Major Muscle Groups Cheat Sheet: Form, Function & Clinical Relevance

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

TypeCharacteristicsLocationControl
SkeletalStriated, voluntaryAttached to bonesConscious
CardiacStriated, involuntaryHeartAutonomous
SmoothNon-striated, involuntaryOrgans, blood vesselsAutonomous

Skeletal Muscle Architecture

TypeArrangementAdvantageExamples
ParallelFibers parallel to line of pullRange of motionSartorius, biceps brachii
PennateFibers at angle to tendonForce productionDeltoid, gastrocnemius
ConvergentFibers converge to single tendonVersatile pullingPectoralis major
CircularFibers form ringsSphincter functionOrbicularis 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

MuscleOriginInsertionActionClinical Relevance
FrontalisGalea aponeuroticaSkin of eyebrowsRaises eyebrows; wrinkles foreheadBell’s palsy affects facial expressions
Orbicularis oculiMedial orbital marginCircular path around eyeCloses eyelid; “squinting”Blepharospasm; facial nerve damage
Orbicularis orisSurrounds mouthSkin and muscle around lipsCloses/purses lipsSpeech impediments if impaired
Zygomaticus majorZygomatic boneCorner of mouthElevates mouth corner; smilingAsymmetrical smile in stroke
BuccinatorMaxilla and mandibleOrbicularis orisCompresses cheek; blowing“Trumpeter’s muscle”; food accumulation if weak

Muscles of Mastication

MuscleOriginInsertionActionClinical Relevance
TemporalisTemporal fossaCoronoid process of mandibleElevates and retracts mandibleTMJ disorders; headaches
MasseterZygomatic archLateral surface of mandible ramusPowerful jaw closureMost powerful jaw muscle; bruxism
Medial pterygoidMedial pterygoid plateMedial surface of mandible ramusElevates and protrudes mandibleWorks with masseter for grinding motion
Lateral pterygoidGreater wing of sphenoidMandibular condyleProtrudes and opens mandibleTMJ disc displacement

Neck Muscles

MuscleOriginInsertionActionClinical Relevance
SternocleidomastoidSternum and clavicleMastoid processRotates head to opposite side; flexes neckTorticollis (wry neck); important landmark
Trapezius (upper)Occipital bone, nuchal ligamentLateral clavicleElevates and retracts scapula; extends neckTension headaches; upper crossing syndrome
PlatysmaFascia of chestLower face and jawDepresses lower lip; tenses neck skinNeck banding with aging
ScalenesCervical vertebraeFirst and second ribsElevate ribs; flex/rotate neckThoracic outlet syndrome; breathing accessory

Trunk Muscles

Thorax

MuscleOriginInsertionActionClinical Relevance
Pectoralis majorClavicle, sternum, costal cartilagesIntertubercular groove of humerusAdducts, medially rotates, flexes armBreast cancer surgery affects function
Pectoralis minorRibs 3-5Coracoid process of scapulaDepresses, protracts scapulaForward shoulder posture if tight
Serratus anteriorLateral surfaces of ribs 1-8Medial border of scapulaProtracts scapula; scapular rotation“Boxer’s muscle”; scapular winging if weak
External intercostalsLower border of rib aboveUpper border of rib belowElevate ribs; inspirationBreathing mechanics; intercostal nerve pain
Internal intercostalsUpper border of rib belowLower border of rib aboveDepress ribs; forced expirationActive during coughing
DiaphragmLower ribs, xiphoid, lumbar vertebraeCentral tendonPrimary muscle of inspirationHiccups; referred pain to shoulder

Abdominal Wall

MuscleOriginInsertionActionClinical Relevance
Rectus abdominisPubic crest and symphysisXiphoid process, costal cartilages 5-7Flexes trunk; compresses abdomen“Six-pack” muscle; diastasis recti
External obliqueExternal surfaces of ribs 5-12Linea alba, iliac crest, pubisRotates and flexes trunkContributes to abdominal hernia prevention
Internal obliqueInguinal ligament, iliac crestLower ribs, linea albaRotates and flexes trunkWorks with external oblique for rotation
Transversus abdominisInguinal ligament, lumbar fascia, lower 6 ribsLinea alba, pubisCompresses abdomen“Core” stabilizer; important for posture

