Muscles — table
Origin, insertion, action, innervation and blood supply of every muscle. 105 entries.
Head — facial expression 11
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Occipitofrontalis | Frontal belly: epicranial aponeurosis. Occipital belly: lateral two-thirds of the superior nuchal line of the occipital bone and the mastoid part of the temporal bone. | Frontal belly: skin and superficial fascia of the eyebrows and forehead. Occipital belly: epicranial aponeurosis. | Elevates the eyebrows and wrinkles the forehead (frontal belly); retracts the scalp (occipital belly). | Facial nerve (CN VII): temporal branch (frontal belly) and posterior auricular nerve (occipital belly). | Supraorbital and supratrochlear arteries (ophthalmic artery), superficial temporal artery, and occipital and posterior auricular arteries (external carotid). |
| Corrugator supercilii | Medial end of the superciliary arch of the frontal bone. | Deep surface of the skin above the middle of the supraorbital margin. | Pulls the eyebrows medially and down, producing vertical glabellar wrinkles. | Facial nerve (CN VII), temporal branch. | Supraorbital and supratrochlear arteries; superficial temporal artery. |
| Orbicularis oculi | Nasal part of the frontal bone, frontal process of the maxilla, medial palpebral ligament and lacrimal bone (posterior lacrimal crest). | Skin around the orbital margin, the lateral palpebral raphe and the superior and inferior tarsal plates. | Closes the eyelids. The palpebral part closes them gently, the orbital part closes them tightly, and the lacrimal part assists tear drainage. | Facial nerve (CN VII), temporal and zygomatic branches. | Facial artery (angular branch), superficial temporal artery, and ophthalmic artery branches (supraorbital, lacrimal, palpebral). |
| Nasalis | Maxilla, superior to the incisor and canine teeth, lateral to the nasal notch. | Nasal aponeurosis over the bridge of the nose (transverse part) and the alar cartilage (alar part). | Compresses (transverse part) or dilates (alar part) the anterior nasal aperture. | Facial nerve (CN VII), buccal (and zygomatic) branches. | Facial artery (superior labial and lateral nasal branches); dorsal nasal branch of the ophthalmic artery. |
| Levator labii superioris | Infraorbital margin of the maxilla, above the infraorbital foramen. | Skin and muscle of the upper lip (blending with orbicularis oris). | Raises and everts the upper lip, exposing the maxillary teeth (sadness, disdain). | Facial nerve (CN VII), zygomatic and buccal branches. | Facial artery (superior labial branch) and infraorbital artery. |
| Zygomaticus major | Lateral surface of the zygomatic bone, in front of the zygomaticotemporal suture. | Modiolus at the angle of the mouth (skin and orbicularis oris). | Elevates and draws back the angle of the mouth. | Facial nerve (CN VII), zygomatic and buccal branches. | Superior labial branch of the facial artery; transverse facial artery. |
| Orbicularis oris | Maxilla and mandible near the midline (incisive slips), the deep surface of the skin, and the modiolus (fibres from buccinator and other perioral muscles). | Mucous membrane and skin of the lips. | Closes the oral fissure, compresses the lips against the teeth, and purses and protrudes the lips. | Facial nerve (CN VII), buccal and marginal mandibular branches. | Superior and inferior labial arteries (facial artery); mental and infraorbital arteries. |
| Buccinator | Alveolar processes of the maxilla and mandible opposite the molar teeth, and the pterygomandibular raphe. | Modiolus at the angle of the mouth, blending with orbicularis oris. | Compresses the cheek against the molars, keeping food on the occlusal surfaces, and expels air. | Facial nerve (CN VII), buccal branch. Not supplied by the buccal nerve of V3, which is sensory. | Facial artery and buccal artery (from the maxillary artery). |
| Depressor anguli oris | Oblique line of the mandible. | Modiolus at the angle of the mouth. | Draws the angle of the mouth inferolaterally. | Facial nerve (CN VII), marginal mandibular (and buccal) branches. | Inferior labial branch of the facial artery; mental artery. |
| Mentalis | Incisive fossa of the mandible. | Skin of the chin. | Raises the chin skin and protrudes the lower lip. | Facial nerve (CN VII), marginal mandibular branch. | Inferior labial artery (facial) and mental artery (inferior alveolar). |
| Platysma | Superficial fascia over the superior parts of pectoralis major and deltoid. | Inferior border of the mandible, the skin of the lower face and the modiolus. | Draws the angles of the mouth and the lower lip down; tenses the skin of the neck (grimacing, "strained" expression). | Facial nerve (CN VII), cervical branch. | Submental branch of the facial artery and the suprascapular artery (superficial cervical branches). |
Head — mastication 4
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Temporalis | Floor of the temporal fossa and the deep surface of the temporal fascia. | Tip and medial surface of the coronoid process and the anterior border of the ramus of the mandible. | Elevates the mandible (closes the jaw); posterior fibres retract it. | Deep temporal nerves (anterior division of the mandibular nerve, CN V3). | Anterior and posterior deep temporal arteries (maxillary artery); middle temporal artery (superficial temporal artery). |
