gross anatomy of back Flashcards
Concave curvatures of the spine
cervical and lumbar
convex curvatures of spine
thoracic and sacral
abnormal spine curvatures
scoliosis (abnormal lateral curve)
kyphosis (hunchback)
lordosis (swayback)
seven processes per vertebra
spinous process, transverse process (2), superior articular processes (2), inferior articular process (2)
pars interarticularis
segment of bone in between superior and inferior articular facet
what does a defect of the pars interarticularis lead to?
Spondylolysis
what is the ligamentum flavum
connects laminae of adjacent vertebrae
what is the intervetrebal disc made of?
nucleus pulposus, anulus fibrosus
which spinal nerve does not participate in dermatomes
C1
what is a dermatome?
area of skin innervated by a single spinal nerve
what do the dorsal and ventral roots combine to form?
spinal nerves
where do spinal nerves emerge from?
intervertebral foramina
plexuses?
cervical, brachial, lumbar, sacral. (T2-T12 not included)
layers of back muscles
superficial layer - move upper extremity
intermediate layer - respiratory muscles
deep layer - move trunk and back
trapezius muscle action and nerve
action - elevates and depresses shoulder, retracts scapula
nerve - spinal part of accessory nerve
latissimus dorsi action and nerve
action - adducts, extends and medially rotates arm (humerus)
nerve - thoracodorsal nerve
levator scapulae action and nerve
action - elevates the scapular
nerve - dorsal scapular nerve
rhomboid minor action and nerve
action - retract the scapula
nerve - dorsal scapular nerve
rhomboid major action and nerve
action - retract the scapula
nerve - dorsal scapular nerve
triangle of auscultation
triangular area medial to scapula (best place to hear breath sounds)
Overlies 6th intercostal space
levatores coastarum action and nerve
action - elevates ribs in inspiration
nerve - dorsal rami of thoracic nerves
serratus posterior superior action and nerve
action - elevated ribs in inspiration
nerve - intercostal nerve (2nd to 5th)
serratus posterior inferior action and nerve
action - depresses ribs in expiration
nerve - intercostal nerves (9th. to 12th)
erector spinae
spinalis, longissimus, iliocostalis
spinotransverse muscles
rotatores, multifidus, semispinalis
splenius action and nerve
action - extends neck and head (unilateral direction)
nerve - dorsal rami of cervical nerve
erector spinae action and nerve
action - extend trunk and vertebral column
nerve - dorsal rami of cervical, thoracic and lumbar spinal nerves
spinotransverse action and nerve
action - extend trunk in bilateral action and rotate vertebral column in unilateral action
nerve - dorsal rami of spinal nerves
Nucleus pulposus
Inner gelatinous nucleus that gives the disc its elasticity & compressibility
Annulus fibrosus
Outer collar composed of collagen and fibrocartilage