Exam #3: Deep Back Flashcards
Which germ layer are the deep back muscles derived from?
Mesoderm
Which germ layer do somites differentiate from?
Mesoderm
What do somites differentiate into?
- Sclerotomes
- Myotomes
- Dermatomes
What does the myotome give rise to?
Myoblast cells
What are myoblast cells?
Embryonic muscle cells
What two layers do myotomes divide into?
Epaxial & Hypaxial
Epaxial
Dorsal division of the myotome
Hypaxial
Ventral division of the myotome
Nerve supply to the epaxial division
Dorsal Primary Ramus
Nerve supply to the hypaxial division
Ventral Primary Ramus
What muscles are derived from the epaxial division?
Deep Extensor Muscles of the Back
What muscles are derived from the hypaxial division?
1) Infrahyoid
2) Flexor muscles of the vertebral column
3) Quadratus Lumborum
What is the functional outcome of the origins and insertions of the deep back muscles over-lapping?
Smooth movement during flexion, extension, and rotation
What is the main function of the muscles of the deep back?
- Support body weight by extending the vertebral column
- Maintaining posture & balance
- Movement of the back
What are the only muscles of the body innervated by the Dorsal Primary Ramus?
Intrinsic muscles of the deep back
Anatomically, what is a back strain?
Microscopic tearing of intrinsic muscle cells or ligaments
How are the muscles of the deep back innervated?
Segmentally by the dorsal primary ramus
What are the five major groups of intrinsic back muscles?
1) Splenius Group
2) Erector Spinae Group
3) Trasversopinalis Group
4) Suboccipital Muscles
5) Segmental Group
Splenius Group
- Arise from the posterior midline and travel laterally & superiorly
- Mainly assist withe head movements
Erector Spinae Group
Arise from midline or slightly laterally and run longitudinally (straight up & down)
Transversospinalis Group
Arise laterally from the transverse procesess and travel to the midline/spinous process to their insertion
What are the three layers of muscles in the deep back?
1) Superficial Layer
2) Intermediate Layer
3) Deep Layer
Superficial Layer
- Erector Spinae
- Splenius
Intermediate Layer
Transversospinalis
Deep Layer
- Segmental Muscles
- Suboccipital Muscles
What are the two muscles of the Splenius Group?
- Splenius Capitus (superior)
- Splenius Cervicis (inferior)
What is the difference between the splenius capitus and splenius cervicis?
Splenius Capitus inserts into the skull & the Splenius Cervicis does NOT (inserts into the neck)
What are the three columns of Erector Spinae muscles?
1) Iliocostalis= lateral (ribs)
2) Longissimus= Intermediate (vertebral transverse processes)
3) Spinalis= Medial (just lateral to spinous processes)
“I Love Spaghetti” (from lateral to medial)
Origin of the Erector Spinae Muscles
Common tendon of Origin
How is each column of Erector Spinae muscles divided?
Each column is divided into three parts according to its superior attachment
Iliocostalis
Most lateral division Erector Spinae
Longissimus
Middle division of Erector Spinae
Spinalis
Most medial division of Erector Spinae
What are the three parts of the Iliocostalis muscle?
- Iliocostalis lumborum
- Iliocostalis thoracis
- Iliocostalis Cervicis
All are associated with the ribs
Splenius Capitus Origin
- Ligamentum nuchae
- Spines of the upper throacic vertebrae
Splenius Capitus Insertion
- Occipital Bone
- Mastoid Process
Splenius Cervicis Origin
T3-6, upper thoracic vertebrae
Splenius Cervicis Insertion
C2-4, upper cervical vertebrae NOT skull
Erector Spinae Origin
Common Tendon of Origin
What is the common tendon of origin attached to?
1) Sacrum
2) Iliac Crest
3) Spinous processes of T11-L5
Erector Spinae Function
Chief Extensor of the vertebral column
What structures pass through the semispinalis capitis?
Greater occipital nerve & artery
Interspinales
Muscle
Intertransversarii
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Rotators (Short & Long)
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What are the three muscles of the transversospinalis muscle group?
1) Semispinalis
2) Multifidus
3) Segmental Muscles
Which two muscle groups of the deep back mainly assist with head movements?
- Splenius Group
- Suboccipital Muscles