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Orbicularis ORIS (lips)
Sphincter/circular and pucker/closer lips
Orbicularis OCULI (eyes)
Sphincter/circular and closes eyelid
Both these muscles attach to the skin mouth or eye
Orbicularis oris and oculi
Zygomaticus major Action
Elevates corners of the mouth (smiles) :)
Zygomaticus major Attachment
Bone and skin or mouth
Depressor anguli oris Action
Depresses the corners of the mouth (frown) muscle :(
Depressor anguli oris Attachments
Mandible and skin of mouth
Frontalis (epicranial aponeurosis) Functions:
Raises Eyebrows
Frontalis Attachments:
Frontal bone and epicranial aponeurosis
Buccinator Functions
Tightens the cheeks
Buccinator important role is
Mastication - holds food within teeth during chewing
Buccinator attachments
Mandible/maxilla and withing the skin of face
Eye muscle: Lateral rectus
Abducts
Medial rectus
Adducts
Eye muscle: Inferior Oblique
Elevates and Abducts
Eye muscle: Superior Oblique
Depresses and Abducts
Eye muscle: Superior rectus
Elevates and Adducts
Eye muscle: Inferior rectus
Depresses and Adducts
Temporalis Actions
Elevates and retracts mandible (closes jaw)
Temporalis Attachments
Lateral cranium and coronoid process of mandible
Masseter Action:
Elevates and protracts mandible (closes jaw)
Masseter Attachment:
Zygomatic arch and mandible
Medial and Lateral Pterygoids Action
Elevates and protracts mandible; side to side grinding
Medial and Lateral Pterygoids Attachments:
Sphenoid and mandible
The lateral pterygoid is superficial to the
Medial pterygoid
Genioglossus (chin) Action
Protracts (protrudes) tongue
Genioglossus (chin) Attachment
Mandible and posterior part of the tongue
Sternocleidomastoid muscle (SCM) or side of the neck - Action
Unilateral: flexes head laterally
Bilateral: flexes head/neck towards sternum
Sternocleidomastoid muscle (SCM) or side of the neck - Attachment
Mastoid process and clavicle and sternum
Suprahyoid muscles Actions
Elevates hyoid during swallowing and speaking
Suprahyoid muscles Attachments
Hyoid mandible or temporal bone
Located above hyoid
Infrahyoid muscles Actions
Depresses hydroid during the end of swallowing
Infrahyoid muscles Attachments
Hyoid sternum. Located deep to sternocleidomastoid and below hyoid
Diaphragm
Main muscles of respirations
Diaphragm inspiration
Diaphragm contract (depresses) increases size of thoracic cavity)
Diaphragm Expiration
Diaphragm relaxes
Thoracic cavity decrease in size
Diaphragm Attachments
Inside body wall & ribs, central tendon. It has hiatuses (openings) for the aorta. inferior vena cava and esophagus
External intercostal muscles
Elevate ribs, inspiration, muscle fibers run inferomedial between ribs
Internal intercostal muscles
Depress ribs, expiration (forced) muscle fibers run superomedial
Rectus Abdominis
midline
External oblique
lateral
Internal Oblique
Deep to external oblique
Transversus abdominis
Deep to internal oblique
Rectus Abdominis Actions
Flexes Trunk
Rectus Abdominis Attachments
Pubis, ribs and xiphoid process. Fibers run superior/inferior
External & Internal obliques
Fibers run obliquely
External & Internal obliques Actions
Flex and rotate trunk
External & Internal obliques Attachments
Lower ribs, pelvis and linear alba
Transversus abdominis
Deepest abdominal muscles; fibers horizontally
Transversus abdominis Actions
Compresses abdominal cavity
Transversus abdominis attachments
Posterior body wall, anterior body wall
Linea alba is the
Midline tendon of the rectus abdominis
Hernia is
Protrusion of abdominal viscera through a weekended point in the abdominal wall
An Inguinal Hernia is
A protrusion of the viscera into the inguinal canal, a week spot where the spermatic cord travels. (most common in males)
Erector spinae muscles Actions: Bilateral
Extend trunk, neck, head
Erector spinae muscles Actions: Unilateral
Laterally flex trunk, neck, head
Erector spinae muscles Attachments
Pelvis, ribs, vertebrae and cranium
Erector spinae muscles (back) includes
Iliocostalis, Longissimus, Spinalis (I L S)
What does intrinsic mean
They are located on the back and act on the back
Levator ani Attachments
Ischium & pubis to scrum & coccyx
Levator ani Support
Pelvic viscera (organs)
Levator ani Openings
For urethra, anus and vagina
Coccygeus is located
Posteriorly
Coccygeus Attachments
Ischium and sacrum
Coccygeus Actions
Supports pelvic viscera
Why is surface anatomy important?
Connecting the outside appearance with the deep structures of the body to diagnosis of diseases and disorders
What is surfaces anatomy used for?
Taking pulse, drawing blood, physical therapy, etc.
Visual inspection
Look at body
Percussion
Tap structures to listen for vibrations
Palpation
Touch/pressure
Auscultation
Listen
Sternal angle
Things in thoracic cavity/mediastinum
Suprasternal angle
Where trunk meets neck
Xiphoid process
Palpate to locate place for chest compressions
Triangle of Auscultation (back)
Fewer layers of muscle, so it’s easier to hear respiratory sounds (lungs)
What are the borders for the triangle of auscultation
Trapezius, Rhomboid major, Latissimus dorsi
Cubital fossa (location of blood draw)
Median cubital vein, located on inside elbow
Radial Pulse
Located anatomic snuffbox, that is distal to radial styloid process, between tendons for two muscles of the forearm
The radial artery travels through
(wrist) so you can palpate pulse here
Gluteal muscles are
Very thick, good blood supply = good location for intermuscular injections
For intramuscular injection (IM) located
Superior and & lateral quadrant
At the Gluteal Region it’s likely to
Miss sciatic nerve, other nerves and vessels
Femoral Triangle
Contains femoral nerve, and artery and femoral vein
What can be inserted for femoral triangle?
Catheters (for angioplasty)
Femoral triangle: staunch Hemorrhage (Lower limb) borders
Inguinal Ligament (superiorly)
Sartorius muscle (laterally)
Adductor Longus (medially)