Actions/Origins/Insertions/Innervations Flashcards
What is the action of the trapezius?
Superior (descending):
Elevates the scapula
Inferior (ascending):
Depresses the scapula
Middle part:
Retracts the scapula
Superior & Inferior together:
Rotate the glenoid cavity superiorly
What is the medial attachment of the trapezius?
External occipital protuberance, ligamentum nuchae, medial 1/3 of the superior nuchal line, and spinous processes of C7-T12
What is the lateral attachment of the trapezius?
Lateral 1/3 of the clavicle, acromion, and spine of the scapula
Where does the trapezius innervate?
Spinal accessory nerve (Cranial nerve 11) & Spinal nerves (C3 & C4)
What is the action for the latissimus dorsi?
Extends, adducts, and medially rotates the shoulder joint
What is the medial attachment of the latissimus dorsi?
Spinous process of the inferior six thoracic vertebrae, inferior three or four ribs, thoracolumbar fascia, and the iliac crest
What is the lateral attachment of the latissimus dorsi?
Floor of the intertubercular groove (sulcus) of the humerus
Where does the latissimus dorsi innervate?
Thoracodorsal nerve (C6, C7, C8)
What is the action of the levator scapulae?
Elevates the scapula and rotates the glenoid cavity inferiorly
What is the medial attachment of the levator scapulae?
Posterior tubercles of the transverse process of C1-C4
What is the lateral attachment of the levator scapulae?
Medial border of the scapula superior to the root of spine
Where does the levator scapulae innervate?
Dorsal scapular (C5) & Spinal nerves (C3 & C4)
Does the rhomboid major & minor have the same action?
Yes
Do the rhomboid major & minor have the same innervation?
Yes
What is the action of the rhomboid minor?
Retracts the scapula, rotates the glenoid cavity inferiorly, and fixes the scapula to the thoracic wall
What is the medial attachment of the rhomboid minor?
Ligamentum nuchae & spinous processes of C7 & T1 vertebrae
What is the lateral attachment of the rhomboid minor?
Upper portion of the medial border of the scapula, across from the spine of the scapula
Where does the rhomboid minor innervate?
Dorsal scapular nerve (C4 & C5)
What is the action of the rhomboid major?
Retract the scapula, rotate the glenoid cavity inferiorly, & fix the scapula to the thoracic wall
What is the medial attachment of the rhomboid major?
Spinous processes of T2-T5
What is the lateral attachment of the rhomboid major?
Medial border of the scapula between the spine of the scapula and the inferior angle
Where does the rhomboid major innervate?
Dorsal scapular nerve (C4 & C5)
What are the names of the deep back muscles from superficial to deep?
Spinotransversalis, erector spinae, transversospinalis, and segmental
What is the general function of the deeper back muscles?
Spinal stability & mobility
What is the innervation of ALL of the deeper back muscles?
Dorsal rami
What muscles are in the spinotransversalis group?
Splenius capitis & splenius cervicis
What is the action of the splenius capitis and cervicis acting alone and together?
Acting alone:
Laterally flexes the neck and rotates head to the side of the active muscles
Acting together:
Extend the head and neck
What is the inferior attachment and superior attachment for the splenius capitis and cervicis?
Inferior attachment:
They arise from the nuchal ligament and spinous processes of C7-T6
Superior attachment:
Splenius cervicis: Tubercles of the transverse processes of C1-C3 or C4
Splenius Capitis: Fibers run from spinous process to transverse process to the mastoid process of the temporal bone and the lateral 1/3 of the superior nuchal line of the occipital bone
What is the innervation for the splenius capitis and cervicis?
Dorsal rami
What is another name for the erector spinae group?
Sacrospinalis
What muscles are in the erector spinae group from lateral to medial ?
Iliocostalis, longissimus, and spinalis
Are the actions for each muscle in the erector spinae group the same?
Yes
What are the components (regions) of the iliocostalis?
Cervicis, thoracis, and lumborum
What are the actions of the erector spinae group unilaterally and bilaterally?
Unilaterally:
Laterally flex the vertebral column
Bilaterally:
Extend the vertebral column and head and as the back is flexed they help to control movement by gradually lengthening their fibers
What is the action of the iliocostalis?
