Lab Muscles Flashcards
trapezius proximal attachment
medial 1/3 of superior nuchal lne
external occiptal protuberance
ligamentum nuchae
c7-t12 spinous process
trapezius distal attachment
lateral 1/3 of clavicle
acromion
scapular spine
trapezius action
elevates, depresses, retracts scapula
rotates glenoid fossa superiorly
steadies scapula to thoracic wall
unilaterally flexes to the same side
trapezius innervation
CN XI (motor)
c3
c4 (pain and proprioception)
trapezius blood supply
transverse cervical artery
latissimus dorsi proximal attachment
t7 - t12 spinous processes
thoracolumbar fascia
inferior scapular angle
ribs 9-12
latissimus dorsi distal attachment
floor of inter tubercular groove (humerus)
latissimus dorsi action
etends, adducts, medially rotates shoulder
raises body toward arms during climbing
latissimus dorsi innervation
c6-c8
latissimus dorsi supply
thoracodorsal artery
levator scapulae proximal attachment
c1-c4 transverse processes
levator scapulae distal attachment
superior angle of scapula
levator scapulae action
elevates scapula,
rotates glenoid fossa inferiorly
unilaterally flexes neck to same side
levator scapulae innervation
c5, c3,c4
levator scapulae blood supply
dorsal scapular artery
rhomboid major proximal attachment
t2-t5 spinous processes
rhomboid major distal attachment
medial border of scapula (below scapular spine)
rhomboid major action
retracts scapula
rotates glenoid fossa inferiorly
steadies scapula to thoracic wall
rhomboid major innervation
c5
rhomboid major blood supplu
dorsal scapular artery
rhomboid minor proximal attachment
ligamentum nuchae
c7-t1 spinous processes
rhomboid minor distal attachment
medial border of scapula (at root of scapular spine)
rhomboid minor action
elevates scapula and unilaterally inclines neck to same side
retracts scapula
rotates glenoid fossa inferiorly
steadies scapula to thoracic wall
rhomboid minor innervation
c5
rhomboid minor blood supply
dorsal scapular artery
serraruts posterior superior proximal attachment
ligamentum nuchae
c7-t3 spinous processes
serratus posterior superior distal attachment
ribs 2-4
serratus posterior superior action
proprioception
serratus posterior superior innervation
anterior rami t2-t5 thoracic spinal n
serratus posterior superior bloody supply
intercostal aa
serratus posterior inferior proximal attachment
t11-l2 spinous processes
serratus posterior inferior distal attachment
ribs 8-12
serratus posterior inferior action
proprioception
serratus posterior inferior bloody supply
intercostal aa
subcostal artery
lumbar aa
Splenius cervicis proximal attachment
T3-t6 spinous processes
Splenius cervicis distal attachment
C1 -c3 transverse processes
Splenius cervicis action
Bilaterally extend neck
Unilaterally flexes and rotates neck to same side
Splenius cervicis innervation
Posterior rami of spinal nerves
Splenius cervicis blood supply
Occipital, transverse cervical, and intercostal aa
Splenius capitis proximal attachment
Ligamentum nuchae,
C7 to t4 spinous processes
Splenius capitis distal attachment
Mastoid processes
Lateral 1/3 superior nucal line
Splenius capitis action
Bilaterally extends neck
Unilaterally flexes and rotates neck to same side
Splenius capitis innervation
Posterior rami of spinal nerves
Splenius capitis blood supply
Occipital and transverse cervical aa
Iliocostalis proximal attachment
Broad tendon from iliac crest, sacrum, lumbar and lower thoracic spinous processes
Iliocostalis distal attachment
Angles of lower ribs and cervical transverse processes
Iliocostalis action
Bilaterally extend spine / head
Unilaterally flexes spine / head to same side
Iliocostalis innervation
Segmentally innervated by posterior rami of spinal nn
Iliocostalis blood supply
Segmentally supplied by deep cervical, intercostal, subcostal and lumbar aa
Iliocostalis sections
Lumborum
Thoracis
Cervicis
Longgissimus sections
Thoracis
Cervicis
Capitis
Longissimus proximal attachment
Thoracic and cervical transverse processes
