A&P1.18 Flashcards

1
Q

Muscles of the Back

Paraspinal Muscles

A
  • Exist in a staggered pattern from the occipital bone to the sacrum
  • Arranged in 3 layers that are all covered by more superficial layers of back & neck ms. (Ex: Trapzeius, rhomboids, latissimus dorsi)
  • Act collectively to hold bipeds (two feet) upright against gravity
  • Are always in a state of partial, sustained contraction to maintain an upright posture => under constant stress**

Aka “paravertebral ms.”

Para = next to
Paraspinal = next to the spine (either side)

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2
Q

Paraspinal Muscles

List the layers of this group and the muscles each contains

A
  • Deep layer
    ** Intertransversarii
    ** Interspinalis
    ** Rotatores
  • Intermediate layer
    ** Multifidus
    **Semispinalis
  • Superficial layer
    ** Iliocostalis
    ** Longissimus
    ** Spinalis

NOT MADE ON MANIKEN

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3
Q

Muscles of the Back

Deepest layer of the paraspinal muscles

A

Made up of very small muscles which span 1 joint (NOT MADE)

NOT MADE ON MANIKEN

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4
Q

Muscles of the Back

Intermediate layer of paraspinal muscles

A

Made up of slightly larger muscles than deepest layer spanning 2-6 joints.

Still deep = pink clay

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5
Q

Muscles of the Back

Erector Spinae Group

A
  • Superficial layer of paraspinal muscles
  • Made up of longer muscles which span 8-10 joints
  • This layer has 3 divisions:
    **Spinalis
    **Longissimus
    **Iliocostalis
  • Collectively referred to as the Erector Spinae group
  • All emerge from the thoracolumbar aponeurosis
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6
Q

Muscles of the Back: Deep Layer of Paraspinal Ms - L, O, I, A

Intertransversarii

A

L: Posterior back deep
O: Tranverse process of inferior vertebrae
I: Transverse process of superior vertebrae
A: Lateral flexion of torso

NOT MADE ON MANIKEN

Super deep => unable to palpate

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7
Q

Muscles of the Back: Deep Layer of Paraspinal Ms - L, O, I, A

Interspinales

A

L: Posterior back deep
O: Spinous process of inferior vertebrae
I: Spinous process of superior vertebrae
A: Extension of torso

NOT MADE ON MANIKEN

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8
Q

Muscles of the Back: Deep Layer of Paraspinal Ms - L, O, I, A

Rotatores

A

L: Posterior back deep
O: Tranverse processes of L5-C3
I: Spinous process of next vertebrae superiorly
A: Extension & rotation of torso to opposite side

NOT MADE ON MANIKEN

Run at an angle to help with rotation

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9
Q

Muscles of the Back: Intermediate Layer of Paraspinal Ms - L, O, I, A

Multifidus

A

L: Posterior back deep
O:
* Sacrum
* Transverse processes of L5-T1

I: Spinous processes of all vertebrae
A:
* Maintain posture
* Slight rotation & extension of torso

The only muscle that attaches to the sacrum

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10
Q

Muscles of the Back: Intermediate Layer of Paraspinal Ms - L, O, I, A

Semispinalis

A

L: Posterior back deep

O: Transverse processes of thoracic & cervical vertebrae

I:
- Spinous processes of T4-C2
- Occipital bone between superior & inferior nuchal line

A:
- Extension of head & torso
- Rotation of head & torso to opposite side

Parallel fibers

Has 3 regions:
- Semispinalis capitis = “head”
- Semispinalis cervicis = “neck”
- Semispinalis thoracis = “thorax”

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11
Q

Attachments of the Back Muscles

Thoracolumbar Aponeurosis

A
  • Dense, thick layer of CT in lumbar region
  • Anchoring point for muscles
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12
Q

Muscles of the Back: Superficial Layer of Paraspinal Ms - L, O, I, A

Iliocostalis

Erector Spinae Group

A

L: Posterior back deep
O: Emerges from thoracolumbar aponeurosis to bodies of ribs 12-3

