CERVICAL SPINE
ACTION MUSCLE
Forward flexion of head 1. Rectus Capitis Anterior
Dan Lateralis
2. Longus Capitis
4. Obliqus Capitis Superior
5. Sternocleidomastoid
ATTACHMENT NERVE SUPPLY
• Tepi dari proc. Spinosus • C1,C2
dari axis danbagian lateral
dari nuchal line inferior
occiput
• Anterior tubercles of thè • C1.C2,C3
transverse processes of thè
mid to lower cervical
• Superior margin of thè • C1
transverse process of CI
superior attachments:
between thè lateral end of
thè inferior and superior
nuchal lines
• Top of sternum,medial • Spinal accessory nerve
clavicle and mastoid (cranial nerve XI).
process
 ACTION MUSCLE
Extension of head 1. Rectus Capitis Anterior
Dan Lateralis
2. Semispinalis Capitis
3. Longisimus capitis
4. Spinalis capitis
5. Trapezius
6. Rectus capitis posterior
minor
ATTACHMENT NERVE SUPPLY
• Tepi dari proc. Spinosus • C1,C2
dari axis danbagian lateral
dari nuchal line inferior
occiput
• Transverse proc of C7-T7 • C1-C8
and articular proc of C4 -6
and between thè superior
and inferior nuchal lines of
thè occipital bone
• Posterior margin of thè • C6-C8
mastoid process of thè
temporal bone
• In generai, they insert • C6-C8
superiorly on lateral
aspects of thè spinous
processes or ligamentum
nuchae in thè cervical
region
• C5-T12 and spine of • Accesory C3,C4
scapula
• Tuberculum posterior arcus • C1
posterior atlantis dan ⅓
medial linea nuchalis
inferior
 ACTION MUSCLE
Extension of head 7. Rectus capitis posterior
major
8. Obliqus capitis superior
9. Obliqus capitis inferior
10. sternocleidomastoid
ATTACHMENT NERVE SUPPLY
• Proc.spinosus axis dan ⅓ • C1
tengah linea nuchalis
inferior
• Superior margin of thè • C1
transverse process of CI
superior attachments:
between thè lateral end of
thè inferior and superior
nuchal lines
• Apex of thè spinous • C1
process of C2 superior and
inferior margin of the
transverse process of CI
• Top of sternum,medial • Spinal accessory nerve
clavicle and mastoid (cranial nerve XI).
process
 ACTION MUSCLE
Rotation of head 1. Trapezius
2. Splenius capitis
3. Longissimus capitis
4. Semispinalis capitis
5. Obliquus capitis inferior
6. Sternocleidomastoid
ATTACHMENT NERVE SUPPLY
• C5-T12 and spine of • Accesory C3,C4
scapula
• Proc. Spinosus pada • C4-C6
vertebrae C3-C7,ligament
nuchae dan proc.
mastoideus
• Proc. Transversus C3-T3 • C6-C8
dan margo posterior
proc.mastoideus
• Transverse proc of C7-T7 • C1-C8
and articular proc of C4 -6
and between thè superior
and inferior nuchal lines of
thè occipital bone
• Apex of thè spinous • C1
process of C2 superior and
inferior margin of the
transverse process of CI
• Top of sternum,medial • Accesory C2
clavicle and mastoid
process
 ACTION MUSCLE
Side flexion of head 1. Trapezius
2. Splenius capitis
3. Longissimus capitis
4. Semispinalis capitis
5. Obliquus capitis inferior
6. Rectus capitis lateralis
ATTACHMENT NERVE SUPPLY
• C5-T12 and spine of • Accesory C3,C4
scapula
• Proc. Spinosus pada • C4-C6
vertebrae C3-C7,ligament
nuchae dan proc.
mastoideus
• Proc. Transversus C3-T3 • C6-C8
dan margo posterior
proc.mastoideus
• Transverse proc of C7-T7 • C1-C8
and articular proc of C4 -6
and between thè superior
and inferior nuchal lines of
thè occipital bone
• Apex of thè spinous • C1
process of C2 superior and
inferior margin of the
transverse process of CI
• Tepi dari proc. Spinosus • C1,C2
dari axis danbagian lateral
dari nuchal line inferior
occiput
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Flexion Of Neck 1. Longus Colli • C1-C2 anterior and C3-C7 • C2-C6
anterior
2. Scalene Anterior • C3-C7 and interior superior • C3-C6
ribs 1
3. Scalene Medius • C3-C7 and outer superior • C2-C7
ribs 1
4. Scalene Posterior • Lateral ribs 2 • C5-C7
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Extension Of Neck 1. Splenius Capitis • Posterior tubercles of thè • C6-C8
transverse processes of C1-
C3
2. Semispinalis Cervicis • Upper thoracic transverse • C1-C8
processes to spinous
processes of C2-C5
3. Longissimus Cervicis • Posterior tubercles of thè • C6-C8
transverse processes of thè
cervical vertebrae
4. Levator Scapula • C1-C4 and medial,superior • Ventral rami of spinal
angel of scapula nerves (C3-4) and the
dorsal scapular nerve
 ACTION MUSCLE
Extension Of Neck 5. Illiocostalis Cervicis
6. Spinalis cervicis
7. Multifidus
8. Interspinalis cervicis
9. Trapezius
10. Rectus capitis posterior
major
11. Rotatores brevi and longi
10. Longus Colli
ATTACHMENT NERVE SUPPLY
• Posterior tubercles of the • C6-C8
transverse processes of the
mid cervical vertebrae
• The spinous process of thè • C6-C8
axis
• Spinosus process and • C1-C8
sacrum,erector spine
aponeurosis,psis and iliac
crest
• Spinosus process • C1-C6,C7,C8
• Occiput C1-C7,lateral • Accesory C3,C4
clavicle,acromion
• Tepi dari proc. Spinosus • C1
dari axis danbagian lateral
dari nuchal line inferior
occiput
• transverse process of one • C1-C8
vertebra and thè lamina and
base of thè spinous process
of a vertebra
• C1-C2 anterior and C3-C7 • C2-C6
anterior
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Side flexion Of Neck 1. Levator Scapula • C1-C4 and medial,superior • Ventral rami of spinal
angel of scapula nerves (C3-4) and the
dorsal scapular nerve
2. Splenius cervicis • Posterior tubercles of thè • C4-C6
transverse
processes of C l-3
3. Illiocostalis Cervicis • Posterior tubercles of the • C6-C8
transverse processes of the
mid cervical vertebrae
4. Longissimus Cervicis • Posterior tubercles of thè • C6-C8
transverse processes of thè
cervical vertebrae
 ACTION MUSCLE
Side flexion Of Neck 5. Semispinalis Cervicis
6. Multifidus
7. Intertransversarus
8. Scaleni
9. Sternocleidomastoid
10. Obliqus capitis inferior
ATTACHMENT NERVE SUPPLY
• Upper thoracic transverse • C1-C8
processes to spinous
processes of C2-C5
• Spinosus process and • C1-C8
sacrum,erector spine
aponeurosis,psis and iliac
crest
• Berdekatan dengan • C3-C8
transverse processes of all
cem cal, lower thoracic,
and
lumbar vertebrae
• Anterior tubercles of thè • Ventral rami of spinal
transverse nerves (C3- C 7)
processes of C2 –C7
• Top of sternum,medial • Spinal accessory nerve
clavicle and mastoid (cranial nerve XI).
process
• Apex of thè spinous • C1
process of C2 superior and
inferior margin of the
transverse process of CI
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Side flexion Of Neck 10. Rotatores Brevi and • transverse process of one • C1-C8
Longus vertebra and thè lamina and
base of thè spinous process
of a vertebra
11. Longus colli • C1-C2 anterior and C3-C7 • C2-C6
anterior
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Rotation Of Neck 1. Levator Scapula • C1-C4 and medial,superior • Ventral rami of spinal
(muscles on one side angel of scapula nerves (C3-4) and the
contracting) dorsal scapular nerve
2. Splenius cervicis • Posterior tubercles of thè • C4-C6
transverse
processes of C l-3
3. Illiocostalis Cervicis • Posterior tubercles of the • C6-C8
transverse processes of the
mid cervical vertebrae
4. Longissimus Cervicis • Posterior tubercles of thè • C6-C8
transverse processes of thè
cervical vertebrae
 ACTION MUSCLE
Rotation Of Neck 5. Semispinalis Cervicis
(muscles on one side
contracting)
6. Multifidus
7. Intertransversarus
8. Scaleni
9. Sternocleidomastoid
10. Obliqus capitis inferior
ATTACHMENT NERVE SUPPLY
• Upper thoracic transverse • C1-C8
processes to spinous
processes of C2-C5
• Spinosus process and • C1-C8
sacrum,erector spine
aponeurosis,psis and iliac
crest
• Berdekatan dengan • C3-C8
transverse processes of all
cem cal, lower thoracic,
and
lumbar vertebrae
• Anterior tubercles of thè • Ventral rami of spinal
transverse nerves (C3- C 7)
processes of C2 –C7
• Top of sternum,medial • Spinal accessory nerve
clavicle and mastoid (cranial nerve XI).
process
• Apex of thè spinous • C1
process of C2 superior and
inferior margin of the
transverse process of CI
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Rotation Of Neck 11. Rotatores Brevi and • transverse process of one • C1-C8
(muscles on one side Longus vertebra and thè lamina and
contracting) base of thè spinous process
of a vertebra
 TMJ

