Miologia_Greya
.pdfLOWER 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