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1 Trunk·Shoulder jt
◎ Neck Flexion
Muscle |
Origin |
Insersion |
Nervation |
Sternocleidomastoid |
흉골두 : 흉골병의 전면 상부 쇄골두 : 쇄골 내측 1/3의 전·상면 |
흉골두 : 유양돌기 쇄골두 : 후두골 상한 선 외측연 |
Accessory (C2, C3) |
◎ Neck Extension
Muscle |
Origin |
Insersion |
Nervation |
Trapezius (upper) |
외후두융기∼상항선 내측 1/2, 항인대 상부 cf) (mid) 항인대하부, C7 ∼ T5 극돌기 (lower) T5 ∼ T12 극돌기 |
쇄골 (후외측부) cf) (mid) 견봉 ∼ 견갑극 (lower) 견갑극의 상내측단 cf) 항인대 : 외후두융기 ∼C7 극돌기 |
Accessory (C3, C4) |
Erector Spina (=Sacrospinalis) iliocostalis ce longissimus ce·ca spinalis ce·ca |
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◎ Trunk Flexion
Muscle |
Origin |
Insersion |
Nervation |
Rectus abdominis |
치골능, 치골결합 |
5, 6, 7th 늑연골 |
intercostalis (늑간신경) |
◎ Trunk Rotation
Muscle |
Origin |
Insersion |
Nervation |
Obliqus externus abdominis |
8개의 늑골 외·하연 |
장골능의 전 1/2면 치골결절, 치골근선의 막 반대측 근건막, 백선 |
intercostalis iliohypogastric (장골하복신경) ilioinguinal (장골서혜신경) |
Obliqus internus abdominis |
서혜인대 외측 1/2 장골능 전면 2/3 요배근막의 후면 |
치골능과 치골근선의 내측 백선, 7th ∼ 9th늑연골 하부 3rd·4th늑연골 하연 |
intercostalis iliohypogastric (장골하복신경) ilioinguinal (장골서혜신경) |
◎ Scapular Abduction (upward rotation)
Muscle |
Origin |
Insersion |
Nervation |
Seratus anterior |
1st ∼ 9th rib (out surface) |
Scapular medial border (ventral surface) |
Long thoracic |
Trapezius (upper) |
외후두융기∼상항선 내측 1/2, 항인대 상부 |
쇄골 (후외측부) |
Accessory (C3, C4) |
◎ Scapular Adduction
Muscle |
Origin |
Insersion |
Nervation |
Trapezius (middle) |
항인대 하부, C7∼T5 극돌기 |
견봉 ∼ 견갑극 |
Accessory (C3, C4) |
Rhomboid minor |
항인대 하부 C7 ∼ T1 극돌기 |
Scapular spine root |
Dorsal scapular (C5, 견갑배신경) |
Rhomboid major |
항인대 하부 T2 ∼ T5 극돌기 |
Scapular spine root ∼ 견갑골 하각 |
◎ Scapular Elevation
Muscle |
Origin |
Insersion |
Nervation |
Trapezius (upper) |
외후두융기∼상항선 내측 1/2, 항인대 상부 |
쇄골 (후외측부) |
Accessory (C3, C4) |
Levator scapular |
C1 ∼ C4 횡돌기 |
Scapular의 상각 ∼ root |
Dorsal scapular (C5, 견갑배신경) |
◎ Scapular Depression
Muscle |
Origin |
Insersion |
Nervation |
Trapezius (lower) |
T5 ∼ T12 극돌기 |
견갑극의 upper·merial end |
Accessory (C3, C4) |
Pectoralis minor |
3rd ∼ 5th rib |
Coracoid process |
Medial pectoral (C8, T1) |
Subclavius |
1st rib |
Clavicle |
Subclavius (C5, C6) |
◎ Shoulder Flexion
Muscle |
Origin |
Insersion |
Nervation |
Deltoid (Ant) |
Clavicle 전외측 1/3 cf) (mid) 견봉 외측부 (post) 견갑극 하연 |
Deltoid tubercle |
Axillary (C3, C6) |
Coracobrachialis |
Scapular coracoid process |
Humerus med·midd |
Musclocutaneous |
Pectoralis major (clavicular head) |
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Biceps brachii (long head) |
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◎ Shoulder Extension
Muscle |
Origin |
Insersion |
Nervation |
Latissimus dorsi |
T1 ∼ T12 극돌기 lumbodorsal fasciae (요배근막) 9th ∼ 12th rib의 post |
Intertubercular groove 하부 |
Thoracodosal (C6, C7, C8) |
Teres major |
Scapular inferior angle |
Lesser tubercle 하부 |
Subscapular (C5, C6) |
Deltoid (post) |
견갑극 하연 |
Deltoid tubercle |
Axillary |
Triceps brachii (long head) |
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◎ Shoulder Abduction
Muscle |
Origin |
