Miologia_Greya
.pdfTables 7
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467
UPPER LIMB • Tables
Superficial layer of muscles in the anterior compartment of the forearm
(spinal segments indicated in bold are the major segments innervating the muscle)
Muscle |
Origin |
Insertion |
Innervation |
Function |
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Flexor carpi |
1 Humeral head—medial |
ulnaris |
epicondyle of humerus; |
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ulnar head—olecranon and |
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posterior border of ulna |
Pisiform bone, and then |
Ulnar nerve [C7, C8, T1] Flexes and adducts the wrist joint |
via pisohamate and |
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pisometacarpal ligaments |
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into the hamate and base |
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of metacarpal V |
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Palmaris |
2 |
Medial epicondyle of |
Palmar aponeurosis of |
Median nerve [C7, C8] |
Flexes wrist joint; because the |
longus |
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humerus |
hand |
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palmar aponeurosis anchors skin |
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of the hand, contraction of the |
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muscle resists shearing forces |
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when gripping |
Flexor carpi |
3 |
Medial epicondyle of |
Base of metacarpals II |
Median nerve [C6, C7] |
Flexes and abducts the wrist |
radialis |
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humerus |
and III |
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Pronator |
4 |
Humeral head—medial |
Roughening on lateral |
Median nerve [C6, C7] |
Pronation |
teres |
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epicondyle and adjacent |
surface, midshaft, of |
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supracondylar ridge; ulnar |
radius |
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head—medial side of |
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coronoid process |
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Intermediate layer of muscles in the anterior compartment of the forearm
Flexor |
5 |
Humero-ulnar head— |
digitorum |
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medial epicondyle of |
superficialis |
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humerus and adjacent |
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margin of coronoid process; |
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radial head—oblique line of |
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radius |
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Four tendons, which |
Median nerve [C8, T1] |
Flexes proximal interphalangeal |
attach to the palmar |
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joints of the index, middle, ring, |
surfaces of the middle |
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and little fingers; can also flex |
phalanges of the index, |
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metacarpophalangeal joints of the |
middle, ring, and little |
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same fingers and the wrist joint |
fingers |
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Deep layer of muscles in the anterior compartment of the forearm
Flexor |
6 Anterior and medial |
digitorum |
surfaces of ulna and |
profundus |
anterior medial half of |
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interosseous membrane |
Four tendons, which attach to the palmar surfaces of the distal phalanges of the index, middle, ring, and little fingers
Lateral half by
median nerve (anterior interosseous nerve); medial half by ulnar nerve [C8, T1]
Flexes distal interphalangeal joints of the index, middle, ring, and little fingers; can also flex metacarpophalangeal joints of the same fingers and the wrist joint
Flexor |
7 Anterior surface of |
pollicis |
radius and radial half of |
longus |
interosseous membrane |
Palmar surface of base |
Median nerve (anterior |
Flexes interphalangeal joint of |
of distal phalanx of |
interosseous nerve) |
the thumb; can also flex |
thumb |
[C7, C8] |
metacarpophalangeal joint of the |
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thumb |
Pronator |
8 Linear ridge on distal |
Distal anterior surface |
Median nerve (anterior |
Pronation |
quadratus |
anterior surface of ulna |
of radius |
interosseous nerve) |
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[C7, C8] |
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Tables 7
Deep layer of muscles in the posterior compartment of the forearm
(spinal segments indicated in bold are the major segments innervating the muscle)
Muscle |
Origin |
Insertion |
Innervation |
Function |
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Supinator 1 Superficial part—lateral epicondyle of humerus, radial collateral and anular ligaments; deep part— supinator crest of the ulna
Lateral surface of |
Posterior interosseous |
Supination |
radius superior to the |
nerve [C6, C7] |
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anterior oblique line |
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Abductor |
2 Posterior surfaces of ulna |
Lateral side of base of |
Posterior interosseous |
Abducts carpometacarpal joint |
pollicis |
and radius (distal to the attachments |
metacarpal I |
nerve [C7, C8] |
of thumb; accessory extensor |
longus |
of supinator and anconeus) and |
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of the thumb |
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intervening interosseous membrane |
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Extensor |
3 Posterior surface of radius (distal to |
pollicis |
abductor pollicis longus) and the |
brevis |
