L4_ muscles of the back and neck Flashcards
Superficial muscles, primary function is movement of upper limb
what is it?
extrinsic muscle of the back
muscles with attachement sites of vertebrae or ribs, primary function is movement and support of the vertebral column, innervation: posterior rami of spinal nerves)
what is it?
intrinsic muscle of the back
Muscles of the first superficial layer of the back (extrinsic muscle)
- trapezius
- latissiums dorsi
Muscles of the second superficial layer of the back (extrinsic muscle)
- levator scapulae
- Rhomboid major and minor
Muscles of the third superficial layer of the back (extrinsic muscle)
- serratus posterior superior
- serratus posterior inferior
Trapezius (origin, insertion, functions, innervation, blood supply)
origin: external occipital protruberance, ligamentum nuchae and spinous processes CVII to TXII
Insertion: Spine of the scapula, acromion lateral 1/3 of the clavicle
Functions (primary):
- upper fibers: elevation of the scapula
- middle fibers: retraction of the scapula and upward rotation of the scapula
- lower fibers: depression of the scapula and upward rotation of the scapula
functions (secondary):
- bilateral: extension of the neck
- unilateral: ipsilateral lateral flexion, contralateral rotation of the cervical spine
innervation: spinal accessory
blood supply: transverse cervical artery
latissimus dorsi (origin, insertion, functions, innervation, blood supply)
origin: spinous process of TVI to LV, sacrum , iliac crest, thoracolumbar aponeurosis
insertion: floor of the intertubercular groove of the humerus
Functions (primary):
- extension
- adduction and medial (internal) rotation of the arm at the glenohumeral joint
functions (secondary):
- bilateral: extension of the back
- unilateral: ipsilateral lateral flexion of the lumbar spine
innervation: Thoracodorsal nerve (C6- C8)
blood supply: Thoracodorsal artery
levator scapulae (origin, insertion, functions, innervation)
origin: Transverse processes of CI to CIV
insertion: superomedial border of the scapula
Functions:
- Primary: movement of the scapula
- Secondary: unilateral (ipsilateral lateral flexion of cervical spine) bilateral (extension of the neck at the cervical spine)
innervation: Dorsal scapular nerve (C4-C5)
Rhomboid major and minor (origin, insertion, functions, innervation)
origin: spinous process of CVII to TV
Insertion: medial border of scapula (minor superior to major)
functions: retraction (adduction) of the scapula
Contribute slightly to elevation and downward rotation of the scapula
innervation: Dorsal scapular nerve (C4-C5)
Serratus posterior superior (origin, insertion, functions, innervation)
origin: ligamentum nuchae, spinous processes of CVII-TIII
insertion: ribs I to IV
functions: elevation of the upper ribs
innervation: anterior rami T1-T4
Serratus posterior inferior (origin, insertion, functions, innervation)
origin: thoracolumbar fascia, spinous processes of TXI to LII
insertion: ribs IX to XII
Functions: depression of the lower ribs
innervation: anterior rami T9-T12
What is bordered by the trapezius, latissimus dorsi and Rhomboid major?
triangle of auscultation
Muscles of the intermidiate group (intrinsis muscles). What are their functions?
Erector spinae (Iliocostalis, Longissimus, spinalis)
Functions: bilateral extension of the vertebral column
unilateral lateral flexion of the spine (only iliocostalis muscle)
Muscles of the transversospinal - deep group (intrinsic muscle)
- rotatores longus and brevis
- multifidus
- semispinalis capitis, cervicis, thoracis
Muscles of the minor deep group (intrinsic muscles)
- interspinalis
- intertransversari
- levatores costarum