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Upper Trap Proximal Attachment
Medial end of superior nuchal line, external occipital protuberance, ligamentum nuchae, and spinous process of C7

Upper Trap Distal Attachment
Lateral end of clavicle and acromion process

Upper, Middle, and Lower Trap Innervation
Spinal Accessory N.

Upper Trap Action
Rotates scapula upward
Elevates scapula
Middle Trap Proximal Attachment
Spinous processes of T1-5

Middle Trap Distal Attachment
Acromion process and spine of scapula

Middle Trap Action
Adducts Scapula
Lower Trap Proximal Attachment
spinous process T6-T12

Lower Trap Distal Attachment
spine of scapula

Lower Trap Action
Rotates scapula upward
Depresses scapula
Levator Scapulae Proximal Attachment
transverse processes of C1-C4

Levator Distal Attachment
Medial border of scapula from superior angle to root of the spine

Levator Innervation
Dorsal scapular n.
Ventral rami of spinal nn. [C3,C4]
Levator Action
Elevates scapula
Rotates scapula downward
Rhomboid Minor Proximal Attchment
Spinous processes of C7-T1
Rhomboid Minor Distal Attachment
Medial border of scapula at root of the spine
Rhomboid Major and Minor Innervation
Dorsal Scapular N.
Rhomboid Major and Minor Action
Adducts scapula
Elevates scapula
Rotates scapula downward
Rhomboid Major Proximal Attachment
spinous processes of T2-T5
Rhomboid Major Distal Attachment
Medial border of scapula from root of spine to inferior angle
Serratus Anterior Proximal Attachment
ribs 1-8
Serratus Anterior Distal Attachment
anterior surface of medial border of scapula
Serratus innervation
Long Thoracic N.
Serratus Actions
Abducts scapula
Rotates scapula upward
Holds medial border of scapula against posterior thoracic wall
Pectoralis Minor Proximal Attachment
ribs 3-5
Pectoralis Minor Distal Attachment
coracoid process of scapula
Pec Minor Innervation
Medial Pectoral N.
Pec Minor Actions
Tilts scapula anteriorly
Depresses shoulder girdle
Subclavius Proximal Attachment
Junction of 1st rib and its costal cartilage
Subclavius Distal Attachment
inferior surface of middle clavicle
Subclavius Innervation
Nerve to Subclavius
Subclavius Action
Depresses clavicle
Stabilizes sternoclavicular joint
Anterior Deltoid Proximal Attachment
lateral end of clavicle
Anterior, Middle, and Posterior Deltoid Distal Attachment
deltoid tuberosity
Deltoid (Anterior, Middle, and Posterior) Innervation
Axillary N.
Anterior Deltoid Action
Flexes shoulder
Medially rotates shoulder
Horizontally adducts shoulder
Middle Deltoid Proximal Attachment
lateral margin of acromion process
Middle Deltoid Action
Abducts shoulder
Posterior Deltoid Proximal Attachment
lower lip of spine of scapula
Posterior Deltoid Action
Extends shoulder
Laterally rotates shoulder
Horizontally abducts shoulder
Supraspinatus Proximal Attachment
Supraspinous fossa
Supraspinatus Distal Attachment
Superior facet of greater tubercle of humerus
Supraspinatus AND Infraspinatus Innervation
suprascapular nerve
Supraspinatus Action
Abducts shoulder
Stabilizes glenohumeral joint
Infraspinatus Proximal Attachment
infraspinous fossa
Infraspinatus Distal Attachment
Middle facet of greater tubercle of humerus
Infraspinatus Action
Laterally rotates shoulder
Stabilizes glenohumeral joint
Teres Minor Proximal Attachment
Middle of lateral border of scapula
Teres Minor Distal Attachment
Inferior facet of greater tubercle of humerus
Teres Minor Innervation
Axillary N.
Teres Minor Action
Laterally rotates shoulder
Stabilizes glenohumeral joint
Subscapularis Proximal Attachment
