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12-1
Human Anatomy, First Edition
McKinley & O'Loughlin
Chapter 12 Lecture Outline:
Appendicular Muscles
12-2
Appendicular Muscles
 Control the movements of the upper and lower limbs.
 Stabilize and control the movements of the pectoral
and pelvic girdles.
 Organized into groups based on their location in the
body or the part of the skeleton they move.
 Work in groups that are either synergistic or
antagonistic.
12-3
Appendicular Muscles
 Organized into specific groups.
 muscles that move the pectoral girdle
 muscles that move the glenohumeral joint/arm
 arm and forearm muscles that move the elbow
joint/forearm
 forearm muscles that move the wrist joint, hand,
and fingers
 intrinsic muscles of the hand
4
5
6
12-7
Muscles That Move the
Pectoral Girdle
 Originate on the axial skeleton and insert on the
clavicle and scapula.
 Stabilize the scapula and move it to increase the
arm’s angle of movements.
 Some of the superficial muscles of the thorax are
grouped together according to the scapular
movement they direct.
 elevation, depression, protraction, or retraction
8
9
10
12-11
Arm and Forearm Muscles That
Move the Elbow Joint/Forearm
 (Flexor) compartment
 Posterior (extensor) compartment
 Anterior compartment
 primarily contains elbow flexors
 Posterior compartment contains elbow extensors
 the principal flexors

biceps brachii, brachialis, and brachioradialis
 muscles that extend the elbow joint

triceps brachii and the anconeus
12
13
14
15
16
12-17
Forearm Muscles That
Supinate and Pronate
 Supinator muscle supinates the forearm.
 Contraction of the pronator teres and pronator
quadratus pronates the forearm.
 Biceps brachii helps supinate the forearm.
18
19
20
21
22
23
24
12-25
Forearm Muscles That Move the Wrist
Joint, Hand, and Fingers
 Muscles in the forearm move the hand at the wrist
and/or the fingers.
 Extrinsic muscles of the wrist and hand originate on
the forearm, not the wrist or hand.
12-26
Forearm Muscles That Move the Wrist
Joint, Hand, and Fingers
 Both the pronator teres and the pronator quadratus are located
in the anterior compartment of the forearm.
 their primary function is pronation
 The supinator muscle is in the posterior compartment of the
forearm.
 its primary function is supination
 Tendons of forearm muscles typically are surrounded by tendon
(synovial) sheaths and held adjacent to the skeletal elements by
strong fascial structures.
 At the wrist, the deep fascia of the forearm forms thickened,
fibrous bands termed retinacula.
12-27
Intrinsic Muscles of the Hand
 Small muscles that both originate and insert on the
hand.
 They are housed entirely within the palm.
 thenar group forms the thick, fleshy mass (thenar
eminence) at the base of the thumb
 hypothenar group forms a smaller fleshy mass
(hypothenar eminence) at the base of the little
finger
 midpalmar group occupies the space between the
first two groups
28
29
30
12-31
Muscles That Move the Pelvic
Girdle and Lower Limb
 The most powerful and largest muscles
in the body.
 Several of these muscles cross and act
upon two joints—the coxal joint (hip)
and the knee joint.
12-32
Muscles That Move the Coxal
Joint/Thigh
 Most muscles that act on the coxal joint/thigh
originate on the os coxae.
 Stabilize the highly movable coxal joint and support
the body during standing and walking.
 Majority of the muscles that move the thigh at the
coxal joint originate on the pelvic girdle and insert on
the femur.
33
34
35
36
12-37
Muscles of the Hip and Thigh
 Multiple muscles insert on the anterior thigh
and flex the coxal joint.
 the psoas major and the iliacus have different
origins, but they share the common insertion at the
lesser trochanter of the femur
 they merge and insert on the femur as the
iliopsoas
 work synergistically to flex and laterally rotate the
thigh
 the sartorius crosses over the anterior thigh and
helps flex the thigh
12-38
Muscles of the Hip and Thigh
 Five muscles are located in the medial compartment
of the thigh.
 Adduct the thigh and perform additional functions.
 Adductor longus, adductor brevis, gracilis, and
pectineus also flex the thigh.
 Adductor magnus extends and laterally rotates the
thigh.
 Tensor fasciae latae abducts and medially rotates the
thigh.
12-39
Muscles of the Hip and Thigh
 The gluteus maximus.
 the largest and heaviest of the three gluteal muscles
 one of the largest muscles in the body
 is the chief extensor of the thigh
 laterally rotates the thigh
 Deep to the gluteus maximus is the gluteus medius.
 a powerful abductor of the thigh
 medially rotates the thigh
 intramuscular injections are often given here
 The smallest of the gluteal muscles is the gluteus minimus.
 lies deep to the gluteus medius
 works with the gluteus medius to abduct and medially rotate
the thigh
12-40
Muscles of the Hip and Thigh
 Deep to the gluteal muscles are a group of muscles
that collectively laterally rotate the thigh/coxal joint.
 piriformis
 superior gemellus
 obturator externus
 inferior gemellus
 obturator internus
 quadratus femoris
41
12-42
Muscles of the Hip and Thigh
 The posterior thigh contains a group of muscles that
are collectively referred to as the hamstrings.
 biceps femoris
 semimembranosus
 semitendinosus
 Share a common origin on the ischial tuberosity of
the os coxae.
 Insert on the leg.
 Move both the thigh and the knee.
 Primary thigh movement is extension.
12-43
Muscles of the Hip and Thigh
 Vastus lateralis.
 forms the anterolateral surface of the thigh
 Vastus medialis.
 forms the anteromedial surface of the thigh
 Vastus intermedius.
 positioned deep to the rectus femoris, and sandwiched
between the other two vastus muscles
 All four converge on a single quadriceps tendon, which extends
to the patella and then continues inferiorly as the patellar
ligament and inserts on the tibial tuberosity.
12-44
Muscles of the Hip and Thigh
 Patella becomes encased in this tendon and ligament.
 Quadriceps femoris is the great extensor muscle of the leg
 extends the knee
 acts with the iliopsoas to flex the hip while the leg is off the
ground
 Sartorius projects obliquely across the anterior surface of the
thigh from the lateral to the medial side.
 acts on both the coxal and knee joints, flexing and laterally
rotating the coxal joint while flexing and medially rotating the
knee joint
 the longest in the body
12-45
Muscles of the Hip and Thigh
 The medial (adductor) compartment of the thigh.
 muscles that adduct the coxal joint
 adduct the thigh