adjacent interosseous membrane |
Dorsal surface of base |
Posterior interosseous |
Extends metacarpophalangeal |
of proximal phalanx of |
nerve [C7, C8] |
joint of the thumb; can also |
the thumb |
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extend the carpometacarpal |
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joint of the thumb |
Extensor |
4 Posterior surface of ulna (distal to |
pollicis |
the abductor pollicis longus) and the |
longus |
adjacent interosseous membrane |
Dorsal surface of base |
Posterior interosseous |
Extends interphalangeal joint |
of distal phalanx of |
nerve [C7, C8] |
of the thumb; can also extend |
thumb |
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carpometacarpal and |
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metacarpophalangeal joints of |
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the thumb |
Extensor |
5 Posterior surface of ulna (distal to |
Extensor hood of index |
Posterior interosseous |
Extends index finger |
indicis |
extensor pollicis longus) and |
finger |
nerve [C7, C8] |
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adjacent interosseous membrane |
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471
UPPER LIMB • Tables
Intrinsic muscles of the hand
(spinal segments indicated in bold are the major segments innervating the muscle)
Muscle |
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Origin |
Insertion |
Innervation |
Function |
Palmaris brevis |
1 |
Palmar aponeurosis and |
Dermis of skin on the |
Superficial branch of |
Improves grip |
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flexor retinaculum |
medial margin of the hand |
the ulnar nerve [C8, |
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T1] |
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Dorsal interossei |
2 |
Adjacent sides of |
Extensor hood and base |
Deep branch of ulnar |
Abduction of index, |
(four muscles) |
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metacarpals |
of proximal phalanges of |
nerve [C8, T1] |
middle, and ring |
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index, middle, and ring |
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fingers at the |
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fingers |
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metacarpophalangeal |
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joints |
Palmar interossei |
3 |
Sides of metacarpals |
Extensor hoods of the |
Deep branch of ulnar |
Adduction of the |
(four muscles) |
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thumb, index, ring, and |
nerve [C8, T1] |
thumb, index, ring, |
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little fingers and the |
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and little fingers at the |
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proximal phalanx of |
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metacarpophalangeal |
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thumb |
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joints |
Adductor pollicis |
4 |
Transverse head— |
Base of proximal phalanx |
Deep branch of ulnar |
Adducts thumb |
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metacarpal III; oblique |
and extensor hood of |
nerve [C8, T1] |
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head—capitate and |
thumb |
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bases of metacarpals II |
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and III |
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Lumbricals |
5 Tendons of flexor |
Extensor hoods of index, |
(four muscles) |
digitorum profundus |
ring, middle, and little |
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fingers |
Medial two by the |
Flex metacarpophalan- |
deep branch of the |
geal joints while |
ulnar nerve; lateral |
extending interphalan- |
two by digital |
geal joints |
branches of the |
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median nerve |
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Thenar muscles
Opponens pollicis |
6 Tubercle of trapezium and |
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flexor retinaculum |
Lateral margin and |
Recurrent branch of |
Medially rotates thumb |
adjacent palmar surface |
median nerve [C8, T1] |
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of metacarpal I |
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Abductor pollicis brevis |
7 |
Tubercles of scaphoid and |
Proximal phalanx and |
Recurrent branch of |
Abducts thumb at |
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trapezium and adjacent |
extensor hood of thumb |
median nerve [C8, T1] |
metacarpophalangeal |
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flexor retinaculum |
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joint |
Flexor pollicis brevis |
8 |
Tubercle of the trapezium |
Proximal phalanx of the |
Recurrent branch of |
Flexes thumb at |
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and flexor retinaculum |
thumb |
median nerve [C8, T1] |
metacarpophalangeal |
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joint |
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Hypothenar muscles |
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Opponens digiti minimi |
9 |
Hook of hamate and flexor |
Medial aspect of |
Deep branch of ulnar |
Laterally rotates |
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retinaculum |
metacarpal V |
nerve [C8, T1] |
metacarpal V |
Abductor digiti minimi |
10 |
Pisiform, the pisohamate |
Proximal phalanx of little |
Deep branch of ulnar |
Abducts little finger at |
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ligament, and tendon of |
finger |
nerve [C8, T1] |
metacarpophalangeal |
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flexor carpi ulnaris |
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joint |
Flexor digiti minimi brevis |
11 |