| Masseter | Superficial part: zygomatic process of the maxilla and the anterior two-thirds of the inferior border of the zygomatic arch. Deep part: posterior third and medial surface of the zygomatic arch. | Angle and lateral surface of the ramus of the mandible, up to the coronoid process. | Elevates the mandible (closes the jaw). Superficial part assists protrusion; deep part assists retraction. | Masseteric nerve (anterior division of the mandibular nerve, CN V3). | Masseteric artery (maxillary artery), transverse facial artery (superficial temporal artery) and the facial artery. |
| Medial pterygoid | Deep head: medial surface of the lateral pterygoid plate and the pyramidal process of the palatine bone. Superficial head: maxillary tuberosity and pyramidal process. | Medial surface of the ramus and angle of the mandible, below the mandibular foramen. | Elevates and protrudes the mandible. Unilateral contraction moves the chin to the opposite side. | Nerve to medial pterygoid (main trunk of the mandibular nerve, CN V3). | Pterygoid branches of the maxillary artery. |
| Lateral pterygoid | Superior head: infratemporal surface and infratemporal crest of the greater wing of the sphenoid. Inferior head: lateral surface of the lateral pterygoid plate. | Pterygoid fovea on the neck of the mandible; capsule and articular disc of the TMJ. | Bilaterally: protrudes the mandible and depresses the chin (opening). Unilaterally: moves the chin to the opposite side. | Nerve to lateral pterygoid (anterior division of the mandibular nerve, CN V3). | Pterygoid branches of the maxillary artery (the maxillary artery passes superficial or deep to the muscle). |
Neck 4
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Sternocleidomastoid | Sternal head: anterior surface of the manubrium of the sternum. Clavicular head: superior surface of the medial third of the clavicle. | Lateral surface of the mastoid process and the lateral half of the superior nuchal line. | Unilaterally: lateral flexion of the neck to the same side and rotation of the face to the opposite side.… | Spinal accessory nerve (CN XI) for motor supply; branches of C2–C3 (cervical plexus), mainly proprioceptive. | Sternocleidomastoid branches of the occipital and superior thyroid arteries; suprascapular artery (inferiorly). |
| Digastric | Anterior belly: digastric fossa of the mandible. Posterior belly: mastoid notch of the temporal bone. | Intermediate tendon attached to the body and greater horn of the hyoid. | Depresses the mandible against resistance; raises and steadies the hyoid. | Anterior belly: nerve to mylohyoid (inferior alveolar branch of CN V3). Posterior belly: facial nerve (CN VII). | Anterior belly: submental artery (facial). Posterior belly: posterior auricular and occipital arteries. |
| Mylohyoid | Mylohyoid line of the mandible. | Median raphe and the body of the hyoid bone. | Raises the floor of the mouth, the tongue and the hyoid; depresses the mandible. | Nerve to mylohyoid (branch of the inferior alveolar nerve, CN V3). | Submental artery (facial artery) and the mylohyoid branch of the inferior alveolar artery. |
| Omohyoid | Superior border of the scapula, near the suprascapular notch. | Inferior border of the body of the hyoid bone. | Depresses, retracts and stabilises the hyoid. | Ansa cervicalis (cervical plexus). | Superior thyroid and lingual arteries (superior belly); transverse cervical and suprascapular arteries (inferior belly). |
Back — deep (intrinsic) 2
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Splenius capitis | Inferior half of the nuchal ligament and the spinous processes of C7–T3 (T4). | Mastoid process and the lateral third of the superior nuchal line. | Bilaterally: extends the head and neck. Unilaterally: laterally flexes the neck and rotates the face to the same side. | Dorsal rami of the middle cervical spinal nerves. | Muscular branches of the occipital artery; transverse cervical artery. |
| Multifidus | Posterior sacrum, posterior superior iliac spine, erector spinae aponeurosis, mammillary processes of the lumbar vertebrae, transverse processes of T1–T12 and articular processes of C4–C7. | Spinous processes of vertebrae 2–4 segments above the origin (up to C2). | Stabilises the vertebral segments; extends the spine; rotates it to the opposite side (unilaterally). | Medial branches of the dorsal rami of the spinal nerves. | Dorsal branches of the posterior intercostal, lumbar and lateral sacral arteries. |
Back — superficial (axio-appendicular) 5
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Trapezius | Medial third of the superior nuchal line, external occipital protuberance, nuchal ligament, and spinous processes and supraspinous ligaments of C7–T12. | Lateral third of the clavicle, acromion and spine of the scapula. | Upper fibres elevate the scapula; middle fibres retract it; lower fibres depress it. Upper and lower fibres together upwardly rotate the scapula. Bilaterally, it extends the neck. | Spinal accessory nerve (CN XI) for motor supply; C3–C4 anterior rami (cervical plexus), mainly proprioceptive. | Superficial branch of the transverse cervical artery (superficial cervical artery); dorsal scapular artery; occipital artery; dorsal branches of the posterior intercostal arteries. |
