Introduction
The human body contains more than 600 skeletal muscles that enable movement, maintain posture, generate heat, and protect internal organs. This cheatsheet provides a comprehensive overview of the major muscle groups, their origins, insertions, actions, and clinical relevance. Understanding these muscles is essential for healthcare professionals, fitness trainers, rehabilitation specialists, and anyone interested in human movement and function.
Muscle Structure and Function
Types of Muscle Tissue
Type | Characteristics | Location | Control |
---|---|---|---|
Skeletal | Striated, voluntary | Attached to bones | Conscious |
Cardiac | Striated, involuntary | Heart | Autonomous |
Smooth | Non-striated, involuntary | Organs, blood vessels | Autonomous |
Skeletal Muscle Architecture
Type | Arrangement | Advantage | Examples |
---|---|---|---|
Parallel | Fibers parallel to line of pull | Range of motion | Sartorius, biceps brachii |
Pennate | Fibers at angle to tendon | Force production | Deltoid, gastrocnemius |
Convergent | Fibers converge to single tendon | Versatile pulling | Pectoralis major |
Circular | Fibers form rings | Sphincter function | Orbicularis oculi |
Key Terms
- Origin: Less movable attachment (usually proximal)
- Insertion: More movable attachment (usually distal)
- Action: Movement produced by muscle contraction
- Agonist: Prime mover for an action
- Antagonist: Muscle that opposes the action
- Synergist: Muscle that assists the agonist
- Fixator: Stabilizes a joint to allow other muscles to work effectively
Head and Neck Muscles
Facial Expression Muscles
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Frontalis | Galea aponeurotica | Skin of eyebrows | Raises eyebrows; wrinkles forehead | Bell’s palsy affects facial expressions |
Orbicularis oculi | Medial orbital margin | Circular path around eye | Closes eyelid; “squinting” | Blepharospasm; facial nerve damage |
Orbicularis oris | Surrounds mouth | Skin and muscle around lips | Closes/purses lips | Speech impediments if impaired |
Zygomaticus major | Zygomatic bone | Corner of mouth | Elevates mouth corner; smiling | Asymmetrical smile in stroke |
Buccinator | Maxilla and mandible | Orbicularis oris | Compresses cheek; blowing | “Trumpeter’s muscle”; food accumulation if weak |
Muscles of Mastication
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Temporalis | Temporal fossa | Coronoid process of mandible | Elevates and retracts mandible | TMJ disorders; headaches |
Masseter | Zygomatic arch | Lateral surface of mandible ramus | Powerful jaw closure | Most powerful jaw muscle; bruxism |
Medial pterygoid | Medial pterygoid plate | Medial surface of mandible ramus | Elevates and protrudes mandible | Works with masseter for grinding motion |
Lateral pterygoid | Greater wing of sphenoid | Mandibular condyle | Protrudes and opens mandible | TMJ disc displacement |
Neck Muscles
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Sternocleidomastoid | Sternum and clavicle | Mastoid process | Rotates head to opposite side; flexes neck | Torticollis (wry neck); important landmark |
Trapezius (upper) | Occipital bone, nuchal ligament | Lateral clavicle | Elevates and retracts scapula; extends neck | Tension headaches; upper crossing syndrome |
Platysma | Fascia of chest | Lower face and jaw | Depresses lower lip; tenses neck skin | Neck banding with aging |
Scalenes | Cervical vertebrae | First and second ribs | Elevate ribs; flex/rotate neck | Thoracic outlet syndrome; breathing accessory |
Trunk Muscles
Thorax
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Pectoralis major | Clavicle, sternum, costal cartilages | Intertubercular groove of humerus | Adducts, medially rotates, flexes arm | Breast cancer surgery affects function |
Pectoralis minor | Ribs 3-5 | Coracoid process of scapula | Depresses, protracts scapula | Forward shoulder posture if tight |
Serratus anterior | Lateral surfaces of ribs 1-8 | Medial border of scapula | Protracts scapula; scapular rotation | “Boxer’s muscle”; scapular winging if weak |