Back

MuscleOriginInsertionActionClinical Relevance
TrapeziusOccipital bone, nuchal ligament, thoracic vertebraeClavicle, acromion, scapular spineElevates, retracts, rotates scapulaUpper back tension; postural muscle
Latissimus dorsiLower thoracic vertebrae, lumbar fascia, iliac crestIntertubercular groove of humerusExtends, adducts, medially rotates arm“Swimmer’s muscle”; contributes to posture
Rhomboids (major/minor)C7-T5 vertebraeMedial border of scapulaRetracts and elevates scapulaScapular stability; commonly weak in modern posture
Erector spinae groupSacrum, iliac crest, vertebral processesRibs and vertebrae aboveExtends and laterally flexes spineLower back pain; spinal stabilization

Upper Limb Muscles

Shoulder

MuscleOriginInsertionActionClinical Relevance
DeltoidClavicle, acromion, scapular spineDeltoid tuberosity of humerusAbducts, flexes, extends armShoulder contouring; commonly injured
SupraspinatusSupraspinous fossa of scapulaGreater tubercle of humerusInitiates arm abductionRotator cuff tear; impingement syndrome
InfraspinatusInfraspinous fossa of scapulaGreater tubercle of humerusLaterally rotates armRotator cuff component; shoulder stability
Teres minorLateral border of scapulaGreater tubercle of humerusLaterally rotates armRotator cuff component; commonly torn
SubscapularisSubscapular fossaLesser tubercle of humerusMedially rotates armDeepest rotator cuff muscle; internal rotation
Teres majorInferior angle of scapulaIntertubercular groove of humerusExtends, adducts, medially rotates arm“Lat’s little helper”

Arm

MuscleOriginInsertionActionClinical Relevance
Biceps brachiiCoracoid process, supraglenoid tubercleRadial tuberosityFlexes elbow; supinates forearmRupture from heavy lifting; Popeye deformity
BrachialisAnterior humerusCoronoid process of ulnaFlexes elbowPrimary elbow flexor; deep to biceps
Triceps brachiiInfraglenoid tubercle, posterior humerusOlecranon process of ulnaExtends elbowElbow extension strength; “horseshoe” shape
CoracobrachialisCoracoid processMid-medial humerusAdducts armRarely injured; smaller arm muscle

Forearm – Anterior Compartment

MuscleOriginInsertionActionClinical Relevance
Pronator teresMedial epicondyle, coronoid processLateral radiusPronates forearmPronator syndrome (median nerve)
Flexor carpi radialisMedial epicondyle2nd, 3rd metacarpalsFlexes, abducts wristTendon landmark for radial pulse
Flexor carpi ulnarisMedial epicondyle, olecranonPisiform, hamate, 5th metacarpalFlexes, adducts wristWrist stability; guyon’s canal
Flexor digitorum superficialisMedial epicondyle, coronoid, radiusMiddle phalanges of fingers 2-5Flexes fingers and wrist“Superficial” finger flexor
Flexor digitorum profundusUlna, interosseous membraneDistal phalanges of fingers 2-5Flexes distal finger joints“Deep” finger flexor; jersey finger
Flexor pollicis longusAnterior radius, interosseous membraneDistal phalanx of thumbFlexes thumbThumb dexterity for pinch grip

Forearm – Posterior Compartment

MuscleOriginInsertionActionClinical Relevance
Extensor carpi radialis longusLateral supracondylar ridge2nd metacarpalExtends, abducts wristWrist extension; tennis elbow
Extensor carpi radialis brevisLateral epicondyle3rd metacarpalExtends, abducts wristCommonly involved in lateral epicondylitis
Extensor carpi ulnarisLateral epicondyle, posterior ulna5th metacarpalExtends, adducts wristMaintains wrist stability in ulnar deviation
Extensor digitorumLateral epicondyleExtensor expansion of fingers 2-5Extends fingers and wristFinger extension; forms extensor hood
Abductor pollicis longusPosterior radius and ulna1st metacarpalAbducts thumbDe Quervain’s tenosynovitis
Extensor pollicis brevisPosterior radius, interosseous membraneProximal phalanx of thumbExtends thumb MCP jointForms anatomical snuffbox with APL
Extensor pollicis longusPosterior ulna, interosseous membraneDistal phalanx of thumbExtends thumb IP jointForms anatomical snuffbox with APL and EPB

Hand

Muscle GroupLocationActionClinical Relevance
Thenar (3 muscles)Thumb baseThumb opposition, abduction, flexionEssential for precision grip; atrophy in carpal tunnel syndrome
Hypothenar (3 muscles)Little finger baseLittle finger movementLess critical functionally than thenar muscles
Lumbrical (4 muscles)Palm, attached to tendonsFlex MCP, extend IP jointsCoordination of finger movements
Interossei (7 muscles)Between metacarpalsAbduct/adduct fingers; fine movement“PAD” – Palmar ADduct, Dorsal ABduct