Unilaterally:
Laterally flex the vertebral column
Bilaterally:
Extend the vertebral column and head and as the back is flexed they help to control movement by gradually lengthening their fibers
What are the attachments of the iliocostalis?
The iliocostalis spans the cervicis, thoracis, lumborum regions and as it enters the cervical spine, it attaches to the transverse process.
The superior attachment is the ribs.
What is the innervation of the iliocostalis?
Dorsal rami
What are the components (regions) of the longissimus?
Thoracis, cervicis, and capitis
What is the action of the longissimus?
Unilaterally:
Laterally flex the vertebral column
Bilaterally:
Extend the vertebral column and head and as the back is flexed they help to control movement by gradually lengthening their fibers
What are the attachments of the longissimus?
The longissimus is in the thoracis, cervicis, and capitus regions and extends from transverse process to transverse process.
What is the innervation of the longissimus?
Dorsal rami
What are the components (regions) of the spinalis?
Thoracis, cervicis, and capitis
What is the action of the spinalis?
Unilaterally:
Laterally flex the vertebral column
Bilaterally:
Extend the vertebral column and head and as the back is flexed they help to control movement by gradually lengthening their fibers
What are the attachments of the spinalis?
The spinalis spans the thoracis, cervicis, and capitis region and runs from spinous process to spinous process.
What is the innervation of the spinalis?
Dorsal rami
What muscles are in the transversospinalis group?
Semispinalis, multifidi, and rotatores
What direction (Inferior to superior/Superior to inferior) do the transversospinalis group run and from what process to what process?
The transversospinalis group run inferior to superior and from transverse process to spinous process
What are the components (regions) of the semispinalis?
Thoracis, cervicis, and capitus
What is the action of the semispinalis?
Extends the head, thoracic and cervical regions of vertebral column and rotates them contralaterally.
What are the attachments of the semispinalis?
The semispinalis spans the thoracis, cervicis, and capitus region. It runs from inferior to superior and from transverse process to spinous process.
Where does the semispinalis innervate?
Dorsal rami
What is the action of the multifidus?
Unilateral contraction rotates to the contralateral side and stabilizes the vertebrae during local movements of the vertebral column.
What are the attachments of the multifidus?
The multifidus spans from the sacrum up until the middle of the cervical region. They run from inferior to superior and from transverse process to spinous process.
What is the innervation of the multifidus?
Dorsal rami
What is the action of the rotatores?
May function as organs of proprioception, possibly stabilize the vertebrae and assist with local extension and rotatory movements of the vertebral column.
What are the attachments of the rotatores?
The rotatores extends from the sacrum to the middle cervical region and runs from transverse process to spinous process.
What is the innervation of the rotatores?
Dorsal rami
What muscles are included in the segmental back muscles?
Interspinalis & Intertransversarii
What is the action of the interspinalis?
Aid in extension and rotation of the vertebral column
What are the attachments of the interspinalis?
Run vertically in between the spinous processes of the cervical and lumbar vertebrae
What is the innervation of the interspinalis?
Dorsal rami
What is the action of the intertransversarii (do not forget the bilateral component)?
Aid in lateral flexion of the vertebral column
Bilaterally:
Stabilizes the vertebral column
What are the attachments of the intertransversarii?
Runs adjacently in between the transverse processes of the cervical and lumbar vertebrae
What is the innervation of the intertransversarii?
Dorsal rami
What are the muscles in the suboccipital group?
Rectus capitis posterior major, rectus capitis posterior minor, obliquus capitis superior, and obliquus capitis inferior
Do the suboccipital muscles have the same action?
Yes
What are the actions for the suboccipital muscles?
Extend the head on C1, rotate the head, and rotate the C1 on C2 vertebrae.
Do the suboccipital muscles have the same innervation?
Yes
Where do the suboccipital muscles innervate?
Posterior ramus of C1, the suboccipital nerve
What is the action of the rectus capitis posterior major?
Extend the head on C1, rotate the head, and rotate the C1 on C2 vertebrae.
What are the attachments for the rectus capitis posterior major?
Arises from the spinous process of the C2 vertebra and inserts into the lateral part of the inferior nuchal line of the occipital bone.
What is the innervation for the rectus capitis posterior major?