External intercostals | Lower border of rib above | Upper border of rib below | Elevate ribs; inspiration | Breathing mechanics; intercostal nerve pain |
Internal intercostals | Upper border of rib below | Lower border of rib above | Depress ribs; forced expiration | Active during coughing |
Diaphragm | Lower ribs, xiphoid, lumbar vertebrae | Central tendon | Primary muscle of inspiration | Hiccups; referred pain to shoulder |
Abdominal Wall
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Rectus abdominis | Pubic crest and symphysis | Xiphoid process, costal cartilages 5-7 | Flexes trunk; compresses abdomen | “Six-pack” muscle; diastasis recti |
External oblique | External surfaces of ribs 5-12 | Linea alba, iliac crest, pubis | Rotates and flexes trunk | Contributes to abdominal hernia prevention |
Internal oblique | Inguinal ligament, iliac crest | Lower ribs, linea alba | Rotates and flexes trunk | Works with external oblique for rotation |
Transversus abdominis | Inguinal ligament, lumbar fascia, lower 6 ribs | Linea alba, pubis | Compresses abdomen | “Core” stabilizer; important for posture |
Back
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Trapezius | Occipital bone, nuchal ligament, thoracic vertebrae | Clavicle, acromion, scapular spine | Elevates, retracts, rotates scapula | Upper back tension; postural muscle |
Latissimus dorsi | Lower thoracic vertebrae, lumbar fascia, iliac crest | Intertubercular groove of humerus | Extends, adducts, medially rotates arm | “Swimmer’s muscle”; contributes to posture |
Rhomboids (major/minor) | C7-T5 vertebrae | Medial border of scapula | Retracts and elevates scapula | Scapular stability; commonly weak in modern posture |
Erector spinae group | Sacrum, iliac crest, vertebral processes | Ribs and vertebrae above | Extends and laterally flexes spine | Lower back pain; spinal stabilization |
Upper Limb Muscles
Shoulder
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Deltoid | Clavicle, acromion, scapular spine | Deltoid tuberosity of humerus | Abducts, flexes, extends arm | Shoulder contouring; commonly injured |
Supraspinatus | Supraspinous fossa of scapula | Greater tubercle of humerus | Initiates arm abduction | Rotator cuff tear; impingement syndrome |
Infraspinatus | Infraspinous fossa of scapula | Greater tubercle of humerus | Laterally rotates arm | Rotator cuff component; shoulder stability |
Teres minor | Lateral border of scapula | Greater tubercle of humerus | Laterally rotates arm | Rotator cuff component; commonly torn |
Subscapularis | Subscapular fossa | Lesser tubercle of humerus | Medially rotates arm | Deepest rotator cuff muscle; internal rotation |
Teres major | Inferior angle of scapula | Intertubercular groove of humerus | Extends, adducts, medially rotates arm | “Lat’s little helper” |
Arm
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Biceps brachii | Coracoid process, supraglenoid tubercle | Radial tuberosity | Flexes elbow; supinates forearm | Rupture from heavy lifting; Popeye deformity |
Brachialis | Anterior humerus | Coronoid process of ulna | Flexes elbow | Primary elbow flexor; deep to biceps |
Triceps brachii | Infraglenoid tubercle, posterior humerus | Olecranon process of ulna | Extends elbow | Elbow extension strength; “horseshoe” shape |
Coracobrachialis | Coracoid process | Mid-medial humerus | Adducts arm | Rarely injured; smaller arm muscle |
Forearm – Anterior Compartment
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Pronator teres | Medial epicondyle, coronoid process | Lateral radius | Pronates forearm | Pronator syndrome (median nerve) |
Flexor carpi radialis | Medial epicondyle | 2nd, 3rd metacarpals | Flexes, abducts wrist | Tendon landmark for radial pulse |
Flexor carpi ulnaris | Medial epicondyle, olecranon | Pisiform, hamate, 5th metacarpal | Flexes, adducts wrist | Wrist stability; guyon’s canal |
Flexor digitorum superficialis | Medial epicondyle, coronoid, radius | Middle phalanges of fingers 2-5 | Flexes fingers and wrist | “Superficial” finger flexor |
