OINA charts - Lecture notes 1 PDF

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Summary

OINA charts...

Description

OINA - Upper Extremity

MUSCLE

supraspinatus

supraspinous fossa

superior facet of greater tubercle

suprascapular nerve (c4, C5, c6)

infraspinatus

infraspinous fossa

middle facet of greater tubercle

suprascapular nerve (C5, c6)

teres minor

middle lateral border of scapula

inferior facet of greater tubercle

axillary nerve (C5, c6)

subscapularis

subscapular fossa

lesser tubercle

upper/ lower subscapular (c5, C6, c7)

ACTION (upper) scapular elevation and upward rotation; (lower) scapular depression and upward rotation; (middle) scapular retraction shoulder extension, adduction, and internal rotation scapular elevation and downward rotation; tilts glenoid fossa inferiorly scapular retraction and downward rotation scapular retraction and downward rotation shoulder flexion, adduction, and internal rotation; pulls scapula anteriorly and inferiorly shoulder extension (from flexed position), adduction, and internal rotation; pulls scapula anteriorly and inferiorly draws scapula anteriorly and inferiorly anchors and depresses clavicle scapular protraction, upward rotation, and stabilization against thoracic wall neck ipsilateral sidebend and contralateral rotation; OA extension and lower C/S flexion shoulder adduction and internal rotation (clavicular) shoulder flexion and internal rotation; (acromial) shoulder abduction; (spinal) shoulder extension and external rotation initial arm abduction; GH joint stabilization shoulder external rotation; GH joint stabilization shoulder external rotation; GH joint stabilization shoulder adduction and lateral rotation; GH joint stabilization

biceps brachii

(short head) coracoid process of scapula; (long head) supraglenoid tubercle of scapula

radial tuberosity, fascia of forearm via bicipital aponeurosis

musculocutaneous nerve (c5, C6)

forearm supination and elbow flexion (when supinated)

distal half of anterior humerus

coronoid process of ulna, ulnar tuberosity

musculocutaneous nerve (c5, C6)

elbow flexion (in all positions)

trapezius latissimus dorsi levator scapulae

ORIGIN

INSERTION

medial 1/3 of nuchal line, external occipital protuberance, nuchal ligament, C7-T12 spinous process

lateral 1/3 of clavicle, acromion, scapular spine

thoracolumbar fascia, T7-T12 spinous process, ribs 8-12 C1-C4 transverse process (posterior tubercles)

floor of intertubercular groove of humerus superior medial border of scapula superior to spine medial border of scapula from inferior to spine to inferior angle superior medial border of scapula and medial scapular spine

rhomboideus major

T2-T5 spinous process

rhomboideus minor

C7-T1 spinous process; nuchal ligament

pectoralis major (clavicular head)

medial 1/2 of anterior clavicle

NERVE spinal accessory nerve (CN XI); sensory from C3-C4 thoracodorsal nerve (C6, C7, c8) C3-C4 APRs and dorsal scapular nerve (C5) dorsal scapular nerve (C4-C5) dorsal scapular nerve (C4-C5) lateral and medial pectoral nerve (c5, C6)

lateral lip of intertubercular groove of humerus

pectoralis major (sternal head)

anterior surface of sternum, costal cartilages 1-6, aponeurosis of EOA

pectoralis minor

ribs 3-5

coracoid process of scapula

medial pectoral nerve (C8, T1)

costal cartilage 1

inferior/medial 1/3 of clavicle

nerve to subclavius (C5, C6)

external surface of ribs 1-8

anterior surface of medial border of long thoracic nerve (c5, C6, C7) scapula

sternocleidomastoid

manubrium, medial 1/3 of clavicle

mastoid process, lateral 1/2 of superior nuchal line

teres major

dorsal surface of inferior angle of scapula

medial lip of intertubercular groove of humerus

lower subscapular nerve (C6, c7)

deltoid

lateral 1/3 of clavicle, acromion, scapular spine

deltoid tuberosity of humerus

axillary nerve (C5, c6)

subclavius serratus anterior

brachialis coracobrachialis

triceps brachii

anconeus brachioradialis extensor carpi radialis longus extensor carpi radialis brevis extensor digitorum extensor digiti minimi extensor carpi ulnaris supinator abductor pollicis longus extensor pollicis longus extensor pollicis brevis extensor indicis pronator teres flexor carpi radialis

lateral and medial pectoral nerve (C7, C8, t1)

spinal accessory nerve (CN XI); sensory from C2-C3

musculocutaneous nerve (c5, C6, c7) assist in shoulder flexion and adduction

coracoid process of scapula

middle 1/3 of medial humerus

(long head) infraglenoid tubercle of scapula; (lateral head) posterior surface of humerus superior to radial groove; (medial head) posterior surface of humerus inferior to radial groove

