back muscle lecture Flashcards
What are the 3 layers of back muscles?
Superficial, Intermediate, deep
name the superficial back muscles
Trapezius, Levator Scapulae, Rhomboid major/minor, Latissimus Dorsi
Name the intermediate back muscles
Serratus posterior inferior/superior
Name the deep back muscles
Suboccipital, Splenius, 3 erector spinae muscles
What are the 3 erector spinae muscles?
Iliocostalis, Longissimus, Spinalis
Innervation for superficial back muscles
Ventral rami
Innervation for intermediate back muscles
Ventral rami
Innervation of deep back muscles
Dorsal rami
do nerves overlap across the midline of the back?
NO- clinical point for surgery
origin of the trapezius muscle
Superior nuchal line, spinous processes of C7-T12
Insertion of trapezius muscle
Lateral clavicle, acromion and spine of scapula
Action of trapezius
elevate, depress and retract scapula
Innervation of trapezius
accessory nerve & transverse cervical vessels
Contents of Subtrapezial plexus
CN XI and C3-C4 ventral rami (proprioception)
Origin of latissimus Dorsi
T7-T12 Spinous processes, TL fascia, crest of ilium
Insertion of latissimus dorsi
interturbicular groove of humerus (bicepital groove)
Action of latissimus dorsi
adduct, extend, medially rotates humerus
innervation/BS of latissimus dorsi
thoracodorsal nerve and intercostal vessels
origin of Rhomboid major/minor
C7-T5 spinous processes
Insertion of rhomboids
medial border of scapula from spine to inferior angle
Action of rhomboids
retract scapula
supply of rhomboids (n & b)
dorsal scapular nerve & vessels
origin of Levator scapulae
transverse process of 1st 3-4 vertebrae
Insertion of levator scapulae
upper medial border of scapula
Action of levator scapulae
elevate scapula
Supply of levator scapulae
dorsal scapular nerve & vessels (same as rhomboids)
origin of serratus anterior muscle
lateral surface of first 8 ribs
insertion of serratus anterior
anterior surface of medial border of scapula
action of serratus anterior
protracts scapula, holds it to body wall
supply of serratus anterior
Long thoracic nerve & LATERAL thoracic vessels (SALT- serratus ant, long/lat thoracic)
Triangles of superficial back
Triangle of auscultation, Lumbar triangle
triangle of auscultation
between ribs 6 and 7, listen to organs in thorax, boundaries- trap, lat, rhombiod major
boundaries of lumbar triangle
medial- Latissiumus dorsi, lateral- external oblique m, inferior- iliac crest, floor- internal oblique m
origin of serratus posterior superior
C7-T3 spinous processes
insertion of serratus posterior superior
superior border of ribs 2-4 (5)
action of serratus posterior superior
elevates upper ribs
supply of serratus posterior superior
last 4 intercostal nerves and vessels
erector spinae origin
posterior sacrum, ilium & spinous processes
insertion of erector spinae
spinous & transverse processses, ribs
aciton of erector spinae
erect spine (postural muscle)
supply of erector spinae
dorsal rami of spinal nerves, lumbar & intercostal vessels
origin of Splenius capitis & cervicis
nuchal ligament & upper spinous processes
insertion of Splenius capitis & cervicis
Capitis- occipital bone & mastiod process, Cervicis- upper cervical trans process
action of Splenius capitis & cervicis
extend & laterally rotate head
supply of Splenius capitis & cervicis
dorsal rami of spinal nerves, deep cervical vessels
origin of multifundus
sacrum & lower transverse processes
insertion of multifundus
spinous processes (span 2-4 vertebrae)
action of multifundus
laterally flex & rotate spine
supply of multifundus
dorsal rami of spinal nerves, lumbar vessels
origin of Rotatores muscles
transverse processes
insertion of Rotatores muscles
spinous processes (span 1-2 vertebrae)
action of Rotatores muscles
rotate spine (rotatores is latin for “rotates shit”)
supply of Rotatores muscles
dorsal rami of spinal nerves, intercostal vessels
name the minor deep muscles of the back
interspinalis, intertransversarius, levator costarum