| Latissimus dorsi | Spinous processes of T7–T12, thoracolumbar fascia, posterior third of the iliac crest, inferior 3–4 ribs and (often) the inferior angle of the scapula. | Floor of the intertubercular sulcus (bicipital groove) of the humerus. | Extension, adduction and medial rotation of the humerus at the shoulder; elevates the trunk toward the arms when the arms are fixed. | Thoracodorsal nerve (posterior cord of the brachial plexus). | Thoracodorsal artery (from the subscapular artery); dorsal perforating branches of the 9th–11th posterior intercostal, subcostal and lumbar arteries. |
| Levator scapulae | Posterior tubercles of the transverse processes of C1–C4. | Superior angle and medial border of the scapula, above the root of the spine. | Elevates the scapula and rotates it downward; laterally flexes the neck to the same side. | Dorsal scapular nerve (C5) and direct branches of the C3–C4 cervical spinal nerves. | Dorsal scapular artery; transverse cervical and ascending cervical arteries. |
| Rhomboid major | Spinous processes of T2–T5 and the supraspinous ligaments. | Medial border of the scapula, from the level of the spine to the inferior angle. | Retracts and downwardly rotates the scapula; holds it against the thoracic wall. | Dorsal scapular nerve (from the C5 root of the brachial plexus). | Dorsal scapular artery (deep branch of the transverse cervical artery); dorsal branches of the upper posterior intercostal arteries. |
| Rhomboid minor | Nuchal ligament and the spinous processes of C7–T1. | Medial border of the scapula at the root of the spine. | Retracts and downwardly rotates the scapula; fixes it to the thoracic wall. | Dorsal scapular nerve. | Dorsal scapular artery. |
Pectoral region & thoracic wall 4
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Pectoralis major | Clavicular head: anterior surface of the medial half of the clavicle. Sternocostal head: anterior surface of the sternum, costal cartilages 1–6 and the aponeurosis of the external oblique. | Lateral lip of the intertubercular sulcus (crest of the greater tubercle) of the humerus. | Adduction and medial rotation of the humerus; flexion (clavicular head) and extension from flexion (sternocostal head). | Lateral pectoral nerve (lateral cord) and medial pectoral nerve (medial cord). | Pectoral branch of the thoraco-acromial trunk; perforating branches of the internal thoracic artery; lateral thoracic artery. |
| Pectoralis minor | Outer surfaces of ribs 3–5, near the costal cartilages. | Medial border and superior surface of the coracoid process of the scapula. | Depresses, protracts and downwardly rotates the scapula; raises ribs 3–5 in forced inspiration. | Medial pectoral nerve (and lateral pectoral nerve). | Pectoral branch of the thoraco-acromial trunk; lateral thoracic and superior thoracic arteries. |
| Subclavius | Junction of the 1st rib and its costal cartilage. | Inferior surface of the middle third of the clavicle (subclavian groove). | Anchors and depresses the clavicle. | Nerve to subclavius (from the upper trunk of the brachial plexus). | Clavicular branch of the thoraco-acromial trunk. |
| Serratus anterior | External surfaces of the lateral parts of ribs 1–8 (9). | Anterior (costal) surface of the medial border of the scapula, from the superior angle to the inferior angle. | Protracts the scapula and rotates it upward; holds it against the thoracic wall; can elevate the ribs when the scapula is fixed. | Long thoracic nerve (from the roots of the brachial plexus). | Lateral thoracic artery, thoracodorsal artery and superior thoracic artery. |
Abdominal wall 5
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Rectus abdominis | Pubic crest and pubic symphysis. | Xiphoid process and the costal cartilages of ribs 5–7. | Flexes the trunk; compresses the abdominal viscera; tilts the pelvis posteriorly; assists forced expiration. | Thoraco-abdominal nerves (anterior rami of T7–T11) and the subcostal nerve (T12). | Superior epigastric artery (from the internal thoracic artery) and inferior epigastric artery (from the external iliac artery), which anastomose within the sheath; posterior intercostal branches laterally. |
| External oblique | External surfaces of ribs 5–12. | Linea alba, pubic tubercle and the anterior half of the iliac crest (via the aponeurosis and inguinal ligament). | Compresses the abdomen; flexes the trunk; laterally flexes it to the same side and rotates it to the opposite side. | Thoraco-abdominal nerves (anterior rami of T7–T11) and the subcostal nerve (T12). | Lower posterior intercostal and subcostal arteries; superior and inferior epigastric arteries; superficial and deep circumflex iliac arteries. |
| Internal oblique | Thoracolumbar fascia, anterior two-thirds of the iliac crest and the lateral half of the inguinal ligament. | Inferior borders of ribs 10–12, linea alba (via the aponeurosis) and the pubic crest and pecten pubis (via the conjoint tendon). | Compresses the abdomen; flexes the trunk; laterally flexes it and rotates it to the same side. | Thoraco-abdominal nerves (T7–T11), subcostal nerve (T12), iliohypogastric and ilioinguinal nerves (L1). | Lower posterior intercostal and subcostal arteries; superior and inferior epigastric arteries; deep circumflex iliac artery. |
