribs

 

 

 

Long head of

8 Infraglenoid tubercle on scapula

Common tendon of

Radial nerve

Extension of the forearm at

triceps brachii

 

insertion with medial and

[C6, C7, C8]

the elbow joint; accessory

 

 

lateral heads on the

 

adductor and extensor of the

 

 

olecranon process of ulna

 

arm at the glenohumeral joint

464

Tables 7

Muscles having parts that pass through the axilla

(spinal segments in bold are the major segments innervating the muscle)

Muscle

 

Origin

Insertion

Innervation

Function

Biceps brachii

1

Long head—supraglenoid

Tuberosity of radius

Musculocutaneous nerve

Powerful flexor of the forearm at

 

 

tubercle of scapula; short

 

[C5, C6]

the elbow joint and supinator of

 

 

head—apex of coracoid

 

 

the forearm; accessory flexor of

 

 

process

 

 

the arm at the glenohumeral joint

Coracobrachialis

2

Apex of coracoid process

Linear roughening on

Musculocutaneous nerve

Flexor of the arm at the

 

 

 

midshaft of humerus

[C5, C6, C7]

glenohumeral joint; adducts arm

 

 

 

on medial side

 

 

 

 

 

 

 

 

2

1

3

4

5

9

8

10

7

6

465

UPPER LIMB • Tables

Muscles of the anterior compartment of the arm

(spinal segments in bold are the major segments innervating the muscle)

Muscle

 

Origin

Insertion

Innervation

Function

Coracobrachialis

1

Apex of coracoid process

Linear roughening on

Musculocutaneous nerve

Flexor of the arm at the

 

 

 

midshaft of humerus

[C5, C6, C7]

glenohumeral joint

 

 

 

on medial side

 

 

Biceps brachii

2

Long head—

Radial tuberosity

Musculocutaneous nerve

Powerful flexor of the forearm

 

 

supraglenoid tubercle of

 

[C5, C6]

at the elbow joint and

 

 

scapula; short head—

 

 

supinator of the forearm;

 

 

apex of coracoid process

 

 

accessory flexor of the arm at

 

 

 

 

 

the glenohumeral joint

Brachialis

3

Anterior aspect of humerus

Tuberosity of the ulna

Musculocutaneous nerve

Powerful flexor of the forearm

 

 

(medial and lateral

 

[C5, C6]; (small contribution

at the elbow joint

 

 

surfaces) and adjacent

 

by the radial nerve [C7] to

 

 

 

intermuscular septae

 

lateral part of muscle)

 

 

 

 

 

 

 

Muscle of the posterior compartment of the arm

Triceps brachii

4

Long head—infraglenoid

Olecranon

Radial nerve [C6, C7, C8]

Extension of the forearm at

 

 

tubercle of scapula; medial

 

 

the elbow joint. Long head

 

 

head—posterior surface of

 

 

can also extend and adduct

 

 

humerus; lateral head—

 

 

the arm at the shoulder joint

 

 

posterior surface

 

 

 

 

 

of humerus

 

 

 

 

 

 

 

 

 

466

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