Back Inferior to C7 Muscles Flashcards
Trapezius Origin
Medial third of superior nuchal line; external occipital protuberance; nuchal ligament; spinous processes of C7-T12 vertebrae
Trapezius Insertion
Lateral third of clavicle; acromion and spine of scapula
Trapezius Innervation
Spinal accessory nerve (CN XI) (motor fibers) and C3, C4 spinal nerves (pain and proprioceptive fibers)
Trapezius Action
Descending part elevates; ascending part depresses; and middle part(or all parts together) retracts scapula; descending and ascending parts act together to rotate glenoid cavity superiorly
Trapezius Roots
C3,C4
Latissimus Dorsi Origin
Spinous processes of the inferior 6 thoracic vertebrae, thoracolumbar fascia, iliac crest, and inferior 3 or 4 ribs
Latissimus Dorsi Insertion
Floor of intertubercular sulcus of humerus
Latissimus Dorsi Innervation
Thoracodorsal nerve (C6, C7, C8)
Latissimus Dorsi Action
Extends, adducts, and medially rotates humerus; raises body toward arms during climbing
Latissimus Dorsi Roots
C6, C7, C8
Rhomboid Minor Origin
Minor: nuchal ligament; spinous processes of C7 and T1 vertebrae
Rhomboid Minor Insertion
Minor: smooth triangular area at medical and scapular spine
Rhomboid Minor Innervation
Dorsal scapular nerve (C4, C5)
Rhomboid Minor Action
Retract scapula and rotate it to depress glenoid cavity; fix scapula to thoracic wall
Rhomboid Minor & Major Roots
C4, C5
Levator Scapulae Origin
Posterior tubercles of transverse processes of C1-C4 vertebrae
Levator Scapulae Insertion
Medical 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 rotates its glenoid cavity inferiorly by rotating scapula
Levator Scapulae Roots
C3, C4
Serratus Posterior Superior Origin
Nuchal ligament, spinous processes of C7 to T3 vertebrae
Serratus Posterior Superior Insertion
Superior borders of 2nd to 4th ribs
Serratus Posterior Superior Innervation
2nd to 5th intercostal nerves
Serratus Posterior Superior Action
Proprioception (elevate ribs)
Serratus Posterior Inferior Origin
Spinous processes of T11 to L2 vertebrae
Serratus Posterior Inferior Insertion
Inferior borders of 8th to 12th ribs near their angles
Serratus Posterior Inferior Innervation
Anterior rami to T9 to T12 thoracic spinal nerves
Serratus Posterior Inferior Action
Proprioception (depress ribs)
Serratus Posterior Inferior Roots
T9-T12
Erector Spinae: Iliocostalis Origin
Arises by a broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacroiliac ligaments, sacral and inferior lumbar spinous processes, and supraspinous ligament
Erector Spinae: Iliocostalis Insertion
Iliocostalis: Lumborum, thoracis, cervicis; fibers run superiorly to angles of lower ribs and cervical transverse processes
Erector Spinae: Iliocostalis Innervation
Posterior rami of spinal nerves
Erector Spinae: Iliocostalis Action
Acting bilaterally: extend vertebral column and head: as back is flexed, control movement via eccentric contraction
Transversospinal: Semispinalis Origin
Transverse Processes
Transversospinal: Semispinalis Insertion
Thoracis, cervicis, capitis; fibers run superomedially to occipital bone and spinous processes in thoracic and cervical regions. spanning 4-6 segments
Transversospinal: Semispinalis Innervation
Posterior rami of spinal nerves
Transversospinal: Semispinalis Action
Extends head and thoracic and cervical regions of vertebral column and rotates them contralaterally
Transversospinal: Multifidus Origin
Arises from posterior sacrum, posterior superior iliac spine of ilium, aponeurosis of erector spinae, sacroiliac ligaments, mammillary processes of lumbar vertebrae, transverse processes of T1-T3 articular processes of C4-C7
Transversospinal: Multifidus Insertion
Thickest in lumbar region; fibers pass obliquely superomedially to entire length of spinous processes, located 2-4 segments superior to proximal attachment
Transversospinal: Multifidus Innervation
Posterior rami of spinal nerves
Transversospinal: Multifidus Action
Stabilizes vertebrae during local movements of vertebral column
Transversospinal: Rotatores (brevis and longus) Origin
Arise from transverse processes of vertebrae; best developed in thoracic region
Transversospinal: Rotatores (brevis and longus) Insertion
Fibers pass superomedially to attach to junction of lamina and transverse process or spinous process of vertebra immediately (brevis) or 2 segments (longus) superior to vertebra of attachment
Transversospinal: Rotatores (brevis and longus) Innervation
Posterior rami of spinal nerves
Transversospinal: Rotatores (brevis and longus) Action
Stabilize vertebrae and assist with local extension and rotatory movements of vertebral column; may function as organs of proprioception
the c8 nerve falls between what vertebrae
C7 and T1
movements of the scapula on table
6.5
sacroiliac joint is complex because the posterior is blank but the anterior is blank
fibrous sympyses, synovial
there are blank ribs
12
rib articulates with transverse facet of blank vertebrae
corresponding thoracic
serratus posterior superior and inferior help with blank of the ribs rather than really elevating/depressing
proprioception (breathing)
erector spinae group
iliocostalis, longissimus, spinalis
parts of spinalis
thoracis, cervicis
parts of longissimus
thoracis, cervicis, capitis
parts of iliocostalis
lumborum, thoracis, cervicis
transversospinal group
semispinalis, multifidus, rotatores
parts of semispinalis
thoracis, cervicis, capitis
multifidus attaches to blank
mamillary process
rotatores two types
longus, brevis
where bronchii are largest and most noisy
triangle of auscultation
rotatores parts
thoracis, cervicis, capitis
semispinalis spans blank vertebral segments
4-6
multifidus spans blank vertebral segments
2-4
rotatores spans blank vertebral segments
1-2
Rhomboid major origin
Spinous processes of T2-T5 vertebrae
Rhomboid major insertion
Medial border of scapula from level of spine to inferior angle
Rhomboid major innervation
Dorsal scapular nerve (C4, C5)
Rhomboid major action
Retract scapula and rotate its glenoid cavity inferiorly; fix scapula to thoracic wall
Erector spinae: Spinalis origin
Arises by a broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacro-iliac ligaments, sacral and inferior lumbar spinous processes, and supraspinous ligament
Erector spinae: Spinalis insertion
thoracis, cervicis, capitis; fi bers run superiorly to spinous processes in the upper thoracic region and to cranium
Erector spinae: Spinalis innervation
Posterior rami of spinal
nerves
Erector spinae: Spinalis action
- Acting bilaterally: extend vertebral column and head; as back is flexed, control movement via eccentric contraction - Acting unilaterally: laterally flex vertebral column
Erector spinae: Longissimus origin
Arises by a broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacro-iliac ligaments, sacral and inferior lumbar spinous processes, and supraspinous ligament
Erector spinae: Longissimus insertion
thoracis, cervicis, capitis; fibers run superiorly to ribs between tubercles and angles to transverse processes in thoracic and cervical regions, and to mastoid process of temporal bone
Erector spinae: Longissiumus innervation
Posterior rami of spinal
nerves
Erector spinae: Longissimus action
- Acting bilaterally: extend vertebral column and head; as back is flexed, control movement via eccentric contraction - Acting unilaterally: laterally flex vertebral column