ACTION MUSCLE ATTACHMENT NERVE SUPPLY

Depression of mandible 1. Lateral (external) pterygoid • Sphenoid bone, • Mandibular
infratmporal crest and
facies anterior, articular
disc
2. Mylohyoid • Linea mylohyoidea • Inferior alveolar
mandibula and corpus os
hyoideus and extends to
symphysis mandibulae
3. Geniogyoid • Spina mentalis and corpus • Hypoglossa
os hyoideus
4. Digastric • Medial proc. Mastoideus • Inferior alveolar
and tendo intermedius • Facial
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Elevation of mandible of 1. Masseter • Arcus zygomaticus and • Mandibular
occlusion tuberositas maseterica
2. Temporalis • Fossa temporalis and • Mandibular
coronoideus mandibulae
3. Medial (internal) pterygoid • Fossa pterygoidea and • Mandibular
Margo inferior mandibulae
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Protrusion of mandible 1. Lateral (external) pterygoid • Sphenoid bone, infratmporal • Mandibular
crest and facies anterior,
articular disc
2. Medial (internal) pterygoid • Fossa pterygoidea and • Mandibular
Margo inferior mandibulae
3. Masseter • Arcus zygomaticus and • Mandibular
tuberositas maseterica
4. Mylohyoid • Linea mylohyoidea • Inferior alveolar
mandibula and corpus os
hyoideus and extends to
symphysis mandibulae
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Protrusion of mandible 5. Geniohyoid • Spina mentalis and corpus • Hypoglosal
os hyoideus
6. Digastric • Medial proc. Mastoideus • Inferior alveolar
and tendo intermedius • Facial
7. Stylohyoid • Facies posterior proc. • Facial
Styloideus os temporalis
and hyoid bone
8. Temporalis (anterior fibers) • Fossa temporalis and • Mandibular
coronoideus mandibulae
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Retraction of mandible 1. Temporalis (posterior • Fossa temporalis and • Mandibular
fibers) coronoideus mandibulae
2. Masseter • Arcus zygomaticus and • Mandibular
tuberositas maseterica
3. Digastric • Medial proc. Mastoideus • Inferior alveolar
and tendo intermedius • Facial
4. Stylohyoid • Facies posterior proc. • Inferior alveolar
Styloideus os temporalis
and hyoid bone
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Retraction of mandible 5. Mylohyoid • Linea mylohyoidea • Inferior alveolar
mandibula and corpus os
hyoideus and extends to
symphysis mandibulae
6. Geniohyoid • Spina mentalis and corpus • Hypoglossal
os hyoideus
 ACTION
Lateral deviation of mandible
MUSCLE
1. Lateral (external) pterygoid
(ipsilateral muscle)
2. Medial (internal) pterygoid
( contralateral muscle)
3. Temporalis
4. Masseter
ATTACHMENT NERVE SUPPLY
• Sphenoid bone, infratmporal • Mandibular
crest and facies anterior,
articular disc
• Fossa pterygoidea and • Mandibular
Margo inferior mandibulae
• Fossa temporalis and • Mandibular
coronoideus mandibulae
• Arcus zygomaticus and • Mandibular
tuberositas maseterica
 SHOULDER

ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT

DERIVATION
Forward flexion 1. Deltoid (anterior • Lateral third of • Clicumflex • C5, C6 (posterior
fibers) clavicle and deltoid (axillary) cord)
tuberosity
2. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
(clavicular fibers) clavicle and bicipital
groove
3. Coracobrachialis • Coracoid process • Musculocutaneus • C5, C6, C7 (lateral
and middle third of cord)
medial surface of
humeral shaft
4. Biceps (when strong • Supraglenoid • musculocutaneus • C5, C6, C7 (lateral
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Extension 1. Deltoid (posterior • Lateral acromion • Circumilex (axillary) • C5, C6 (posterior
fibers) and deltoid cord)
tuberosity
2. Teres major • Inferior angle of • Subscapular • C5, C6 (posterior
scapula and medial cord)
edge of bicipital
groove of humerus
3. Teres minor • Upper axillary • Circumflex • C5, C6 (Posterior
bborder of scapula (axillary) cord)
and greater tubercle
of humerus
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Extension 4. Latissimus dorsi • Sacrum, illiac crest, • Thoracodorsal • C6, C7, C8
T7-12, inferior angle (posterior cord)
of scapula and
bicipital groove
5. Pectoralis major • Sternal cartilage of • Lateral pectoral • C5, C6 (lateral cord)
(sternocostal fibers) ribs 1-6 and bicipiat • Medial pectoral • C8, T1 (medial cord)
groove
6. Triceps (long head) • Infraglenoid tubercle • radial • C5, C6, C7, C8, 1I
of scapula and (posterior cord)
olecranon
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Horizontal adduction 1. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
clavicle and bicipital
groove
2. Deltoid (anterior • Lateral third of • Circumflex • C5, C6 (posterior
fibers) clavicle and deltoid (axillary) cord)
tuberosity
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Horizontal abduction 1. Deltoid (posterior • Lateral acromion • Circumflex • C5, C6 (posterior
fibers) and deltoid cord)
tuberosity
2. Teres major • Inferior angle of • Subscapular • C5, C6 (posterior
scapula and medial cord)
edge of bicipital
groove of humerus
3. Teres minor • Upper axillary • Circumflex • C5, C6 (brachial
bborder of scapula (axillary) plexus trunk)
and greater tubercle
of humerus
4. infraspinatus • Infraspinatus fossa • suprascapular • C5, C6 (brachial
of scapula and plexus trunk)
greater tubercle of
humerus
ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Abduction 1. Deltoid • Lateral third of • Circumflex • C5, C6 (posterior
clavicle and deltoid (axillary) cord)
tuberosity
2. Supraspinatus • Supraspinous fossa • Suprascapular • C5, C6 (brachial
of scapula and plexus trunk)
greater tubercle of
humerus
3. Infraspinatus • Infraspinatus fossa • Suprascapular • C5, C6 (brachial
of scapula and plexus trunk)
greater tubercle of
humerus
ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Abduction 4. Subscapularis • Subscapular fossa of • Subscapular • C5, C6 (posterior
scapula and lesser cord)
tubercle of humerus
5. Teres minor • Inferior angle of • Circumflex • C5, C6 (posterior
scapula and medial (axillary) trunk)
edge of bicipital
groove of humerus
6. Long head of biceps • Coracoid process • musculocutaneus • C5, C6, C7 (lateral
and tuberosity of cord)
radius
ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Adduction 1. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
clavicle and bicipital
groove
2. Latissimus dorsi • Sacrum, illiac crest, • Thoracodorsal • C6, C7, C8
T7-12, inferior angle (posterior cord)
of scapula and
bicipital groove
3. Teres major • Inferior angle of • Subscapular • C5, C6 (posterior
scapula and medial cord)
edge of bicipital
groove of humerus
4. Subscapularis • Subscapular fossa of • Subscapular • C5, C6 (posterior
scapula and lesser cord)
tubercle of humerus
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Medial rotation 1. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
clavicle and bicipital
groove
2. Deltoid (anterior • Lateral third of • Circumflex • C5, C6 (posterior
fibers) clavicle and deltoid (axillary) cord)
tuberosity
3. Latissimus dorsi • Sacrum, illiac crest, • Thoracodorsal • C6, C7, C8
T7-12, inferior angle (posterior cord)
of scapula and
bicipital groove
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Medial rotation 4. Teres major • Inferior angle of • Subscapular • C5, C6 (posterior
scapula and medial cord)
edge of bicipital
groove of humerus
5. Subscapularis • Subscapular fossa of • subscapular • C5, C6 (posterior
(when arm is by scapula and lesser cord)
side) tubercle of humerus
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Lateral rotation 1. Infraspinatus • Infraspinatus fossa • Suprascapular • C5, C6 (brachial
of scapula and plexus trunk)
greater tubercle of
humerus
2. Deltoid (posterior • Lateral acromion • Circumflex • C5, C6 (posterior
fibers) and deltoid (axillary) cord)
tuberosity
3. Teres minor • Inferior angle of • Circumflex • C5, C6 (posterior
scapula and medial (axillary) cord)
edge of bicipital
groove of humerus
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Elevation of scapula 1. Trapezius (upper • Occiput, C1-7 annd • Accessory • Cranial nerve XI
fibers) lateral clavicle, • C3, C4 nerve roots
acromionc
2. Levator scapula • C3, C4 nerve roots • C3, C4
• Dorsal scapular • C5

