Lecture 8 Flashcards
What is the primer mover of the back extension
Erector Spinae
How do the muscles and tendons run in the Eretor spinae
Run more/less vertically
What 3 columns does the erector spinae consist of?
- Illicostalis
-Longissimus
-Spinalis
Name the muscles of the Illiocostalis
iliocostalis cervicis
iliocostalis thoracis iliocostalis lumborum
Name the muscles of the longisimus CCT
longisimus capitis
longisimus cervicis
longisimus thoracis
Name the muscles of the Spinalis
spinalis capitis
spinalis cervicis
spinalis thoracis
How many muscles in the Erector spinae?
9
ILIOCOSTALIS
Most lateral muscle group of erector spinae muscles, extending from pelvis to neck.
liocostalis cervicis:
ORIGIN
Angles of 3-6 ribs
liocostalis cervicis
INSERTATION
TVP C4- C6
liocostalis cervicis:
ACTION
Extension, lateral flexion of vertebral column
liocostalis cervicis:
Bilateral action
extension of vertebral column
maintenance of erect posture
stabilization of vertebral column during flexion
liocostalis cervicis:
unilateral action
lateral bend to same side
rotation to same side
liocostalis:
Nerve Supply
Dorsal Primary Rami for all
Iliocostalis thoracic
ACTION
Extension, lateral flexion of vertebral column
Iliocostalis thoracic
ORIGIN
Angles of lower 6 ribs (6-12), medial to iliocostalis lumborum
Iliocostalis thoracic
INSERTATION
lower border of angles of ribs 1-6 & TVP C7
Iliocostalis lumborum:
ACTION
Extension, lateral flexion of vertebral column,
rotates ribs for forceful inspiration
Iliocostalis lumborum
ORIGIN
Medial and lateral sacral crests and medial part of iliac crests
Iliocostalis lumborum
INSERTATION
Angles of lower 6 ribs
LONGISSIMUS CAPITUS
Insertation
Posterior part of the mastoid process of temporal bone
Longissimus
Longissimus
Muscle lateral to the semispinalis
It is the subdivision of the Iliocostalis & extends forward into
the TVPs of the cervical vertebrae
Longissimus Muscles (3)
longissimus capitis
longissimus cervicis longissimus thoracis
Is the Semispinalis capitus apart of the erector spinae?
NO
SPINALIS
Bundle of muscles and tendons located nearest to the spine
Spinalis Capitis
ORIGIN
SP of lower cervical and upper thoracic vertebrae
Spinalis Capitis
INSERTATION
Between superior and inferior nuchal lines of occipital bone
Spinalis Capitis
ACTION
extension and rotates head
Spinalis
NERVE SUPPLY
Dorsal primary rami
Spinalis Cervicis
ORIGIN
Ligamentum nuchae
SP C7
Spinalis Capitis
INSERTATION
SP of axis
Spinalis Capitis
ACTION
Extends Vertebral column
Spinalis thoracis
ORIGIN
SP of T11-12
SP L1-L2
Spinalis Capitis
INSERTATION
SP T1-T8
Spinalis Capitis
ACTION
Extends VC
Spinalis Thoracis
Origin
SP T11-T12
SP L1-L2
Spinalis Thoracis
INSERTATION
SP T1-T8
Spinalis Thoracis
ACTION
Extends VC
Name the muscles in the
Transversospinal group
- SemiSpinalis (3)
-Multifidius
-Rotares
What is the combined action of the transversospinal group?
rotation and extension of the VC
What are the muscles of the Semispinalis?
Semispinalis capitis
Semispinalis cervicis
Semispinalis thoracis
How does the Semispinalis span?
– spanning 4-6 vertebral column
How does the multifidus span?
– spanning 4-6 vertebral column
Where is the semispinalis found
Underneath the erector spinae
Multifidius
Very thin muscle, consists of a number of fleshy and tendinous fasciculi
Fill up the groove on either side of the SP of the vertebrae (from the sacrum to the axis
Multifidius
ORIGIN
Sacral region
along sacral foramina up to PSIS
Multifidius
ORIGIN
Lumbar region –
mammillary processes of vertebrae
Multifidius
ORIGIN
Thoracic region –
TVP
Cervical region – articular processes C4-C7
Multifidius
INSERTATION
SP of vertebrae 2-4 superior to origin
Multifidius
Nerve supply
Dorsal Primary rami
How does the Rotatores span?
