Intrinsic Back Muscles Flashcards
Where does the multifidus originate from?
- Posterior sacrum
- Posterior iliac spine of ilium
- aponeurosis of erector spine
- sacro-iliac ligaments
- mammillary processes
- transverse processes of T1-T3
- articular processes of C4-C7
What intrinsic muscles make up the superficial muscles?
Splenius capitis( inserts at head)
Splenius cervicis (inserts at neck)
What are the general innervations for the Intrinsic back muscles?
Posterior rami of the spinal nerves
What are the muscles of the suboccipital triangle innervated by?
Posterior ramus of C1
SUBOCCIPITAL NERVE
What is the origin and insertion of the obilquus capitis superior muscles of the suboccipital triangle?
Origin: Transverse process of Atlas
Insertion: Occipital bone between superior and inferior nuchal lines
Does the multifidus attach to the spinous process of every vertebrae?
Yes it does so obliquely superomedially
What is the origin and insertion of the Rectus capitis posterior major?
Origin: Spinous process of vertebra C2
Insertion: Lateral part of inferior nuchal line of occipital bone
What muscles make up the suboccipital triangle?
- Rectus capitis posterior minor
- Rectus capitis posterior major
- Obliquus capitis inferior
- Obliquus capitis superior
What vertebrae does suboccipital triangle include?
Posterior aspect of C1 and C2 vertebrae
What is the action of semispinalis?
To extend cervical and thoracic vertebrae
To rotate the cervical and thoracic vertebral column contralaterally
What muscles are especially important in providing stability for your spine and slight rotation if they contract?
Multifidus and Rotatores are very small muscles located deep in the back.
Multifidus is located between the transverse process and spinous processes of all vertebrae. (2-4 segments or vertebrae)
Rotatores are located between the transverse processes and spinous processes. (1-2 vertebrae)
What is the role of the multifidus?
Stabilizes the vertrebrae during local movement
They extend the complete spine as long as they are innervated by the dorsal rami (C3–S3).
What is the suboccipital triangle deep to?
- Superior part of posterior cervical region
- sternocleidomastoid
- splenius
- semispinalis muscles
What intrinsic muscles make up the Deep Major muscles?
Transversospinalis
- Rotatores
- Mulitfidus
- Semispinalis
What is the common origin attachment point for the erector spinae muscles?
A broad tendon that attaches inferiorly to the
- posterior part of iliac crest
- posterior aspect of sacrum
- sacro-iliac ligaments
- sacral and inferior lumbar processes
What is the splenius deep to?
Immediately deep to the serratus posterior superior
Extrinsic
- Rhomboid major and minor
- Trapezius
What is the origin and insertion of the obliquus capitis inferior
Origin: posterior tubercle of posterior arch of axis
Insertion: transverse process of atlas
What is distal attachment for splenius cervicis?
Tubercles of transverse processes of C1-C3 or C4 vertebrae
What is the distal attachment for the spinalis?
fibers run superiorly to the spinous processes of the upper thoracic region to the cranium