Mastoid processes
Longissimus action
Bilaterally extend spine / head
Unilaterally flexes spine / head to same side
Longissimus innervation
Segmentally innervated by posterior rami of spinal nn
Longissimus blood supply
Segmentally supplied by deep cervical, intercostal, subcostal and lumbar aa
Spinalis sections
Thoracis
Cervicis
Spinalis proximal attachment
Broad tendon from iliac crest, sacrum, lumbar and lower thoracic spinous processes
Spinalis distal attachment
Thoracic and cervical spinous processes
Spinalis action
Bilaterally extend spine/head
Unilaterally flexes spine/ head to same side
Spinalis innervation
Segmentally innervated by posterior rami of spinal nn
Spinalis blood supply
Segmentally supplied by deep cervical, intercostal, subcostal and lumbar aa
Semi spinalis sections
Thoracis
Cervicis
Capitis
Semi spinalis proximal attachment
C4-c6 articular processes
T7-t12 transverse processes
Semi spinalis distal attachment
Occipital and spinous processes of superior vertebrae spanning 4-6 segments
Semi spinalis action
Bilaterally extends spine, unilaterally flexes spine to same side and rotates to opposite side
Semi spinalis innervation
Segmentally innervated by posterior rami of spinal nerves
Semisplinalis blood supply
Segmentally supplied by deep cervical, intercostal and subcostal and lumbar aa.
Semi spinalis spans how many segments
4-6
Multi Fido’s spans how many segments
2-4
Rotatores span how many segments
1-2
Multifidus proximal attachment
Sacrum, ilium, mammillary, transverse, and articular processes
Multifidus distal attachment
C2 spinous processes of superior vertebrae
Spans 2-4 segments
Multifidus action
Bilaterally extends spine
Unilaterally flexes spine to same side and rotates to opposite side
Multifidus innervation
Segmentally innervated by posterior rami of spinal nerves
Multifidus blood supply
Segmentally supplied by deep cervical, intercostal, subcostal and lumbar aa
Rotatores
T1-t12 transverse processes
Rotatores distal attachment
Between laminate and spinous processes of superior vertebrae
Spans 1-2 segments
Rotatores action
Bilaterally extends spine,
Unilaterally flexes spine to same side and rotates to opposite side
Rotatores innervation
Segmentally innervated by posterior rami of spinal nerves
Rotatores blood supply
Segmentally supplied by deep cervical, intercostal, subcostal and lumbar aa
Inter spinalis sections
Cervicis
Thoracis
Lumborum
Interspinales attachments
Traverse between adjacent spinous processes c1-l5
Interspinales action
Assists in extension of the spine
Interspinales innervation
Posterior rami of spinal nerves
Interspinales blood supply
Segmentally supplied by deep cervical, intercostal, subcostal and lumbar aa
Intertransversarii sections
Cervicis
Thoracis
Lumborum
Intertransversarii attachments
Traverse between adjacent transverse processes c2-l5
Intertransversarii action
Bilaterally stabilizes spine
Unilaterally assists in lateral flexion
Intertransversarii innervation
Anterior and posterior rami of spinal nerves
Intertransversarii blood supply
Segmentally supplied by deep cervical, intercostal, subcostal, and lumbar aa
Lavatories costarum sections
Longus
Brevis
Lavatories costarum attachment
C7 - t11 transverse processes to subadjacent rib or two ribs below nears angle
Lavatories costarum action
Bilaterally elevates ribs and slightly extends thoracic spine
Unilaterally flexes spine to same side and rotates it to the opposite side
Levatores costarum innervation
Posterior rami of spinal nerves
Levatores costarum blood supply
Segmentally supplied by deep cervical, intercostal, subcostal and lumbar aa
Rectus capitis posterior major proximal attachment
C2 spinous processes
Rectus capitis posterior major distal attachment
Lateral inferior nuchal line
Rectus capitis posterior major innervation
Suboccipital nerve (posterior ramus of c1)
Rectus capitis posterior major blood supply
Vertebral and occipital aa
Rectus capitis posterior minor distal attachment