Posterior ramus of C1, the suboccipital nerve
What is the action of the rectus capitis posterior minor?
Extend the head on C1, rotate the head, and rotate the C1 on C2 vertebrae.
What are the attachments for the rectus capitis posterior minor?
Arises from the posterior tubercle on the posterior arch of the C1 vertebra and inserts into the medial third of the inferior nuchal line .
What is the innervation of the rectus capitis posterior minor?
Posterior ramus of C1, the suboccipital nerve
What is the action of the obliquus capitis superior?
Extend the head on C1, rotate the head, and rotate the C1 on C2 vertebrae.
What are the attachments for the obliquus capitis superior?
Arises from the transverse process of C1 and inserts into the occipital bone between the superior and the inferior nuchal lines
What is the innervation of the obliquus capitis superior?
Posterior ramus of C1, the suboccipital nerve
What is the action of the obliquus capitis inferior?
Extend the head on C1, rotate the head, and rotate the C1 on C2 vertebrae.
What are the attachments for the obliquus capitis inferior?
It arises from the spinous process of the C2 vertebra and inserts into the transverse process of the C1 vertebra.
What is the innervation of the obliquus capitis inferior?
Posterior ramus of C1, the suboccipital nerve.
What is the action of the pectoralis minor?
Stabilizes the scapula by drawing inferiorly and anteriorly against the thoracic wall
What is the proximal attachment of the pectoralis minor?
3rd-5th ribs near their costal cartilage
What is the distal attachment of the pectoralis minor?
Medial border and superior surface of the coracoid process of the scapula
What is the innervation of the pectoralis minor?
Medial pectoral nerve (C8 & T1)
What is the action of the pectoralis major? Do not forget that the muscle can act alone.
Adducts and medially rotates the shoulder joint and draws the scapula anteriorly and inferiorly
Acting alone:
The clavicular head flexes the shoulder joint and sternocostal head and extends it from the flexed position.
What is the proximal attachment of the pectoralis major for the clavicular head and sternocostal head?
Clavicular head:
Anterior surface of the medial half of the clavicle
Sternocostal head:
Anterior surface of the sternum, superior six costal cartilages, and aponeurosis of external oblique muscle
What is the innervation of the pectoralis major?
Lateral and medial pectoral nerves Clavicular head (C5 & C6) Sternocostal head (C7-T1)
What is the action of the serratus anterior?
Protracts the scapula and holds it against the thoracic wall and rotates the scapula
What is the proximal attachment of the serratus anterior?
External surfaces of the lateral parts of the 1st-8th ribs
What is the distal attachment of the serratus anterior?
Anterior surface of the medial border of the scapula
What is the innervation of the serratus anterior?
Long thoracic nerve (C5-C7)
What is the action of the sternocleidomastoid unilaterally and bilaterally?
Unilateral contraction:
Laterally flexes the neck to the same side and rotates the head contralaterally
Bilateral contraction:
Extends the neck at the atlantooccipital joints, flexes the cervical vertebrae, and extends the superior cervical vertebrae
What is the superior attachment of the sternocleidomastoid?
Lateral surface of the mastoid process of the temporal bone and lateral half of the superior nuchal line
What is the inferior attachment of the sternocleidomastoid for the sternal head and the clavicular head?
Sternal head:
Anterior surface of the manubrium and sternum
Clavicular head:
Superior surface of the medial third of the clavicle
What is the innervation of the sternocleidomastoid ?
Spinal accessory nerve (cranial nerve XI) and C2&C3 nerves (pain and proprioception)
What is the action of the anterior scalene?
Flexes the neck laterally and elevates the first rib during inhalation
What is the superior attachment of the anterior scalene?
Anterior tubercles of the transverse processes C3-C6 vertebrae
What is the inferior attachment of the anterior scalene?
1st rib
What is the innervation of the anterior scalene?
Cervical spinal nerves (C4-C6)
What is the action of the middle scalene?
Laterally flexes the neck and elevates the 1st rib during forced inspiration
What is the superior attachment of the middle scalene?
Posterior tubercles of the transverse processes of C4-C7 vertebrae
What is the inferior attachment of the middle scalene?
Superior surface of the 1st rib and posterior to the groove for the subclavian artery
What is the innervation of the middle scalene?