gracilis also flexes the knee joint/leg
 The posterior (flexor) compartment of the thigh
contains the three hamstring muscles discussed
previously.
 These muscles also flex the knee. The biceps femoris
is a two-headed muscle that inserts on the lateral side
of the leg.
 The long head of the biceps femoris originates on the
ischial tuberosity with the semimembranosus and
semitendinosus.
12-46
Muscles of the Hip and Thigh
 The short head of the biceps femoris originates on the
linea aspera of the femur.
 The short head cannot move the hip joint, but it does
help the other hamstring muscles in flexing the knee.
 Semimembranosus is deep to the semitendinosus.
 originates from the ischial tuberosity and attaches to the
medial side of the leg
 Semitendinosus is superficial to the
semimembranosus and is attached to the medial leg.
12-47
Muscles of the Hip and Thigh
 Several leg muscles span the knee joint and
work to flex the knee.
 gastrocnemius
 plantaris
 popliteus
48
49
50
51
52
53
54
55
56
57
58
12-59
Leg Muscles
 Muscles that move the ankle, foot, and toes are
housed within the leg.
 called the crural muscles
 help flex the knee joint/leg
 three compartments (anterior, lateral, and posterior) each
with its own nerve and blood supply
12-60
Leg Muscles
 Anterior compartment leg muscles
 dorsiflex the foot and/or extend the toes
 Extensor digitorum longus
 sends four long tendons to attach to the dorsal surface of
toes 2–5
 dorsiflexes the foot and extends toes 2–5
 Extensor hallucis longus
 sends a tendon to the dorsum of the great toe (hallux)
 dorsiflexes the foot and extends the great toe
 Fibularis (peroneus) tertius
 extends from the extensor digitorum longus muscle
 dorsiflexes and weakly everts the foot
12-61
Leg Muscles
 Tibialis anterior
 primary dorsiflexor of the foot at the ankle
 attaches to the medial plantar side of the foot
 also inverts the foot
 analogous to the wrist
 tendons are held tightly against the ankle by
multiple deep fascia thickenings (extensor
retinaculum)
12-62
Leg Muscles
 The lateral compartment leg muscles
 contains two synergistic muscles that evert and plantar flex
the foot
 very powerful evertors of the foot
 plantar flexion is a secondary function for them
 Fibularis (peroneus) longus
 superficial lateral muscle that covers the fibula
 its tendon attaches to the plantar side of the foot
 the fibularis (peroneus) brevis lies deep to the fibularis
longus

