Thoracic Wall To Upper Limb: Muscle Origin Insertion Action Nerve Supply
Thoracic Wall To Upper Limb: Muscle Origin Insertion Action Nerve Supply
Gluteal Region
Head
MUSCLE ORIGIN INSERTION ACTION NERVE SUPPLY
EPICRANIAL GROUP – SCALP
Occipitofrontalis Raises eyebrows, horizontal Temporal branch
wrinkles e.g. surprise (frontal of CNVII (facial
belly) nerve) (frontal
Draws scalp posteriorly belly)
(occipital belly) Posterior auricular
branch of CN
VII (facial
nerve)
(occipital belly)
MIDDLE EAR
Tensor tympani Dampens sound Mandibular
division of CN V
(trigeminal
nerve)
Stapedius Dampens sound CN VII (facial
nerve)
EXTRAOCULAR GROUP – EXTRINSIC MUSCLES OF THE EYEBALL
Medial rectus Adduction of eyeballs Inferior division of
CN III
(oculomotor
nerve)
Lateral rectus Abduction of eyeballs CN VI (abducens
nerve)
Superior rectus Elevation, adduction and Superior division
intorsion of eyeballs of CN III
(oculomotor
nerve)
Inferior rectus Depression, adduction and Inferior division of
extorsion of eyeballs CN III
(oculomotor
nerve)
Superior oblique Depression, abduction and CN IV (trochlear
extorsion of eyeballs nerve)
Inferior oblique Elevation, abduction and Inferior division of
intorsion of eyeballs CN III
(oculomotor
nerve)
Levator palpebrae Raises upper eyelids Superior division
superioris of CN III
(oculomotor
nerve)
Sympathetic
(superior
tarsal/ Muller
muscle)
INTRINSIC MUSCLES OF THE EYEBALL
Sphincter pupillae of Pupillary constriction Parasympathetic
the iris from CN III
(oculomotor
nerve)
Dilator pupillae of Pupillary dilation Sympathetic
the iris
Ciliary body/muscle Pupillary constriction; makes Parasympathetic
lens more globular during from CN III
near-accommodation (oculomotor
nerve)
CIRCUMORBITAL AND PALPEBRAL GROUP
Orbicularis oculi Closes the eyelids Temporal and
zygomatic
branches of CN
VII (facial
nerve.
Corrugator supercilii Vertical wrinkles of forehead Temporal branch
e.g. frowning of CN VII (facial
nerve
Levator palpebrae
superioris
NASAL GROUP
Procerus Transverse wrinkles over the Temporal and
bridge of the nose e.g. zygomatic
distaste branches of CN
VII (facial nerve
Nasalis Widens nasal aperture Buccal branch of
(dilator naris) the CN VII
Compresses nasal aperture (facial nerve)
(compressor nasi/naris)
BUCCOLABIAL GROUP – MOUTH
Levator labii Raises upper lips Zygomatic and
superioris alaeque buccal
nasi branches of CN
VII (facial
nerve)
Levator labii Raises upper lips Zygomatic and
superioris buccal
branches of CN
VII (facial
nerve)
Zygomaticus major Draws angle of mouth Zygomatic and
superiorly and laterally e.g. buccal
smiling branches of CN
VII (facial
nerve)
Zygomaticus minor Raises upper lip, exposing the Zygomatic and
maxillary teeth buccal
branches of CN
VII (facial
nerve)
Levator anguli oris Draws angle of mouth Zygomatic and
superiorly and laterally e.g. buccal
sneering branches of CN
VII (facial
nerve)
Risorius Draws angle of mouth Buccal branch of
laterally e.g. grimacing the CN VII
(facial nerve)
Depressor anguli Draws angle of mouth Buccal and
oris inferiorly and laterally mandibular
branches of the
CN VII (facial
nerve)
Depressor labii Depresses lower lips Mandibular
inferioris branch of the
CN VII (facial
nerve)
Mentalis Elevates and protrudes lower Mandibular
lip, pulls skin of chin up e.g. branch of the
pouting, sulking CN VII (facial
nerve)
Buccinator Compresses the cheek Buccal branch of
against the teeth and gums the CN VII
e.g. in blowing, sucking, (facial nerve)
chewing
Orbicularis oris Closes and protrudes lips e.g. Buccal and
kissing mandibular
branches of the
CN VII (facial
nerve)
MASTICATION
Masseter Zygomatic arch Lateral ramus of mandible Mandibular elevation, Mandibular
protrusion division of CN V
(trigeminal
nerve)/V3
Temporalis Floor of temporal fossa Coronoid process of mandible Mandibular elevation, Mandibular
retrusion (posterior fibers), division of CN V
ipsilateral deviation (trigeminal
nerve)/V3
