Lab 3: Back and Neck Muscles Flashcards
Describe extrinsic muscles generally
Ant rami innervate on
Axial skeleton attachments
Name muscles of first most superficial layer
Latissimus Dorsi
Trapezius
Name muscles of second intermediate layer
Levator scapulae
Rhomboid minor and major
Name muscles of third deep layer
Serratus posterior superior
Serratus posterior inferior
Attachments latissimus dorsi
Sp t7-t12, ilium, tlf
To intertubercualr groove of humerus
innervation latissimus dorsi
Ant rami c6-8 = thoracodorsal nerve
functions latissimus dorsi
Bilateral thoracic spine extension
Unilateral lumber spine ipsilateral lateral flexion
Attachments trapezius
Supraspinous ligament along c7-t12
External occipital protuberance, and nuchal ligament
To
Lateral 1/3rd clavicle an scapula
innervation trapezius
Spinal accessory nerve
fucntions trapezius
Bilateral neck extension
Unilateral ipsilateral lateral flexion
Contra lateral axial rotation
Because muscle fibres not all in same direction
Attachments Levator scapulae
Superior angle scapula
To tp c1-4
Innervation Levator scapulae
Ant rami c3-5
Functions Levator scapulae
Elevate scapula
Bilateral cervical spine extension
Unilateral ipsilateral lateral flexion
Attachments rhomboid minor and major
Sp c6-t4 to medial border scapula
Innervation rhomboid minor and major
Ant rami c5 = dorsal scapular nerve
Functions rhomboid minor and major
None in back so far
Attachments Serratus posterior inferior
T12-l2 sp and tlf
To
Inf Brody ribs 9-12
5 slips
Innervation Serratus posterior inferior
T9-12 ant rami
Functions Serratus posterior inferior
Depress ribs = exhalation
Attachments Serratus posterior superior
Sp t7-t3 + nuchal ligament
To superior border ribs 1-4
4 slips
Innervation Serratus posterior superior
Ant rami t2-5
Functions Serratus posterior superior
Elevate ribs
Accessory muscle respiration
What is general distribution - borders of tlf from inf to superior and laterally
Inf = ilium and sacrum cont with deep fascia, abd wall muscles
Goes up to neck
Tlf is deep fascia for which muscles in back
Erector spinae
Which extrinsic muscles have attachments to tlf
Latissimus + Serratus posterior inferior
Describe intrinsic muscles of back
Deep
posterior rami
What are general functions of intrinsic muscles
Extension
Lateral flexion
Rotation
Stabilization of vertebral column
What is innervation of intrinsic muscles of back
Posterior rami of spinal nerves at the same level
Describe erector spinae
Wrapped in tlf
I like standing = iliocostalis, longissimus, spinalis
Innervation erector spinae
Post rami adjacent spinal nerves
Describe iliocostalis
Sacral and ilium and vertebral recess —> ribs
Describe spinalis
Inferior to superior sp
What are functions of erector spinae
Bilateral spine extension
Unilateral ipsilateral lateral flexion
Iliocostalis = most, bc further away
What are functions fo deepest muscles of back
Stabilize spine
Fine movement
Describe multifidus
Predominant in lumbar region
Describe rotators
Found in thoracic region
Describe intertransversarii and interspinalis
Related to processes of vertebrae
Describe Levatores costarum
Back functions a
And respiration muscles
What supplies blood to intrinsic and extrinsic deep muscles (Serratus posterior)
Segmental branches of thoracic aorta = dorsal branches of posterior intercostals, abd aorta = dorsal branches of lumbar arteries, and internal iliac arteries = dorsal branches of lateral sacral
What supplies extrinsic back muscles
Segmental branches of aorta
Subclavian artery system to upper limb = transverse cervical, dorsal scapular, thoracodorsal
What gives blood to lats/tlf
Thoracodorsal artery
What gives blood to traps, rhomboids, Levator scapulae
dorsal scapular a
What gives blood to traps and rhomboids
Transverse cervical artery
Describe splenius
Most superficial
Splenius capitis and splenius cervicis
Splenius capitis attachments
Sp c7 -t3
Nuchal ligament
Mastoid process
Splenius cervicis attachments
Sp t3-t6
Tp c1-c3
Innervation of splenius
Post rami cervical nerves
Fucntion of splenius
Bilateral extension fo head = capitis
Externsion cervical spine = both
Unilateral ipsilateral lateral flexion and rotation of head and cervical spine
Attachments of semi spinalis capitis
Goes to occipital bone from articular and transverse proceses c4-t6
Taped to splenius
Fucntion of semi spinalis capitis
Bilateral extension fo head
Ipsilateral head/neck lateral flexion
Innervation of semi spinalis capitis
Ant rami c2 = greater occipital nerve
Ant rami c3
Name suboccipital muscles
Rectus capitis minor
Rectus capitis Major
Obliquus capitis superior
Obliquus capitis Inferior
Function rectus capitis posterior major
Extension and ipsilateral rotation of head
Function rectus capitis posterior minor
Extension of head
Fucntion obliquus capitis superior
Extension
Lateral flexion of head
Fucntion obliquus capitis inferior
Ipsilateral rotation of neck
Contents of suboccipital triangle
Vertebral artery
Clinical - through transverse foramina
Also have c1 = suboccipital nerve
C3 = greater occipital nerve
C3 = post rami
Sternocleidomastoid fucntion
Bilateral extension of head, flexion of neck - lower vertebrae
Unilateral contra lateral rotation and lateral flexion
Sternocleidomastoid innervation
Spinal acsssory
Hyoid muscles actions
Flexion bc passes anteriorly to zygaphohsyeal joints
Describe longus capitis and longus colli
Flexion of head
Very limited ability for ipsilateral lateral flexion and rotation
Describe rectus capitis anterior/lateralis
Stabilizers of head
Assist in weak flexion, ipsilateral lateral flexion and rotation fo head
Describe scalenes
Anterior, middle (attach to first rib), posterior (attach to second rib)
Fucntion = accessory muscle of respiration = elevat ribs 1-2, ipsilateral lateral flexion of neck cervical spine
Describe why scalenes imrpoatnt
Brachial plexus comes out between middle and anterior scalenes
Scalenes innervation
Tp c1-c7
Ant rami
Cervical spinal nerves
what is vertebral artery a branch of
Subclavian artery
Deep cervical artery is branch of
Subclavian artery
What does deep cervical artery create anastomosis with
Vertebral artery near the suboccipital msucles
Occipital artery is branch of
External carotid artery
What innervates suboccipital muscles
C1 ant rami
Suboccipital nerve
Describe attachment of rectus capitis posterior minor
Sp c1 to occipital
Describe attachment of rectus capitis posterior major
Sp c2 to occipital
Describe fucntion of rectus capitis posterior minor and major
Bilateral head ext
Rot= mostly major
Describe fucntion of obliquus capitis superior and inferior
Bilateral head extension
Ipsilateral lateral flexion
Inf obliquus capitis - rot
Attachment of obliquus capitis superior
Sp c2 to tp c1
Attachment of obliquus capitis inferior
Tp c1 to occipital