Insersion |
Nervation |
Deltoid (middle) |
Clavicle 외측부 |
Deltoid tubercle |
Axillary (C3, C6) |
Supraspinatus |
Scapular supinatus fossa |
Greater tubercle |
Suprascapular (C5, C6) |
◎ Shoulder Adduction
Muscle |
Origin |
Insersion |
Nervation |
Pectoralis major |
쇄골두 : 쇄골의 전중면 흉골두 : 흉골의 전외측 |
Intertubercular groove 하부 |
쇄골두 : Lateral pectoral 흉골두 : Medial pectoral |
◎ Shoulder Horizontal Abduction
Muscle |
Origin |
Insersion |
Nervation |
Deltoid Post |
견갑극의 하측연 |
Deltoid tubercle |
Axillary (C5, C6) |
Infraspinatus |
Scapular infraspinatus fossa |
Greater tubercle |
Suprascapular (C5, C6) |
◎ Shoulder Horizontal Adduction
Muscle |
Origin |
Insersion |
Nervation |
Pectoralis major |
쇄골두 : 쇄골의 전중면 흉골두 : 흉골의 전외측 |
Intertubercular groove 하부 |
쇄골두 : Lateral pectoral 흉골두 : Medial pectoral |
◎ Shoulder External Rotatio
Muscle |
Origin |
Insersion |
Nervation |
Infraspinatus |
Scapular infraspinatus fossa |
Greater tubercle |
Suprascapular (C5, C6) |
Teres minor |
Scapular Axillary border (상 2/3) |
Greater tubercle |
Axillary (C5, C6) |
◎ Shoulder Internal Rotation
Muscle |
Origin |
Insersion |
Nervation |
Subscapularis |
Subscapular fossa Scapular axillary border |
Lesser tuberosity |
Subscapular (C5, C6) |
2 Elbow jt ·Wrist jt·Hand
◎ Elbow Flexion
Muscle |
Origin |
Insersion |
Nervation |
Biceps brachii |
단두 : coracoid process 장두 : supraglenoid tubercle |
Radius 의 radial tubercle |
Musculocutaneous (C5, C6) |
Brachialis |
Humerus ant·low 1/2 |
척골조면, Coronoid process의 ant |
Musculocutaneous 〉Radial |
Brachioradialis |
Humerus lat, supracondylar ridge 2/3 |
Radius styloid process |
Radial (C7, C8) |
Pronater teres |
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◎ Elbow Extension
Muscle |
Origin |
Insersion |
Nervation |
Triceps brachii |
장 두 : Scapular infraglenoid tubercle 외측두 : Humerus post·upper ·lateral 내측두 : Humerus post·lower ·medial |
Olecranon proximal |
Radial (C7, C8) |
Anconeus |
Humerus lateral epicondyle |
Olecranon lat, Ulnar post·upper |
◎ Supination
Muscle |
Origin |
Insersion |
Nervation |
Supinator |
Humerus lat epicondyle Annular lig (윤상인대) Radial collateral lig |
Radius upper·lat |
Radial (C6) |
Biceps brachii |
단두 : coracoid process 장두 : supraglenoid tubercle |
Radius 의 radial tubercle |
Musculocutaneous (C5, C6) |
◎ Pronation
Muscle |
Origin |
Insersion |
Nervation |
Pronator quadratus |
Ulnar ant·low |
Radius ant·low |
Median (C8, T1) |
Pronator teres |
흉골두 : 상완골 내측상과 척골두 : 관상돌기 |
Radius mid·lat |
◎ Wrist Flexion
Muscle |
Origin |
Insersion |
Nervation |
Flexor carpi radialis |
Humerus med epicondyle |
2·3 metacarpal bone base |
Median (C5, C6) |
Flexor carpi ulnaris |
Humerus med epicondyle, Olrcranon process median margin. |
Pisiform, Hamate bone 5th metacapal bone base (palmar surface) |
Ulnar (C8, T1) |
Palmaris longus |
Medial epicondyle |
Palmar fascia Flexor retinaculum |
Median (C6, C7) |
◎ Wrist Extension
Muscle |
Origin |
Insersion |
Nervation |
Extensor carpi radialis longus |
Humerus Lat supracondylar ridge |
2nd metacarpal bone base (dorsal surface) |
Radial (C6, C7) |
Extensor carpi radialis brevis |