proximal olecranon of ulna, fascia of radial nerve (c6, C7, C8) forearm

lateral epicondyle

lateral surface of olecranon, superior radial nerve (C7, C8, T1) part of posterior ulna

proximal 2/3 of lateral lateral surface of distal radius supracondylar ridge of humerus inferior 1/3 of lateral supracondylar dorsum of base of 2nd metacarpal ridge of humerus lateral epicondyle of humerus, radial dorsum of base of 3rd metacarpal collateral ligament extensor expansion of medial four lateral epicondyle digits lateral epicondyle lateral epicondyle, mid posterior ulna lateral epicondyle, radial collateral and anular lig., supinator fossa, crest of ulna posterior surface of ulna, radius, and interosseous membrane posterior surface of middle 1/3 of ulna and interosseous membrane posterior surface of radius and interosseous membrane posterior surface of ulna and interosseous membrane medial epicondyle, coronoid process of ulna medial epicondyle

extensor expansion of 5th digit

elbow extension, (long head) steadies abducted humerus

radial nerve (c5, C6, c7)

assist in elbow extension, elbow jt stabilization, ulna abduction during pronation elbow flexion, return forearm to neutral from pronation or supination

radial nerve (C6, C7)

wrist extension and radial deviation

deep branch of radial nerve (C7, c8) wrist extension and radial deviation posterior interosseous nerve (C7, c8) wrist extension, medial four finger extension at MCP joint posterior interosseous nerve (C7, c8) 5th digit extension at MCP and IP joints

dorsum of base of 5th metacarpal

posterior interosseous nerve (C7, c8) wrist extension and ulnar deviation

lateral, posterior, & anterior surfaces of proximal 1/3 radius

deep branch of radial nerve (c5, C6) forearm supination

base of 1st metacarpal base of thumb distal phalanx base of thumb proximal phalanx extensor expansion of 2nd digit

posterior interosseous nerve (c7, C8) thumb abduction and extension at CMC joint posterior interosseous nerve (c7, C8) thumb extension at MCP and IP joints extension at MCP and CMC posterior interosseous nerve (c7, C8) thumb joints digit extension; assist with wrist posterior interosseous nerve (c7, C8) 2nd extension

mid-lateral surface of radius

median nerve (c6, C7)

forearm pronation and elbow flexion

base of 2nd metacarpal bone

median nerve (c6, C7)

wrist flexion and radial deviation

OINA - Upper Extremity

MUSCLE palmaris longus flexor carpi ulnaris

flexor digitorum superficialis flexor digitorum profundus flexor pollicis longus pronator quadratus abductor pollicis brevis flexor pollicis brevis opponens pollicis

adductor pollicis abductor digiti minimi flexor digiti minimi brevis opponens digiti minimi lumbricals 1 & 2 lumbricals 3 & 4 dorsal interossei palmar interossei

ORIGIN medial epicondyle (humeral part) medial epicondyle; (ulnar part) olecranon and posterior ulna (humeroulnar head) medial epicondyle, ulnar coll. lig., coronoid process of ulna; (radial head) superior-anterior radius medial and anterior ulna, interosseous membrane anterior surface of radius, interosseous membrane

INSERTION distal half of flexor retinaculum and palmar aponeurosis

median nerve (C7, C8)

ACTION wrist flexion, tightens palmar aponeurosis

pisiform, hook of hamate, 5th metacarpal

ulnar nerve (c7, C8)

wrist flexion and ulnar deviation

bodies of middle phalanges of medial 4 digits

median nerve (C7, C8, T1)

MCP & PIP flexion of medial 4 digits

bases of distal phalanges of medial 4 (medial part) ulnar nerve; (lateral digits part) median nerve (c8, T1) base of thumb distal phalanx

1/4 of anterior surface of distal 1/4 of anterior surface of ulna distal radius flexor retinaculum, tubercles of lateral side of base of thumb scaphoid and trapezium proximal phalanx flexor retinaculum, tubercles of scaphoid and trapezium