Flexor digitorum profundus | Ulna, interosseous membrane | Distal phalanges of fingers 2-5 | Flexes distal finger joints | “Deep” finger flexor; jersey finger |
Flexor pollicis longus | Anterior radius, interosseous membrane | Distal phalanx of thumb | Flexes thumb | Thumb dexterity for pinch grip |
Forearm – Posterior Compartment
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Extensor carpi radialis longus | Lateral supracondylar ridge | 2nd metacarpal | Extends, abducts wrist | Wrist extension; tennis elbow |
Extensor carpi radialis brevis | Lateral epicondyle | 3rd metacarpal | Extends, abducts wrist | Commonly involved in lateral epicondylitis |
Extensor carpi ulnaris | Lateral epicondyle, posterior ulna | 5th metacarpal | Extends, adducts wrist | Maintains wrist stability in ulnar deviation |
Extensor digitorum | Lateral epicondyle | Extensor expansion of fingers 2-5 | Extends fingers and wrist | Finger extension; forms extensor hood |
Abductor pollicis longus | Posterior radius and ulna | 1st metacarpal | Abducts thumb | De Quervain’s tenosynovitis |
Extensor pollicis brevis | Posterior radius, interosseous membrane | Proximal phalanx of thumb | Extends thumb MCP joint | Forms anatomical snuffbox with APL |
Extensor pollicis longus | Posterior ulna, interosseous membrane | Distal phalanx of thumb | Extends thumb IP joint | Forms anatomical snuffbox with APL and EPB |
Hand
Muscle Group | Location | Action | Clinical Relevance |
---|---|---|---|
Thenar (3 muscles) | Thumb base | Thumb opposition, abduction, flexion | Essential for precision grip; atrophy in carpal tunnel syndrome |
Hypothenar (3 muscles) | Little finger base | Little finger movement | Less critical functionally than thenar muscles |
Lumbrical (4 muscles) | Palm, attached to tendons | Flex MCP, extend IP joints | Coordination of finger movements |
Interossei (7 muscles) | Between metacarpals | Abduct/adduct fingers; fine movement | “PAD” – Palmar ADduct, Dorsal ABduct |
Lower Limb Muscles
Hip and Gluteal Region
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Gluteus maximus | Ilium, sacrum, coccyx | Gluteal tuberosity of femur, IT band | Extends and laterally rotates hip | Largest muscle; atrophy affects stairs/rising |
Gluteus medius | External surface of ilium | Greater trochanter | Abducts and medially rotates hip | Trendelenburg gait if weak |
Gluteus minimus | External surface of ilium | Greater trochanter | Abducts and medially rotates hip | Works with gluteus medius |
Tensor fasciae latae | Anterior iliac crest | Iliotibial band | Flexes, abducts, medially rotates hip | IT band syndrome |
Piriformis | Anterior sacrum | Greater trochanter | Laterally rotates hip | Piriformis syndrome (sciatic nerve) |
Iliopsoas (iliacus + psoas major) | Iliac fossa, lumbar vertebrae | Lesser trochanter | Flexes hip | Psoas syndrome; important hip flexor |
Thigh – Anterior Compartment
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Quadriceps femoris: | ||||
– Rectus femoris | Anterior inferior iliac spine | Patellar tendon to tibial tuberosity | Extends knee, flexes hip | Two-joint muscle; soccer kicking |
– Vastus lateralis | Greater trochanter, linea aspera | Patellar tendon to tibial tuberosity | Extends knee | Largest quadriceps component |
– Vastus medialis | Linea aspera, medial femur | Patellar tendon to tibial tuberosity | Extends knee | VMO important for patellar tracking |
– Vastus intermedius | Anterior femur | Patellar tendon to tibial tuberosity | Extends knee | Deep to rectus femoris |
Sartorius | Anterior superior iliac spine | Medial proximal tibia | Flexes hip and knee; lateral rotation | Longest muscle; “tailor’s muscle” |
Thigh – Medial Compartment
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Adductor magnus | Inferior pubic ramus, ischial tuberosity | Linea aspera, adductor tubercle | Adducts, flexes, extends hip | Largest adductor; groin injuries |
Adductor longus | Pubic crest | Middle third of linea aspera | Adducts, flexes hip | Common groin strain |