Medial pterygoid Tuberosity of maxillae, lateral Medial angle of mandible Mandibular elevation, Mandibular
pterygoid plate protrusion, contralateral division of CN V
deviation (trigeminal
nerve)/V3
Lateral pterygoid Greater wing of sphenoid, Neck of mandible Mandibular depression, Mandibular
lateral pterygoid plate Articular disc protrusion, contralateral division of CN V
deviation (trigeminal
nerve)/V3
Tongue
MUSCLE ORIGIN INSERTION ACTION NERVE SUPPLY
TONGUE - EXTRINSIC
Genioglossus Tongue protrusion; CN XII (hypoglossal
with deviation to opposite nerve)
side (unilateral)
Styloglossus Draws tongue superiorly and CN XII (hypoglossal
posteriorly nerve)
Hyoglossus Tongue depression CN XII (hypoglossal
nerve)
Chondroglossus Tongue depression CN XII (hypoglossal
nerve)
Palatoglossus Pulls the root of the tongue Pharyngeal plexus
superiorly and posteriorly, i.e. pharyngeal
narrows oropharyngeal branch of CN X
isthmus (vagus nerve)
TONGUE – INTRINSIC
Longitudinal Alters shape of the tongue CN XII (hypoglossal
Transverse nerve)
Vertical
Soft Palate
MUSCLE ORIGIN INSERTION ACTION NERVE SUPPLY
Tensor veli palatini Tenses soft palate Mandibular
division of CN V
(trigeminal
nerve)/V3
Levator veli palatini Elevates soft palate Pharyngeal plexus
i.e. pharyngeal
branch of CN X
(vagus nerve)
Musculus uvulae Elevates uvula Pharyngeal plexus
i.e. pharyngeal
branch of CN X
(vagus nerve)
Palatopharyngeus Elevates the pharynx, Pharyngeal plexus
forward and medially i.e. pharyngeal
Approximates branch of CN X
palatopharyngeal arches (vagus nerve)
Palatoglossus
Pharynx
MUSCLE ORIGIN INSERTION ACTION NERVE SUPPLY
Superior constrictor Constricts upper part of Pharyngeal plexus
pharynx i.e. pharyngeal
branch of CN X
(vagus nerve)
Middle constrictor Constricts middle part of Pharyngeal plexus
pharynx i.e. pharyngeal
branch of CN X
(vagus nerve)
Inferior constrictor Constricts lower part of Pharyngeal plexus
Thyropharyngeus pharynx i.e. pharyngeal
Cricopharyngeus branch of CN X
(vagus nerve)
Salpingopharyngeus Elevates pharynx Pharyngeal plexus
i.e. pharyngeal
branch of CN X
(vagus nerve)
Stylopharyngeus Elevates larynx CN IX
(glossopharyng
eal nerve)
Palatopharyngeus
Larynx
MUSCLE ORIGIN INSERTION ACTION NERVE SUPPLY
Oblique arytenoid Narrows the laryngeal inlet Recurrent
laryngeal nerve
from CN X
(vagus)
Thyroepiglottic Widens the laryngeal inlet Recurrent
laryngeal nerve
from CN X
(vagus)
Cricothyroid Tenses the vocal cords External laryngeal
nerve from CN
X (vagus)
Thyroarytenoid Relaxes the vocal cords Recurrent
laryngeal nerve
from CN X
(vagus)
Lateral Adducts the vocal cords Recurrent
cricoarytenoid laryngeal nerve
from CN X
(vagus)
Posterior Abducts the vocal cords Recurrent
cricoarytenoid laryngeal nerve
from CN X
(vagus)
Transverse Approximates the arytenoid Recurrent
arytenoid laryngeal nerve
from CN X
(vagus)
Neck
MUSCLE ORIGIN INSERTION ACTION NERVE SUPPLY
ANTERIOR GROUP
Platysma Depresses mandible and Cervical branch of
angle of the mouth e.g. CN VII (facial
“egad”, horror nerve)
Rectus capitis Root of transverse process Inferior basilar part of Capital flexion Ventral rami of C1-
anterior and anterior surface of lateral occipital bone C2
mass of C1
Rectus capitis Transverse process of C1 Jugular process of occipital Capital flexion, ipsilateral Ventral rami of C1-
lateralis bone flexion C2
Longus capitis Anterior tubercles of Inferior basilar part of Capital flexion Ventral rami of C1-
transverse process of C3-C6 occipital bone C3
Longus colli Cervical flexion (bilateral) Ventral rami of C2-
Superior oblique anterior tubercles of the tubercle on the anterior arch with ipsilateral lateral C6
transverse processes of the of the C1 flexion (unilateral superior
Inferior oblique C3-C5 and inferior obliques)
Vertical anterior vertebral bodies of anterior tubercles of with contralateral rotation
T1-T2/T3 transverse processes of C5- (unilateral inferior oblique)
anterior vertebral bodies of C6.