3. Rhomboid major • C7-T5 and vertebral • Dorsal scapular • (C4), C5

border of scapula
4. Rhomboid minor • C7-T5 and vertebral • Dorsal scapular • (C4), C5
border of scapula
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Depression of scapula 1. Seratus anterior • Outer surface of • Long thoracic • C5, C6, (C7)
upper eight ribs and
anterior surface of
vertebral border of
scapula
2. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
clavicle and bicipital
groove
3. Pectoralis minor • Ribs 3-5 and • Medial pectoral • C8, T1 (medial cord)
coracoid process
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Depression of scapula 4. Latissimus dorsi • Sacrum, illiac crest, • Thoracodorsal • C6, C7, C8
T7-12, inferior angle (posterior cord)
of scapula and
bicipital groove
5. Trapezius (lower • T5-l2 and root of • Accessory • Cranial nerve XI
fibers) spine of scapula • C3, C4 nerve roots • C3, C4
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Protraction (forward 1. Seratus anterior • Outer surface of • Long thoracic • C5, C6 (C7)
movement) of scapula upper eight ribs and
anterior surface of
vertebral border of
scapula
2. Pectoralis major • Medial half of • Lateral pectoral • C5, C6 (lateral cord)
clavicle and bicipital
groove
3. Pectoralis minor • Ribs 3-5 and • Medial pectoral • C8, TI (medial cord)
coracoid process
4. Latissimus dorsi • Sacrum, illiac crest, • thoracodorsal • C6, C7, C8
T7-12, inferior angle (posterior cord)
of scapula and
bicipital groove
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Retraction (backward 1. Trapezius • Occiput, C1-7 annd • Accessory • Cranial nerve XI
movement) of scapula lateral clavicle,
acromion
2. Rhomboid major • C7-T5 and vertebral • Dorsal scapular • (C4), C5
border of scapula
3. Rhomboid minor • C7-T5 and vertebral • Dorsal scapular • (C4), C5
border of scapula
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Lateral (upward) 1. Trapezius (upper • Occiput, C1-7 annd • Accessory • Cranial nerve XI
roration of inferior and lower fibers) lateral clavicle, • C3, C4 nerve root • C3, C4
angle of scapula acromion (upper)
• T5-l2 and root of
spine of scapula
(lower)
2. Serratus anterior • Outer surface of • Long thoracic • C5, C6, (C7)
upper eight ribs and
anterior surface of
vertebral border of
scapula
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Medial (downward) 1. Levator scapulae • C1-4 and medial, • C3, C4 nerve roots • C3, C4
rotation of inferior superior angle of • Dorsal scapular • C5
angle of scapula scapula
2. Rhomboid major • C7-T5 and vertebral • Dorsal scapular • (C4), C5
border of scapula
3. Rhomboid minor • C7-T5 and vertebral • Dorsal scapular • (C4), C5
border of scapula
4. Pectoralis minor • Ribs 3-5 and • Medial pectoral • C8, T1 (medial cord)
coracoid process
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Flexion of elbow 1. Brachialis • Lower half of • Musculocutaneous • C5, C6, (C7)
anterior shaft of
humerus and
tuberosity of ulna,
coronoid process of
ulna
2. Biceps brachii • Supraglenoid • Musculocutaneous • C5, C6
tubercle of scapula
and tuberosity of
radius
3. Brachioradialis • Lateral, distal • Radial • C5, C6, (C7)
humerus and styloid
process of radius
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Flexion of elbow 4. Pronator teres • Medial epicondyle of • Median • C6, C7
humerus and middle
of lteral shaft of
radius
5. Flexor carpi ulnaris • Humeral head- • ulnar • C7, C8
medial epicondyle of
humerus and
pisiform, hamate,
base of fiifth
metacarpal
• Ulnar head- proximal
posterior ulna,
olecranon process of
ulna and pisiform,
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY NERVE ROOT
DERIVATION
Extension of elbow 1. Triceps • Infraglenoid tubercle • radial • C6, C7, C8
of scapula and
olecranon
2. anconeus • O: epicondilus
lateralis humeri,
kapsul sendi siku,
lig. Collaterale
radiale
• i: facies posterior
ulnae tepat di
sebelah distal
olecranon
 ELBOW