subscapular fossa
Subscapularis Distal Attachment
lesser tubercle of humerus
Subscapularis Innervation
Upper and Lower Subscapular N.
Subscapularis Action
Medially rotates shoulder
Stabilizes glenohumeral joint
Teres Major Proximal Attachment
Lower end of lateral border of scapula
Teres Major Distal Attachment
Medial lip of intertubercular groove of humerus
Teres Major Innervation
Lower Subscapular N.
Teres Major Action
Extends shoulder
Adducts shoulder
Medially rotates shoulder
Coracobrachialis Proximal Attachment
coracoid process of scapula
Coracobrachialis Distal Attachment
middle 1/3 of medial humerus
Coracobrachialis Innervation
Musculocutaneous N.
Coracobrachialis Action
Flexes shoulder
Adducts shoulder
Latissimus Dorsi Proximal Attachment
Spinous process of T6-12, thoracolumbar fascia, posterior iliac crest, and lower ribs
Latissimus Dorsi Distal Attachment
Floor of the intertubercular groove of the humerus
Latissimus Innervation
Thoracodorsal N.
Latissimus Action
Extends shoulder
Adducts shoulder
Medially rotates shoulder
Depresses shoulder girdle
Pectoralis Major Proximal Attachment
Clavicular head: medial end of the clavicle
Sternocostal head: anterior sternum and costal cartilages of the first 6 ribs
Pectoralis Major Distal Attachment
lateral lip of intertubercular groove of humerus
Pectoralis Major Innervation
Medial and lateral pectoral nn
Pectoralis Major Action
All fibers:
Medially rotate humerus
Adduct humerus
Clavicular head:
Flexes humerus
Horizontally adducts humerus
Sternocostal head:
Extends humerus
Biceps Brachii Proximal Attachment
Short head: Coracoid process
Long head: Supraglenoid tubercle of scapula
Biceps Brachii Distal Attachment
Radial tuberosity and bicipital aponeurosis
Biceps Brachii Innervation
Musculocutaneous N.
Biceps Brachii Action
Flexes elbow
Supinates forearm
Brachialis Proximal Attachment
Distal half of anterior humerus
Brachialis Distal Attachment
Ulnar tuberosity and coronoid process
Brachialis Innervation
Musculocutaneous N.
Brachialis Action
Flexes elbow
Triceps Brachii Proximal Attachment
Long head: Infraglenoid tubercle of scapula
Lateral head: Posterior humerus above radial groove
Medial head: Posterior humerus below radial groove
Triceps Brachii Distal Attachment
olecranon process of ulna
Triceps Brachii Innervation
Radial N.
Triceps Brachii Action
Extends elbow
Anconeus Proximal Attachment
Lateral Epicondyle of the Humerus
Anconeus Distal Attachment
Lateral side of olecranon process and proximal ulna
Anconeus Innervation
Radial N.
Anconeus Action
Extends elbow
Pronator Teres Proximal Attachment
Humeral Head: common flexor tendon of the medial epicondyle of the humerus
Ulnar Head: coronoid process of the ulna

Pronator Teres Distal Attachment
middle of the radius

Pronator Teres Innervation
Median Nerve
Pronator Teres Action
Pronates Forearm
Flexor Carpi Radialis Proximal Attachment
Common flexor tendon at medial epicondyle of humerus

Flexor Carpi Radialis Distal Attachment
base of 2nd and 3rd metacarpal

Flexor Carpi Radialis Innervation
Median Nerve
Flexor Carpi Radialis Action
Flexes Wrist
Abducts Wrist
Palmaris Longus Proximal Attachment
common flexor tendon at medial epicondyle of humerus

Palmaris Longus Distal Attachment
palmar aponeurosis

Palmaris Longus Innervation
Median Nerve
Palmaris Longus Action
anchors skin and fascia of palm
Flexor Digitorum Superficialis Proximal Attachment
Humeroulnar Head: common flexor tendon at medial epicondyle of humerus and coronoid process of ulna
Radial Head: proximal half of anterior radius