| Transversus abdominis | Internal surfaces of costal cartilages 7–12, thoracolumbar fascia, anterior two-thirds of the iliac crest and the lateral third of the inguinal ligament. | Linea alba (via the aponeurosis), pubic crest and pecten pubis (via the conjoint tendon). | Compresses and supports the abdominal viscera; stabilises the trunk. | Thoraco-abdominal nerves (T7–T11), subcostal nerve (T12), iliohypogastric and ilioinguinal nerves (L1). | Lower posterior intercostal and subcostal arteries; deep circumflex iliac and inferior epigastric arteries. |
| Quadratus lumborum | Iliolumbar ligament and the internal lip of the iliac crest. | Medial half of the inferior border of the 12th rib and the tips of the transverse processes of L1–L4. | Lateral flexion of the trunk; elevation of the hip; fixes the 12th rib; extension of the lumbar spine (bilaterally). | Anterior rami of T12 (subcostal nerve) and L1–L4. | Lumbar arteries, subcostal artery, iliolumbar artery (lumbar branch) and median sacral artery. |
Pelvic floor 1
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Coccygeus | Ischial spine (and sacrospinous ligament). | Lateral margins of the inferior sacrum and the coccyx. | Supports the pelvic floor; pulls the coccyx forward. | Direct branches of the anterior rami of S4–S5. | Inferior gluteal and internal pudendal arteries. |
Shoulder (scapulohumeral) 6
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Deltoid | Lateral third of the clavicle, acromion and spine of the scapula. | Deltoid tuberosity of the humerus. | Abduction of the arm beyond the first 15°; anterior part flexes and medially rotates; posterior part extends and laterally rotates. | Axillary nerve (posterior cord of the brachial plexus). | Posterior circumflex humeral artery; deltoid branch of the thoraco-acromial trunk; anterior circumflex humeral artery. |
| Supraspinatus | Medial two-thirds of the supraspinous fossa of the scapula. | Superior facet of the greater tubercle of the humerus; glenohumeral joint capsule. | Initiates abduction of the arm; acts with the rotator cuff to stabilise the joint. | Suprascapular nerve (upper trunk of the brachial plexus). | Suprascapular artery (thyrocervical trunk). |
| Infraspinatus | Medial two-thirds of the infraspinous fossa and the infraspinous fascia. | Middle facet of the greater tubercle of the humerus. | Lateral rotation of the arm; holds the humeral head in the glenoid. | Suprascapular nerve. | Suprascapular and circumflex scapular arteries. |
| Teres minor | Upper two-thirds of the posterior surface of the lateral border of the scapula. | Inferior facet of the greater tubercle of the humerus. | Lateral rotation of the arm; stabilises the glenohumeral joint. | Axillary nerve (posterior cord). | Circumflex scapular artery and posterior circumflex humeral artery. |
| Subscapularis | Subscapular fossa (most of the anterior surface of the scapula). | Lesser tubercle of the humerus and the anterior joint capsule. | Medial rotation and adduction of the arm; holds the humeral head in the glenoid. | Upper and lower subscapular nerves (posterior cord). | Subscapular artery; suprascapular and lateral thoracic branches. |
| Teres major | Posterior surface of the inferior angle of the scapula. | Medial lip of the intertubercular sulcus of the humerus. | Adduction, medial rotation and extension of the humerus. | Lower subscapular nerve (posterior cord). | Thoracodorsal artery and circumflex scapular artery. |
Arm — anterior compartment 3
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Coracobrachialis | Tip of the coracoid process of the scapula. | Middle third of the medial surface of the humerus. | Flexion and adduction of the arm. | Musculocutaneous nerve (lateral cord), which pierces it. | Muscular branches of the brachial artery (and the anterior circumflex humeral artery). |
| Biceps brachii | Short head: tip of the coracoid process. Long head: supraglenoid tubercle of the scapula. | Radial tuberosity and, via the bicipital aponeurosis, the deep fascia of the medial forearm. | Supination of the forearm; flexion of the elbow (strongest in supination); weak flexion of the arm at the shoulder. | Musculocutaneous nerve (lateral cord). | Muscular branches of the brachial artery. |
| Brachialis | Distal half of the anterior surface of the humerus and the medial and lateral intermuscular septa. | Coronoid process and tuberosity of the ulna. | Flexion of the forearm at the elbow. | Musculocutaneous nerve; small lateral part supplied by the radial nerve. | Muscular branches of the brachial artery; radial recurrent artery. |
Arm — posterior compartment 2
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Triceps brachii | Long head: infraglenoid tubercle of the scapula. Lateral head: posterior humerus above the radial groove. Medial head: posterior humerus below the radial groove. | Proximal end of the olecranon of the ulna and the posterior capsule of the elbow. | Extension of the forearm at the elbow; long head also extends and adducts the arm at the shoulder. | Radial nerve (posterior cord). | Deep brachial artery (profunda brachii); posterior circumflex humeral artery (long head); superior ulnar collateral artery. |