Hook of the hamate and |
Proximal phalanx of little |
Deep branch of ulnar |
Flexes little finger at |
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flexor retinaculum |
finger |
nerve [C8, T1] |
metacarpophalangeal |
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joint |
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472
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473
HEADANDNECK• Tables
Muscles of the face
Muscle |
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Origin |
Insertion |
Innervation |
Function |
Orbital group |
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Orbicularis oculi |
1 |
Medial palpebral ligament |
Lateral palpebral raphe |
Facial nerve [VII] |
Closes the eyelids |
—Palpebral part |
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gently |
—Orbital part |
2 |
Nasal part of frontal bone; |
Fibers form an uninter- |
Facial nerve [VII] |
Closes the eyelids |
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frontal process of maxilla; |
rupted ellipse around |
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forcefully |
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medial palpebral ligament |
orbit |
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Corrugator supercilii |
3 |
Medial end of the supercili- |
Skin of the medial half of |
Facial nerve [VII] |
Draws the eyebrows |
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ary arch |
eyebrow |
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medially and |
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downward |
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Nasal group |
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Nasalis |
4 |
Maxilla just lateral to nose |
Aponeurosis across |
Facial nerve [VII] |
Compresses nasal |
—Transverse part |
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dorsum of nose with |
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aperture |
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muscle fibers from the |
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other side |
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—Alar part |
5 |
Maxilla over lateral incisor |
Alar cartilage of nose |
Facial nerve [VII] |
Draws cartilage |
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downward and |
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laterally opening |
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nostril |
Procerus |
6 |
Nasal bone and upper part |
Skin of lower forehead |
Facial nerve [VII] |
Draws down medial |
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of lateral nasal cartilage |
between eyebrows |
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angle of eyebrows |
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producing transverse |
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wrinkles over bridge of |
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nose |
Depressor septi |
7 |
Maxilla above medial |
Mobile part of the nasal |
Facial nerve [VII] |
Pulls nose inferiorly |
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incisor |
septum |
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3 |
6 |
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590
Tables 8
Muscles of the face
Muscle |
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Origin |
Oral group |
1 Oblique line of mandible |
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Depressor anguli oris |
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below canine, premolar, |
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and first molar teeth |
Insertion |
Innervation |
Function |
Skin at the corner of |
Facial nerve [VII] |
Draws corner of mouth |
mouth and blending with |
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down and laterally |
orbicularis oris |
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Depressor labii |
2 Anterior part of oblique line |
inferioris |
of mandible |
Lower lip at midline; |
Facial nerve [VII] |
Draws lower lip |
blends with muscle from |
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downward and laterally |
opposite side |
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Mentalis |
3 |
Mandible inferior to incisor |
Skin of chin |
Facial nerve [VII] |
Raises and protrudes |
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teeth |
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lower lip as it wrinkles |
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skin on chin |
Risorius |
4 |
Fascia over masseter |
Skin at the corner of the |
Facial nerve [VII] |
Retracts corner of |
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muscle |
mouth |
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mouth |
Zygomaticus major |
5 |
Posterior part of lateral |
Skin at the corner of the |
Facial nerve [VII] |
Draws the corner of |
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surface of zygomatic bone |
mouth |
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the mouth upward and |
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laterally |
Zygomaticus minor |
6 |
Anterior part of lateral |
Upper lip just medial to |
Facial nerve [VII] |
Draws the upper lip |
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surface of zygomatic bone |
corner of mouth |
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upward |
Levator labii superioris |
7 |
Infra-orbital margin of |
Skin of upper lateral half |
Facial nerve [VII] |
Raises upper lip; helps |
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maxilla |
of upper lip |
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form nasolabial furrow |
Levator labii |
8 |
Frontal process of maxilla |
Alar cartilage of nose |
Facial nerve [VII] |
Raises upper lip and |
superioris alaeque nasi |
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and upper lip |
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opens nostril |