Lower Limb Muscles

Hip and Gluteal Region

MuscleOriginInsertionActionClinical Relevance
Gluteus maximusIlium, sacrum, coccyxGluteal tuberosity of femur, IT bandExtends and laterally rotates hipLargest muscle; atrophy affects stairs/rising
Gluteus mediusExternal surface of iliumGreater trochanterAbducts and medially rotates hipTrendelenburg gait if weak
Gluteus minimusExternal surface of iliumGreater trochanterAbducts and medially rotates hipWorks with gluteus medius
Tensor fasciae lataeAnterior iliac crestIliotibial bandFlexes, abducts, medially rotates hipIT band syndrome
PiriformisAnterior sacrumGreater trochanterLaterally rotates hipPiriformis syndrome (sciatic nerve)
Iliopsoas (iliacus + psoas major)Iliac fossa, lumbar vertebraeLesser trochanterFlexes hipPsoas syndrome; important hip flexor

Thigh – Anterior Compartment

MuscleOriginInsertionActionClinical Relevance
Quadriceps femoris:    
Rectus femorisAnterior inferior iliac spinePatellar tendon to tibial tuberosityExtends knee, flexes hipTwo-joint muscle; soccer kicking
Vastus lateralisGreater trochanter, linea asperaPatellar tendon to tibial tuberosityExtends kneeLargest quadriceps component
Vastus medialisLinea aspera, medial femurPatellar tendon to tibial tuberosityExtends kneeVMO important for patellar tracking
Vastus intermediusAnterior femurPatellar tendon to tibial tuberosityExtends kneeDeep to rectus femoris
SartoriusAnterior superior iliac spineMedial proximal tibiaFlexes hip and knee; lateral rotationLongest muscle; “tailor’s muscle”

Thigh – Medial Compartment

MuscleOriginInsertionActionClinical Relevance
Adductor magnusInferior pubic ramus, ischial tuberosityLinea aspera, adductor tubercleAdducts, flexes, extends hipLargest adductor; groin injuries
Adductor longusPubic crestMiddle third of linea asperaAdducts, flexes hipCommon groin strain
Adductor brevisInferior pubic ramusProximal linea asperaAdducts, flexes hipDeep to adductor longus
GracilisInferior pubic ramusMedial proximal tibiaAdducts hip, flexes kneeOnly adductor crossing knee joint
PectineusPectineal line of pubisPectineal line of femurAdducts, flexes hipDeep groin muscle

Thigh – Posterior Compartment

MuscleOriginInsertionActionClinical Relevance
Hamstrings:    
Biceps femorisIschial tuberosity, linea asperaHead of fibulaExtends hip, flexes knee, laterally rotates legHamstring strains; lateral knee pain
SemitendinosusIschial tuberosityMedial proximal tibiaExtends hip, flexes knee, medially rotates legForms pes anserinus with gracilis and sartorius
SemimembranosusIschial tuberosityMedial tibial condyleExtends hip, flexes knee, medially rotates legKnee joint stability; Baker’s cyst relation

Leg – Anterior Compartment

MuscleOriginInsertionActionClinical Relevance
Tibialis anteriorLateral tibia, interosseous membrane1st metatarsal, medial cuneiformDorsiflexes ankle, inverts footShin splints; foot drop if weak
Extensor digitorum longusLateral condyle of tibia, fibulaMiddle and distal phalanges of toes 2-5Extends toes, dorsiflexes ankleToe extension during walking
Extensor hallucis longusMiddle fibula, interosseous membraneDistal phalanx of big toeExtends big toe, dorsiflexes ankleHallux function during push-off
Peroneus tertiusDistal fibula5th metatarsalDorsiflexes ankle, everts footVariable presence; assists peroneus muscles

Leg – Lateral Compartment

MuscleOriginInsertionActionClinical Relevance
Peroneus longusHead and shaft of fibula1st metatarsal, medial cuneiformEverts foot, plantarflexes ankleAnkle stability; maintains arch
Peroneus brevisShaft of fibula5th metatarsalEverts foot, plantarflexes ankleAnkle instability if weak; peroneal tendonitis

