Intrinsic Back Muscles - Deep Flashcards
What muscle groups are included in the deep layer of intrinsic back?
Transversospinalis group, segmental muscles, suboccipital region
What muscles are included in the transversospinalis group?
Semispinalis, multifidus, rotatores longus and brevis
What are the segmental muscles?
Levatores costarum, interspinales, intertransversarii
What muscles are included in the suboccipital region?
Rectus capitis posterior major and minor
Obliquus capitis inferior and superior
transversospinalis
Semispinalis capitis origin
Transverse processes of upper 6-7 thoracic vertebrae
transversospinalis
Semispinalis capitis insertion
Occipital bone between superior and inferior nuchal lines
transversospinalis
Semispinalis capitis innervation
Medial branches of dorsal rami C1-C6
transversospinalis
Semispinalis capitis blood supply
Descending branch of occipital artery, deep branch of costocervical trunk
transversospinalis
Semispinalis capitis actions
Bilaterally extends neck
Unilaterally turns face toward opposite side
transversospinalis
Semispinalis cervicis origin
Transverse processes of upper 5-6 thoracic vertebrae
transversospinalis
Semispinalis cervicis insertion
Spinous processes C2-C5
transversospinalis
Semispinalis cervicis innervation
Medial branches of dorsal rami C6-C8
transversospinalis
Semispinalis cervicis blood supply
Deep branch of costocervical trunk, posterior intercostal arteries
transversospinalis
Semispinalis cervicis actions
Bilaterally extends vertebral column
Unilaterally rotates vertebral column to the opposite side
transversospinalis
Semispinalis thoracis origin
Transverse processes of lower 6 thoracic vertebrae
transversospinalis
Semispinalis thoracis insertion
Spinous processes of upper thoracic and lower cervical vertebrae
transversospinalis
Semispinalis thoracis innervation
Dorsal rami of spinal nerves T1-T6
transversospinalis
Semispinalis thoracis blood supply
Posterior intercostal arteries
transversospinalis
Semispinalis thoracis actions
Bilaterally extends the vertebral column
Unilaterally rotates vertebral column to one side
transversospinalis
Multifidus origins
Posterior surface of sacrum, posterior sacroiliac ligament, mammillary processes of lumbar vertebrae, transverse processes of thoracic vertebrae, articular processes of C4-C7
transversospinalis
Multifidus insertion
Spines of vertebrae 2-4 segments superior to origin
transversospinalis
Multifidus innervation
Dorsal rami of all spinal nerves
transversospinalis
Multifidus blood supply
Posterior intercostal and lumbar arteries, deep cervical branch of costocervical trunk
transversospinalis
Multifidus actions
Extension, lateral flexion and rotation of vertebral column
Extension and lateral motions of pelvis
transversospinalis
Rotatores origin
Transverse processes of vertebrae
transversospinalis
Rotatores insertion
Brevis- lamina of vertebrae immediately superior
Longus- lamina of vertebrae 2 levels superior
transversospinalis
Rotatores innervation
Dorsal rami of spinal nerves
transversospinalis
Rotatores blood supply
Posterior intercostal arteries, lumbar arteries
transversospinalis
Rotatores action
Rotation of vertebral column
segmental muscles
Levatores costarum origin
12 pairs, from transverse processes of C7-T11
segmental muscles
Levatores costarum insertion
Longus – external surface of rib 2 levels below vertebrae of origin between tubercle and angle
Brevis – rib between tubercle and angle 1 level below vertebrae of origin
segmental muscles
Levatores costarum innervation
Dorsal rami of thoracic spinal nerves
segmental muscles
Levatores costarum blood supply
Posterior intercostal arteries
segmental muscles
Levatores costarum actions
Elevate ribs, assist in inspiration, rotates and laterally flexes vertebral column
segmental muscles
Interspinales origin
Superiorly on spine of vertebrae
segmental muscles
Interspinales insertion
Inferiorly on spine of vertebrae 1 level below origin
segmental muscles
Interspinales innervation
Dorsal rami of spinal nerves
segmental muscles
Interspinales blood supply
Muscular branches of posterior intercostal arteries, lumbar arteries, deep cervical branches of costocervical trunk
segmental muscles
Interspinales action
Extension of vertebral column
segmental muscles
Intertransversarii origin
Superiorly on transverse processes of vertebrae
segmental muscles
Intertransversarii insertion
Inferiorly on transverse process 1 level below origin
segmental muscles
Intertransversarii innervation
Dorsal rami of spinal nerves (exceptions lumbar and lower thoracic, anterior/posterior intertransversarii in cervical = ventral rami)
segmental muscles
Intertransversarii blood supply
Muscular branches of posterior intercostal and lumbar arteries
segmental muscles
Intertransversarii action
Lateral flexion of vertebral column
What nerves are in the suboccipital region?
Greater occipital nerve, suboccipital nerve
What arteries are in the suboccipital region?
Vertebral artery, occipital artery
What does the suboccipital triangle contain?
Vertebral artery and suboccipital nerve lie in a groove on superior surface of the posterior arch of atlas
suboccipital region
Rectus capitis posterior minor origin
Posterior tubercle of atlas
suboccipital region
Rectus capitis posterior minor insertion
Occipital bone, below the inferior nuchal line
suboccipital region
Rectus capitis posterior minor innervation
Suboccipital nerve
suboccipital region
Rectus capitis posterior minor blood supply
Muscular branches of the vertebral artery, descending branch of occipital artery
suboccipital region
Rectus capitis posterior minor actions
Extension and lateral flexion of head
suboccipital region
Rectus capitis posterior major origin
Spinous process of axis
suboccipital region
Rectus capitis posterior major insertion
Lateral part of inferior nuchal line of occipital
suboccipital region
Rectus capitis posterior major innervation
Suboccipital nerve
suboccipital region
Rectus capitis posterior major blood supply
Muscular branches of the vertebral artery, descending branch of occipital artery
suboccipital region
Rectus capitis posterior major actions
Extension, lateral flexion, rotation of head
suboccipital region
Obliquus capitis superior origin
Transverse process of atlas
suboccipital region
Obliquus capitis superior insertion
Occipital bone above inferior nuchal line
suboccipital region
Obliquus capitis superior innervation
Suboccipital nerve
suboccipital region
Obliquus capitis superior blood supply
Muscular branches of the vertebral artery, descending branch of occipital artery
suboccipital region
Obliquus capitis superior actions
Extension and lateral rotation of head
suboccipital region
Obliquus capitis inferior origin
Spinous process of axis
suboccipital region
Obliquus capitis inferior insertion
Transverse process of atlas
suboccipital region
Obliquus capitis inferior innervation
Suboccipital nerve, dorsal ramus C2
suboccipital region
Obliquus capitis inferior blood supply
Muscular branches of the vertebral artery, descending branch of occipital artery
suboccipital region
Obliquus capitis inferior action
Rotation of atlas and skull around dens of axis