Humerus lat epicondyle, |
3rd metacarpal bone base (dorsal surface) | |
Extensor carpi ulnaris |
Humerus lat epicondyle Ulnar post border |
5th metacarpal bone base (dorsal surface) |
◎ Radial Deviation (= Radial Abd = Wrist Abd)
Muscle |
Origin |
Insersion |
Nervation |
Extensor carpi radialis longus |
Humerus Lat supracondylar ridge |
2nd metacarpal bone base (dorsal surface) |
Radial (C6, C7) |
Extensor carpi radialis brevis |
Humerus lat epicondyle, |
3rd metacarpal bone base (dorsal surface) | |
Flexor carpi radilis |
Humerus med epicondyle |
2·3 metacarpal bone base (Palmarl surface) |
Median (C5, C6) |
◎ Ulnar deviation (= Ulnar Abd = Wrist Add)
Muscle |
Origin |
Insersion |
Nervation |
Flexor carpi ulnaris |
Med epicondyle, Olecranon process med margin. |
Pisifrom, Hamate bone 5th metacarpal bone base (palmar surface) |
Ulnar (C8, T1) |
Extensor carpi ulnaris |
Humerus lat epicondyle, Ulanr post border |
5th metacarpal bone base (dorsal surface) |
Radial (C6, T7) |
◎ Metacarpophalangeal jt (M·P) Flexion
Muscle |
Origin |
Insersion |
Nervation |
Lumbricales |
Flexor digitorum profundus tendon |
Extensor digitorum communis tendon ∼ (2nd∼5th) MP jt distal |
2·3 : Median 4·5 : Ulnar |
Dorsal interossei |
중수골양면 1st : medial side 2nd ∼ 4th : medial·lat 5th : lat side |
기저골의 저부 2nd : lat 3rd : lat·med 4th : med |
Ulnar (C8) |
Palmar interossei |
2·4·5th 중수골 측면 2nd : med side 4·5th : lat side |
2·4·5th 기저골 저부 2nd : med side 4·5th lat side |
◎ M·P jt Extension
Muscle |
Origin |
Insersion |
Nervation |
Extensor digitorum communis |
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Extenosr indicis Proprius |
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Extensor digitti minimi |
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◎ M·P jt Abduction
Muscle |
Origin |
Insersion |
Nervation |
Abductor digiti minimi |
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Dorsal interossei |
중수골양면 1st : medial side 2nd ∼ 4th : medial·lat 5th : lat side |
기저골의 저부 2nd : lat 3rd : lat·med 4th : med |
Ulnar (C8) |
◎ M·P jt Adduction
Muscle |
Origin |
Insersion |
Nervation |
Palmar interossei |
2·4·5th 중수골 측면 2nd : med side 4·5th : lat side |
2·4·5th 기저골 저부 2nd : med side 4·5th lat side |
Ulnar (C8) |
◎ Interphalangeal jt (I·P) Flexion
Muscle |
Origin |
Insersion |
Nervation |
Flexor digitorum superficialis (P·I·P jt) |
Humerus med epicondyle, Ulnar coronoid process med |
2nd ∼ 5th 중절골의 양면 |
Median (C7 ∼ T1) |
Flexor digitorum profundus (D·I·P jt) |
Ulnar med·ant, Ulnar coronoid process med |
2nd ∼ 5th 말절골저부 (palmar surface) |
2nd·3rd finger : Median N 4th·5th finger : Ulnar N |
◎ I·P jt Extension
Muscle |
Origin |
Insersion |
Nervation |
· Extensor digitorum communis · Extensor indicis proprius · Extensopr digiti minimi |
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◎ Thumb Fuction
Function |
Muscle | ||
Thumb Flexion |
·Flexor pollicis brevis (M·P jt) superficial : Median N·deep : Ulnar N · Flexor pollicis longus (I·P jt) | ||
Thumb Extension |
·Extensor pollocis brevis (M·P jt) ·Extensor pollicis longus (I·P jt) | ||
Thumb Abduction |
