Back & Rotator Cuff Muscles Flashcards
Trapezius
Origin
- Superior Nuchal Line
- External occipital protuberance
- SP of C7 to T12
Trapezius
Insertion
- Lateral 1/3 of clavicle
- Acromion
- Spine of the scapula
Trapezius
Action
- Rotate and elevate scapula (superior part)
- retract scapula (middle)
- depress scapula (inferior)
Trapezius
innervation
Motor: spinal accessory nerve (CN XI)
Proprioception: Anterior/ventral rami of C3, C4
Trapezius, blood supply
Transverse cervical artery
Latissimus Dorsi
Origin
- SP T7-L5
- Thoracolumbar fascia
- sacrum
- iliac crest
- ribs 10-12
Latissimus dorsi
Insertion
Floor of the intertubercular sulcus of the humerus
Latissimus dorsi
Action
Extends, adducts, and medially rotates the humerus
Latissimus dorsi
Innervation
Thoracodorsal nerve (C6, C7, C8 of brachial plexus)
Latissimus dorsi
Blood supply
Thoracodorsal artery
Rhomboid major
Origin
SP T2-T5
Rhomboid major
Insertion
Medial border of scapula below its spine
Rhomboid major
Action
Retract and rotate scapula (to tilt glenoid cavity inferiorly)
Rhomboid major
Innervation
Dorsal scapular nerve (C5 of brachial plexus)
Rhomboid major
Blood supply
Dorsal scapular artery
deep branch of transverse cervical artery
Rhomboid minor
Origin
Ligamentum nuchae and SP C7-T1
Rhomboid minor
Insertion
Medial border of the scapula (at its spine)
Rhomboid minor
Action
Retract and rotate scapula (to tilt glenoid cavity inferiorly)
Rhomboid minor
Innervation
Dorsal scapular nerve (C5 of brachial plexus)
Rhomboid minor
Blood supply
Dorsal scapular artery
Levator scapulae
Origin
Transverse processes of C1-C4
Levator scapulae
Insertion
Superior angle of the scapula
Levator scapulae
Action
Elevates and rotates the scapula
to tilt the glenoid cavity inferiorly
Levator scapulae
Innervation
Dorsal scapular nerve (C5 of brachial plexus)
Levator scapulae
Blood supply
Dorsal scapular artery
deep branch of transverse cervical artery
Deltoid
Origin
- Spine of the scapula
- Acromion of the scapula
- Lateral 1/3 of the clavicle
Deltoid
Insertion
Deltoid tuberosity of the humerus
Deltoid
Action
Abducts, flexes, and extends the humerus
Deltoid
Innervation
Axillary nerve
Deltoid
Blood supply
Posterior circumflex humeral artery
Supraspinatus
Origin
Supraspinous fossa of the scapula
Supraspinatus
Insertion
Superior facet of the greater tubercle of the humerus
Supraspinatus
Action
Abducts the humerus (mostly first 15 degrees)
Supraspinatus
Innervation
Suprascapular nerve (C5, C6 of brachial plexus)
Supraspinatus
Blood supply
Suprascapular artery
Infraspinatus
Origin
Infraspinous fossa of scapula
Infraspinatus
Insertion
Middle facet of the greater tubercle of the humerus
Infraspinatus
Action
Laterally rotates humerus
Infraspinatus
Innervation
Suprascapular nerve (C5, C6 of brachial plexus)
Infraspinatus
Blood supply
Supracapular artery
Subscapularis
Origin
Subscapular fossa of scapula
Subscapularis
Insertion
Lesser tubercle of the humerus
Subscapularis
Action
Medially rotates the humerus
Subscapularis
Innervation
Upper subscapular nerve & lower subscapular nerve
C5 and C6 of brachial plexus, respectively
Subscapularis
Blood supply
Subscapular artery
Teres major
Origin
Inferior angle of the scapula
Teres major
Insertion
Medial lip of the intertubercular sulcus of the humerus
Teres major
Action
Adducts and medially rotates the humerus
Teres major
Innervation
Lower subscapular nerve (C6 of brachial plexus)
Teres major
Blood supply
Subscapular and circumflex scapular arteries
Teres minor
Origin
Lateral border of the scapula
Teres minor
Insertion
Inferior facet of the greater tubercle of the humerus
Teres minor
Action
Laterally rotates the humerus
Teres minor
Innervation
Axillary nerve
Teres minor
Blood supply
Subscapular and circumflex scapular arteries
Serratus posterior superior
Origin
SP C7–T3
This is one of two intermediate muscles of the back
Serratus posterior superior
Insertion
Superior borders of ribs 2–5, lateral to their angles
Serratus posterior superior
Action
Elevates ribs 2–5
Serratus posterior superior
Innervation
Anterior rami of T2–T5
Serratus posterior superior
Blood supply
Posterior Intercostal arteries
Serratus posterior inferior
Origin
SP T11–L2
This is one of two intermediate muscles of the back
Serratus posterior inferior
Insertion
Inferior border of ribs 9–12, lateral to their angles
Serratus posterior inferior
Action
Depresses ribs 9–12
Serratus posterior inferior
Innervation
Anterior rami (ventral rami) of T9–T12
Serratus posterior inferior
Blood supply
Posterior Intercostal arteries
Splenius capitis
Origin
Ligamentum nuchae
SP C7-T4
Splenius capitis
Insertion
- Mastoid process
- Lateral one-third of superior nuchal line
Splenius capitis
Action
Unilateral—laterally flexes and rotates head or neck to same side
Bilateral—extends head and neck
Splenius capitis
Innervation
Posterior (dorsal) rami of middle cervical nerves
Splenius capitis
Blood supply
Deep cervical artery & Descending branch of occipital artery
