3: Back Myology Flashcards
Muscles in Layer 1
Trapezius, latissimus dorsi
Muscles in layer 2
Rhomboid major, rhomboid minor, levator scapulae
Muscles in layer 3
Serratus posterior superior, serratus posterior inferior
Muscles in layer 4
Splenius capitis, splenius cervicis
Muscles in group 5 (9)
- Iliocostalis lumborum
- Iliocostalis thoracis
- Iliocostalis cervicis
- Longissimus thoracis
- Longissimus cervicis
- Longissimus capitis
- Spinalis thoracis
- Spinalis cervicis
- Spinalis capitis
Muscles in layer 6 (7)
- Semispinalis thoracis
- Semispinalis cervicis
- Semispinalis capitis
- Multifidus
- Rotatores longus
- Rotatores brevis
Back strain vs sprain
Strain: involving muscle fibers
Sprain: involving ligaments
Typical cause of back sprain
Inadequate stretching before activity
Typical cause of back strain
Overly strong muscular contraction
Four “other” deep back muscles
- Interspinalis
- Intertransversarii
- Levator costarum longus
- Levator costarum brevis
Four muscles of the suboccipital triangle
- Rectus capitis posterior major
- Rectus capitis posterior minor
- Obliquus capitis inferior
- Obliquus capitis Superior
What broadly innervates extrinsic vs intrinsic back muscles
Extrinsic: anterior rami
Intrinsic: posterior rami
Trapezius O
T spine spinous processes, ligamentum nuchae, inion, superior nuchal line
Trapezius I
Scapular spine, clavicle, acromion
Trapezius Action
Rotate scapula superiorly, retract scapula
Trapezius upper vs lower fibers action
Upper fibers: elevate scapula
Lower fibers: depress scapula
Trapezius N
Spinal accessory N (CN XI) (C2-4 for sensory)
Two notable structures found beneath the trapezius
Spinal accessory N, transverse cervical A
Lat dorsi O
T6-L5 spinous processes, ribs 9-12, iliac crest, thoracolumbar fascia -> median sacral crest
lat dorsi I
Humeral intertubercular groove
lat dorsi A
Extend, adduct, medially rotate humerus, rotate glenoid cavity inferior
Lat Dorsi N
Thoracodorsal N
Three structures deep to Latissimus dorsi, near the axilla
Thoracodorsal N, A, and V
rhomboid major and minor O
Major: spinous processes T2-5
Minor: spinous processes C7-T1, lig nuchae
Rhomboids I
Medial border of scapula
Rhomboids A
Retract/elevate scapula, rotate glenoid cavity inferiorly
Rhomboids N
Dorsal scapular N
Two structures deep to the rhomboids, near medial border of scapula
Dorsal scapular N and A
Levator scapulae O
Posterior tubercles of transverse processes C1-4
Levator scapulae I
Medial border of scapula
Levator scapulae A
Elevate scapula, rotate glenoid cavity inferiorly, extends and laterally flexes neck if scapula is fixed