Gross Test 1 Flashcards
Trapezius
O: EOP, nuccal lig, spinous processes C7-T12, medial third of superior nuccal line
I: lateral third of clavicle, spine of scapula, acromion
Inn: Spinal accessory nerve (CN XI), C3, C4
Act: Upper: elevates, Medial: retracts, Lower: depresses
Latissimus Dorsi
I: thoracolumbar fascia, bottom 6 vertebrae thoracic spinous processes, last 3/4 ribs, iliac crest
O: floor of intertubercular sulcus of humerus
Inn: Thoracodorsal C6, C7, C8
Act: extension, medial rotation, adduction
Rhomboid Minor
O: spinous processes of C7-T1
I: triangular area at medial end of spine of scapula
Inn: dorsal scapular C4 C5
Action: retraction of scapula & rotate to depress glenoid cavity, fix scapula to thoracic wall
Rhomboid Major
O: spinous processes of T2-T5
I: medial border of scapula from level of spine to inferior border
Inn: dorsal scapular C4 C5
Act: retract scapula and rotate to depress glenoid cavity, fix scapula to thoracic wall
Levator Scapulae
O: posterior tubercles of transverse processes of C1-C4 vertebrae
I: medial border of scapula superior to root of spine
Inn: dorsal scapular C5, cervical C3 C4
Act: elevate scapula and tilt gleniod cavity inferiorly by rotating scapula
Obliquus capitis inferior
O: spinous process of C2
I: transverse process of C1
Inn: posterior ramus
Act: postural
Obliquus capitis superior
O: transverse process of C2
I: between the superior and inferior nuchal lines
Inn: posterior ramus
Act: postural
Rectis capitis posterior major
O: spinous process of C2
I: lateral end of inferior nuchal line of occipital bone
Inn: posterior ramus
Act: postural
Rectis capitis posterior minor
O: posterior tubercle of posterior arch of C1
I: medial third of inferior nuchal line
Inn: posterior ramus
Act: postural
Serratus posterior superior
O: nuchal lig, spinous processes of C7-T5
I: superior borders of 2nd and 4th ribs
Inn: 2nd and 5th intercostal nerves
Act: elevate ribs
Serratus posterior inferior
O: inferior border of 8th-12th ribs near angles
I: spinous processes of T11-L2
Inn: 9th and 11th intercostal nerve, subcostal (T12) nerve
Act: depress ribs
Iliocostalis
O: broad tendon of posterior iliac crest, posterior portion of sacrum, sacro-iliac lig, supraspinatus lig, sacral and inferior lumbar spinous processes
I: superior to angles of lower ribs and cervical transverse processes
Inn: posterior rami
Act: extend (bi), laterally flex (all together)
Longissimus
O: broad lig of posterior iliac crest, posterior part of sacrum, sacral-iliac lig, supraspinatus lig, sacral and inf lumbar spinous processes
I: transverse processes in thoracic and cervical regions, mastoid process of temporal bone, rib between tubercles
Inn: posterior rami
Act: extension, lat flexion
Spinalis
O: broad lig of posterior iliac crest, posterior part of sacrum, spinous processes of sacrum and inf lumbar, supraspinatus lig, sacro-iliac lig
I: superiorly to spinous process of upper thoracic region and cranium
Inn: posterior rami
Act: extension, lateral flexion
Splenius capitis
O: nuchal lig, spinous processes of C7-T6
I: lateral third of superior nuchal line, supralaterally on mastoid process
Inn: posterior rami
Act: lateral flexion and rotate head side to side of active muscle (single), extend head and neck (together)
Splenius cervicis
O: nuchal lig, spinous processes C7-T6
I: tubercles of transverse processes of C1-C4
Inn: posterior rami
Act: laterally flex of rotate to side that muscle is activated (alone), extend (together)
Semispinalis
O: transverse processes of C4-T10
I: spanning 4-6 segments, runs supermedially to occiptal bone and spinous processes in thoracic and cervical regions
Inn: posterior rami
Act: extends, moves them contralaterally
Multifidus
O: posterior sacrum, posterior of superior iliac spine of ilium, aponeurosis of erector spinae, mamillary processes of lumbar vertebrae, sacro-iliac lig, transverse processes of thoracic vertebrae, articular process of C4-C7
I: entire length of spinous processes, 2-4 segments superior to the origin
Inn: posterior rami
Act: during contraction, rotates to contralateral side
Rotatores
O: transverse processes of vertebrae
I: superomedially to attach to transverse or spinous process immediately (brevis) above or 2 segments (longus)
Inn: posterior rami
Act: local extension and rotatory movements, proprioceptors, stabilize
What makes up the triangle of ausculation?