Levator anguli oris |
9 |
Maxilla below infra-orbital |
Skin at the corner of |
Facial nerve [VII] |
Raises corner of |
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foramen |
mouth |
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mouth; helps form |
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nasolabial furrow |
Orbicularis oris |
10 |
From muscles in area; |
Forms ellipse around |
Facial nerve [VII] |
Closes lips; protrudes |
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maxilla and mandible in |
mouth |
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lips |
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midline |
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Buccinator |
11 |
Posterior parts of maxilla |
Blends with orbicularis |
Facial nerve [VII] |
Presses the cheek |
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and mandible; |
oris and into lips |
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against teeth; |
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pterygomandibular raphe |
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compresses distended |
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cheeks |
8 |
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6 |
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7 |
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9 |
11 |
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591
HEADANDNECK• Tables
Muscles of the face
Muscle |
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Origin |
Insertion |
Innervation |
Function |
Other muscles or groups |
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Anterior auricular |
1 |
Anterior part of temporal |
Into helix of ear |
Facial nerve [VII] |
Draws ear upward |
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fascia |
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and forward |
Superior auricular |
2 |
Epicranial aponeurosis |
Upper part of auricle |
Facial nerve [VII] |
Elevates ear |
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on side of head |
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Posterior auricular |
3 |
Mastoid process of |
Convexity of concha of |
Facial nerve [VII] |
Draws ear upward |
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temporal bone |
ear |
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and backward |
Occipitofrontalis |
4 |
Skin of eyebrows |
Into galea aponeurotica |
Facial nerve [VII] |
Wrinkles forehead; |
—Frontal belly |
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raises eyebrows |
—Occipital belly |
5 |
Lateral part of superior |
Into galea aponeurotica |
Facial nerve [VII] |
Draws scalp |
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nuchal line of occipital |
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backward |
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bone and mastoid |
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process of temporal |
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bone |
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Extrinsic (extra-ocular) muscles
Muscle |
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Origin |
Insertion |
Innervation |
Function |
Levator palpebrae |
1 |
Lesser wing of sphenoid |
Anterior surface of tarsal |
Oculomotor nerve |
Elevation of upper eyelid |
superioris |
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anterior to optic canal |
plate; a few fibers to skin |
[III]—superior branch |
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and superior conjunctival |
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fornix |
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Superior rectus |
2 |
Superior part of common |
Anterior half of eyeball |
Oculomotor nerve |
Elevation, adduction, |
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tendinous ring |
superiorly |
[III]—superior branch |
medial rotation of eyeball |
Inferior rectus |
3 |
Inferior part of common |
Anterior half of eyeball |
Oculomotor nerve |
Depression, adduction, |
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tendinous ring |
inferiorly |
[III]—inferior branch |
lateral rotation of eyeball |
Medial rectus |
4 |
Medial part of common |
Anterior half of eyeball |
Oculomotor nerve |
Adduction of eyeball |
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tendinous ring |
medially |
[III]—inferior branch |
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Lateral rectus |
5 |
Lateral part of common |
Anterior half of eyeball |
Abducent nerve [VI] |
Abduction of eyeball |
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tendinous ring |
laterally |
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Superior oblique |
6 |
Body of sphenoid, |
Outer posterior quadrant of |
Trochlear nerve [IV] |
Depression, abduction, |
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superior and medial to |
eyeball (superior surface) |
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medial rotation of eyeball |
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optic canal |
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Inferior oblique |
7 |
Medial floor of orbit |
Outer posterior quadrant of |
Oculomotor nerve |
Elevation, abduction, |
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posterior to rim; maxilla |
eyeball (inferior surface) |
[III]—inferior branch |
lateral rotation of eyeball |
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lateral to nasolacrimal |
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groove |
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592
Tables 8
4
2
1
5
3
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2 |
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7 |
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3 |
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5 |
6 |
4 |
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593