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Dr. Allen
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Facial Expression — Eye Region
*Facial expression muscles attach to the subcutaneous layer/skin or skull, which is how they move the skin of your face.
Orbicularis oculi
Think O = around the eye
→ circular muscle surrounding the eye
→ closes the eye
→ blinking, winking, squinting
Corrugator supercilii
→ near the eyebrow
→ pulls eyebrows inferiorly + medially
→ makes the vertical wrinkles between/above your eyebrows
Levator palpebrae superioris
Levator = lifts
palpebrae = eyelid
superioris = upper
→ elevates the upper eyelid
Quick associations
Orbicularis oculi → CLOSE eye
Levator palpebrae superioris → OPEN/elevate upper eyelid
Corrugator supercilii → eyebrows down + inward
Mouth/Face Muscles
Orbicularis oris
Oris = mouth
→ circular muscle surrounding the mouth
→ closes and protrudes/purses the lips
Buccinator
→ muscle of the cheek
→ compresses the cheek
Zygomaticus major & minor
→ extend from the zygomatic/cheekbone region toward the mouth
→ associated with elevating the lip/corner of the mouth
Risorius
→ extends laterally from the corner of the mouth
→ pulls the corner of the mouth laterally
Mentalis
→ located around the chin/lower lip
Muscles of Mastication
These are the chewing muscles
Masseter
→ thick muscle on the side of the jaw
→ runs between the zygomatic region and mandible
Temporalis
→ broad, fan-shaped muscle on the side of the skull/temporal region
→ connects toward the mandible
Pterygoid muscles
There are two:
Medial pterygoid
Lateral pterygoid
→ both are deep muscles of mastication associated with the mandible.
Remaining Face + Neck
Nose
Procerus → moves/wrinkles the nose
Nasalis → associated with movement/compression of the nose
Lower mouth
Depressor anguli oris → pulls corners of mouth down → think frown
Depressor labii inferioris → pulls lower lip down → think pout
Mentalis → protrudes lower lip + wrinkles chin
Neck Muscles
Sternocleidomastoid
Big superficial muscle on each anterolateral side of the neck.
For now, recognize the name/location. Think:
Scalenes
Three muscles:
Anterior scalene
Middle scalene
Posterior scalene
They run between the cervical vertebrae and ribs.
Posterior neck
Splenius capitis
→ runs obliquely from cervical vertebrae → back of skull
Suboccipital muscles
→ small, deep muscles at the posterior neck/base of skull.
Back / Vertebral Column
Erector spinae
Think “erect spine” → long muscle group running along the vertebral column.
It's actually three columns:
Iliocostalis → Longissimus → Spinalis
*I Love Spines = Iliocostalis, Longissimus, Spinalis
Transversospinalis group
A deeper group of back muscles.
Quadratus lumborum
→ lumbar/lower-back region
→ part of the posterior abdominal wall
→ between the most inferior rib and hip
*Lumborum = lumbar = lower back
Respiration + Abdominal Wall
Respiration
Diaphragm
→ primary muscle for breathing in/inhalation
→ forms a partition between the thorax and abdomen
Between the ribs:
External intercostals
Internal intercostals
Transversus thoracis
→ involved with inhalation/exhalation
*Scalenes can also assist with inhalation.
Abdominal wall — FOUR pairs
External oblique
→ superficial lateral muscle
→ fibers run inferomedially
Internal oblique
→ deep to external oblique
→ fibers run superomedially
Transversus abdominis
→ deepest lateral abdominal muscle
→ fibers run horizontally
Rectus abdominis
→ long anterior muscle
→ fibers run superiorly
*As a group, these help flex the vertebral column and assist with exhalation.
Memory
External = superficial
Internal = deeper
Transversus = deepest
Rectus = front
Muscles that make up the epicranius (occipitofrontalis)
Frontalis = frontal belly
Occipitalis = occipital belly
Muscles make up the transversospinalis group?
Semispinalis + Multifidus + Rotatores
Deep to the erector spinae
Semispinalis + multifidus are the two largest
Pectoral Girdle
Stabilize or move the scapula.
Posterior group
Trapezius → superficial
Deep to trapezius:
Levator scapulae
Rhomboid minor
Rhomboid major
Think:
Trap = superficial
Levator + rhomboids = deep
Broad attachments:
Trapezius: occipital bone/vertebral column → clavicle + scapula
Levator scapulae: cervical vertebrae → scapula
Rhomboids: vertebrae → scapula
Anterior thoracic group
These are deep to pectoralis major:
Pectoralis minor → ribs → scapula
Serratus anterior → ribs → scapula
Subclavius → rib → clavicle
Posterior:
Trapezius = superficial
Levator + rhomboids = deep
Anterior:
Pec minor + serratus anterior = ribs → scapula
Subclavius = rib → clavicle
Shoulder + Rotator Cuff
S — Supraspinatus
I — Infraspinatus
T — Teres minor
S — Subscapularis
SITS = rotator cuff
Their tendons surround the glenohumeral (shoulder) joint.
The slide lists nine arm muscles that attach to the scapula:
Rotator cuff (4):
Supraspinatus
Infraspinatus
Teres minor
Subscapularis
Plus:
Teres major
Deltoid
Coracobrachialis
Biceps brachii
Triceps brachii
Arm + Elbow
Muscles are organized into compartments. The compartments are separated by intermuscular septa, surrounded by deep fascia, and contain functionally related muscles.
Anterior compartment
Biceps brachii
Brachialis
Coracobrachialis
Posterior compartment
Triceps brachii
Forearm
Two compartments:
Anterior compartment → Think FLEXOR side.
Major names to recognize:
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
Flexor digitorum muscles
Pronator quadratus
Posterior compartment → Think EXTENSOR side.
Major names to recognize:
Brachioradialis
Extensor carpi muscles
Extensor digitorum
Supinator
ANTERIOR = mostly FLEXORS + PRONATORS
POSTERIOR = mostly EXTENSORS + SUPINATOR
Pectoralis major vs Latissimus dorsi
Two prime movers of the glenohumeral joint:
Pectoralis major
Anterior
Clavicle + ribs + sternum → humerus
Latissimus dorsi
Posterior
Ribs + ilium + thoracolumbar fascia → humerus
Pecs = front, Lats = back
Intrinsic hand muscles
Thenar eminence → thumb side
Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis
Hypothenar eminence → little-finger side
Abductor digiti minimi
Flexor digiti minimi brevis
Opponens digiti minimi
THenar = THumb is the easiest way to remember it.
Intrinsic muscles of the hand.
Lumbricals
Dorsal interossei