its tendon inserts onto the base of the fifth metatarsal
12-63
Leg Muscles
 The deep layer of the posterior compartment contains
four muscles.
 The flexor digitorum longus.
 attaches to the distal phalanges of toes 2–5
 plantar flexes the foot
 flexes the MP, PIP, and DIP joints of toes 2–5
 Flexor hallucis longus.
 originates on the fibula, and yet
 its tendon travels medially and runs along the plantar side of
the foot to attach to the distal phalanx of the great toe
 plantar flexes the foot and flexes the great toe
12-64
Leg Muscles
 Tibialis posterior
 plantar flexes and inverts the foot
 Popliteus
 forms the floor of the popliteal fossa, and acts to
flex the leg
 medially rotates the tibia slightly to “unlock” the
fully extended knee joint
 originates and inserts in the popliteal region

only moves the knee, not the foot
65
66
67
12-68
Leg Muscles
 The superficial muscles and most of the deep
muscles plantar flex the foot at the ankle.
 The superficial layer of the posterior
compartment contains three muscles.
 gastrocnemius
 soleus
 plantaris
12-69
Leg Muscles

Gastrocnemius is the most superficial muscle
 referred to as the “calf”
 spans both the knee and the ankle joints
 flexes the knee joint and plantar flexes the foot

Soleus
 broad, flat muscle deep to the gastrocnemius
 plantar flexes the foot

Plantaris
 small muscle that is absent in some individuals
 projects obliquely between the gastrocnemius and
soleus muscles
 weak knee flexor and plantar flexor of the foot
12-70
Intrinsic Muscles of the Foot
 Originate and insert within the foot.
 Support the arches and move the toes to aid locomotion.
 Most are comparable to the intrinsic muscles of the hand.
 Rarely perform all the precise movements their names suggest.
 The dorsal group contains only two muscles.
 extensor hallucis brevis