·Abductor pollicis brevis : Median ·Abdution pollicis longus : Radial | ||
Thumb Adduction |
·Abduction pollicis`s two head (Obliqus, Transverse head) | ||
Thumb Opposition | |||
·Opponens pollicis |
Trapezium, Flexor retinaculum |
Thumb metacarpal bone radial side |
Median (C6, C7) |
·Opponens digiti minimi |
Hamate, Flexor retinaculum |
5th metacarpal bone ulnar side |
Ulnar (C8, T1) |
◎ 참고사항
비 고 |
Muscle | |
·Thenar Muscle |
단모지외전근, 모지대립근, 단모지굴근 (정중신경), 모지내전근 (척골신경) | |
·Hypothenar Musle |
소지외전근, 소지대립근, 단소지굴근, 단장근 (척골신경) | |
·Snuff box |
장모지신근, 단모지신근, 장모지외전근 (요골신경) | |
·Extensor Retinaculum (post ; 6개의 관이 지남) |
요골·척골의 경상돌기원위단, 주상골, 월상골, 삼각골, 두상골 | |
·Flexor Retinaculum (ant ; 5개의 관이 지남) |
주상골, 월상골, 삼각골, 두상골, 대능형근, 소능형근, 유두골, 유구골 | |
Hand Nerv -ation |
·Radial nerve ⇒ Wrist drop |
Triceps brachii, Anconeus, Brachioradialis, supinatior, Extensor carpi radialis longus & brevis, Extensor carpi ulnaris, Extensor digitorum communis, Extensor indicis proprius, Extensor digiti minimi, Extensor pollicis longus & brevis, Abductor pollicis longus |
·Median nerve ⇒ Monkey (Ape) hand |
Pronator teres, Pronator quadratus, Flexor carpi radialis, Palmaris longus, Flexor digitorum superficialis, Flexor digitorum profundus(radial side 2개), Lumbricales(radial side 2개), Flexor pollicis longus, Opponens pollicis, Addctor pollicis brevis = (Thenar M), Flexor pollicis brevis(superficial part) | |
·Ulnar nerve ⇒ Claw hand |
Flexor carpi ulnaris, Interossei(palmar·dorsal), Lumbricales(ulnar side 2개), Flexor digitorum profundus (ulnar side 2개), Flexor pollicis brevis (deep), Hypothenar M, Adductor pollicis |
◎ Brachial Plexus 정리하세요!!!
3 Hip jt, Knee jt, Ankle jt
◎ Peivic Elevation (Reverse action)
Muscle |
Origin |
Insersion |
Nervation |
Quadratus lumborum |
Iliac crest mid part |
12th rib inf border L1 ∼ L4 trnsverse process |
Genitofemoral (T12 ∼ L2) |
Iliocostal lumdorum |
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Obliques externus abdominus |
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Obliques internus abdominus |
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◎ Hip Flexor (iliopsoas)
Muscle |
Origin |
Insersion |
Nervation |
Psoas major |
All lumbar transvers process |
Femur`s lesser trochanter |
Femoral (L2, L3) |
Iliacus |
iliac crest inside 2/3 |
Lesser trochanter의 하부 |
◎ Hip Extension
Muscle |
Origin |
Insersion |
Nervation |
Gluteus maximus |
Iliac crest post· sup part |
Gluteal tuberosity |
Inf gluteal (L5 ∼ S2) |
Semitendinosus |
Ischial tuberosity |
Tibia upper · med surface |
Sciatic (tibial) (L4 ∼ S2) |
Semimembranosus |
Ischial tuberosity sup· lat |
Tibia med condyle |
Sciatic (tibial) (L5 ∼ S2) |
Biceps femoris (long head) |
장두 - Ischial tuberosity distal·med cf) 단두 - linea aspera low · lat |
Tibial lat condyle |
Tibial cf) 단두 : Common peroneal |
◎ Hip Abduction
Muscle |
Origin |
Insersion |
Nervation |
Gluteus medius |
Ilium lat side upper 1/2 |
Greater trochanter |
Sup gluteal (L4 ∼ S1) |
Gluteus minimus |
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Tensor fasciae latae |
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◎ Hip Adduction
