Back and Shoulder Deep Flashcards
Superficial Back Muscles
Trapezius
Latissismus Dorsi
Levator Scapula
Rhomboid Major and Minor
Intermiadiate Back Muscles
Serratus Posterior Superior and Inferior
Deep Back Muscles
3 groups:
Erector Spinae
Transversospinal Group
Segmental Group
4224
C1-4 Levator Scapula
skip 2 (C5, C6)
C7, T1 Rhomboid Minor
T2-5 Rhomboid Major
- Deep Posterior Thoracoappendicular muscles
Rotator Cuff Muscles
Supraspinatus
Infraspinatus
Teres Minor
Subscapularis
- Scapulohumeral Muscles
Scapulohumaral Muscles
scapula –> humerus
Rotator Cuff: Supraspinatus Infraspinatus Teres Minor Subscapularus
Others:
Teres Major
Deltoid
Trapezius origin
Base of skull
Nuchal ligament
C7 - T12
Trapezius insertion
Lateral third of the clavicle
Acromion
Spine of the scapula
Trapezius action
Retraction, superior rotation, elevation and depression of the scapula
Trapezius innervation
Spinal accessory nerve
- with superior branch of transverse cervical artery
- deep to latissimus dorsi
- lateral to levator scapula (landmark)
Trapezius Arterial Supply
Superior Branch of Transverse Cervical Artery
- With spinal accessory nerve
- Deep to latissimus dorsi
- Lateral to Levator Scapula (Landmark)
Latissimus Dorsi origin
Spinous Processes T7-T12
Thoracoacrolumbar facia
Iliac Crest
Latissimus Dorsi insertion
Floor of the intertubercular groove humerus
Latissimus Dorsi action
Extension, adduction, and medial rotation of the arm
- aids in resp.
Latissimus Dorsi innervation
Thoracodorsal Nerve
- rises from posterior cord of the BP
- C5-T1
- with thoracodorsal artery
Latissimus Dorsi arterial supply
Thoracodorsal Artery
- rises from subscapular artery
- travels with thoracodorsal nerve
Muscles forming diamond shape
Serratus Posterior Superior
Serratus Posterior Inferior
- Intermediate Back Muscles
Serratus Posterior Superior origin
Spinous processes C7 - T2
Serratus Posterior Superior insertion
Upper Ribs
*inserts above its origin
Serratus Posterior Superior action
Elevation of the ribs
- respiration?
- proprioception?
Serratus Posterior Superior innervation
Anterior rami (intercostal nerves)
Serratus Posterior Superior arterial supply
Posterior innercostal arteries
Serratus Posterior Inferior origin
spinous processes T11 - L3
Serratus Posterior Inferior insertion
Lower Ribs
*inserts Below its origin
Serratus Posterior Inferior action
lower the ribs
- respiration?
- proprioception?
Serratus Posterior Inferior innervation
Innercostal Nerves (anterior rami)
Serratus Posterior Inferior arterial supply
posterior innercostal arteries
Erector Spinae Muscles
Common origin?
Iliocostalis
Longissimus
Spinalis
Common origin:
- sacrum
- iliac crest
- SPs of T11 - L5
Erector Spinae action
Extension + lateral flexion of vertebral column
Iliocostalis insertion
angle of the lower ribs
Longissimus insertion
ribs between tubercles and angles
transverse processes cervical and thoracic
Spinalis insertion
Spinous process cervical and thoracic
Erector Spinae Innervation
posterior rami of spinal nerves
Transversospinalis Muscles
Semispinalis (4-6)
Multifidus (2-4)
Rotatotes (1-2)
Transversospinalis action
extension of vertebral column
lateral flexion / rotation of vertebral column
stabilization of vertebral column
Rotatores possible proprioception
Transversospinalis innervation
posterior rami of spinal nerves
Transversospinal origin and insertion
all transverse processes –> spinous processes
Segmental Muscle Group
Interspinales
(between spinous processes - insertion above origin)
Intertransverserii*
(between transverse processes - insertion above origin)
Levator costarum
(TPs of thoracic and inserts on ribs between tubercle and angle)
Segemental Muscle Group action
extension of vertebral column
lateral flexion of vertebral column
levator costarum:
elevation of ribs in respiration
Segemental Muscle Group innervation
posterior rami of spinal nerves
except intertransverserii (also anterior rami)**