| Anconeus | Posterior surface of the lateral epicondyle of the humerus. | Lateral surface of the olecranon and the upper posterior surface of the ulna. | Assists triceps in elbow extension; abducts the ulna during pronation; stabilises the elbow. | Radial nerve (branch to anconeus via the medial head of triceps). | Middle collateral artery (from the profunda brachii) and recurrent interosseous artery. |
Forearm — anterior compartment 8
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Pronator teres | Humeral head: medial epicondyle (common flexor origin) and the medial supracondylar ridge. Ulnar head: coronoid process of the ulna. | Middle of the lateral surface of the radius (pronator tuberosity). | Pronation of the forearm; flexion of the elbow. | Median nerve. | Anterior ulnar recurrent artery; radial and ulnar arteries. |
| Flexor carpi radialis | Medial epicondyle of the humerus (common flexor origin). | Base of the 2nd metacarpal (and 3rd). | Flexion and abduction (radial deviation) of the wrist. | Median nerve. | Radial and ulnar arteries. |
| Palmaris longus | Medial epicondyle of the humerus (common flexor origin). | Distal half of the flexor retinaculum and the apex of the palmar aponeurosis. | Flexion of the wrist; tensing of the palmar aponeurosis. | Median nerve. | Ulnar artery (anterior ulnar recurrent) and radial artery branches. |
| Flexor carpi ulnaris | Humeral head: medial epicondyle. Ulnar head: medial olecranon and posterior border of the ulna. | Pisiform, hook of the hamate (pisohamate ligament) and the base of the 5th metacarpal (pisometacarpal ligament). | Flexion and adduction of the wrist. | Ulnar nerve. | Ulnar artery and its posterior ulnar recurrent branch. |
| Flexor digitorum superficialis | Humero-ulnar head: medial epicondyle and coronoid process. Radial head: anterior oblique line of the radius. | Sides of the middle phalanges of digits 2–5. | Flexion of the PIP joints, then the MCP joints and the wrist. | Median nerve. | Ulnar and radial arteries. |
| Flexor digitorum profundus | Upper three-quarters of the anterior and medial surfaces of the ulna and the interosseous membrane. | Bases of the distal phalanges of digits 2–5. | Flexion of the DIP joints, then the PIP and MCP joints and the wrist. | Lateral half (digits 2–3): anterior interosseous nerve (median). Medial half (digits 4–5): ulnar nerve. | Anterior interosseous artery and ulnar artery (muscular branches). |
| Flexor pollicis longus | Anterior surface of the radius and the adjacent interosseous membrane. | Base of the distal phalanx of the thumb (palmar surface). | Flexion of the phalanges of the thumb. | Anterior interosseous nerve (median nerve). | Anterior interosseous artery. |
| Pronator quadratus | Distal quarter of the anterior surface of the ulna. | Distal quarter of the anterior surface of the radius. | Pronation of the forearm; stabilises the distal radio-ulnar joint. | Anterior interosseous nerve (median nerve). | Anterior interosseous artery. |
Forearm — posterior compartment 11
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Brachioradialis | Proximal two-thirds of the lateral supracondylar ridge of the humerus. | Lateral surface of the distal radius, just proximal to the styloid process. | Flexion of the elbow (strongest with the forearm mid-prone); semi-pronation or semi-supination to the neutral position. | Radial nerve (before its division). | Radial recurrent artery and radial artery; radial collateral artery. |
| Extensor carpi radialis longus | Distal third of the lateral supracondylar ridge of the humerus. | Dorsal surface of the base of the 2nd metacarpal. | Extension and abduction (radial deviation) of the wrist. | Radial nerve. | Radial artery and radial recurrent artery. |
| Extensor carpi radialis brevis | Lateral epicondyle of the humerus (common extensor origin). | Dorsal surface of the base of the 3rd metacarpal. | Extension and (weak) abduction of the wrist. | Deep branch of the radial nerve. | Radial artery and radial recurrent artery. |
| Extensor digitorum | Lateral epicondyle of the humerus (common extensor origin). | Extensor expansions of digits 2–5 (central slip → middle phalanx; lateral bands → distal phalanx). | Extension of the MCP joints (and, with the intrinsic muscles, the IP joints) of the medial four digits; assists wrist extension. | Posterior interosseous nerve (deep branch of the radial nerve). | Posterior interosseous artery. |
| Extensor digiti minimi | Lateral epicondyle of the humerus (common extensor origin). | Extensor expansion of the 5th digit. | Extension of the little finger. | Posterior interosseous nerve. | Posterior interosseous artery. |
| Extensor carpi ulnaris | Lateral epicondyle of the humerus and the posterior border of the ulna. | Base of the 5th metacarpal (medial side). | Extension and adduction of the wrist. | Posterior interosseous nerve. | Ulnar artery (posterior ulnar recurrent) and posterior interosseous artery. |
| Supinator | Lateral epicondyle of the humerus, radial collateral and annular ligaments, supinator crest and fossa of the ulna. | Lateral, posterior and anterior surfaces of the proximal third of the radius. | Supination of the forearm. | Deep branch of the radial nerve. | Radial recurrent artery and recurrent interosseous artery. |