extends the MP joint of the great toe
 extensor digitorum brevis

extends the MP and PIP joints of toes 2–4

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Appendicular muscles

  • 1. 12-1 Human Anatomy, First Edition McKinley & O'Loughlin Chapter 12 Lecture Outline: Appendicular Muscles
  • 2. 12-2 Appendicular Muscles  Control the movements of the upper and lower limbs.  Stabilize and control the movements of the pectoral and pelvic girdles.  Organized into groups based on their location in the body or the part of the skeleton they move.  Work in groups that are either synergistic or antagonistic.
  • 3. 12-3 Appendicular Muscles  Organized into specific groups.  muscles that move the pectoral girdle  muscles that move the glenohumeral joint/arm  arm and forearm muscles that move the elbow joint/forearm  forearm muscles that move the wrist joint, hand, and fingers  intrinsic muscles of the hand
  • 4. 4
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  • 7. 12-7 Muscles That Move the Pectoral Girdle  Originate on the axial skeleton and insert on the clavicle and scapula.  Stabilize the scapula and move it to increase the arm’s angle of movements.  Some of the superficial muscles of the thorax are grouped together according to the scapular movement they direct.  elevation, depression, protraction, or retraction
  • 8. 8
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  • 11. 12-11 Arm and Forearm Muscles That Move the Elbow Joint/Forearm  (Flexor) compartment  Posterior (extensor) compartment  Anterior compartment  primarily contains elbow flexors  Posterior compartment contains elbow extensors  the principal flexors  biceps brachii, brachialis, and brachioradialis  muscles that extend the elbow joint  triceps brachii and the anconeus
  • 12. 12
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  • 17. 12-17 Forearm Muscles That Supinate and Pronate  Supinator muscle supinates the forearm.  Contraction of the pronator teres and pronator quadratus pronates the forearm.  Biceps brachii helps supinate the forearm.
  • 18. 18
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  • 23. 23
  • 24. 24
  • 25. 12-25 Forearm Muscles That Move the Wrist Joint, Hand, and Fingers  Muscles in the forearm move the hand at the wrist and/or the fingers.  Extrinsic muscles of the wrist and hand originate on the forearm, not the wrist or hand.
  • 26. 12-26 Forearm Muscles That Move the Wrist Joint, Hand, and Fingers  Both the pronator teres and the pronator quadratus are located in the anterior compartment of the forearm.  their primary function is pronation  The supinator muscle is in the posterior compartment of the forearm.  its primary function is supination  Tendons of forearm muscles typically are surrounded by tendon (synovial) sheaths and held adjacent to the skeletal elements by strong fascial structures.  At the wrist, the deep fascia of the forearm forms thickened, fibrous bands termed retinacula.
  • 27. 12-27 Intrinsic Muscles of the Hand  Small muscles that both originate and insert on the hand.  They are housed entirely within the palm.  thenar group forms the thick, fleshy mass (thenar eminence) at the base of the thumb  hypothenar group forms a smaller fleshy mass (hypothenar eminence) at the base of the little finger  midpalmar group occupies the space between the first two groups
  • 28. 28
  • 29. 29
  • 30. 30
  • 31. 12-31 Muscles That Move the Pelvic Girdle and Lower Limb  The most powerful and largest muscles in the body.  Several of these muscles cross and act upon two joints—the coxal joint (hip) and the knee joint.
  • 32. 12-32 Muscles That Move the Coxal Joint/Thigh  Most muscles that act on the coxal joint/thigh originate on the os coxae.  Stabilize the highly movable coxal joint and support the body during standing and walking.  Majority of the muscles that move the thigh at the coxal joint originate on the pelvic girdle and insert on the femur.
  • 33. 33
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  • 36. 36
  • 37. 12-37 Muscles of the Hip and Thigh  Multiple muscles insert on the anterior thigh and flex the coxal joint.  the psoas major and the iliacus have different origins, but they share the common insertion at the lesser trochanter of the femur  they merge and insert on the femur as the iliopsoas  work synergistically to flex and laterally rotate the thigh  the sartorius crosses over the anterior thigh and helps flex the thigh
  • 38. 12-38 Muscles of the Hip and Thigh  Five muscles are located in the medial compartment of the thigh.  Adduct the thigh and perform additional functions.  Adductor longus, adductor brevis, gracilis, and pectineus also flex the thigh.  Adductor magnus extends and laterally rotates the thigh.  Tensor fasciae latae abducts and medially rotates the thigh.
  • 39. 12-39 Muscles of the Hip and Thigh  The gluteus maximus.  the largest and heaviest of the three gluteal muscles  one of the largest muscles in the body  is the chief extensor of the thigh  laterally rotates the thigh  Deep to the gluteus maximus is the gluteus medius.  a powerful abductor of the thigh  medially rotates the thigh  intramuscular injections are often given here  The smallest of the gluteal muscles is the gluteus minimus.  lies deep to the gluteus medius  works with the gluteus medius to abduct and medially rotate the thigh
  • 40. 12-40 Muscles of the Hip and Thigh  Deep to the gluteal muscles are a group of muscles that collectively laterally rotate the thigh/coxal joint.  piriformis  superior gemellus  obturator externus  inferior gemellus  obturator internus  quadratus femoris
  • 41. 41
