BLOCK 1 BACK/ARM FINAL Flashcards
Trapezius attachments
P: external occipital protuberance, nuchal ligament, spinous C7-T12
D: lateral 1/3 clavicle, acromion and spine of scapula
Trapezius innervation
CN XI
sensory: ventral rami C3, C4
Trapezius blood supply
superficial branch of transverse cervical artery
Latissimus dorsi attachments
P: spinous T7-T12, thoracolumbar fascia, iliac crest, ribs 9-12
D: intertubercular sulcus of humerus
Trapezius actions
elevate/depress scapula, retract and rotate glenoid cavity superiorly
Latissimus dorsi innervation
thoracodorsal nerve
Latissimus dorsi blood supply
thoracodorsal nerve (C6, C7, C8)
Latissimus dorsi actions
extends, adducts, medially rotates humerus, elevates body
Rhomboid minor attachments
P: spinous C (6, 7)
D: medial border of scapula
Rhomboid major attachments
P: spinous T (1-4)
D: medial border of scapula
Rhomboid minor innervation
dorsal scapular nerve (C5)
Rhomboid minor blood supply
dorsal scapular artery
Rhomboid minor actions
retracts and inferiorly rotates scapula
connects scapula to spinal column
Rhomboid major actions
retracts and inferiorly rotates scapula
connects scapula to spinal column
Rhomboid minor innervation
dorsal scapular nerve (C5)
Rhomboid minor blood supply
dorsal scapular artery (C5)
Levator scapulae attachments
P: transverse processes C (1-4)
D: superior angle of scapula
Levator scapulae actions
elevates and rotates scapula
Levator scapulae innervation
dorsal scapular nerve (C5)
Levator scapulae blood supply
dorsal scapular artery
Serratus posterior superior attachments
P: spinous C, T (C7-T3)
D: superior border ribs 2-5
Serratus posterior superior actions
elevates ribs, assists forced inspiration
Serratus posterior superior innervation
ventral rami of intercostal nerves T2-T5
Serratus posterior superior blood supply
intercostal arteries
Serratus posterior inferior attachments
P: spinous T, L (T11-L2)
D: inferior border ribs 9-12
Serratus posterior inferior actions
elevates ribs, assists forced expiration
Serratus posterior inferior innervation
ventral rami of intercostal nerves T9-T12
Serratus posterior inferior blood supply
intercostal arteries
Splenius cervicis attachments
P: spinous C7-T3, lower nuchal ligament
D: tubercles of transverse processes C1-C3 (meets suboccipital triangle mm.)
Splenius cervicis actions
alone: rotates ipsilaterally
together: extend head and neck
Splenius cervicis innervation
dorsal rami of spinal nerves
Splenius capitis attachments
P: spinous C7-T3, lower nuchal ligament
D: mastoid process, lateral 1/3 superior nuchal line
Splenius capitis actions
alone: rotates ipsilaterally
together: extend head and neck
Splenius capitis innervation
dorsal rami of spinal nerves
Erector spinae attachments
P: spinalis @ spinous processes longissimus @ sacrum iliocostalis @ sacrum, iliac crest D: spinalis @ spinous processes longissimus + iliocostalis @ transverse processes
Erector spinae actions
alone: laterally flex vertebral column ipsilaterally
together: extend vertebral column and head
Erector spinae innervation
dorsal rami of spinal nerves
Spinalis blood supply
lateral sacral artery
Longissimus blood supply
lateral sacral artery
Iliocostalis blood supply
intercostal and lumbar arteries
Transversospinalis attachments
P: transverse processes
D: spinous processes
Semispinalis attachments
P: transverse processes C, T (C4-T12)
D: capitis @ occipital bone
cervicis @ spinous C, T
Semispinalis actions
extend and contralaterally rotate head and C, T region of vertebral column
Semispinalis innervation
greater occipital nerve = dorsal rami of C2
Transversospinalis innervation
dorsal rami of spinal nerves
Multifidus attachments
P: transverse processes T1-T3, articular processes C4-C7…
D: spinous processes C2-L5
Rectus capitis posterior major attachments
P: spinous C2
D: inferior nuchal line
Suboccipital triangle mm. innervation
suboccipital nerve = dorsal rami of C1
Rectus capitis posterior minor attachments
P: posterior tubercle of C1
D: inferior nuchal line
Suboccipital triangle mm. actions
extend/laterally flex head AND
rotate head at atlanto-occipital joint
Obliquus capitis inferior attachments
P: spinous C2
D: transverse C1
Obliquus capitis superior attachments
P: transverse C1
D: b/w superior and inferior nuchal lines
Deltoid attachments
P: lateral 1/3 clavicle, acromion and spine of scapula
D: deltoid tuberosity of humerus
Deltoid actions
laterally/medially rotate arm, abduct, flex
Deltoid blood supply
posterior circumflex humeral artery
also: anterior circumflex humeral a., profunda brachii a., deltoid branch of thoracoacromial a.
Deltoid innervation
axillary nerve (C5, C6)
Teres minor attachments
P: lateral border of scapula
D: greater tubercle of humerus
Teres minor actions
act with rotator cuff
laterally rotate arm
Teres minor innervation
axillary nerve (C5, C6)
Teres minor blood supply
lateral circumflex humeral artery and circumflex scapular artery
Teres major attachments
P: inferior angle of scapula
D: intertubercular sulcus of humerus
Teres major actions
adducts and medially rotates arm
Teres major blood supply
thoracodorsal artery
Teres major innervation
lower subscapular nerve (C5, C6)
Supraspinatus attachments
P: supraspinous fossa
D: greater tubercle of humerus
Supraspinatus actions
act with rotator cuff
initiate abduction first 15 degrees
Supraspinatus innervation
suprascapular nerve (C5, C6)
Supraspinatus blood supply
suprascapular artery
Infraspinatus attachments
P: infraspinous fossa
D: greater tubercle of humerus
Infraspinatus actions
act with rotator cuff
laterally rotate arm
Infraspinatus innervation
suprascapular nerve (C5, C6)
Infraspinatus blood supply
suprascapular artery
Subscapularis attachments
P: subscapular fossa
D: lesser tubercle of humerus
Subscapularis innervation
upper and lower subscapular nerves (C5, C6)
Subscapularis blood supply
subscapular artery
Subscapularis actions
act with rotator cuff
medially rotate arm, hold humeral head in glenoid cavity