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CHAPTER 11 MUSCLE – part 2 LE - what action ? • • • • • • • • • • anterior hip posterior hip lateral hip medial hip anterior knee posterior knee anterior leg – at ankle posterior leg – at ankle anterior leg – at foot posterior leg – at foot thigh compartments • • • anterior • • • flex hip extend knee quadriceps femoris (4) iliopsoas sartorius posterior • • hamstrings (flexes knee) extend hip flex knee (3) medial • • adduct hip adductors (3) gracilis hip - anterior • • • • A: _____________________ iliopsoas – O: iliacus - iliac fossa psoas - lumbar vertebra – I: lesser trochanter sartorius – O: ASIS – I: medial, proximal tibia (pes anserinus) rectus femoris – – O: I: AIIS (anterior ilium) tibial tuberosity (patellar ligt) hip - medial • • A: __________________ adductors – O: – • I: longus , brevis , magnus pubis femur, medially (linea aspera) adductor tubercle gracilis – – O: I: pubis medial, proximal tibia • pectineus – O: – – pubis, pectineal line I: lesser trochanter, medial femur to linea aspera A: adduction ; medial rotation hip - posterior • • • A: ________________ gluteus maximus – – O: ilium, sacrum (posterior) I: gluteal tuberosity; iliotibial tract hamstring group (in general) – O: ischial tuberosity – – I: tibia (posterior) biceps femoris – I: lateral tibia condyle ; fibular head semitendinosus – I: medial tibial condyle semimembranosus • • • I: medial tibial condyle hip - lateral • • • A: __________________ gluteus medius (and minimus) – – O: I: ilium (laterally) greater trochanter tensor fascia lata – O: iliac crest ; ASIS – I: iliotibial tract (into lateral knee ligaments) hip – lateral rotators • • • • • • • • • O: sacrum ; obturator membrane ; ischium I: greater trochanter piriformis superior gemellus obturator internus inferior gemellus obturator externus quadratus femoris hip – medial rotators pectineus – O: – – pubis, pectineal line I: lesser trochanter, medial femur to linea aspera A: adductor ; medial rotator thigh / knee - posterior • • A: _____________________ hamstrings : – biceps femoris – – semitendinosus semimembranosus long head short head O: femur • • • gastrocnemius sartorius popliteus – – O: lateral condyle of femur I: proximal tibia thigh / knee - anterior • • • quadriceps femoris – – A: ___________________ rectus femoris vastus muscles • O: vastus lateralis vastus medialis vastus intermedius - linea aspera (lateral) linea aspera (medial) femur (anterior) • I: tibial tuberosity quadriceps tendon inserts into patella patellar ligament leg compartments • • • anterior • • dorsiflexion extend foot, toes tibialis anterior extensor digitorum , hallucis posterior • • • gastrocnemius ; soleus tibialis posterior flexor digitorum , hallucis lateral • plantarflex flex foot, toes eversion ; plantarflex fibularis muscles lower leg - anterior • tibialis anterior • O: tibial shaft (anterior) I: medial cuneiform (tarsal) extensor digitorum longus A: _______________ • A: _______________ – – – – O: I: tibia and fibula phalanges (dorsum) extensor hallucis longus – O: fibula – I: A: _______________ great toe (dorsum) lower leg - posterior • • • gastrocnemius – – O: I: soleus – – O: I: A: _______________ medial and lateral femoral condyles calcaneus (calcaneal tendon) A: _______________ tibia and fibula (posterior) calcaneus (calcaneal tendon) triceps surae = gastrocnemius + soleus • • calcaneal (Achilles) tendon plantaris – – O: lateral femoral condyle I: calcaneus A: _______________ lower leg - posterior • • • tibialis posterior – O: tibia and fibula A: _______________ – I: tarsals and metatarsals (plantar) flexor digitorum longus A: _______________ – – O: tibia (posterior) I: phalanges flexor hallucis longus – – O: I: A: _______________ fibula great toe (plantar) lower leg - lateral • • • A: ___________________ fibularis (peroneus) longus – – O: I: fibula 1st metatarsal and cuneiform (under foot) fibularis (peroneus) brevis – – O: fibula I: 5th metatarsal base abdominals • • rectus abdominis – O: pubic crest and symphysis – – I: xiphoid and ribs 5-7 A: other muscles : – O: external oblique lower ribs internal oblique lumbar fascia , iliac crest transversus abdominis - lumbar fascia – – I: linea alba A: breathing • • • diaphragm – – – O: I: lower ribs, sternum, lumbar vertebra central tendon A: external intercostal muscles – – – O: I: inferior border of rib superior border of rib below A: internal intercostal muscles – – – O: I: A: superior border of rib inferior border of rib above back - muscles • • • • A: ____________________________ erector spinae paravertebral muscles (PVM) paraspinals – – O: I: multiple vertebrae and ribs multiple vertebrae semispinalis – O: TP’s of multiple vertebrae – I: multiple vertebrae quadratus lumborum – – – O: iliac crest I: TP’s of upper lumbar vertebrae A: lateral flexion pelvic floor • pelvic diaphragm = levator ani + coccygeus – supports pelvic organs – – external uretral sphincter external anal sphincter • levator ani • coccygeus pubococcygeus iliococcygeus neck - anterior • • A: _________________ _________________ sternocleidomastoid – O: manubrium , clavicle (medial) – • acting bilaterally acting unilaterally I: scalenes – – O: I: mastoid process anterior, middle, posterior TP’s of cervical vertebrae ( anterior ) ribs 1-2 neck - posterior • • A: _______________ splenius – O: – • I: SP’s C7-T5 , ligamentum nuchae mastoid , occipital bone semispinalis ; spinalis – O: TP’s of multiple vertebrae – I: multiple vertebrae (cephalad) mastication (TMJ) • • • • A:________________ temporalis – – O: I: temporal bone (fossa) coronoid process (mandible) masseter – – O: zygomatic bone and arch I: mandible medial pterygoid – – O: I: pterygoid plate mandible (near angle) muscles that open jaw (TMJ) • • • • • • lateral pterygoids – – O: I: pterygoid plate mandibular condyle digastric – – – O: mastoid I: mandible (through hyoid) A: also aids swallowing platysma neck – anterior (swallowing) name indicates O and I suprahyoid group – – – mandible - hyoid stylohyoid geniohyoid styloid - hyoid mandible - hyoid infrahyoid – – – – aid swallowing , stabilize hyoid mylohyoid group aid swallowing and speaking sternohyoid sternum - hyoid sternothyroid sternum - thyroid cartilage thyrohyoid omohyoid thyroid cartilage - hyoid scapula - hyoid facial muscles • • • • • • • • • • • • occipitofrontalis orbicularis oris = Epicranius raise eyebrows closes, protrudes lips orbicularis oculi buccinator closes eyelids smile zygomaticus risorius smile smile mentalis levator labii superioris protrude lower lip elevates upper lip depressor labii inferioris depresses lower lip levator anguli oris elevates corner of mouth depressor anguli oris depresses corner of mouth platysma lowers mandible tongue movement • • • • genioglossus hyoglossus protracts tongue depresses tongue styloglossus retracts tongue intrinsic muscles other muscles • • • pharyngeal muscles laryngeal muscles aid swallowing aid vocalizing palatine muscles aid swallowing close nasopharynx pharyngeal muscles • • • • • A: swallowing constrictor muscles stylopharyngeus palatopharyngeus salpingopharyngeus laryngeal muscles • • • • • A: move larynx aid vocal production cricothyroid cricoarytenoid thyroarytenoid arytenoid muscles palatine muscles • • • A: swallowing levator veli palatini depressor veli palatini close nasopharynx