Lat, trap, rhom major
what is the border of the suboccipital triangle?
Obliquus capitis inf, obiquus capitis sup, rectis capitis posterior major, rectis capitis posterior minor
what makes up the floor of the suboccipital triangle?
posterior arch of C1, posterior atlanto-occipital membrane
what makes up the roof of the subocciptal triangle?
semispinalis capitis
platysma
O: inf border of mandible, skin and subcutaneous tissue of lower face
I: fascia of superior pectoralis major and deltoid
Inn: cervical branch of facial nerve (XII)
Act: draws corners of mouth inferiorly and widens it, draws skin of neck superiorly when teeth are clenched
SCM
O: lateral mastoid process of temporal bone, lateral portion of superior nuchal line
I: anterior surface of manubrium of sternum, superior medial third of clavicle
Inn: accessory nerve (CN XI), C2 C3
Act: Uni: tilt head to same side with head facing superiorly to opposite side. Bi: extend neck at atlanto-occipital joint, flex cervical vert so neck goes towards manubrium, extend sup cervical vertebra while flexing inf vertebrae, also may elevate manubrium and medial end of clavicles with deep breathing
what marks the end of the spinal cord?
conus medullus
middle scalene
O: post. tubercles of transverse processes of C4-C7
I: superior surface of 1st rib, posterior to groove for subclavian artery
Inn: ant rami
Act: flexes neck laterally, elevates first rib during forced inspiration
posterior scalene
O: post. tubercles of transverse processes of C4-C6
I: ext border of 2nd rib
Inn: ant rami, C7 C8
Act: flexes neck laterally, elevates 2nd rib during forced inspiration
anterior scalene
O: ant tubercles of trans processes of C3-C6
I: 1st rib
Inn: cervical spinal nerves C4-C6
Act: flexes neck laterally, elevates 1st rib during forced inspiration
root of brachial plexus
union of anterior rami C5-T1 (pass through middle and anterior scalene muscles with the subclavian artery
posterior triangle of neck
AKA lateral cervical region
-made up on occipital triangle and omoclavicular (subclavian) triangle
main contents and understanding of posterior triangle of neck
- descending part of trap muscles
- post branches of cervical plexus of nerves
- spinal accessory nerve
- trunks of brachial plexus
- cervicodorsal trunk
- cervical lymph nodes
- subclavian artery
- part of subclavian vein
- suprascapular artery
- supraclavicular lymph nodes
roof of post cervical triangle
deep cervical fascia
floor of post cervical triangle
levator scapulae, scalenus (post and middle), splenius capitis
boundaries of post cervical triangle
SCM, trap, middle third of clavicle
contents of cervical posterior triangle
ext jugular vein, post section of cervical branches of nerves, spinal accessory nerve, trunks of brachial plexus, cervicodorsal trunk, cervical lymph nodes, subclavian artery, part of subclavian vein, suprascapular artery, supraclavicular lymph nodes
which nerve arises from the superior trunk of brachial plexus?
suprascapular nerve
superficial branches of cervical plexus are _____?
cutaneous
deep branches of the cervical plexus are ____?
motor (including phrenic nerve and ansa cervacalis
where is the nerve point of the neck?
middle of posterior border of SCM where cutaneous branches of cervical plexus emerge
cervical plexus receives its communication from the ____?
superior cervical ganglion
lesser and greater occipital nerve is ___?
C2
C2 and C3 make up the _______ nerve?
greater auricular
what are AV shunts? what are they used for?
direct communication between arterial to venous side with need for capillaries. They are prevalent in the skin and used for conserving body heat
What is an example of large elastic artery?
aorta
The femoral artery is an example of which type of artery?
medium muscular artery
small arteries have narrow ______ and a thick _____.
lumina, muscle wall
small arteries depend greatly on ____. A high one can result in hypertension.
tonus
The cranial flat bones are which type of joint?
fibrous suture
an example of a fibrous syndesmosis joint is?
ulanradial joint joined by the interosseous membrane