the C5-T3 anterior vertebral bodies of
C2-C4
LATERAL GROUP
Sternocleidomastoid Manubrium (sternal head) Mastoid process of temporal Capital extension and cervical Spinal part of CN
Medial 1/3 of clavicle bone flexion (bilateral) XI (accessory
(clavicular head) Lateral ½ of superior nuchal with ipsilateral lateral nerve)
line of occipital bone flexion, contralateral Ventral rami of C2-
rotation (unilateral) C3
Anterior scalene Transverse process of C3-C6 1st rib Cervical flexion (bilateral) Ventral rami of C4-
with ipsilateral lateral C6
flexion and rotation
(unilateral)
Elevates 1st rib
Middle scalene Transverse process of C2-C7 1st rib Cervical flexion (bilateral) Ventral rami of C3-
with ipsilateral lateral C8
flexion and rotation
(unilateral)
Elevates 1st rib
Posterior scalene Transverse process of C4-C6 2nd rib Cervical flexion (bilateral) Ventral rami of C6-
with ipsilateral lateral C8
flexion and rotation
(unilateral)
Elevates 2nd rib
POSTERIOR GROUP
Trapezius
Levator scapula
Splenius capitis Lower part of ligamentum Superior nuchal line of Capital and cervical extension Dorsal rami of C2-
nuchae occipital bone (bilateral) C3
Spinous process of C7-T4 Mastoid process of temporal with ipsilateral lateral
bone flexion and rotation
(unilateral)
Splenius cervicis Lower part of ligamentum Transverse process of C1-C4 Cervical extension (bilateral) Dorsal rami of C4-
nuchae with ipsilateral lateral C8
Spinous process of T3-T6 flexion and rotation
(unilateral)
Suboccipitals Capital extension (bilateral) Dorsal rami of C1
Rectus capitis Spinous process of C2 Lateral part of inferior nuchal with ipsilateral lateral
posterior major Tubercle on posterior arch of line of occipital bone flexion and rotation
Rectus capitis C1 Medial part of inferior nuchal (unilateral)
posterior minor Spinous process and lamina of line of occipital bone
Obliquus capitis C2 Transverse process of C1
inferior Transverse process of C1 Between superior and inferior
Obliquus capitis nuchal line of occipital bone
superior
Erector spinae (see
below)
Transversospinalis
(see below)
Interspinalis (see
below)
Intertransversarii
(see below)
Hyoid
MUSCLE ORIGIN INSERTION ACTION NERVE SUPPLY
SUPRAHYOID
Digastric Mandibular depression, Mandibular
retrusion (anterior belly) division of CN V
Elevates hyoid (both) (trigeminal
nerve)/V3
(anterior belly)
CN VII (facial
nerve)
(posterior belly)
Geniohyoid Elevates hyoid Ventral rami of C1
Mandibular depression
Stylohyoid Elevates hyoid CN VII (facial
nerve)
Mylohyoid Elevates floor of the mouth Mandibular
and hyoid division of CN V
Mandibular depression (trigeminal
nerve)/V3
INFRAHYOID
Thyrohyoid Depresses hyoid Ventral rami of C1
Elevates larynx
Omohyoid Depresses hyoid Ansa cervicalis
Sternohyoid Depresses hyoid Ansa cervicalis
Sternothyroid Depresses larynx Ansa cervicalis