| Abductor pollicis longus | Posterior surfaces of the ulna, radius and interosseous membrane. | Lateral base of the 1st metacarpal. | Abduction (and extension) of the thumb at the carpometacarpal joint. | Posterior interosseous nerve. | Posterior interosseous artery. |
| Extensor pollicis brevis | Posterior surface of the radius and the interosseous membrane. | Dorsal base of the proximal phalanx of the thumb. | Extension of the thumb at the metacarpophalangeal joint. | Posterior interosseous nerve. | Posterior interosseous artery. |
| Extensor pollicis longus | Posterior surface of the middle third of the ulna and the interosseous membrane. | Dorsal base of the distal phalanx of the thumb. | Extension of the distal phalanx of the thumb (and the MCP and CMC joints). | Posterior interosseous nerve. | Posterior interosseous artery. |
| Extensor indicis | Posterior surface of the distal ulna and the interosseous membrane. | Extensor expansion of the index finger. | Extension of the index finger (pointing); assists wrist extension. | Posterior interosseous nerve. | Posterior interosseous artery (and the anterior interosseous artery). |
Hand — intrinsic muscles 1
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Adductor pollicis | Oblique head: capitate and the bases of the 2nd and 3rd metacarpals. Transverse head: anterior surface of the shaft of the 3rd metacarpal. | Medial side of the base of the proximal phalanx of the thumb (via the ulnar sesamoid) and the extensor expansion. | Adduction of the thumb at the CMC and MCP joints. | Deep branch of the ulnar nerve. | Deep palmar arch (radial artery). |
Hip & gluteal region 7
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Psoas major | Bodies of T12–L5 and the intervening discs; transverse processes of L1–L5. | Lesser trochanter of the femur (with iliacus). | Flexion of the hip; lateral flexion of the lumbar spine; flexion of the trunk. | Direct branches from the anterior rami of the lumbar spinal nerves. | Lumbar arteries; iliolumbar artery; external iliac and femoral branches. |
| Iliacus | Iliac fossa, iliac crest, ala of the sacrum and the anterior sacroiliac ligaments. | Lesser trochanter of the femur (via the psoas tendon) and the shaft below it. | Flexion of the hip; flexion of the trunk on the thigh. | Femoral nerve. | Iliac branch of the iliolumbar artery; deep circumflex iliac artery; obturator artery. |
| Gluteus maximus | Outer surface of the ilium posterior to the posterior gluteal line, dorsal surface of the sacrum and coccyx, sacrotuberous ligament and thoracolumbar fascia. | Most fibres: iliotibial tract (to the lateral condyle of the tibia). Deep inferior fibres: gluteal tuberosity of the femur. | Extension (from the flexed position) and lateral rotation of the hip; steadies the femur and pelvis; assists knee stability through the iliotibial tract. | Inferior gluteal nerve (sacral plexus). | Inferior and superior gluteal arteries (internal iliac); first perforating artery (profunda femoris). |
| Gluteus medius | External surface of the ilium between the anterior and posterior gluteal lines. | Lateral surface of the greater trochanter of the femur. | Abduction and medial rotation of the thigh; stabilises the pelvis on the stance limb. | Superior gluteal nerve. | Superior gluteal artery (deep branch). |
| Gluteus minimus | External surface of the ilium between the anterior and inferior gluteal lines. | Anterior surface of the greater trochanter of the femur. | Abduction and medial rotation of the thigh; pelvic stabilisation in single-leg stance. | Superior gluteal nerve. | Superior gluteal artery (deep branch). |
| Tensor fasciae latae | Anterior superior iliac spine and the anterior part of the outer lip of the iliac crest. | Iliotibial tract, and through it the lateral condyle of the tibia (Gerdy's tubercle). | Flexion, abduction and medial rotation of the hip; tensing of the fascia lata to stabilise the knee. | Superior gluteal nerve. | Superior gluteal artery and the ascending branch of the lateral circumflex femoral artery. |
| Piriformis | Anterior surface of the sacrum (S2–S4) and the sacrotuberous ligament. | Superior border of the greater trochanter of the femur. | Lateral rotation of the extended hip; abduction of the flexed hip. | Nerve to piriformis (anterior rami of S1–S2). | Superior and inferior gluteal arteries; lateral sacral and internal pudendal branches. |
Thigh — anterior compartment 5
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Sartorius | Anterior superior iliac spine. | Superior part of the medial surface of the tibia (pes anserinus). | Flexion, abduction and lateral rotation of the thigh; flexion of the leg at the knee. | Femoral nerve. | Muscular branches of the femoral artery (segmental); descending genicular artery. |
| Rectus femoris | Straight head: anterior inferior iliac spine. Reflected head: ilium above the acetabulum. | Base of the patella (via the quadriceps tendon), then the tibial tuberosity via the patellar ligament. | Extension of the knee; flexion of the hip. | Femoral nerve. | Descending branch of the lateral circumflex femoral artery. |