Splenius cervicis
Origin
SP T3–T6
Splenius cervicis
Insertion
TP C1–C3
Splenius cervicis
Action
Unilateral—laterally flexes and rotates head or neck to same side
Bilateral—extends head and neck
Splenius cervicis
Innervation
Posterior (dorsal) rami of middle cervical nerves
Splenius cervicis
Blood supply
Deep cervical artery & Descending branch of occipital artery
Erector spinae (Spinalis) Origin
- Median sacral crest
- Posterior surface sacrum
- SP L and lower T
- Medial part iliac crest
Erector spinae (Spinalis) Insertion
SP of T and C
Erector spinae (Spinalis) Action
Unilateral—laterally flexes VT to same side
Bilateral—extends VT and head, stabilizes VT
Erector spinae (Spinalis) Innervation
Posterior rami of lower cervical nerves
Erector spinae (Spinalis) Blood supply
Cervical part : Occipital, deep cervical, & vertebral arteries
Thoracic part: Dorsal branches of posterior intercostal, subcostal, and lumbar arteries
Sacral part: Dorsal branches of lateral sacral arteries
Erector spinae (Longissimus) Origin
- Median sacral crest
- Posterior surface sacrum
- SP L and lower T
- Medial part iliac crest
Erector spinae (Longissimus) Insertion
- Between tubercles and angles of ribs
- TP of T and C
Erector spinae (Longissimus) Action
Unilateral—laterally flexes VT to same side
Bilateral—extends VT and head, stabilizes VT
Erector spinae (Longissimus) Innervation
Posterior rami of lower cervical nerves
Erector spinae (Longissimus) Blood supply
Cervical part : Occipital, deep cervical, & vertebral arteries
Thoracic part: Dorsal branches of posterior intercostal, subcostal, and lumbar arteries
Sacral part: Dorsal branches of lateral sacral arteries
Erector spinae (Iliocostalis) Origin
- Median sacral crest
- Posterior surface sacrum
- SP L and lower T
- Medial part iliac crest
Erector spinae (Iliocostalis) Insertion
Angles of lower ribs and TP of C
Erector spinae (Iliocostalis) Action
Unilateral—laterally flexes VT to same side
Bilateral—extends VT and head, stabilizes VT
Erector spinae (Iliocostalis) Innervation
Posterior rami of lower cervical nerves
Erector spinae (Iliocostalis) Blood supply
Cervical part : Occipital, deep cervical, & vertebral arteries
Thoracic part: Dorsal branches of posterior intercostal, subcostal, and lumbar arteries
Sacral part: Dorsal branches of lateral sacral arteries
Semispinalis capitis
Origin
- TP C7–T6/T7
- AP C4–C6
Semispinalis capitis
Insertion
Between superior and inferior nuchal lines of occipital bone medially
Semispinalis capitis
Action
Unilateral—extends and laterally rotates head to opposite side
Bilateral—extends head
Semispinalis capitis
Innervation
Posterior rami of spinal nerves
Semispinalis capitis
Blood supply
Occipital, deep cervical, & vertebral arteries
Semispinalis cervicis
Origin
TP T1–T5/T6
Semispinalis cervicis
Insertion
SP C2–C5
Semispinalis cervicis
Action
Unilateral—extends and laterally rotates neck to opposite side
Bilateral—extends neck
Semispinalis cervicis
Innervation
Posterior rami of spinal nerves
Semispinalis cervicis
Blood supply
Cervical part : Occipital, deep cervical, & vertebral arteries
Thoracic part: Dorsal branches of posterior intercostal arteries
Multifidus
Origin
- Sacrum
- Ilium
- TP T1–L5
- AP C4–C7
Multifidus
Insertion
SP L5–C2
Multifidus
Action
Extends and rotates VT to opposite side
Multifidus
Innervation
Posterior rami of spinal nerves
Multifidus
Blood supply
Cervical part : Occipital, deep cervical, & vertebral arteries
Thoracic part: Dorsal branches of posterior intercostal, subcostal, and lumbar arteries
Sacral part: Dorsal branches of lateral sacral arteries
Rectus capitis posterior major
Origin
SP of C2 (axis)
Rectus capitis posterior major
Insertion
Lateral inferior nuchal line of occipital bone
Rectus capitis posterior major
Action
Extends head and rotates face to same side
Rectus capitis posterior major
Innervation
Posterior ramus C1
Rectus capitis posterior major
Blood supply
Occipital artery
Rectus capitis posterior minor
Origin
Posterior tubercle of C1 (atlas)
Rectus capitis posterior minor
Insertion
Medial inferior nuchal line of occipital bone
Rectus capitis posterior minor
Action
Extends head
Rectus capitis posterior minor
Innervation
Posterior ramus of C1
Rectus capitis posterior minor
Blood supply
Occipital artery
Obliquus capitis superior
Origin
TP of C1 (atlas)
inferior attachment
Obliquus capitis superior
Insertion
Between lateral aspect of superior and inferior nuchal lines of occipital bone (superior attachment)
Obliquus capitis superior
Action
Extends head
Obliquus capitis superior
Innervation
Posterior ramus of C1
Obliquus capitis superior
Blood supply
Occipital artery
Obliquus capitis inferior
Origin
SP of C2 (axis)
Obliquus capitis inferior
Insertion
TP of C1 (atlas)
Obliquus capitis inferior
Action
Rotates face to same side
Obliquus capitis inferior
Innervation
Posterior ramus of C1
Obliquus capitis inferior
Blood supply
Occipital artery