Adductor brevis | Inferior pubic ramus | Proximal linea aspera | Adducts, flexes hip | Deep to adductor longus |
Gracilis | Inferior pubic ramus | Medial proximal tibia | Adducts hip, flexes knee | Only adductor crossing knee joint |
Pectineus | Pectineal line of pubis | Pectineal line of femur | Adducts, flexes hip | Deep groin muscle |
Thigh – Posterior Compartment
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Hamstrings: | ||||
– Biceps femoris | Ischial tuberosity, linea aspera | Head of fibula | Extends hip, flexes knee, laterally rotates leg | Hamstring strains; lateral knee pain |
– Semitendinosus | Ischial tuberosity | Medial proximal tibia | Extends hip, flexes knee, medially rotates leg | Forms pes anserinus with gracilis and sartorius |
– Semimembranosus | Ischial tuberosity | Medial tibial condyle | Extends hip, flexes knee, medially rotates leg | Knee joint stability; Baker’s cyst relation |
Leg – Anterior Compartment
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Tibialis anterior | Lateral tibia, interosseous membrane | 1st metatarsal, medial cuneiform | Dorsiflexes ankle, inverts foot | Shin splints; foot drop if weak |
Extensor digitorum longus | Lateral condyle of tibia, fibula | Middle and distal phalanges of toes 2-5 | Extends toes, dorsiflexes ankle | Toe extension during walking |
Extensor hallucis longus | Middle fibula, interosseous membrane | Distal phalanx of big toe | Extends big toe, dorsiflexes ankle | Hallux function during push-off |
Peroneus tertius | Distal fibula | 5th metatarsal | Dorsiflexes ankle, everts foot | Variable presence; assists peroneus muscles |
Leg – Lateral Compartment
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Peroneus longus | Head and shaft of fibula | 1st metatarsal, medial cuneiform | Everts foot, plantarflexes ankle | Ankle stability; maintains arch |
Peroneus brevis | Shaft of fibula | 5th metatarsal | Everts foot, plantarflexes ankle | Ankle instability if weak; peroneal tendonitis |
Leg – Posterior Compartment
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Gastrocnemius | Medial and lateral femoral condyles | Calcaneus via Achilles tendon | Plantarflexes ankle, flexes knee | Calf strain; “tennis leg” |
Soleus | Posterior tibia and fibula | Calcaneus via Achilles tendon | Plantarflexes ankle | Deep to gastrocnemius; DVT risk |
Plantaris | Lateral supracondylar line | Calcaneus via Achilles tendon | Weak plantarflexion | Often ruptured without disability |
Tibialis posterior | Posterior tibia, fibula, interosseous membrane | Navicular, cuneiforms, metatarsals 2-4 | Inverts foot, plantarflexes ankle | Maintains foot arch; flat foot if dysfunctional |
Flexor digitorum longus | Posterior tibia | Distal phalanges of toes 2-5 | Flexes toes, plantarflexes ankle | Toe grip; claw toe deformity |
Flexor hallucis longus | Posterior fibula | Distal phalanx of big toe | Flexes big toe, plantarflexes ankle | Important for push-off during gait |
Foot
Muscle Group | Location | Action | Clinical Relevance |
---|---|---|---|
Intrinsic foot muscles (19 muscles) | Within foot only | Fine toe movement, arch support | Arch support; often neglected in training |
Plantar fascia (not a muscle) | Calcaneus to toes | Foot structural support | Plantar fasciitis; windlass mechanism |
Core and Pelvic Floor Muscles
Deep Core Stabilizers
Muscle | Origin | Insertion | Action | Clinical Relevance |
---|---|---|---|---|
Transversus abdominis | Inguinal ligament, thoracolumbar fascia, lower ribs | Linea alba, pubic crest | Compresses abdomen; stabilizes spine | Core stability; engages first in proper function |
Multifidus | Sacrum, ilium, vertebral processes | Vertebral processes 2-4 segments above | Stabilizes spine during movement | Deep back support; commonly atrophied in low back pain |
Diaphragm | Lower ribs, xiphoid, lumbar vertebrae | Central tendon | Primary breathing; intra-abdominal pressure | Part of core cylinder; breathing pattern disorders |
Pelvic floor | Pubis, ischium, sacrum | Central tendon of perineum | Supports pelvic organs; sphincter control | Incontinence if weak; pelvic pain if dysfunctional |