| Vastus lateralis | Greater trochanter, intertrochanteric line, gluteal tuberosity and the lateral lip of the linea aspera of the femur. | Lateral border of the patella and the quadriceps tendon, then the tibial tuberosity via the patellar ligament. | Extension of the leg at the knee. | Femoral nerve. | Descending branch of the lateral circumflex femoral artery; perforating branches of the profunda femoris. |
| Vastus medialis | Intertrochanteric line, medial lip of the linea aspera, medial supracondylar line and the adductor tendons. | Medial border of the patella and the quadriceps tendon, then the tibial tuberosity via the patellar ligament. | Extension of the leg at the knee; medial stabilisation of the patella. | Femoral nerve. | Femoral and profunda femoris arteries; descending genicular artery. |
| Vastus intermedius | Anterior and lateral surfaces of the femoral shaft (upper two-thirds). | Deep surface of the quadriceps tendon and the base of the patella, then the tibial tuberosity via the patellar ligament. | Extension of the leg at the knee. | Femoral nerve. | Lateral circumflex femoral artery and profunda femoris branches. |
Thigh — medial compartment 5
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Pectineus | Pecten pubis (superior ramus of the pubis). | Pectineal line of the femur, below the lesser trochanter. | Adduction and flexion of the thigh at the hip. | Femoral nerve; sometimes also the obturator or accessory obturator nerve. | Medial circumflex femoral artery and obturator artery. |
| Adductor longus | Body of the pubis, inferior to the pubic crest. | Middle third of the linea aspera of the femur. | Adduction of the thigh; assists flexion. | Obturator nerve (anterior division). | Profunda femoris artery and medial circumflex femoral artery; obturator artery. |
| Adductor brevis | Body and inferior ramus of the pubis. | Pectineal line and the proximal part of the linea aspera. | Adduction and some flexion of the thigh. | Obturator nerve (anterior division). | Profunda femoris, medial circumflex femoral and obturator arteries. |
| Adductor magnus | Adductor part: inferior ramus of the pubis and ramus of the ischium. Hamstring part: ischial tuberosity. | Adductor part: gluteal tuberosity, linea aspera and medial supracondylar line. Hamstring part: adductor tubercle of the femur. | Adduction of the thigh; adductor part flexes and hamstring part extends the hip. | Adductor part: obturator nerve (posterior division). Hamstring part: tibial division of the sciatic nerve. | Profunda femoris artery and its perforating branches; obturator artery; femoral artery (descending genicular). |
| Gracilis | Body and inferior ramus of the pubis. | Superior part of the medial surface of the tibia (pes anserinus). | Adduction of the thigh; flexion and medial rotation of the leg at the knee. | Obturator nerve (anterior division). | Medial circumflex femoral artery and branches of the profunda femoris (main pedicle); descending genicular branches distally. |
Thigh — posterior compartment 3
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Biceps femoris | Long head: ischial tuberosity (and sacrotuberous ligament). Short head: lateral lip of the linea aspera and the lateral supracondylar line. | Lateral side of the head of the fibula (and the lateral tibial condyle). | Flexion of the knee; lateral rotation of the flexed knee; extension of the hip (long head). | Long head: tibial division of the sciatic nerve. Short head: common fibular division. | Perforating branches of the profunda femoris; inferior gluteal artery; superior lateral genicular artery. |
| Semitendinosus | Ischial tuberosity (inferomedial impression, common tendon with the long head of biceps femoris). | Superior part of the medial surface of the tibia (pes anserinus). | Extension of the thigh; flexion of the leg; medial rotation of the flexed knee. | Tibial division of the sciatic nerve. | Perforating branches of the profunda femoris; inferior gluteal artery; medial genicular arteries. |
| Semimembranosus | Ischial tuberosity (superolateral impression). | Posterior part of the medial condyle of the tibia; the reflected expansion forms the oblique popliteal ligament. | Extension of the thigh; flexion of the leg; medial rotation of the flexed knee. | Tibial division of the sciatic nerve. | Perforating branches of the profunda femoris; inferior gluteal artery; popliteal artery (medial genicular branches). |
Leg — anterior compartment 3
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Tibialis anterior | Lateral condyle and the upper half of the lateral surface of the tibia; interosseous membrane. | Medial and inferior surfaces of the medial cuneiform and the base of the 1st metatarsal. | Dorsiflexion of the ankle and inversion of the foot. | Deep fibular (peroneal) nerve. | Anterior tibial artery. |
| Extensor hallucis longus | Middle part of the anterior surface of the fibula and the interosseous membrane. | Dorsal aspect of the base of the distal phalanx of the great toe. | Extension of the hallux; dorsiflexion of the ankle. | Deep fibular nerve. | Anterior tibial artery. |
| Extensor digitorum longus | Lateral condyle of the tibia, upper three-quarters of the anterior surface of the fibula and the interosseous membrane. | Middle and distal phalanges of the lateral four toes (via the extensor expansions). | Extension of the lateral four toes; dorsiflexion of the ankle. | Deep fibular nerve. | Anterior tibial artery. |
