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UE Muscle OAINs
origin, insertions, actions, and innervation of muscles
| Question | Answer |
|---|---|
| Origin of the pectoralis major | medial half of clavicle, manubrium and body of sternum, and cartilages of first 6-7 ribs |
| insertion of the pectoralis major | crest of greater tubercle of humerus |
| action of the pectoralis major | flexion, medial rotation and horizontal adduction of the shoulder. Scapular protraction and depression |
| innervation of the pectoralis major | lateral pectoral |
| origin of the pectoralis minor | ribs 2-5 |
| insertion of the pectoralis minor | medial border of the coracoid process |
| action of the pectoralis minor | Scapular: downward rotation, protraction, and depression |
| innervation of the pectoralis minor | medial pectoral |
| origin of the serratus anterior | ribs 1-8 |
| insertion of the serratus anterior | medial border, costal surface of the scapula |
| action of the serratus anterior | Scapular upward rotation, protraction and depression |
| innervation of the serratus anterior | long thoracic |
| trapezius: origin | superior nuchal line and external occipital protuberance, ligamentum nuchae, spinous process and supraspinous ligaments of C7 an all thoracic vertebrae |
| trapezius insertion | upper: lateral 1/3 of clavicle, middle: acromion and upper lip of the spine of the scapula lower: spine of the scapula |
| trapezius action | upper: scap elevation middle: scap retraction lower: scap depression upper and lower: upward rotation of the scap |
| trapezius innervation: | cranial nerve XI (spinal accessory nerve) |
| Rhomboid major and minor origin | ligamentous nuchae and spinous process of C7-T5 |
| Rhomboid major and minor insertion | medial border of scap |
| Rhomboid major and minor action | scap: adduction, elevation, and downward rotation |
| Rhomboid major and minor innervation | dorsal scapular nerve |
| levator scapulae origin | transvers process of C1-4 |
| levator scapulae insertion | medial border of scap between superior angle and root of the spine |
| levator scapulae action | scap elevation and downward rotation |
| levator scapulae innervation | Ventral rami of spinal nerves (C3-4) and the dorsal scapular nerve |
| SCM origin | manubrium and medial potion of the clavicle |
| SCM insertion | mastoid process of the temporal bone |
| SCM action | U/L: same side flexion ,and contralateral rotation |
| Latissimus dorsi origin | spinous process of 7th through 12th thoracic vrtebrae, through fascia from the lumbar and sacral vertebrae, last 3-4 ribs and slip from inferior angle of scapula |
| Lat dorsi insertion | intertubercular groove of the humerus |
| lat dorsi action | medial rotation, adduction, and extension of the shoulder joint |
| lat dorsi innervation | thoracodorsal |
| deltoid origin | ant: lateral end of clavicle middle: acromoin posterior: spine of the scapula |
| deltoid insertion | deltoid tuberosity of the humerus |
| deltoid action | abduction of shoulder anterior: flexion of shoulder posterior: extension of shoulder |
| deltoid innervation | axillary |
| teres major origin | inferior angle of scapula |
| teres major insertion | crest of lesser tubercle of humerus |
| teres major action | Shoulder: med rot, ext, add |
| teres major innervation | lower subscapular |
| Coracobrachialis origin | coracoid process of scapula |
| coracobrachialis insertin | medial aspect of middle shaft of the humerus |
| coracobrachialis action | flexion of arm |
| coracobrachialis innervation | musculocutaneous |
| subscapularis origin | subscapular fossa of scapula |
| subscapularis insertion | lesser tubercle of the humerus |
| subscapularis action | shoulder: med rot and add |
| subscapularis innervation | upper and lower subscapular nerves |
| supraspinatus origin | supraspinatus fossa of scapula |
| supraspinatus insertion | upper facet of greater tubercle of humerus |
| supraspinatus action | shoulder abduction up to 15 degreea |
| supraspinatus innervation | suprascapular |
| infraspinatus origin | infraspinatus fossa of scapula |
| infraspinatus insertion | middle facet of greater tubercle of humerus |
| infraspinatus action | lat rot of shoulder |
| infraspinatus innervation | suprascapular |
| teres minor origin | lateral border of scapula |
| teres minor insertion | lower facet of greater tubercle of humerus |
| teres minor action | lat rotation of shoulder |
| teres minor nerve | axillary |
| long head of biceps origin | supraglenoid tubercle of scapula |
| long head of biceps insertion | bicipital tuberosity of the radius |
| long head of biceps action | flexion of elbow, supination of forearm, flexion of shoulder |
| long head of biceps innervation | musculocutaneous |
| short head of biceps origin | coracoid process of scapula |
| short head of biceps insertion | bicipital tuberosity of the radius |
| short head of biceps action | flexion of elbow, supination of forearm, flexion of the shoulder |
| brachialis origin | distal aspect of the anterior surface of the humerus |
| brachialis insertion | coronoid process and tuberosity on the proximal ulna |
| brachialis action | elbow flexion |
| brachialis innervation: | musculocutaneous |
| lateral head of triceps origin | posterior humerus, superior and lateral to the radial groove |
| lateral head of triceps insertion | olecranon process of ulna |
| lateral head of triceps action | extends shoulder and elbow |
| lateral head of triceps innervation | radial |
| long head of triceps origin | infraglenoid tubercle of scapula |
| long head of triceps innervation | olecranon process of ulna |
| long head of triceps action | extends shoulder and elbow |
| long head of triceps innervation | radial |
| medial head of triceps origin | posterior humerus, inferior and medial to the radial groove |
| medial head of triceps insertion | olecranon process of ulna |
| medial head of triceps action | extends shoulder and elbow |
| medial head of triceps innervation | radial |
| brachioradialis origin | upper 2/3 of the lateral supracondylar ridge of the humerus |
| brachioradialis insertion | near styloid process at the distal radius |
| brachioradialis action | elbow flexion especially in mid-prone position |
| brachioradialis innervation | radial |
| anconeus origin | posterior side of the lateral epicondyle of the humerus |
| anconeus insertion | between the olecranon process and proximal surface of the posterior side of the ulna |
| anconeus action | weak elbow extensor |
| anconeus innervation | radial |