Anatomy Exam 1 back muscles Flashcards
Trapezius Attachment
Proximal: -middle third of superior nuchal line -external occipital protuberance -nuchal ligament -spinous processes of C7-T12 vertebrae Distal -lateral third of clavicle -acromion and spine of scapula
Trapezius innervation
Spinal accessory nerve CN XI (motor fibers)
C3 and C4 spinal nerves (pain and proprioreceptive fibers
Trapezius action
Descending part elevates
Ascending part depresses
Middle part retracts scapula
Descending and ascending act together to rotate glenoid cavity superiorly
Latissimus dorsi attachment
Proximal
- spinous process of inferior 6 thoracic vertebrae
- thoracolumbar fascia
- iliac crest
- inferior 3 or 4 ribs
Distal
-floor of intertubercular sulcus of humerus
Latissimus dorsi innervation
Thoracodorsal nerve (C6 C7)
Latissimus dorsi action
Extends, adducts, and medically rotates humerus
Raises body towards arms during climbing
Rhomboid minor attachment
Proximal -nuchal ligament -spinous processes of C7 and T1 Distal -smooth triangular area at medial end of scapula spine
Rhomboid major attachment
Proximal
-spinous processes of T2-T5
Distal
-medial border of scapula from level of spine to inferior angle
Rhomboids innervation
Dorsal scapular nerve (C4, C5)
Rhomboids action
Retract scapula and rotate it to depress glenoid cavity
Fix scapula to thoracic wall
Levator scapulae attachment
Proximal
-posterior tubercles of transverse processes of C1-C4
Distal
-medial border of scapula superior to root of scapular spine
Levator scapulae innervation
Dorsal scapular (C5) and cervical (C3 C4) nerves
Levator scapulae action
Elevates scapula and tilts it’s glenoid cavity inferiorly by rotating scapula
Erector spinae attachment
proximal:
-posterior sacrum, iliac crest, sacrospinous ligament, supraspinous ligament, spinous processes of lower lumbar and sacral vertebrae
Distal
-iliocostalis: angles of lower ribs, cervical transverse processes
-Longissimus: between tubercles and angles of ribs, transverse processes of thoracic and cervical vertebrae, mastoid process
-spinalis: spinous process of upper thoracic and midcervical vertebrae
erector spinae muscles
iliocostalis, longissimus, and spinalis
erector spinae actions
extends and laterally bends vertebral column and head
erector spinae innervation
dorsal rami of each region
erector spinae blood supply
cervical portions: occipital, deep cervical, and vertebral arteries
thoracic: dorsal branches of posterior intercostal, subcostal, and lumbar arteries
sacral: dorsal branches of lateral sacral arteries
interspinales (cervical, thoracic, lumbar) attachment
proximal: spinous process
distal: adjacent spinous process
interspinales (cervical, thoracic, lumbar) innervation
dorsal rami of spinal nerves
interspinales (cervical, thoracic, lumbar) actions
aid in extension of vertebral column
interspinales (cervical, thoracic, lumbar) blood supply
cervical portions: occipital, deep cervical, and vertebral arteries
thoracic: dorsal branches of posterior intercostal arteries
lumbar: dorsal branches of lumbar arteries
intertransversarii (cervical, thoracic, lumbar) blood supply
portions: occipital, deep cervical, and vertebral arteries
thoracic: dorsal branches of posterior intercostal, subcostal, and lumbar arteries
lumbar: dorsal branches of lateral lumbar arteries
intertransversarii (cervical, thoracic, lumbar) attachment
extend between adjacent transverse processes of vertebrae