Back Flashcards
Superficial extrinsic muscles of back
trapezius and latissimus dorsi
Deep extrinsic muscles of back
levator scapulae, rhomboid minor, and rhomboid major
Intermediate extrinsic muscles of back
serratus posterior superior and serratus posterior inferior
Superficial intrinsic muscles of back
splenius (capitis + cervicis)
Intermediate intrinsic muscles of back
erector spinae = spinalis, longissimus, iliocostalis
Divisions of erector spinae
spinalis: capitis, cervicis, and thoracis
longissimus: capitis, cervicis, and thoracis
iliocostalis: cervicis, thoracis, and lumborum
Deep intrinsic muscles of back
transversospinalis =
semispinalis, multifidus, and rotatores
Divisions of semispinalis
capitis, cervicis, and thoracis
Actions of trapezius
elevates (superior fibers), depresses (lower fibers), and retracts (medial fibers) scapula
Innervation of trapezius
cranial nerve XI (spinal accessory nerve) - main, motor
(sensory) ventral rami of C3 and C4
Blood supply of trapezius
transverse cervical artery (superficial branch)
Actions of latissimus dorsi
extenson, adduction, and medial rotation of arm
Innervation of latissimus dorsi
thoracodorsal nerve
Blood supply of latissimus dorsi
thoracodorsal artery at intertubercular sulcus
Attachments of trapezius
Proximal: external occipital protuberance, spinous processes of C7 and thoracic, nuchal ligament
Distal: lateral third of clavicle, acromion and spine of scapula, and medial end of spine of scapula
Attachments of latissimus dorsi
Proximal: spines of T + L vertebrae, ribs, and iliac crest
Distal: intertubercular sulcus on humerus
Attachments of rhomboid minor
Proximal: nuchal ligament and spinous processes C7-T1
Distal: medial border of scapula at level of spine of scapula
Attachments of rhomboid major
Proximal: spinous processes of upper T vertebrae
Distal: medial border of scapula inferior to spine of scapula
Attachments of levator scapulae
Proximal: transverse processes of upper C vertebrae
Distal: superior angle of scapula
Innervation of rhomboids (major and minor)
dorsal scapular nerve
Blood supply of rhomboids (major and minor)
dorsal scapular artery
Innervation of levator scapulae
dorsal scapular nerve
Blood supply of levator scapulae
dorsal scapular artery
Actions of levator scapulae
elevates or inferiorly rotates scapula
Actions of rhomboids (major and minor)
retracts, inferiorly rotates, and fixes scapula
Actions of serratus posterior superior
elevates ribs, forced inspiration
Actions of serratus posterior inferior
depresses ribs, forced expiration
Innervation of serratus posterior superior
ventral rami of intercostal nerves (first 4) T2-T5
Innervation of serratus posterior inferior
ventral rami of intercostal nerves (last 4) T9-T12
Attachments of serratus posterior superior
Proximal: nuchal ligaments and spines of lower C/upper T
Distal: superior border of ribs 2-5
Attachments of serratus posterior inferior
Proximal: spinous processes of lower T/upper L
Distal: inferior border of ribs 9-12
Attachments of splenius
Proximal: nuchal ligament and spinous processes of lower C/upper T
Distal: capitis- mastoid process and lateral third of nuchal line
cervicis- transverse processes of upper C
Innervation of splenius
dorsal rami
Innervation of erector spinae
dorsal rami
Innervation of transversospinalis muscles (semispinalis, multifidus, rotatores)
dorsal rami
semispinalis capitis: greater occipital nerve (C2)
Blood supply of splenius
transverse cervical artery
Actions of splenius
unilateral- lateral flexion of neck and rotation to active side
bilateral- extension of head and neck
Actions of erector spinae
unilateral- bend laterally to active side
bilateral- extension of head and vertebral column
Actions of transversospinalis muscles
stabilizes vertebral column
semispinalis and rotatores: assist with rotation
semispinalis: extension of head and T and C vertebrae
Attachments of transversospinalis muscles (gen.)
Proximal: transverse processes of vertebrae
Distal: spinous processes of superior vertebrae
Attachments of spinalis
Proximal: spine
Distal: spinous processes
Attachments of longissimus
Proximal: thoracolumbar fascia on iliac crest
Distal: transverse processes or proximal to angles of ribs
Attachments of iliocostalis
Proximal: iliac crest, sacrum, lumbar spinous processes, and thoracolumbar fascia
Distal: ribs
Blood supply of erector spinae
spinalis and longissimus: lateral sacral artery
iliocostalis: intercostal and lumbar arteries
Attachments of interspinalis
Proximal: superior surface of spinous processes of C+L vertebrae
Distal: inferior surface of spinous processes of vertebrae directly above
Actions of interspinalis
extension of vertebral column
Innervation of interspinalis
dorsal rami