NERVE

lateral side of base of thumb proximal phalanx

DIP flexion of medial 4 digits, assist with wrist flexion

anterior interosseous nerve (C8, t1) thumb flexion anterior interosseous nerve (C8, t1) forearm pronation recurrent branch of median nerve (C8, t1) recurrent branch of median nerve (C8, t1); ulnar nerve to deep head (c8, T1) recurrent branch of median nerve (C8, t1)

flexor retinaculum, tubercles of lateral side of 1st metacarpal scaphoid and trapezium (oblique head) bases of 2nd and 3rd medial side of base of thumb metacarpals, capitate, adjacent deep branch of ulnar nerve (c8, T1) carpals; (transverse head) anterior proximal phalanx surface of 3rd metacarpal medial side of base of 5th proximal deep branch of ulnar nerve (c8, T1) pisiform phalanx flexor retinaculum, hook of hamate medial side of base of 5th proximal deep branch of ulnar nerve (c8, T1) phalanx flexor retinaculum, hook of hamate medial border of 5th metacarpal deep branch of ulnar nerve (c8, T1) lateral sides of extensor expansions median nerve (c8, T1) (unipen) lateral 2 tendons of FDP of digits 2, 3 lateral sides of extensor expansions deep branch of ulnar nerve (c8, T1) (bipen) medial 3 tendons of FDP of digits 4, 5 (bipen) adjacent sides of extensor expansions, bases of deep branch of ulnar nerve (c8, T1) proximal phalanges of digits 2-4 metacarpals (unipen) palmar surfaces of 2nd, 4th, extensor expansions, bases of and 5th metacarpals proximal phalanges of digits 2, 4, 5 deep branch of ulnar nerve (c8, T1)

thumb abduction and opposition thumb flexion thumb opposition thumb adduction 5th digit abduction; assist with 5th digit flexion 5th digit MCP flexion 5th digit opposition MCP flexion, IP extension MCP flexion, IP extension finger abduction, MCP flexion, IP extension finger adduction, MCP flexion, IP extension

OINA - Lower Extremity

MUSCLE gluteus maximus gluteus medius gluteus minimus tensor fasciae latae piriformis superior gemellus obturator internus inferior gemellus obturator externus quadratus femoris sartorius pectineus iliacus psoas major psoas minor rectus femoris vastus lateralis vastus medialis vastus intermedius gracilis

ORIGIN INSERTION ilium posterior to posterior gluteal IT band into the lateral condyle of line, dorsum of sacrum and coccyx, tibia (Gerdy's tubercle), gluteal sacrotuberous ligament tuberosity in femur external ilium between anterior and lateral greater trochanter posterior gluteal lines external ilium between anterior and anterior greater trochanter inferior gluteal lines IT band into the lateral condyle of ASIS, anterior iliac crest tibia (Gerdy's tubercle) anterior surface of sacrum, superior greater trochanter sacrotuberous ligament ischial spine medial greater trochanter pelvic surface of the obturator medial greater trochanter membrane ischial tuberosity medial greater trochanter external margins of obturator trochanteric fossa membrane quadrate tubercle on femur and area lateral border of ischial tuberosity inferior to it medial condyle of tibia (pes ASIS anserinus) superior pubic ramus

pectineal line of femur

iliac crest, iliac fossa, ala of sacrum, lesser trochanter anterior sacroiliac ligament sides of T12-L5 discs and vertebrae; lesser trochanter L1-L5 transverse processes iliopectineal eminence, pectineal sides of T12-L1 disc and vertebrae arch AIIS, ilium superior to acetabulum greater trochanter, lateral linea aspera base of patella; indirectly to tibial intertrochanteric line, medial linea tuberosity via patellar tendon aspera anterior and lateral surfaces of shaft of femur condyle of tibia (pes inferior pubic ramus, body of pubis medial anserinus)

fibularis brevis gastrocnemius

soleus plantaris

(medial head) popliteal surface superior to medial condyle of femur, (lateral head) lateral surface of lateral condyle of femur posterior surfaces of head and superior fibula, soleal line and middle third of medial border of tibia inferior lateral supracondylar line of femur, oblique popliteal ligament

obturator nerve (l3, L4) nerve to quadratus femoris (L5, s1)

hip external rotation; stabilizes femoral head in acetabulum

femoral nerve (L2, l3); may receive obturator nerve

hip flexion, hip external rotation, hip abduction, knee flexion hip flexion and adduction; assists with hip internal rotation

femoral nerve (L2, l3)

hip flexion

femoral nerve (L2, L3)

ventral APRs of lumbar nerves (L1, L2, l3)

hip flexion

ventral APRs of lumbar nerves (L1)

weak trunk flexion knee extension; hip flexion

femoral nerve (l2, L3, L4)

obturator nerve (L2, l3)

knee extension

hip adduction; weak knee flexion; assists in knee internal rotation

base of 1st metatarsal, medial and inferior surface of 1st cuneiform

deep fibular nerve (L4, l5)

ankle dorsiflexion and inversion

dorsal base of 1st distal phalanx

deep fibular nerve (L5, S1)

ankle dorsiflexion, great toe extension

middle and distal phalanges of lateral 4 digits

deep fibular nerve (L5, S1)

ankle dorsiflexion, extension of lateral 4 toes

base of 5th metatarsal

deep fibular nerve (L5, S1)

ankle dorsiflexion and eversion

superficial fibular nerve (L5, S1, s2)

ankle eversion and weak plantarflexion ankle eversion and weak plantarflexion

ischial tuberosity

inferior 2/3 of lateral fibula

nerve to quadratus femoris (L5, s1)

knee flexion, knee external rotation

ischial tuberosity

fibularis longus

nerve to obturator internus (l5, S1)

