← MBLEx Core

Muscle Innervation Master Guide

Use this beside the OIA pages. Learn patterns first, then exceptions.

Shoulder girdle & shoulder

MusclePrimary innervation
TrapeziusSpinal accessory nerve (CN XI), with cervical contributions for proprioception
Levator scapulaeDorsal scapular nerve + cervical nerves
Rhomboid major/minorDorsal scapular nerve
Serratus anteriorLong thoracic nerve
Pectoralis minorMedial pectoral nerve
DeltoidAxillary nerve
Supraspinatus / InfraspinatusSuprascapular nerve
Teres minorAxillary nerve
SubscapularisUpper/lower subscapular nerves
Teres majorLower subscapular nerve
Latissimus dorsiThoracodorsal nerve
Pectoralis majorLateral and medial pectoral nerves

Arm & forearm

Biceps brachiiMusculocutaneous nerve
BrachialisPrimarily musculocutaneous nerve; small radial contribution may occur
CoracobrachialisMusculocutaneous nerve
Triceps brachii / AnconeusRadial nerve
BrachioradialisRadial nerve
Pronator teresMedian nerve
Pronator quadratusAnterior interosseous branch of median nerve
SupinatorDeep branch of radial nerve / posterior interosseous continuation
Most superficial forearm flexorsMedian nerve, with flexor carpi ulnaris an important ulnar-nerve exception
Most forearm extensorsRadial nerve or its deep/posterior interosseous branches

Trunk, neck & breathing

SCMSpinal accessory nerve (CN XI), cervical sensory/proprioceptive contributions
ScalenesAnterior rami of cervical spinal nerves
Splenius capitis/cervicisPosterior rami of cervical spinal nerves
SuboccipitalsSuboccipital nerve (posterior ramus C1)
Erector spinae / multifidiPosterior rami of spinal nerves
Rectus abdominis / obliques / transversusThoracoabdominal nerves, with lower contributions varying by muscle
DiaphragmPhrenic nerve (C3-C5)
IntercostalsIntercostal nerves

Hip & thigh

IliacusFemoral nerve
Psoas majorAnterior rami of lumbar spinal nerves
Gluteus maximusInferior gluteal nerve
Gluteus medius/minimus + TFLSuperior gluteal nerve
PiriformisNerve to piriformis
Obturator internus + superior gemellusNerve to obturator internus
Quadratus femoris + inferior gemellusNerve to quadratus femoris
Obturator externusObturator nerve
Quadriceps / SartoriusFemoral nerve
Adductor longus/brevis/gracilisObturator nerve
Adductor magnusObturator division to adductor portion; tibial division of sciatic nerve to hamstring portion
HamstringsPrimarily tibial division of sciatic nerve; short head biceps femoris is common fibular division

Leg

Gastrocnemius / Soleus / Plantaris / Popliteus / Tibialis posteriorTibial nerve
Tibialis anterior / extensor compartmentDeep fibular nerve
Fibularis longus/brevisSuperficial fibular nerve
Fibularis tertiusDeep fibular nerve

High-yield patterns

Anterior thigh = femoral. Medial thigh = obturator. Glute med/min/TFL = superior gluteal. Glute max = inferior gluteal. Posterior leg = tibial. Anterior leg = deep fibular. Lateral leg = superficial fibular. Most posterior forearm = radial. These patterns reduce memorization load.

Clinical caution

Knowing a muscle's motor nerve does not mean the nerve lies directly under the muscle belly or should be pressed. Innervation knowledge helps explain weakness patterns and reinforces endangerment-site anatomy, but diagnosis of nerve lesions is outside entry-level massage scope.