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Origin of Trapezius
upper = occipital bone
middle/lower = ligamentum nuchae and SP of C7 - T12
Insertion of Trapezius
upper = lateral clavicle
middle = acromion
lower = spine of scapula
action of trapezius
upper fibers
- bilaterally extend the head and neck
- unilaterally laterally flex head and neck to the same side
- rotate the head and neck to the opposite side
- elevate and upwardly rotate the scapula
middle fibers
- adduct and stabilize the scap
lower fibers
- depress and upwardly rotate the scap
innervation of trapezius
CN XI and ventral ramus of C2 - C4
origin of latissimus dorsi
- inferior angle of scap
- SP of last 6 thoracic vert
- last 3 or 4 ribs
- thoracolumbar aponeurosis
- posterior iliac crest
insertion of latissimus dorsi
intertubercular groove of the humerus
action of latissimus dorsi
extend, adduct and internally rotate the shoulder
innervation of latissimus dorsi
thoracodorsal nerve C6, 7, 8
TD 6, 7, 8
origin of levator scapulae
TP of C1 - C4
insertion of levator scapulae
medial border of the scap (between superior angle and superior portion of spine of scap)
action of levator scapulae
unilaterally
- elevate and downwardly rotate scap
- laterally flex head and neck
- rotate head and neck to the same side
bilaterally
- extend the head and neck
innervation of levator scapulae
C3 - 4
dorsal scapular nerve C4 - 5
origin of rhomboid major
SP T2 - T5
insertion of rhomboid major
medial border of the scap between spine of scap and inferior angle
action of rhomboid major
adduct, elevate and downwardly rotate scap
innervation of rhomboid major
dorsal scap nerve c 4,5
origin of rhomboid minor
SP C7 - T1
insertion of rhomboid minor
upper portion of medial border of the scap, across from the spine of scap
action of rhomboid minor
adduct, elevate and downwardly rotate scap
innervation of rhomboid minor
dorsal scap C4, 5
origin of serratus posterior superior
SP C7 - T3
insertion of serratus posterior superior
posterior surface of ribs 2 - 5
action of serratus posterior superior
elevate ribs during inhalation
innervation of serratus posterior superior
intercostal nerve T1 - 4
origin of serratus posterior inferior
SP T12 - L3
insertion of serratus posterior inferior
posterior surface of ribs 9 - 12
action of serratus posterior inferior
depress the ribs during exhalation
innervation of serratus posterior inferior
intercostal nerves T9 - 12
origin of iliocostalis
lumborum = common tendon
thoracis and cervicis = posterior surface of ribs 1 - 12
insertion of iliocostalis
lumborum = TP L1 - L3, posterior surface of ribs 6 - 12
thoracic = posterior surface ribs 1 - 6
cervicis = TP lower cervicals
action of iliocostalis
unilaterally = laterally flex vertebral column to the same side
bilaterally = extend vertebral column
innervation of iliocostalis
spinal nerves
origin of longissimus
thoracis = common tendon
cervicis and capitis = TP of upper 5 thoracic vertebrae
insertion of longissimus
thoracis = lower 9 ribs and TP of thoracic vertebrae
cervicis = TP of cervical vertebrae
capitis = mastoid process of temporal bone
innervation of longissimus
spinal nerves
origin of spinalis
thoracis
- SP of the upper lumbar and lower thoracic vertebrae
cervicis
- ligamentum nuchae
- SP C7
insertion of spinalis
thoracis = SP of upper thoracic
cervicis = SP of cervicals, except C1
action of spinalis
unilaterally
- laterally flex vertebral column to the same side
bilaterally
- extend the vertebral column
innervation of spinalis
spinal nerves
origin of multifidus
sacrum and TP of lumbar through cervical vertebrae
insertion of multifidus
SP of lumbar vertebrae C2
action of multifidus
unilaterally - rotate vertebral column to the opposite side
bilaterally - extend the vertebral column
innervation of multifidus
spinal nerves
origin of rotatores
TP of lumbar through cervical vertebrae (span 2 to 4 vertebrae)
insertion of rotatores
SP of lumbar vertebrae to C2 (span 1 to 2 vertebrae)
action of rotatores
unilaterally - rotate vertebral column to the opposite side
bilaterally extend the vertebral column
innervation of rotatores
spinal nerves