Leg – Posterior Compartment

MuscleOriginInsertionActionClinical Relevance
GastrocnemiusMedial and lateral femoral condylesCalcaneus via Achilles tendonPlantarflexes ankle, flexes kneeCalf strain; “tennis leg”
SoleusPosterior tibia and fibulaCalcaneus via Achilles tendonPlantarflexes ankleDeep to gastrocnemius; DVT risk
PlantarisLateral supracondylar lineCalcaneus via Achilles tendonWeak plantarflexionOften ruptured without disability
Tibialis posteriorPosterior tibia, fibula, interosseous membraneNavicular, cuneiforms, metatarsals 2-4Inverts foot, plantarflexes ankleMaintains foot arch; flat foot if dysfunctional
Flexor digitorum longusPosterior tibiaDistal phalanges of toes 2-5Flexes toes, plantarflexes ankleToe grip; claw toe deformity
Flexor hallucis longusPosterior fibulaDistal phalanx of big toeFlexes big toe, plantarflexes ankleImportant for push-off during gait

Foot

Muscle GroupLocationActionClinical Relevance
Intrinsic foot muscles (19 muscles)Within foot onlyFine toe movement, arch supportArch support; often neglected in training
Plantar fascia (not a muscle)Calcaneus to toesFoot structural supportPlantar fasciitis; windlass mechanism

Core and Pelvic Floor Muscles

Deep Core Stabilizers

MuscleOriginInsertionActionClinical Relevance
Transversus abdominisInguinal ligament, thoracolumbar fascia, lower ribsLinea alba, pubic crestCompresses abdomen; stabilizes spineCore stability; engages first in proper function
MultifidusSacrum, ilium, vertebral processesVertebral processes 2-4 segments aboveStabilizes spine during movementDeep back support; commonly atrophied in low back pain
DiaphragmLower ribs, xiphoid, lumbar vertebraeCentral tendonPrimary breathing; intra-abdominal pressurePart of core cylinder; breathing pattern disorders
Pelvic floorPubis, ischium, sacrumCentral tendon of perineumSupports pelvic organs; sphincter controlIncontinence if weak; pelvic pain if dysfunctional

Common Muscle Actions

Upper Body Movements

MovementPrimary MusclesAntagonist Muscles
Shoulder flexionAnterior deltoid, pectoralis major, coracobrachialisLatissimus dorsi, posterior deltoid
Shoulder extensionLatissimus dorsi, posterior deltoid, teres majorAnterior deltoid, pectoralis major
Shoulder abductionMiddle deltoid, supraspinatusPectoralis major, latissimus dorsi
Shoulder adductionPectoralis major, latissimus dorsi, teres majorMiddle deltoid, supraspinatus
Elbow flexionBiceps brachii, brachialis, brachioradialisTriceps brachii
Elbow extensionTriceps brachii, anconeusBiceps brachii, brachialis
Forearm pronationPronator teres, pronator quadratusSupinator, biceps brachii
Forearm supinationSupinator, biceps brachiiPronator teres, pronator quadratus
Wrist flexionFlexor carpi radialis, flexor carpi ulnarisExtensor carpi radialis, extensor carpi ulnaris
Wrist extensionExtensor carpi radialis, extensor carpi ulnarisFlexor carpi radialis, flexor carpi ulnaris

Lower Body Movements

MovementPrimary MusclesAntagonist Muscles
Hip flexionIliopsoas, rectus femoris, sartoriusGluteus maximus, hamstrings
Hip extensionGluteus maximus, hamstringsIliopsoas, rectus femoris
Hip abductionGluteus medius, gluteus minimus, TFLAdductor group
Hip adductionAdductor magnus, longus, brevis, gracilisGluteus medius, gluteus minimus
Knee flexionHamstrings, gastrocnemiusQuadriceps femoris
Knee extensionQuadriceps femorisHamstrings
Ankle dorsiflexionTibialis anterior, extensor digitorum longusGastrocnemius, soleus
Ankle plantarflexionGastrocnemius, soleusTibialis anterior, extensor digitorum longus
Foot inversionTibialis anterior, tibialis posteriorPeroneus longus, peroneus brevis
Foot eversionPeroneus longus, peroneus brevisTibialis 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

  1. Study muscles by region rather than attempting to learn all at once
  2. Learn functional groups that work together for common movements
  3. Practice palpation on yourself or study partners
  4. Use multiple learning modalities (visual, kinesthetic, verbal)
  5. Connect to practical scenarios such as exercise, injury, or dysfunction
  6. Create simple drawings highlighting key muscles and their relationships
  7. Review regularly with emphasis on clinical applications
  8. 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
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