Anterior rami of cervical spinal nerves
What is the action of the posterior scalene?
Laterally flexes the neck and elevates the 2nd rib during inhalation
What is the superior attachment of the posterior scalene?
Posterior tubercles of the transverse processes of the C4-C6 vertebrae
What is the inferior attachment of the posterior scalene?
External border of the 2nd rib
What is the innervation of the posterior scalene?
Anterior rami of the cervical spinal nerves (C7 & C8)
What is the distal attachment of the pectoralis major?
Lateral lip of the intertubercular groove of the humerus
The musculocutaneous nerve runs from ____ to ____
C5 to C7
What does the musculocutaneous nerve innervate?
The muscles of the anterior compartment of the arm (coaracobrachialis, biceps brachii, & brachialis) and the skin of the lateral aspect of the forearm
The axillary nerve runs from ____ to _____
C5 to C6
Where does the axillary nerve innervate?
The glenohumeral joint, teres minor, the deltoid muscles, and the skin of the superolateral arm.
The radial nerve runs from___ to ____
C5 to T1
Where does the radial nerve innervate?
All muscles of the posterior compartments of the arm and forearm, skin of the posterior and inferolateral arm, posterior forearm, and dorsum of the hand lateral to the axial line of digit 4.
The median nerve runs from ____ to _____
C5 to T1
Where does the median nerve innervate?
The muscles of the anterior compartment of the forearm (except for the flexor carpi ulnaris and the ulnar half of the flexor digitorum profundus) and the five intrinsic muscles in the thenar half of the palm and palmar skin.
The ulnar nerve runs from ____ to _____
C7 to T1
Where does the ulnar nerve innervate?
The flexor carpi ulnaris and ulnar half of the flexor digitorum profundus, the most intrinsic muscles in the hand, and the skin of the hand medial to the axial line of digit 4.
The dorsal scapular nerve comes off of the ventral rami of the ___ segment with frequent contributions from ___ .
C5; C4
What muscle(s) does the dorsal scapular nerve innervate?
Rhomboid minor, rhomboid major, and the levator scapulae
The long thoracic nerve comes off behind the ventral rami of ___ to ____
C5 to C7
What muscle(s) does the long thoracic nerve innervate?
The serratus anterior
The suprascapular nerve comes off of the ____ trunk and will have ____ to ____ segments and often has nerve contributions from ____
Superior; C5 to C6; C4
What muscle(s) does the suprascapular nerve innervate?
The supraspinatus, infraspinatus, and the glenohumeral joint
The upper subscapular nerve comes off of the _____ cord and it runs from ____ to _____
Posterior; C5 to C6
What muscle(s) does the upper subscapularis nerve innervate?
The superior portion of the subscapularis
The thoracodorsal nerve comes off of the _____ cord and it runs from ____ to _____
Posterior; C6 to C8
What muscle(s) does the thoracodorsal nerve innervate?
Latissimus dorsi
The lower subscapular nerve comes off of the ____ cord and it runs from____ to _____
Posterior; C5 to C6
What muscle(s) does the lower subscapular nerve innervate?
The inferior portion of the subscapularis and the teres major
The lateral pectoral nerve comes off of the ____ cord and it runs from ____ to ____
Lateral; C5 to C7
What muscle(s) does the lateral pectoral nerve innervate?
Primarily the pectoralis major but some lateral pectoral nerve fibers pass to the pectoralis minor
The medial pectoral nerve comes off the _____ cord and it runs from ___ to ____
Medial; C8 to T1
What muscle(s) does the medial pectoral nerve innervate?
Pectoralis minor and the sternocostal part of the pectoralis major
The medial cutaneous nerve of the arm (brachium) comes off of the ____ cord and runs from ____ to ____
Medial; T1 to T2
Where does the medial cutaneous nerve of the arm (brachium) innervate?
The skin of the medial side of the arm, as far distally as the medial epicondyle of the humerus and olecranon of the ulna
The medial cutaneous nerve of the forearm (antebrachium) comes off of the _____ cord and runs from _____ to ______
Medial; C8 to T1
Where does the medial cutaneous nerve of the forearm (antebrachium) innervate?
The skin of the medial side of the forearm, as far distally as the wrist