ACTION MUSCLE ATTACHMENT NERVE SUPPLY

1. Fleksi Elbow 1. Brachialis • Seperdua distal permukaan • Musculocutaneous
anterior humerus dan
processus coronoid,
tuberositas ulna.
2. Biceps Brachii • Tuberculum supraglenoid • Musculocutaneous
scapula,processus coracoid
scapula dan tuberositas
radi, aponeunrosis bicipital.
ACTION MUSCLE ATTACHMENT NERVE SUPPLY
3. Brachioradialis • Dua pertiga proksimal • Radial
supracondylar lateral
humerus, lateral
intermuscular septum dan
sisi lateral dari processus
radius.
4. Pronator Teres • Epicondylus medial, • Median
permukaan medial
processus coronoid dan
sepertiga tengah dari radius
lateral.
5. Flexor Carpi Ulnaris • Epicondylus medial • Ulnar
humerus, aspek medial dari
processus olecranon, dua
pertiga proksimal dari
posterior ulna dan pisiform,
hamatum, dan basis
metacarpal kelima pada sisi
palmaris.
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
2. Ekstensi Elbow 1. Triceps • Tuberculum infraglenoid • Radial
scapula,1/2 proksimal
tengah posterior humerus,
1/2 distal tengah posterior
humerus dan processus
olecranon ulna.
2. Anconeus • Permukaan posterior • Radial
epicondylus lateral
humerus dan sisi lateral
processus olecranon pada
seperempat proksimal
permukaan posterior
tengah ulna.
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
3. Supinasi Lengan 1. Supinator • Epicondylus lateral, • Posterior Interoseus (Radial)
supinator crista ulna dan
sepertiga proksimal radius
sisi posterior, lateral,
anterior.
2. Biceps Brachii • Tuberculum supraglenoid • Musculocutaneous
scapula, processus
coracoid scapula dan
tuberositas radi,
aponeurosis bicipital.
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
4. Pronasi Lengan 1. Pronator Quadratus • ¼ distal permukaan • Anterior Interosseous
anterior ulna dan1/4 distal (Median)
permukaan anterior radius.
2. Pronator Teres • Epicondylus medial,
permukaan medial • Median
processus coronoid dan
sepertiga tengah dari radius
lateral.
3. Flexsor Carpi Radialis • Epicondylus medial
humerus dan basis • Median
metacarpal ke-2 dan ke-3
sisi palmar.
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
5. Fleksi Wrist 1. Flexor Carpi Radialis • Epicondylus medial • Median
humerus dan basis
metacarpal ke-2 dan ke-3
sisi palmar.
2. Flexor Carpi Ulnaris • Epicondylus medial • Ulnar
humerus, aspek medial dari
processus olecranon, dua
pertiga proksimal dari
posterior ulna dan pisiform,
hamatum, dan basis
metacarpal kelima pada sisi
palmaris.
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
6. Ekstensi Wrist 1. Extensor Carpi Radialis • Sepertiga distal • Radial
Longus supracondylar lateral
humerus dan permukaan
dorsal basis metacarpal
kedua sisi radial.
2. Extensor Carpi Radialis • Epicondylus lateral humerus • Posterior Interosseous
Brevis dan permukaan dorsal basis (Radial)
metacarpal ke tiga.
3. Extensor Carpi Ulnaris • Epicondylus lateral humerus • Posterior Interosseous
dan sisi posterior basis (Radial)
metacarpal kelima.
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Supination of forearm 1. Supinator • Epicondylus lateral and • Posterior interosseous
2. Biceps braci supinator crista ulna and 1/3 (radial)
proksimal radius posterior • musculocutaneous
,lateral and anterior
• Tuberculum supraglenoid
scapula,processus coracoid
scapula and tuberositas radi
and apenoirosis bicipital
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Pronation of forearm 1. Pronation quadratus • Distal facies anterior ulnae • Anterior interosseous
2. Pronation teres and margo anterior radi (medial)
3. Flexor carpi radialis • Caput humeral:epicondylus • Median
medial,caput ulna:facies • median
medial processus coronoid
and 1/3 radial lateral
• Epicondylus medialis
humeri and facies palmar
basis ossis metacarpi II
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Extension of wrist 1. Extensor carpi radialis • Crista supraepicondylaris • Radial
longus lateralis-epicondylus epicondylus • Posterioe interesseous (
2. Extensor carpi radialis humeri and facies dorsal basis radial)
ossis metacarpi II
brevis • Epicondylus lateralis humeri and
• Posteror interosseous (
3. Extensor carpi ulnaris facies dorsal basis ossis radial)
metacarpal III
• Caput humeris epicondylus
lateral humeris,caput ulnare:
olecranon facies posterior ulnae
fascia antebrachi and facies
dorsal basis ossis metacarpi V
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Flexion of wrist 1. Flexor carpi radialis • Epicondylus medialis • Median
2. Flexor carpi ulnaris humeri and facies palmar • ulnar
basis ossi metacarpal II
• Caput humeral:epicondylus
medialis humeri ,caput
ulnare:olecranon,2/3 margo
posterior ulnae and via os
pisiforme and ligg
pisometacarpale and
pisohamatum basis ossis
metacarpi V and os
hamatum
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Ulnar deviation of wrist 1. Flexor carpi ulnaris • Caput humeral:epicondylus • Ulnar
2. Extensor carpi ulnaris medialis humeri ,caput • Posterior interosseous (
ulnare:olecranon,2/3 margo radial)
posterior ulnae and via os
pisiforme and ligg
pisometacarpale and
pisohamatum basis ossis
metacarpi V and os hamatum
• Caput humeris epicondylus
lateral humeris,caput ulnare:
olecranon facies posterior ulnae
fascia antebrachi and facies
dorsal basis ossis metacarpi V
 ACTION MUSCLE
Radial deviation of wrist 1. Flexor carpi radialis
2. Extensor carpi radialis
longus
3. Abduktor pollicis longus
4. Extensor pollicis brevis
ATTACHMENT NERVE SUPPLY
• Epicondylus medialis humeri • median
and facies palmar basis ossi • radial
metacarpal II • Posterior interosseous (
• Crista supraepicondylaris
lateralis-epicondylus
radial)
epicondylus humeri and facies • Posterior interosseous (
dorsal basis ossis metacarpi II radial)
• Facies posterior
ulnae,membrana
interossea,facies posterior radi
and basis ossis metacarpi I
• Facies posterior radi,membrana
interossea and basis phalangis
metacarpal I
 ACTION MUSCLE
Extension of fingers 1. Extensor digitorum
communis
2. Extensor indices (second
finger)
3. Extensor digiti minimi
(little finger)
ATTACHMENT NERVE SUPPLY
• Epicondylus lateralis • Posterior interosseous (
humeri fascia antebrachi radial)
and aponeurosis dorsalis • Posterior interosseous (
metacarpal II-VI radial)
• ¼ distal facies posterior • Posterior interosseous (
ulnae membrana interossea radial)
and aponeurosis dorsalis
metacarpal II
• Epicondylus lateral
humeri,fascia antebrachi
and apenourosis dorsal
meracarpal V
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Flexion of finger 1. Flexor digitorum profundus • Facies anterior ulnae membrana • Anterioe interosseous (
interossea and basis phalangis distalis
2. Flexor digitorum metacarpal II-V medial)
superficialis • Epicondilus medialis humeri proc • Median
3. Lumricals coronoideus and facies anterior radi • 1st And 2nd median,3rd and
• Tendon II-IV M.flexor digitorum
4. Interossel profundus (I+II 4th:ulnar (deep terminal
5. Flexor digiti minimi (little radial;III+Ivaponeurosis dorsalis) branch)
finger) • Ulnar os metacarpal II ,radial ossi • Ulnar (deep terminal
metacarpal IV and V and phalanx
proximalis and aponeurosis dorsalis ( branch)
tractus lateralis) metacarpal II,IV and • Ulnar (deep terminal
V branch)
• Epicondylus lateral humeri,fascia
antebrachi and apenourosis dorsal
meracarpal V
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Abduction of fingers (with 1. Dorsal interossel • Metacarpal I and II,II and • Ulnar (deep terminal
finger extended) 2. Abductor digiti minimi III,III and IV,IV and V and branch)
(little finger) radial phalangs proksimal • Ulnar (deep terminal
metacarpal II,III and ulnar branch)
phalangs proksimal
metacarapal III and IV
• Pisiform and tendon flexor
carpi ulnaris and basis
phalangs proksimal
metacarpal V ulnar and
dorsal digital expansion
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Adduction of fingers (with 1. Palmar interossel • Ulnar basis metacarpal II • Ulnar (deep terminal
finger extended) radial basis metacarpal IV branch)
and V and ulna phalangs
proksimal metacarpan II
radial phalangs proksimal
metacarpal IV and V
 ACTION MUSCLE
Extansion of thumb 1. Extensor polllicis longus
2. Extensor pollicis brevis
3. Abductor pollicis longus
ATTACHMENT NERVE SUPPLY
• ½ distal facies posterior ulnae, • Posterior interosseous (
membrana interossea and radial)
aponeurosis dorsalis metacarpal • Posterior interosseous (
II
• Facies posterior radi,membrana
radial)
interossea and basis phalangis • Posterior interosseous (
metacarpal I radial)
• Facies posterior
ulnae,membrana
interossea,facies posterior radi
and basis ossis metacarpi I
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
flexion of thumb 1. Flexor pollicis brevis • Caput superfisiale: • Superticial head median (
2. Flexor pollicis longus retinaculum musculorum lateral terminal branch)
3. Opponens pollicis flexorum,caput profundus : • Deep head ulnar
os capitatum,os trapezium • Anterior interosseous (
and os sesamoideum radial median)
metacarpophalangea metc • Median(lateral terminal
I,phalanx proximalis metc I branch)
• facies anterior radi and
basis phalangis distalis
policis
• Retinaculum musculorum
flexorum eminentia carpi
radialis and os metacarpi I
 ACTION MUSCLE
Abduction of thumb 1. Abductor pollicis longus
2. Abductor pollicis brevis
ATTACHMENT NERVE SUPPLY
• Facies posterior • Posterior interosseous (
ulnae,membrana radial)
interossea,facies posterior • Median(lateral terminal
radi and basis ossis branch)
metacarpi I
• Retinaculum musculorum
flexorum tuberculum ossis
scaphoidei and os
sesamoideum radial
metakarpophalangea metc I
phalangs proximal metc I
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Adduction of thumb 1. Adductor pollicis • Caput obliquum: os • ulnar(lateral terminal
hamatum ossa metacarpi II- branch)
IV.caput transversum:os
metacarpi III and os
sesamoideum ulna
metakarpophalangea (I)
phalanx proximal metc I
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Opposition of thumb ana 1. Opponens pollicis • Retinaculum musculorum • medial(lateral terminal
little finger 2. Flexor pollicis brevis flexorum eminentia carpi branch)
3. Abductor pollicis brevis radialis and os metacarpi I • Superticial head median
• Caput superfisiale: retinaculum