  • 42. 12-42 Muscles of the Hip and Thigh  The posterior thigh contains a group of muscles that are collectively referred to as the hamstrings.  biceps femoris  semimembranosus  semitendinosus  Share a common origin on the ischial tuberosity of the os coxae.  Insert on the leg.  Move both the thigh and the knee.  Primary thigh movement is extension.
  • 43. 12-43 Muscles of the Hip and Thigh  Vastus lateralis.  forms the anterolateral surface of the thigh  Vastus medialis.  forms the anteromedial surface of the thigh  Vastus intermedius.  positioned deep to the rectus femoris, and sandwiched between the other two vastus muscles  All four converge on a single quadriceps tendon, which extends to the patella and then continues inferiorly as the patellar ligament and inserts on the tibial tuberosity.
  • 44. 12-44 Muscles of the Hip and Thigh  Patella becomes encased in this tendon and ligament.  Quadriceps femoris is the great extensor muscle of the leg  extends the knee  acts with the iliopsoas to flex the hip while the leg is off the ground  Sartorius projects obliquely across the anterior surface of the thigh from the lateral to the medial side.  acts on both the coxal and knee joints, flexing and laterally rotating the coxal joint while flexing and medially rotating the knee joint  the longest in the body
  • 45. 12-45 Muscles of the Hip and Thigh  The medial (adductor) compartment of the thigh.  muscles that adduct the coxal joint  adduct the thigh  gracilis also flexes the knee joint/leg  The posterior (flexor) compartment of the thigh contains the three hamstring muscles discussed previously.  These muscles also flex the knee. The biceps femoris is a two-headed muscle that inserts on the lateral side of the leg.  The long head of the biceps femoris originates on the ischial tuberosity with the semimembranosus and semitendinosus.
  • 46. 12-46 Muscles of the Hip and Thigh  The short head of the biceps femoris originates on the linea aspera of the femur.  The short head cannot move the hip joint, but it does help the other hamstring muscles in flexing the knee.  Semimembranosus is deep to the semitendinosus.  originates from the ischial tuberosity and attaches to the medial side of the leg  Semitendinosus is superficial to the semimembranosus and is attached to the medial leg.
  • 47. 12-47 Muscles of the Hip and Thigh  Several leg muscles span the knee joint and work to flex the knee.  gastrocnemius  plantaris  popliteus
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  • 58. 58
  • 59. 12-59 Leg Muscles  Muscles that move the ankle, foot, and toes are housed within the leg.  called the crural muscles  help flex the knee joint/leg  three compartments (anterior, lateral, and posterior) each with its own nerve and blood supply
  • 60. 12-60 Leg Muscles  Anterior compartment leg muscles  dorsiflex the foot and/or extend the toes  Extensor digitorum longus  sends four long tendons to attach to the dorsal surface of toes 2–5  dorsiflexes the foot and extends toes 2–5  Extensor hallucis longus  sends a tendon to the dorsum of the great toe (hallux)  dorsiflexes the foot and extends the great toe  Fibularis (peroneus) tertius  extends from the extensor digitorum longus muscle  dorsiflexes and weakly everts the foot
  • 61. 12-61 Leg Muscles  Tibialis anterior  primary dorsiflexor of the foot at the ankle  attaches to the medial plantar side of the foot  also inverts the foot  analogous to the wrist  tendons are held tightly against the ankle by multiple deep fascia thickenings (extensor retinaculum)
  • 62. 12-62 Leg Muscles  The lateral compartment leg muscles  contains two synergistic muscles that evert and plantar flex the foot  very powerful evertors of the foot  plantar flexion is a secondary function for them  Fibularis (peroneus) longus  superficial lateral muscle that covers the fibula  its tendon attaches to the plantar side of the foot  the fibularis (peroneus) brevis lies deep to the fibularis longus  its tendon inserts onto the base of the fifth metatarsal
  • 63. 12-63 Leg Muscles  The deep layer of the posterior compartment contains four muscles.  The flexor digitorum longus.  attaches to the distal phalanges of toes 2–5  plantar flexes the foot  flexes the MP, PIP, and DIP joints of toes 2–5  Flexor hallucis longus.  originates on the fibula, and yet  its tendon travels medially and runs along the plantar side of the foot to attach to the distal phalanx of the great toe  plantar flexes the foot and flexes the great toe
  • 64. 12-64 Leg Muscles  Tibialis posterior  plantar flexes and inverts the foot  Popliteus  forms the floor of the popliteal fossa, and acts to flex the leg  medially rotates the tibia slightly to “unlock” the fully extended knee joint  originates and inserts in the popliteal region  only moves the knee, not the foot
  • 65. 65
  • 66. 66
  • 67. 67
  • 68. 12-68 Leg Muscles  The superficial muscles and most of the deep muscles plantar flex the foot at the ankle.  The superficial layer of the posterior compartment contains three muscles.  gastrocnemius  soleus  plantaris
  • 69. 12-69 Leg Muscles  Gastrocnemius is the most superficial muscle  referred to as the “calf”  spans both the knee and the ankle joints  flexes the knee joint and plantar flexes the foot  Soleus  broad, flat muscle deep to the gastrocnemius  plantar flexes the foot  Plantaris  small muscle that is absent in some individuals  projects obliquely between the gastrocnemius and soleus muscles  weak knee flexor and plantar flexor of the foot
  • 70. 12-70 Intrinsic Muscles of the Foot  Originate and insert within the foot.  Support the arches and move the toes to aid locomotion.  Most are comparable to the intrinsic muscles of the hand.  Rarely perform all the precise movements their names suggest.  The dorsal group contains only two muscles.  extensor hallucis brevis  extends the MP joint of the great toe  extensor digitorum brevis  extends the MP and PIP joints of toes 2–4