Common Muscle Actions
Upper Body Movements
Movement | Primary Muscles | Antagonist Muscles |
---|---|---|
Shoulder flexion | Anterior deltoid, pectoralis major, coracobrachialis | Latissimus dorsi, posterior deltoid |
Shoulder extension | Latissimus dorsi, posterior deltoid, teres major | Anterior deltoid, pectoralis major |
Shoulder abduction | Middle deltoid, supraspinatus | Pectoralis major, latissimus dorsi |
Shoulder adduction | Pectoralis major, latissimus dorsi, teres major | Middle deltoid, supraspinatus |
Elbow flexion | Biceps brachii, brachialis, brachioradialis | Triceps brachii |
Elbow extension | Triceps brachii, anconeus | Biceps brachii, brachialis |
Forearm pronation | Pronator teres, pronator quadratus | Supinator, biceps brachii |
Forearm supination | Supinator, biceps brachii | Pronator teres, pronator quadratus |
Wrist flexion | Flexor carpi radialis, flexor carpi ulnaris | Extensor carpi radialis, extensor carpi ulnaris |
Wrist extension | Extensor carpi radialis, extensor carpi ulnaris | Flexor carpi radialis, flexor carpi ulnaris |
Lower Body Movements
Movement | Primary Muscles | Antagonist Muscles |
---|---|---|
Hip flexion | Iliopsoas, rectus femoris, sartorius | Gluteus maximus, hamstrings |
Hip extension | Gluteus maximus, hamstrings | Iliopsoas, rectus femoris |
Hip abduction | Gluteus medius, gluteus minimus, TFL | Adductor group |
Hip adduction | Adductor magnus, longus, brevis, gracilis | Gluteus medius, gluteus minimus |
Knee flexion | Hamstrings, gastrocnemius | Quadriceps femoris |
Knee extension | Quadriceps femoris | Hamstrings |
Ankle dorsiflexion | Tibialis anterior, extensor digitorum longus | Gastrocnemius, soleus |
Ankle plantarflexion | Gastrocnemius, soleus | Tibialis anterior, extensor digitorum longus |
Foot inversion | Tibialis anterior, tibialis posterior | Peroneus longus, peroneus brevis |
Foot eversion | Peroneus longus, peroneus brevis | Tibialis anterior, tibialis posterior |
Common Challenges in Studying Muscles
Challenge: Memorizing Origins and Insertions
Solution:
- Focus on functional groups rather than individual muscles
- Use mnemonics (e.g., SITS for rotator cuff: Supraspinatus, Infraspinatus, Teres minor, Subscapularis)
- Study the actions first, then link to attachments
- Use body painting or drawing to visualize attachments
Challenge: Understanding Complex Movements
Solution:
- Break down movements into planes (sagittal, frontal, transverse)
- Practice movements on yourself while palpating muscles
- Think about everyday activities (e.g., walking uses hamstrings for hip extension)
- Study muscle chains that work together functionally
Challenge: Remembering Clinical Relevance
Solution:
- Connect muscles to common injuries you might have experienced
- Learn key assessment tests for major muscle groups
- Study patterns of dysfunction (e.g., upper/lower crossed syndromes)
- Focus on functional implications rather than isolated facts
Best Practices for Studying Muscles
- Study muscles by region rather than attempting to learn all at once
- Learn functional groups that work together for common movements
- Practice palpation on yourself or study partners
- Use multiple learning modalities (visual, kinesthetic, verbal)
- Connect to practical scenarios such as exercise, injury, or dysfunction
- Create simple drawings highlighting key muscles and their relationships
- Review regularly with emphasis on clinical applications
- Study muscle chains that work together in functional movements
Resources for Further Learning
Books and Atlases
- “Trail Guide to the Body” by Andrew Biel
- “The Muscle and Bone Palpation Manual” by Joseph Muscolino
- “Anatomy Trains” by Thomas Myers
- “The Concise Book of Muscles” by Chris Jarmey
Digital Resources
- Visible Body Muscle Premium
- Complete Anatomy
- Muscle&Motion
- AnatomyZone Videos (YouTube)
- Kenhub Muscular System
Hands-On Tools
- Anatomical models
- Muscle palpation guides
- Resistance bands for feeling muscle activation
- Anatomy coloring books