Muscle |
Origin |
Insersion |
Nervation |
Adductor magnus |
Ischial tuberosity (inf) Inf ramus of pubis (ant) |
Linea aspera, Adductor tubercle |
ant : Obturator (L2 ∼ L4) post : Tibial (L4 ∼ L3) |
Adductor brevius |
inf ramus of pubis |
Linea aspera sup |
Obturator (L2 ∼ L4) |
Adductor longus |
Pubic tubercle low·lat |
Linea aspera mid | |
Pectineus |
Pubis sup ramus |
Lesser trochanter ∼ Linea aspera |
Femoral (L2∼L4) 〉Obturator |
Gracilis (2 jt) |
Pubis of symphysis arch |
Tibial med·distal |
Obturator (L2 ∼ L4) |
◎ Hip External Rotation
Muscle |
Origin |
Insersion |
Nervation |
Obturator externus |
Obturator foramen lat |
Femur neck post Trochanteric fossa |
Obturator (L2 ∼ L4) |
Obturator internus |
Obturator foramen inner |
Greater trochanter med |
Sacral plexus (L5 ∼ S3) |
Quadratus femoris |
Ischial tuberosity lat |
Femur sup·post | |
Piriformis |
전천공공 가장자리 |
Greater trochanter | |
Gemelli (sup·inf) |
sup : Ischial spine inf : ischial tuberosity |
Greater trochanter |
◎ Hip Internal Rotation
Muscle |
Origin |
Insersion |
Nervation |
Gluteus minimus |
Ilium lat·low 1/2 |
Greater trochanter |
Sup gluteal (L4 ∼ S1) |
Tensor fascia latae |
Ant of outer lip iliac crest, ASIS |
Iliotibial band upper 1/2 |
◎ Hip Flex·Abd·Ext rot & Knee Flex
Muscle |
Origin |
Insersion |
Nervation |
Sartorius (Tailor M, 2 jt) |
ASIS |
Tibia med·upper·ant |
Femoral |
cf) Tensor fascia latae : Hip Flex·Abd·Int rot & Knee Flex |
◎ Knee Flexion
Muscle |
Origin |
Insersion |
Nervation |
Biceps femoris (long·short head) |
장 두 - Ischial tuberosity distal·med 단 두 - linea aspera· low lat |
Tibial lat condyle |
장 두 : Tibial 단 두 : Common peroneal |
Semitendinosus |
Ischial tuberosity |
Tibia upper· med surface |
Sciatic (tibial) (L4 ∼ S2) |
Semimembranosus |
Ischial tuberosity sup· lat |
Tibia med condyle |
Sciatic (tibial) (L5 ∼ S2) |
◎ Knee Extension (Quadriceps femoris)
Muscle |
Origin |
Insersion |
Nervation |
Rectus femoris |
ant·inf iliac spine acetabulum sup |
Patella base |
Femoral (L2 ∼ L4) |
Vastus medius |
Femur posteromedial surface |
Patella med border | |
Vastus lateralis |
Femur posterolateral Surface |
Patella lat border | |
Vastus intermedius |
Femur ant·upper 3/4 |
Patella base |
◎ Ankle plantar Flexion
Muscle |
Origin |
Insersion |
Nervation |
Gastrocnemius |
내 측 두 - med condyle 외 측 부 - lat condyle |
Calcaneus post, Achilles tendon |
Tibial |
Soleus |
Fibula head post |
Calcaneus post | |
Plantarius |
Femur lat condyle |
Calcaneus post |
◎ Ankle Dorsiflexion & Inversion
Muscle |
Origin |
Insersion |
Nervation |
Tibialis ant |
Tibial ant·lat, Lat condyle |
1st cuneiform, 1st 중족골 저부 |
Deep peroneal |
◎ Foot Inversion
Muscle |
Origin |
Insersion |
Nervation |
Tibialis post |
Tibial shaft lat·post |
2nd∼4th 중족골 저부(내측) |
Tibial |
Tibialis ant |
Tibial shaft ant·lat, Lat condyle |
1st cuneiform, 1st 중족골 저부 |
Deep peroneal |
◎ Foot Eversion
Muscle |
Origin |
Insersion |
Nervation |
Peroneus longus |
Fibula head |
Calcanrus, Cuboid, Cuneiform. |
Superfical peroneal |
Peroneus brevis |
Fibula body |
5th 중족골 저부 (외측) |
◎ Lumbosacral Plexus 정리하라니까!!!