4. Opponens digiti minimi musculorum flexorum,caput
(lateral terminal branch)
profundus : os capitatum,os • Median(lateral terminal
trapezium and os sesamoideum branch)
radial metacarpophalangea metc • Ulnar ( deep terminal
I,phalanx proximalis metc I branch)
• Retinaculum musculorum
flexorum tuberculum ossis
scaphoidei and os sesamoideum
radial metakarpophalangea metc
I phalangs proximal metc I
• Retinaculum musculorum
flexorum, hamulus ossis hamati
and os metacarpi v
 THORACIC SPINE
ACTION MUSCLE
Flexion Of Thoracic Spine 1. Rectus abdominis
2. External abdominal oblique
( both sides acting together )
3. Internal abdominal oblique (
both sides acting together )
ATTACHMENT INNERVATION
• Costal cartilage of ribs 5-7 • T6-T12
and anterior ribs
• Lower eight ribs (5-12) and • T7-712
Linea alba, pubis, anterior
illiac crest
• Inguinal ligament, anterior • T7-T12, L1
iliac crest, thoracolumbar
aponeurosis and costal
cartilages of the lower four
ribs (9-12), abdominal
aponeurosis, linea alba
 ACTION MUSCLE ATTACHMENT NERVE
SUPPLY
Extension 1. Spinatis Thoracis 1. - O : Proc. Spinosus pada vertebrae lumbales ke (3) 2, 1 dan • T1-T12
Of Thoracic thoracae ke 12-10
Spine - I :Proc.spinosus pada vertebrae ke (10) 9-2
2. Illiocostalis Thoracis ( both sides 2. O : Iga XII-VII sebelah medial angulus costae • T1-T12
acting together ) I : Angulus costae pada iga (VI) VII-I
3. - O : Proc. Spinosi pada vertebrae lumbales, facies dorsalis
ossis sacri, sering kali dari proc. Mamilaris pada vertebrae
3. Longissimus Thoracis ( both sides lumbales ke2& 1, serta daroi proc. Transversus pada • T1-T12
acting together ) vertebrae thoracicae ke 12-6
- I : Bagian medial : proc. Mamillaris vertebrae limbalis ke 5
Bagian lateral : proc. Costalis pada vertebrae lumbales ke • T1-T12
4-1
4. O : Proc transversus pada vertebra thoracicae ke (12) 11-7 (6)
I : Proc. Spinosus pada vertebrae thoracicae ke (4) 3 sampai • T1-T12
cervicalis ke 6
5. O : Facies dorsalis ossis sacri, ligamen sacroiliacum posterius,
bagaian dorsal crista iliaca • T1-T12
4. Semispinalis Thoracis ( both sides I : Proc. Spinosus pada vertebrae lumbales ke 5-1, thoracicae
acting together ) ke 12-1 dan cervicales ke 7-2
6. O : Proc. Mamillares pada vertebrae lumbales, pro. Transversi • T1-T12
5. Mullificus ( both sides acting pada vertebrae thoracicae, pro. Articulares inferiores pada
together ) vertebrae cervicales
I : Radix proc. Spinosi pada vertebrae lumbales ke 3-1,
6. Rotatores ( both sides acting thoracicae ke 12-1 dan cerivacales ke 7-2
together ) 7. O : Proc. Spinosus pada vertebrae thoracicae ke (12) 11-2 (1)
 ACTION MUSCLE ATTACHMENT NERVE
SUPPLY
Rotation and side 1. Illiocostalis thoracis ( 1. . O : Iga XII-VII sebelah medial angulus costae • T1-T12
flexion of thoracic to same side ) I : Angulus costae pada iga (VI) VII-I
spine 2. . - O : Proc. Spinosi pada vertebrae lumbales, facies dorsalis ossis • T1-T12
2. Longissimus thoracis ( sacri, sering kali dari proc. Mamilaris pada vertebrae lumbales ke2&
both sides acting 1, serta daroi proc. Transversus pada vertebrae thoracicae ke 12-6 • T1-T12
3. Intertransverse ( to - I : Bagian medial : proc. Mamillaris vertebrae limbalis ke 5
same side ) Bagian lateral : proc. Costalis pada vertebrae lumbales ke 4-1 • T1-T12, L1
4. Internal abdominal 3. O : Tuberositas illiaca, Proc. Costalis dan proc. Accessorus pada
ablique ( to same side ) vertebrae lumbales ke 5-1, proc. Transversus pada vertebra thoracica • T1-T12
5. Semispinalis thoracis ( ke-12
to opposite side ) 4. . Inguinal ligament, anterior iliac crest, thoracolumbar aponeurosis • T1-T12
6. Multitidus ( to opposite and Costal cartilages of the lower four ribs (9-12), abdominal
side ) aponeurosis, line alba • T1-T12
7. Rotatores ( to opposite 5. O : Proc transversus pada vertebra thoracicae ke (12) 11-7 (6)
side ) I : Proc. Spinosus pada vertebrae thoracicae ke (4) 3 sampai • T1-T12
8. External abdominal cervicalis ke 6
ablique ( to opposite 6. O : Facies dorsalis ossis sacri, ligamen sacroiliacum posterius, • T1-T12,L1
side ) bagaian dorsal crista iliaca
9. Transversus abdominis I : Proc. Spinosus pada vertebrae lumbales ke 5-1, thoracicae ke 12-1
( to opposite side ) dan cervicales ke 7-2
7. O : Proc. Mamillares pada vertebrae lumbales, pro. Transversi pada
vertebrae thoracicae, pro. Articulares inferiores pada vertebrae
cervicales
I : Radix proc. Spinosi pada vertebrae lumbales ke 3-1, thoracicae ke
12-1 dan cerivacales ke 7-2
 ACTION MUSCLE
Elevation of ribs 1. Scalenus anterior (1st rib )
2. Scalenus medius ( 1 rib )
3. Scalenus posterior ( 2nd rib
) proc. Transversorum pada
4. Seratus posterior superior
(2nd to 5th ribs )
5. Illiocostalis cervicis (1st to
6th rib )
6. Levatores costarum (all
ribs)
7. Pectoralis major ( if arm
fixed )
8. Serratus anterior ( lower
ribs if scapula fixed )
9. Pectoralis minor (2nd to
5th ribs if scapula fixed )
10. Sternocleidomastoid (if
head fixed )
ATTACHMENT NERVE SUPPLY
1. C3-C7 AND Anterior ribs #s • C4-C6
1-2 • C3-C8
2. C3-C7 AND Anterior ribs #s • C6-C8
1-2
3. O : Tubercula posteriora • 2-5 Intercostal
vertebrae cervicales 5-7 • C6-C8
I : Iga III
4. O : Proc. Spinosus pada • T1-T12
vertebrae cervicales ke 6.7
dan thoracicae ke 1,2 • Lateral Pectoral (C6,C7)
I : Iga II-V di sebelah lateral • Medial Pectoral (C7,C8)
angulus costae
5. O : Iga XII-VII sebelah • Long thoracis (C5,C6,C7)
medial Angulus costae • Lateral pectoral (C6,C7)
I : Angulus costae pada iga • Medial pectoral (C7,C8)
(VI) VII-I
6. O : Proc. Transversus pada • Accessory C2,C3
vertebrae thoracica ke-11
cervicalis ke-7
I : Iga XII-I, masing-masing
disebelah lateral Angulus
costae
7. Sternal cartilage of ribs 1-6
and bicipital groove
 ACTION MUSCLE
Depression of ribs
1. Serratus posterior inferior ( lower
4 ribs )
2. Illiocostalis lumbalum (lower 6
ribs )
3. Longissimus thoracis
4. Rectus abdominis
5. External abdominal oblique
(lower 5 to 6 ribs )
6. Internal abdominal oblique (
lower 5 to 6 ribs )
7. Transversus abdominal ( alla
acting depress lower ribs )
8. Quadratus lumborum (12th rib)
9. Transversus thoracis
ATTACHMENT NERVE SUPPLY
1. . O : Proc. Spinosus pada vertebrae • T9-T12
thoracicae ke 11,12 dan lumbales ke 1,2
I : Tepi kaudal iga IX-XII • L1-L3
2. . O : Bersama dengan M. Longissimus
thoracis dan proc. Spinosi pada vertebrae • T1-T12
lumbales, facies dorsalis ossis sacri, sepertiga • T6-T12
dorsal cristae illiacae, fascia thoracolumbalis • T7-T12
I : Angulus costae pada iga XII-V
3. - O : Proc. Spinosi pada vertebrae lumbales, • T7-T12,L1
facies dorsalis ossis sacri, sering kali dari
proc. Mamilaris pada vertebrae lumbales • T7-T12,L1
ke2& 1, serta daroi proc. Transversus pada
vertebrae thoracicae ke 12-6
- I : Bagian medial : proc. Mamillaris • T12,L1-L4
vertebrae limbalis ke 5
Bagian lateral : proc. Costalis pada • T1-T12
vertebrae lumbales ke 4-1
4. Costal cartilage of ribs 5-7 and Anterior pubis
5. Lower eight ribs (5-12) and Linea
alba,pubis,anterior iliac crest
6. Inguinal ligament, anterior iliac crest,
thoracolumbar aponeurosis and Costal
cartilages of the lower four ribs (9-12),
abdominal aponeurosis, line alba
7. Inguinal ligament, illiac crest, thoracolumbar
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Approximation of ribs 1. Illiocostalis thoracis 1. O : Iga XII-VII sebelah • T1-T12
2. Intercostalis ( internal and medial angulus costae • 1-11 Intercostal Phrenic
external ) I : Angulus costae pada iga
3. Dichphragm (VI) VII-I
2. Internal
O : Tepi atas costa dari di
sebelah ventral angulus
costae
I : Tepi bawah costa di
atasnya
External
O : Tepi bawah costa dari
tuberculum costae sampai
garis cartilago- tulang iga
tersebut
I : Tepi atas costa
dibawahnya
3. O : Pars sternalis :
permukaan dalam proc.
Xiphoideus, vagina muskuli
recti
I : Semua bagian menyatu di
centrum tendineum
ACTION MUSCLE
Inspiration 1. Internal costalis
2. Transverse thoracis
(sternocostalis )
3. Diaphragm
4. Sternocleidomastoid
5. Scalenus anterior
6. Scalenus medius
7. Pectoralis major
8. Pectoralis minor
9. Serratus anterior
10. Latissimus dorsi
11. Serratus posterior superior
12. Illiocostalis thoracis
ATTACHMENT NERVE SUPPLY
1. O : Tepi atas costa dari • 1-11 Intercostal
disebelah ventral angulus • 1-11 Intercostal Phrenic
costae • Accessory C2,C3
I : Tepi bawah costa • C4-C6
diatasnya • C3-C8
2. O : Sebelah dorsal Corpus • C6-C8
sterni dan proc. Xiphoideus • Lateral Pectoral (C5,C6)
I : Cartilago costalis iga II- • Medial pectoral (C7,C8,T1)
VI • Lateral Pectoral (C6,C7)
3. O : Pars sternalis : • Medial Pectoral (C7,C8)
permukaan dalam proc. • Long thoracic (C5,C6,C7)
Xiphoideus, vagina muskuli • Thoracodorsal (C6,C7,C8)
recti • 2-5 Intercostal
I : Semua bagian menyatu di • T1-t12
centrum tendineum
4. Top of sternum, medial
clavicle, and mastoid
process
5. C3-C7 and anterior ribs #s 1-
2
6. C3-C7 and anterior ribs #s 1-
2
7. Sternal cartilage of ribs 1-6
and bicipital groove
8. Ribs 3-5 and coracoid
process
ACTION MUSCLE ATTACHMENT NERVE
SUPPLY
Expiration 1. Internal intercostalis 1. 1. O : Tepi atas costa dari disebelah ventral angulus • 1-11
2. Rectus abdominis costae Intercostal
3. External abdominal oblique I : Tepi bawah costa diatasnya • T6-T12
4. Internal abdominal oblique 2. Costal cartilage of ribs 5-7 and anterior pubis • T7-T12
5. Illiocostalis lumborum 3. Lower eight ribs (5-12) and linea alba, pubis, anterior • T7-T12,L1
6. Longissimus anterior illiac crest • L1-L3
7. Serratus posterior inferior 4. Inguinal ligament, anterior illiac crest, thoracolumbar • T1-L3
8. Quadratus lumborum aponeurosis and costal cartilages of the lower four ribs • T9-T12
(9-12), abdominal aponeurosis, line alba • T12,L1-L4
5.. O : Iga XII-VII sebelah medial angulus costae
I : Angulus costae pada iga (VI) VII-I
6. . - O : Proc. Spinosi pada vertebrae lumbales, facies
dorsalis ossis sacri, sering kali dari proc. Mamilaris
pada vertebrae lumbales ke2& 1, serta daroi proc.
Transversus pada vertebrae thoracicae ke 12-6
- I : Bagian medial : proc. Mamillaris vertebrae limbalis
ke 5
Bagian lateral : proc. Costalis pada vertebrae
lumbales ke 4-1
7. O : Proc. Spinosus pada vertebrae thoracicae ke 11,12
dan lumbales ke 1,2
I : Tepi kaudal iga IX-XII
8. Posterior iliac crest and 12th rib , transver processess of
L1-4
 LUMBAR SPINE