Leg — lateral compartment 2
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Fibularis longus | Head and upper two-thirds of the lateral surface of the fibula. | Plantar surfaces of the base of the 1st metatarsal and the medial cuneiform. | Eversion of the foot and plantarflexion of the ankle; supports the arches. | Superficial fibular (peroneal) nerve. | Fibular artery and anterior tibial artery (branches through the intermuscular septa). |
| Fibularis brevis | Lower two-thirds of the lateral surface of the fibula. | Tuberosity on the lateral side of the base of the 5th metatarsal. | Eversion of the foot; plantarflexion of the ankle. | Superficial fibular nerve. | Fibular artery. |
Leg — posterior compartment 7
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Gastrocnemius | Medial head: popliteal surface of the femur above the medial condyle. Lateral head: lateral surface of the lateral femoral condyle. | Posterior surface of the calcaneus via the calcaneal tendon. | Plantarflexion of the ankle when the knee is extended; flexion of the knee; raises the heel during walking. | Tibial nerve. | Sural arteries (from the popliteal artery). |
| Soleus | Posterior aspect of the head and upper quarter of the fibula, the soleal line and medial border of the tibia, and the tendinous arch between them. | Posterior surface of the calcaneus via the calcaneal tendon. | Plantarflexion of the ankle; steadies the leg on the foot in standing. | Tibial nerve. | Posterior tibial, fibular and sural arteries. |
| Plantaris | Inferior end of the lateral supracondylar line of the femur and the oblique popliteal ligament. | Posterior surface of the calcaneus (medial to, or with, the calcaneal tendon). | Weak plantarflexion of the ankle and flexion of the knee. | Tibial nerve. | Sural arteries (popliteal artery). |
| Popliteus | Lateral surface of the lateral femoral condyle (popliteal groove) and the lateral meniscus. | Posterior surface of the tibia, above the soleal line. | Lateral rotation of the femur on the fixed tibia (unlocking the knee); weak knee flexion. | Tibial nerve. | Inferior medial and lateral genicular arteries; posterior tibial artery (muscular and recurrent branches). |
| Tibialis posterior | Interosseous membrane and the posterior surfaces of the tibia (below the soleal line) and fibula. | Tuberosity of the navicular, with slips to the cuneiforms, cuboid, sustentaculum tali and the bases of metatarsals 2–4. | Inversion of the foot; plantarflexion of the ankle; support of the medial arch. | Tibial nerve. | Posterior tibial artery and fibular artery. |
| Flexor digitorum longus | Medial part of the posterior surface of the tibia, below the soleal line. | Plantar bases of the distal phalanges of the lateral four toes. | Flexion of toes 2–5; plantarflexion of the ankle; inversion of the foot. | Tibial nerve. | Posterior tibial artery. |
| Flexor hallucis longus | Inferior two-thirds of the posterior surface of the fibula and the interosseous membrane. | Plantar base of the distal phalanx of the great toe. | Flexion of the hallux; plantarflexion of the ankle; supports the medial arch. | Tibial nerve. | Fibular artery. |
Muscles of respiration 1
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Diaphragm | Xiphoid process (sternal part); inner surfaces of the lower six costal cartilages and ribs 7–12 (costal part); L1–L3 bodies via the right crus, L1–L2 via the left crus, and the medial and lateral arcuate ligaments (lumbar part). | Central tendon. | Contraction flattens and lowers the domes, enlarging the vertical (and, via the lower ribs, transverse) dimensions of the thorax for inspiration. | Motor: phrenic nerves (C3–C5), each supplying its own half. Sensory: central part by the phrenic nerves; periphery by the lower six intercostal nerves (T7–T11) and subcostal nerve (T12). | Superior surface: pericardiacophrenic and musculophrenic arteries (internal thoracic) and superior phrenic arteries (thoracic aorta).… |
Large intestine 1
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Internal anal sphincter | — | — | — | Sympathetic (L1–L2, via the hypogastric plexuses) contracts it. Parasympathetic (S2–S4, pelvic splanchnic nerves) and enteric inhibitory neurons relax it. | — |
Lower urinary tract 3
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Detrusor muscle | — | — | — | Parasympathetic pelvic splanchnic nerves S2–S4 (contraction, M3); sympathetic hypogastric nerve T11–L2 (relaxation, β3). | — |
| Internal urethral sphincter | — | — | — | Sympathetic T11–L2 via the hypogastric nerve and inferior hypogastric plexus (α1-adrenoceptors). | — |
| External urethral sphincter | — | — | — | Pudendal nerve (perineal branch), S2–S4 — somatic, nicotinic cholinergic. | — |
Hair & nails 1
| Muscle | Origin | Insertion | Action | Innervation | Blood supply |
|---|---|---|---|---|---|
| Arrector pili muscle | Papillary layer of the dermis (just beneath the epidermis). | Connective tissue sheath of the hair follicle at the bulge, below the sebaceous gland. | Pulls the hair erect (piloerection), dimples the skin and compresses the sebaceous gland. | Sympathetic postganglionic adrenergic fibres (noradrenaline on α1-adrenoceptors). | — |