deep and superficial back Flashcards
layers of back muscles
1) splenius
2) erector spinae
3) transversalis
serratus posterior superior
1) function
2) innervation
3) blood
1) elevate ribs
2) T2-T5 ventral rami
3) posterior intercostals
serratus posterior inferior
1) depress ribs
2) T9-T11 and subcostal nerve ventral rami
3) posterior intercostals
Blood supply of splenius capitis and cervicis
transverse cervical artery, occipital artery, muscular branches from aorta
innervation of splenius capitis and cervicis
dorsal rami of spinal nerves
action splenius capitis and cervicis
bilaterally extend head and neck
unilaterally laterally flex neck and rotate head to side of contracting muscle
iliocostalis
cervical, thoracic, and lumbar
commond tendon attaches to iliac crest and posterior sacrum
iliocostalis blood supply
poseterior intercostals and lumbar arteries
longissiumus
capitis, cervicis, thoracis, same origin as iliocostalis
longissiumus blood supply exception
capitis is occipital artery
spinalis
capitis, cervicis, thoracis (only easy ones to see)
semispinalis parts and blood supply
capitis: deep cervical artery
cervicis: deep cervical artery
thoracis: posterior intercostal arteries
action: extend head, thorax, cervical regions and rotate them contralaterallyu
multifidis
TP vertebra to spinous process of vertabra 2 above
thickest in lumbar region
posterior lumbar arterires
stabilze vertabra
rotatores
brevis TP 1 vert to SP of below vert
longus is TP 1 vert to SP of 2 below vert
easiest in thoracic region
blood = posterior intercostal arteries
extension head thorax cervical region, rotate them contralaterally
segmental muscles
1) interspinalis: dorsal rami spinal nerves
2) intertransversari: ventral and dorsal rami
3) levator costarum: dorsal rami C8-T11
craniovertebral joints posterior longitudinal ligament is the?
tectorial membrane
cruciate ligaments of craniovertebral joints
superior and inferior longitudinal bands and transverse ligament of the atlas
alar ligament
dens to lateral portion of foramen magnum
greater occipital nerve
sensory fibers only
occipital nerualgia
irritation of greater occipital nerve C2 dorsal rami and lesser occipital nerves (ventral rami C2)
-symptoms include neck pain that spreads and raidiates up aroundund sides of head
which vertebrae are most susceptible to disloation
cervical and can cause damage to spinal cord
burst fracture
occipital condyles crush lateral mass onto axis and posterior and or anterior arches break
from sudden focefull compression of C1
fracture of vertebral arch
hangman’s fracture
fractures axis vertebral arch (pars interarticularis)
from hyperextension
fracture of dens
from horizontal blow to the head
whiplash injuries
usually only involve damage to soft tissue such as anterior longitudinal ligament
vertebral artery impingement
sudden or foreceful hyperextension or twisting of cervical vertebral column (atlantoaxial joint)
dizziness/vertigo
confusion
nystagmus