ACTION MUSCLE ATTACHMENT NERVE SUPPLY

Forward flexion 1. Psoas major
2. Rectus abdominis
3. External abdominal oblique •
• Facies lateral corpus • L1,L2,L3
vertebrae T12-L4, disci
intervertebrales, proc
costalis L1-4 and trochanter
minor, regio labium mediale
lineae asperae
• Cartilago costa V-VII, • T6-T12
ligamenta costoxiphoidea
and Symphysis pubics
Ribs V-XII and Labium • T7-T12
externum cristae iliacae,
ligament inguinale
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Forward flexion 4. Internal abdominal oblique • Fascia thoracolumbalis, • T7-T12, L1
linea intermedia cistae
iliacae, lig. Inguinale and
Ribs IX-XII, linea alba
5. Transversus abdominis • Ribs VII-XII, fascia • T7-T12, L1
thoracolumbalis, labium
internum cristae iliacae, lig.
Inguinale and linea arcuata
ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Extension 1. Latissimus dorsi • Proc. Spinosus T7-L5, crista • Thoracodorsal (C6,C7, C8)
iliaca posterior, posterior
sacrum and medial bicipital
groove humerus
2. Ererctor spine • Proc. Spinosus T9-T12, • L1, L2, L3
medial slope of the dorsal
segment of illiac crest and
proc. Spinosus T1-T2
3. Transversospinalis • Transverse process • L1-L5
inferiorly to a
spinousprocess superiorly
ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Extension 4. Interspinales • Proc. Spinosus and proc. • L1-L5
Spinosus directly superior
5. Quadratus lumborum • Labium internum cristae • T12,L1-L4
iliacae and ribs XII, proc.
Costalis L4-1
ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Side flexor 1. Latissimus dorsi • Proc. Spinosus T7-L5, crista • Thoracodorsal (C6, C7, C8)
iliaca posterior, posterior
sacrum and medial bicipital
groove humerus
2. Erector spinae • Proc. Spinosus T9-T12, • L1, L2, L3
medial slope of the dorsal
segment of illiac crest and
proc. Spinosus T1-T2
3. Transversospinalis • Transverse process • L1-L5
inferiorly to a
spinousprocess superiorly
ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Side flexor 4. Intertransversarii • Transverse process and • L1-L5
transverse process directly
superior
5. Quadratus lumborum • Labium internum cristae • T12, L1-L4
iliacae and ribs XII, proc.
Costalis L4-1
6. Psoas major • Facies lateral corpus • L1, L2, L3
vertebrae T12-L4, disci
intervertebrales, proc
costalis L1-4 and trochanter
minor, regio labium mediale
lineae asperae
ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Side flexor 7. External abdominal oblique • Ribs V-XII and Labium • T7-T12
externum cristae iliacae,
ligament inguinale
 THE HIP