Medial inferior nuchal line
Rectus capitis posterior minor innervation
Suboccipital nerve (posterior ramus of c1)
Rectus capitis posterior minor blood supply
Vertebral and occipital aa
Obliquus capitis superior proximal attachment
C1 transverse processes
Obliquus capitis distal attachment
Between superior and inferior nuchal line
Obliquus capitis superior action
Bilaterally extends head
Unilaterally tilts head to same side and rotates it to the opposite side
Obliquus capitis superior supply
Vertebral and occipital aa
Obliquus capitis inferior proximal attachment
C2 spinous processes
Obliquus capitis inferior distal attachment
C1 transverse processes
Obliquus capitis inferior action
Bilaterally extends head
Unilaterally rotates head to same side
Obliquus capitis inferior innervation
Suboccipital nerve (posterior ramus of c1)
Obliquus capitis inferior blood supply
Vertebral and occipital aa
Pectoralis major proximal attachment
Medial clavicle
Sternum
Costal cartilages 1-6
Pectoralis major distal attachment
Greater tuberosity of humerus
Pectoralis major action
Adduction
Medial rotation
Flexion
Pectoralis major innervation
Medial and lateral pectoral nerve
Pectoralis major blood supply
Thoracoacromial and lateral thoracic a
Pectoralis minor proximal attachment
Ribs 3-5
Pectoralis minor distal attachment
Coracoid process of scapula
Pectoralis minor action
Draws scapula downward,
rotates glenoid inferiority
Assists in respiration
Pectoralis minor innervation
Medial pectoral n
Pectoralis minor
Thoracoacromial and lateral thoracic a
Subclavian proximal attachment
1st rib
Subclavius distal attachment
Inferior clavicle
Subclavius action
Steadies sternoclavicular joint
Subclavius innervation
N to subclavius
Subclavius blood supply
Thoracoacromial a
External intercostal attachments
Courses inferno anteriorly from rib tubercle to costochondral joint
External intercostal action
Elevates ribs (inspiration)
External intercostal innervation
1-11th intercostal nn (anterior rami of thoracic spinal nn)
External intercostal blood supply
Intercostal aa
Internal intercostal attachments
Courses supers-anteriorly from costal angle to sternum
Internal intercostal action
Interosseous part: depresses ribs during expiration
Interchondral part: elevates costal cartilages during inhalation
Internal intercostal innervation
1-11th intercostal nn (anterior rami of thoracic spinal nn)
Internal intercostal blood supply
Intercostal aa
Innermost intercostal attachments
Courses supero-anteriorly along the lateral surface of the thoracic wall
Innermost intercostal action
Depresses ribs during expiration
Innermost intercostal action
Depresses ribs during expiration
Innermost intercostal innervation
1-11th intercostal nn (anterior rami of thoracic spinal nn)
Innermost intercostal blood supply
Intercostal aa
Subcostal attachments
Course from lower margin of rib to inner surface of rubs 2 to 3 below
(Fibers blend with innermost intercostal m)
Subcostal action
Depresses ribs during expiration
Subcostal innervation
12th thoracic spinal n
Subcostal blood supply
Subcostal a
Trans versus thoracis attachments
Inner surface of sternum to inner surface of ribs 2-6
Trans versus thoracis action
Weakly depresses ribs for expiration
Transversus thoracis innervation
2-6th thoracic spinal nerves
Transversus thoracis blood supply
Intercostal aa
Anterior scalene proximal attachment
Transverse processes c3-c6
Anterior scalene distal attachment
1st rib - anterior scalene tubercle
Anterior scalene action
Raises ribs 1&2 - deep respiration
Bilaterally flexes neck,
Unilaterally bends neck to same side
Anterior scalene innervation
Anterior rami c3-c8
Anterior scalene blood supply
Ascending cervical artery (branch of subclavian artery)
Middle scalene proximal attachment
Transverse processes c3-c7
Middle scalene distal attachment
1st rib (posterior scalene tubercle)
Middle scalene action
Raises ribs 1 &2 - deep inspiration
Bilaterally flexes neck
Unilaterally bends neck to same side