I:
* All ribs
* Transverse processes of C7-C4

A:
- Bilateral: Extension of head & torso
- Unilateral: Lateral flexion of head & torso to same side

Parallel fibers

  • Lateral to lamina groove => most lateral of all erector spinae muscles
  • Maintains upright posture
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13
Q

Muscles of the Back: Superficial Layer of Paraspinal Ms - L, O, I, A

Longissimus

Erector Spinae Group

A

L: Posterior back deep
O: Transverse processes of L5-C4
I:
* Transverse processes of T12-C2
* Ribs
* Mastoid process

A:
- Bilateral: Extension of head & torso
- Unilateral: Lateral flexion of head & torso to same side

*Maintains upright posture
*Runs right along lamina groove

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14
Q

Muscles of the Back: Superficial Layer of Paraspinal Ms - L, O, I, A

Spinalis

Erector Spinae Group

A

L: Posterior back deep
O:
* Transverse processes of upper lumbar & lower thoracic
* Spinous process of C7

I: Spinous processes of upper thoracic & cervical vertebrae
A:
- Bilateral: Extension of head & torso
- Unilateral: Lateral flexion of head & torso to same side

4 “rainbows”

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15
Q

Muscles of Neck

Anterior scalenes

A

L: Lateral neck superficial
O: Transverse processes of C3-C6
I: 1st rib
A:
- Bilateral: Elevation of ribs in forced inhalation
- Unilateral: Lateral flexion of head at neck to same side

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16
Q

Muscles of Neck

Middle scalenes

A

L: Lateral neck superficial
O: Transverse processes of C2-C7
I: 1st rib
A:
- Bilateral: Elevation of ribs in forced exhalation
- Unilateral: Lateral flexion of head at neck to same side

17
Q

Muscles of Neck

Posterior scalenes

A

L: Lateral neck superficial
O: Transverse processes of C4-C6
I: 2nd rib
A:
- Bilateral: Elevation of ribs in forced exhalation
- Unilateral: Lateral flexion of head at neck to same side

18
Q

Accesory Components of Neck

Brachial plexus

A
  • Group of spinal nerves (C5-T1) emerging from spinal cord to innverate U.E.
  • Runs between anterior & middle scalenes
19
Q

Muscles of Neck

Splenius capitis

A

L: Posterior neck intermediate
O:
* Ligament of nuchae
* Spinous processes of C7-T3

I:
* Mastoid process
* Superior nuchal line of occipital bone

A:
- Bilateral: Extension of head at neck
- Unilateral: Lateral flexion & rotation of head to same side

Parallel fibers

  • Often involved in whiplash (sudden hyperextension/flexion)
  • Splenius = “patch”
  • capitis = “head”
20
Q

Muscles of Neck

Splenius cervicis

A

L: Posterior neck intermediate
O: Spinous processes of T3-T6
I: Transverse processes of C1-C3
A:
- Bilateral: Extension of head at neck
- Unilateral: Lateral flexion of head to same side & rotation of head to opposite side

Parallel fibers

  • Splenius = “patch”
  • cervicis = “neck”
    ** T3-C1
    ** T4-C2
    ** T5-C3
    ** T6-C3
21
Q

Muscles of Neck

Sternocleidomastoid

A

L: Anterior/lateral neck superficial
O:
- Sternal head: Manubrium
- Clavicular head: Medial 1/3rd of clavicle

I: Mastoid process & superior nuchal line
A:
* Bilateral: Flexion of head at nack
* Unilateral: Lateral flexion of head to same side & rotation of head to opposite side

Parallel fibers

Often injured in whiplash trauma

22
Q

Landmarks of Neck Muscles

Posterior Triangle

A
  • Region in lateral neck that’s bordered by SCM, clavicle & upper trapezius
  • Muscles within:
    **Semispinalis capitis
    **Splenius capitis
    **Levator scapula
    **Posterior scalene
    **Middle scalene
    **Anterior scalene
23
Q

Attachments of Neck Muscles

Ligamentum Nuchae

A
  • Dense, cord like CT that runs from EOP => spinous process of T1
  • Attachment site for muscles of posterior cervical area