ACTION MUSCLE ATTACHMENT INNERVATION

Flexion of hip 1. Psoas • Lumbar vertebrae T12-L5 and lesser trochanter • L1, L2, L3
of femur
2. Illiacus • Illiac fossa and lesser trochanter of femur • Femoral
3. Rectus femoris • Anterior inferior illiac spine and upper margin of • Femoral
acetabulum
4. Sartorius • Anterior superior illiac spine and pes anserinus • Femoral
 ACTION MUSCLE ATTACHMENT INNERVATION
Flexion of hip 5. Pectineus • Anterior pubis and below lesser trochanter of • Femoral
femur
6. Adductor longus • Anterior pubis and below adductor brevis of • Obturator
femur
7. Adductor brevis • Anterior pubis and below pectineus on femur • Obturator
8. gracilis • Inferior ramus of anterior pubis and pes • Obturator
anserinus
 ACTION MUSCLE ATTACHMENT INNERVATION
Extension of hip 1. Biceps femoris • Ischial tuberosity and head of fibula • Sciatic
2. Semimembranosus • Ischial tuberosity and medial tibial condyle • Sciatic
3. Semitendinosus • Ischial tuberosity and pes anserinus • Sciatic
4. Gluteus maximus • Posterior sacrum, illium and illiotibial tract • Inferior gluteal
5. Gluteus medius • Illiac crest to illium and greater trochanter of femur • Superior gluteal
(posterior part)
6. Adductor magnus • Anterior-inferior ramus of pubis, below adductor • Sciatic
(ischiocondylar part) longus on femur and adductor tubercle
• Posterior-ischial tuberosity, ramus of ischium and
adductor tubercle
 ACTION MUSCLE ATTACHMENT INNERVATION
Abduction of hip 1. Tensor fasciae lalae • Illiac crest and IT tract to ateral condyle of tibia • Superior gluteal
2. Gluteus minimus • Posterior illium and anterior surface of greater • Superior gluteal
trochanter of femur
3. Gluteus medius • Illiac crest to illium and greater trochanter of femur • Superior gluteal
4. Gluteus maximus • Posterior sacrum, illium and illiotibial tract • Inferior gluteal
5. Sartorius • Anterior superior illiac spine and pes anserinus • Femoral
 ACTION MUSCLE ATTACHMENT INNERVATION
Adductor of hip 1. Adductor longus • Anterior pubis and below adductor brevis of femur • Obturator
2. Adductor brevis • Anterior pubis and below pectineus on femur • Obturator
3. Adductor magnus • Anterior-inferior ramus of pubis, below adductor longus • Obturator
(ischiofemoral on femur and adductor tubercle
portion) • Posterior- ischial tuberosity, ramus of ischium and
adductor tubercle
4. Gracilis • Inferior ramus of anterior pubis and pes anserinus • Obturator
5. Pectineus • Anterior pubis and below lesser trochanter of femur • Femoral
 ACTION MUSCLE ATTACHMENT INNERVATION
Medial rotation of 1. Adductor longus • Anterior pubis and below adductor brevis of • Obturator
hip femur
2. Adductor brevis • Anterior pubis and below pectineus on femur • Obturator
3. Adductor magnus • Anterior-inferior ramus of pubis, below adductor • Obturator and sciatic
longus on femur and adductor tubercle
• Posterior- ischial tuberosity, ramus of ischium
and adductor tubercle
4. Gluteus medius • Illiac crest to illium and greater trochanter of • Superior gluteal
(anterior part) femur
 ACTION MUSCLE ATTACHMENT INNERVATION
Medial rotation of 5. Gluteus minimus • Posterior illium and anterior surface of greater • Superior gluteal
hip (anterior part) trochanter of femur
6. Tensor fasciae latae • Illiac crest and IT tract to ateral condyle of tibia • Superior gluteal
7. Pectineus • Anterior pubis and below lesser trochanter of • Femoral
femur
8. Gracilis • Inferior ramus of anterior pubis and pes • obturator
anserinus
 ACTION MUSCLE ATTACHMENT INNERVATION
Lateral rotation of 1. Gluteus maximus • Posterior sacrum, illium and illiotibial tract • Inferior gluteal
hip 2. Obturator internus • Ischium and greater trochanter of femur below • N, to obturator inernus
piriformis
3. Obturator externus • Ischium, obturator foramen and greater • Obturator
trochanter of femur below obturator internus
4. Quadratus femoris • Anterior sacrum and greater trochanter of • N, to quadratus femoris
femur (superior position)
5. Piriformis • Anterior superior illiac spine and pes anserinus • L5, S1, S2
 ACTION MUSCLE ATTACHMENT INNERVATION
Lateral rotation of 6. Gemellus superior • O: spina ischiadica • N, to obturator internus
hip • i: tendo M. Obturatorius internus
7. Gemellus inferior • O: tuber ischiadicum • N, to quadratus femoris
• i: tendo M. Obturatorius internus
8. Sartorius • Anterior superior illiac spine and pes anserinus • Femoral
9. Gluteus medius • Illiac crest to illium and greater trochanter of • Superior gluteal
(posterior part) femur
 THE KNEE

ACTION MUSCLE ATTACHMENT INNERVATION

Flexion of knee 1. Bicep femoris • Tuber ischiadicum dan • Sciatic
caput fibula
2. Semimbranosus • Tuber ischiadicum dan • Sciatic
condylus medialis tibia
3. Semitendinosus • Tuber ischiadicum dan • Sciatic
tuberosita tibia
4. Gracilis • Ramus inferior ossis pubis • Obturator
dan linea pectinea
5. Sartorius • SIAS dan tuberositas tibia • Femoral
bagian medial
6. Popliteus • Condylus lateralis dan • Tibial
facies posterior bagian
proximal
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Flexion of knee 7. Gastronemius • Epicondylus medial,lateral • Tibial
dan tuber calcanei diatas
tendon achilles
8. Tensor fascia latae • SIAS dan condylus lateralis • Superior gluteal
diatas dan tractus
illiotibialis di bawah
9. Plantaris • Facies poplitea femoris dan • Tibial
tuber calcanei diatas tendon
achilles
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Extension of knee 1. Rectus femoris • SIAI, tepi cranial • Femoral
acetabulum dan tuberositas
tibia,patella tepi proximal
• Linea
2. Vastus medialis intertrochanterica,labium • Femoral
medial linea aspera dan
tuberositas tibia,patella tepi
proximal
• Facies anterior • Femoral
3. Vastus intermedius femoris,labium lateral linea
aspera dan tuberositas
tibia,patella tepi proximal
 ACTION MUSCLE ATTACHMENT INNERVATION
Extension of knee 4. Vastus lateralis • Trochanter major, • Femoral
tuberositas glutea,labium
lateral linea aspera dan
tuberositas tibia,patella tepi
proximal
5. Tensor fascia latae • SIAS dan condylus lateralis • Superior gluteal
diatas dan tractus
illiotibialis di bawah
 ACTION MUSCLE ATTACHMENT INNERVATION
Medial rotation of flexed 1. Popliteus • Condylus lateralis dan • Tibial
knee facies posterior bagian
proximal
2. Semimebranosus • Tuber ischiadicum dan • Sciatic
condylus medialis tibia
3. Semitendinosus • Tuber ischiadicum dan • Sciatic
tuberosita tibia
4. Sartorius • SIAS dan tuberositas tibia • Femoral
bagian medial
5. Gracilis • Ramus inferior ossis pubis • Obturator
dan linea pectinea
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY
Lateral rotation of flexed 1. Biceps femoris • Tuber ischiadicum dan • sciatic
caput fibula
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY

Plantar flexion (flexion) of 1. Gastrocnemius 1. Medial and lateral 1. Tibial

ankle 2. Soleus epycondile of femur and 2. Tibial
3. Plantaris calcaneus via achilles 3. Tibial
4. Flexor digitorum longus tendon 4. Tibial
5. Peroneus longus 2. Posterior tibia and fibula
6. Peroneus brevis and calcaneus via achilles
7. Flexor hallucis longus tendon
8. Tibialis posterior 3. O : permukaan plantar
ossa metatarsi III-V, Lig.
PLANTARE LONGUM,
Insersio : sisi medial
pangkal phalanx proximalis
jari 3-5
4. Anterior radius,
interrosseus membrane
and distal phalanx of
thumb
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY

Plantar flexion (flexion) of 5. Peroneus longus 5. Head and upper two thirds 5. Superficial peroneal
ankle 6. Peroneus brevis of lateral shaft of fibula 6. Superficial peroneal
7. Flexor hallucis longus and base of first 7. Tibial
8. Tibialis posterior metatarsal, first cuneiform 8. Tibial
(plantar)
6. Lower two thirds of shaft
of fibula and base of fifth
metarsal
7. Posterior fibula and distal
phalanx of big toe-plantar
surface
8. Posterior tibia, fibula and
navicular, adjacent tarsals,
and metatarsals on plantar
surface
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY

Dorsiflexion 1. Tibialis 1. Lateral condyle and lateral shaft Deep peroneal

(extension) of anterior of tibia, interosseus membrane Deep peroneal
ankle 2. Extensor and base of first metatarsal Deep peroneal
digitorum (plantar surface), first medial Deep peroneal
longus cuneiform (plantar surface)
3. Extensor 2. Lateral condyle of tibia, proximal
hallucis two-thirds of anterior shaft of
longus fibula and middle and distal
4. Peroneus phalanges of the four lateral toes
tellius 3. Anterior shaft of fibula and
interrosseus membrane
4. Anterior distal fibula and base of
fifth metatarsal
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY

Inversion 1. Tibialis 1. Posterior tibia, fibula and Tibial

posterior navicular, adjacent tarsals, and Tibial
2. Flexor metarsals on plantar surface Tibial
digitorum 2. Posterior tibia and distal Deep peroneal
longus phalanges of the four lateral Deep peroneal
3. Flexor toes (plantar surface)
hallucis 3. Posterior fibula and distal
longus phalanx of big toe-plantar
4. Tibialis surface
anterior 4. Lateral condyle and lateral
5. Extensor shaft of tibia, interosseus
hallucis membrane and base of first
longus metatarsal (plantar surface),
first medial cuneiform (plantar
surface)
5. Anterior shaft of fibula and
interrosseus membrane
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY

Eversion 1. Peroneus 1. Head and upper two thirds of Superficial peroneal

longus lateral shaft of fibula and base of Superficial peroneal
2. Peroneus first metatarsal, first cuneiform Deep peroneal
brevis (plantar) Deep peroneal
3. Peroneus 2. Lower two thirds of shaft of
tertius fibula and base of fifth metarsal
4. Extensor 3. Anterior distal fibula and base
digitorum of fifth metatarsal
longus 4. Lateral condyle of tibia,
proximal two-thirds of anterior
shaft of fibula and middle and
distal phalanges of the four lateral
toes
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY

Flexion of 1. Flexor 1. Anterior radius, interrosseus Tibial

toes digitorum membrane and distal phalanx of Tibial
longus thumb Tibial (medial
2. Flexor 2. Posterior fibula and distal phalanx plantar branch)
hallucis of big toe-plantar surface Tibial (medial
longus 3. O : Permukaan plantar Tuber plantar branch)
3. Flexor calcanei, Aponeurosis plantaris Tibial ( lateral
digitorum I : Phanalanx media jari 2-5 plantar branch)
brevis 4. Posterior fibula and distal phalanx Tibial ( lateral
4. Flexor of big toe-plantar surface plantar branch)
hallucis brevis 5. O : Permukaan plantar calcaneus, Tibial ( lateral
5. Flexor Lig. Plantare longum plantar branch)
accessolius I : Tepi lateral tendo M. Flexor Tibial (1st by medial
6. Interossel digitorum longus plantar)
7. Flexor digiti 6. O : Ossa metatarsi, lig . Plantare Branch ; 2nd-4th by
minimi brevis longum lateral plantar
8. Lumbricais I : Phalanx proximalis branch )
(metalarsoph 7. O : Basis ossis matatarsi V, Lig.
alangeal Plantare longum
joints) I : Phalanx proximalis jari 5
4. 8. O : M . Lumbricalis pedis ;
tendo M. Flexor digitorum longus
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY

Extension of 1. Extensor 1. Lateral condyle of tibia, Deep peroneal

toes digitorum proximal two-thirds of anterior Deep peroneal
longus shaft of fibula and middle and Deep peroneal (
2. Extensor distal phalanges of the four lateral terminal
hallucis lateral toes branch )
longus 2. Anterior shaft of fibula and Tibial (1st by medial
3. Extensor interrosseus membrane plantar branch ; 2nd-
digitorum 3. O : Permukaan dorsal 4th by lateral plantar
brevis calcaneus branch)
4. Lumbricals ( I : Aponeurosis dorsalis jari
interphalang 2-4
eal joints ) 4. O : M . Lumbricalis pedis ;
tendo M. Flexor digitorum
longus
I : Bercaput 1
II-IV : Berkaput dua
Insersio : Sisi medial phalanx
proximalis jari 2-5
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY

Abduction of 1. Abductor 1. O : Proc. Medialis tuberis Tibial (medial plantar

toes hallucis calcanei, aponeurosis branch)
2. Abductor plantaris, retinaculum Tibial (lateral plantar
digiti minimi musculorum flexorum branch)
3. Dorsal I : Os sesamoideum Tibial (lateral plantar
interosssel mediale pada sendi branch)
metatarsophalangea ibu
jari, phalanx proximalis ibu
jari
2. O: Proc. Lateralis pada
tuber calcanei,
Aponeurosis plantaris
I : Tuberositas ossis
metatarsi V. Phalanx
proximalis jari 5
3. O : Sisi-sisi ossa metatarsi I-
V yang berhadapan, Lig.
Plantare longum
I : Phlanx proximalis jari 2-
4 ( jari 2 bilateral, jari 3 dan
4 dari lateral )
I : Phalanx proximalis jari
 ACTION MUSCLE ATTACHMENT NERVE SUPPLY

Adduction of 1. Adductor 1. O : Tibial (lateral

toes hallucis Caput obliquum : Os cuboideum, Os plantar branch)
2. Plantar cuneiforme lateral, Lig. Plantare Tibial (lateral
intorossel longum, Lig. Calcaneocuboideum plantar branch)
plantare
Caput transversum : Kapsul sendi-
sendi metatarsophalangea jari III-
V, lig. Metatarsale transversum
profundum
I : Os sesamoideum laterale dan
kapsul sendi metatrsophalangea
ibu jari kaki, Phalanx proximalis
hallucis
2. O : Permukaan plantar ossa
metatarsi IIII-V, Lig. Plantare
longum
I : Sisi medial pangkal phalanx
proximalis jari 3-5