(hip extended) hip external rotation; (hip flexed) hip abduction; stabilizes femoral head in acetabulum

common fibular nerve (L5, S1, s2)

semimembranosus

medial condyle of tibia (pes anserinus) posterior surface of medial condyle of tibia

fibularis tertius

nerve to piriformis (S1, s2) nerve to obturator internus (l5, S1)

tibial nerve (L5, S1, s2)

adductor tubercle

ischial tuberosity

extensor digitorum longus

superior gluteal nerve (L5, S1)

knee flexion, knee internal rotation, hip extension knee flexion, knee internal rotation, hip extension knee flexion, knee external rotation, hip extension

ischial tuberosity

semitendinosus

extensor hallucis longus

hip abduction and internal rotation; keeps pelvis level during single limb stance

tibial nerve (L5, S1, s2)

adductor magnus (hamstring portion)

tibialis anterior

superior gluteal nerve (L5, s1)

hip adduction, hip extension

inferior pubic ramus, body of pubis

linea aspera and lateral supracondylar line of femur lateral condyle of tibia, superior/lateral tibia, interosseous membrane mid-anterior fibula, interosseous membrane lateral condyle of tibia, superior/medial fibula, interosseous membrane inferior/anterior fibula, interosseous membrane head and superior 2/3 of lateral fibula

superior gluteal nerve (L5, s1)

tibial nerve (L4)

adductor brevis

biceps femoris (long head) biceps femoris (short head)

hip extension and external rotation

proximal linea aspera, pectineal line of femur gluteal tuberosity, linea aspera, medial supracondylar line

body of pubis inferior to pubic crest middle 1/3 of linea aspera

adductor magnus (adductor portion)

inferior gluteal nerve (l5, S1, S2)

ACTION

obturator nerve, anterior division (l2, hip adduction L3, l4) obturator nerve, anterior division (l2, hip adduction L3, l4) obturator nerve, posterior division hip adduction, hip flexion (l2, L3, L4)

adductor longus

inferior pubic ramus, ramus of ischium

NERVE

tibial nerve (L5, S1, s2)

lateral surface of head of fibula

base of 1st metatarsal and 1st cuneiform base and tuberosity of 5th metatarsal

superficial fibular nerve (L5, S1, s2)

posterior calcaneus via Achilles tendon

tibial nerve (S1, S2)

ankle plantarflexion (when knee is extended), knee flexion

posterior calcaneus via Achilles tendon

tibial nerve (S1, S2)

ankle plantarflexion

posterior calcaneus via Achilles tendon

tibial nerve (S1, S2)

weak ankle plantarflexion

popliteus

lateral surface of lateral condyle of femur, lateral meniscus

posterior surface of tibia superior to tibial nerve (L4, L5, S1) soleal line

weak knee flexion, unlocks knee to allow flexion (tibial IR in OKC or femoral ER in CKC)

tibialis posterior

posterior surface of tibia and fibula, interosseous membrane

navicular tuberosity, cuboid, 1st cuneiform, sustentaculum tali of calcaneus, bases of 2nd-4th mets

ankle plantarflexion and inversion

tibial nerve (L4, L5)

OINA - Lower Extremity

MUSCLE flexor digitorum longus flexor hallucis longus abductor hallucis flexor digitorum brevis abductor digiti minimi quadratus plantae

lumbricals flexor hallucis brevis flexor digiti minimi brevis adductor hallucis plantar interosseous dorsal interosseous extensor digitorum brevis extensor hallucis brevis

ORIGIN posterior/medial surface of tibia inferior to soleal line posterior/inferior fibula, interosseous membrane calcaneal tuberosity, flexor retinaculum, plantar aponeurosis calcaneal tuberosity, intermuscular septa, plantar aponeurosis calcaneal tuberosity, intermuscular septa, plantar aponeurosis medial and lateral plantar surface of calcaneus tendon of flexor digitorum longus

INSERTION

NERVE

bases of lateral 4 distal phalanges

tibial nerve (S2, S3)

base of 1st distal phalanx

tibial nerve (S2, S3)

ACTION flexion of lateral 4 toes, ankle plantarflexion great toe flexion, weak ankle plantarflexion
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