- spanning 1-2 vertebral column
Describe the Rotatores
Long and short
Rotatores
Origin
TVP of each Vertebrae
Rotatores
INSERTATION
Base of SP of the next vertebra above
Name the STABILISERS
Interspinale
Intertransversi
Stabilisers
segmental muscles
Interspinale
Origin:
SP of each vertebra
Interspinale
Insertation
SP of vertebra immediately above
Interspinale
ACTION
extension of the vertebrae segments
Nerve supply to Stabilisers
Dorsal Primary rami
Intertransversi –
Origin and insertion
Between TVP of adjacent vertebra, less developed in thoracic region
Intertransversi –
ACTION
: laterally flexes each respective pair of vertebrae
(also eccentric muscle contraction provides stability)
ABDOMINAL WALL –POSTERIOR
- Name the 3 muscles
Quadratus lumborum
Psoas major
Posas minor
Descibe the Quadratus lumborum
Iirregular and quadrilateral in shape, and broader below than above
Quadratus lumborum
Origin
iliolumbar ligament
illiac crest
Quadratus lumborum
Insertation
Rib 12
TVP L1- L4
Quadratus lumborum
Action
Laterally flexes VC
Quadratus lumborum + Psoas Major
Nerve Supply
Anterior primary rami
Psoas major
Origin
Bases of TVP L1-L5
Bodies of T12-L5
IVD above each lumbar verterbra
Psoas Major
Insertation
Lesser tronchanter of femur
Psoas Major
Action
Flexes thigh
Flexes VC
Psoas Minor
Oftern absent
How many Gluteal muscles
Three Gluteus muscles
Name Gluteal muscles
maximum, minimus & medius) + Tensor faciae latae
Which is the largest and most superfical
Gluteus maximus
Which forms the bulk of the buttock mass
Gluteus maximus
Which nerve does the Gluteus maximus overlie
sciatic nerve
Describe the fascicles of the Gluteus maximus
thick and coarse
Where is the site for intramuscular injections
Gluteus maximus
Gluteus maximus
Origin
dorsal ilium, sacrum & coccyx
Gluteus maximus
Insertion:
gluteal tuberosity of femur; iliotibial tract
Gluteus maximus
upper part Action
abducts, laterally rotates thigh
Gluteus maximus
lower part Action
extends, laterally rotates thigh, extends trunk, assists in adduction of thigh
When is the Gluteus maximus most working and describe the motion
sitting - major extensor of thigh
Complex, powerful & most effective when thigh is flexed.
When is the Gluteus maximus active
when knees are at 30 degrees
Gluteus maximus
Nerve supply
Inferior gluteal Nerve
What is the smallest of the 3 gluteal muscles?
Gluteus minimus
Describe the Gluteus medius
thick, radiating muscle, situated on the outer surface of the pelvis
what covers the Gluteus medius?
largely (posterior 3rd) covered by gluteus maximus, anterior 2/3rd covered by the gluteal aponeurosis
Which site is better for intramuscular injections by the Gluteus medius
– ventral site safer than dorsal – due to low risk of injuring sciatic nerve
Gluteus medius
origin
Outer surface of ilium inferior to iliac crest
Gluteus medius
Insertation
Lateral surface of greater trochanter
Gluteus medius
Action
Abducts femur
rotates thigh medially; preventing adduction of the hip
- stabilise pelvis, important in walking
Gluteus medius
Nerve Suppy
superior gluteal nerve
What causes Trendelenburg gait
Dysfunction of the gluteus medius
Where is the Gluteus minimus found?
situated immediately beneath the gluteus medius
Gluteus minimus
Origin
Outer surface of ilium (between ant. & inferior gluteal lines)
Gluteus minimus
INSERTATION
anterior surface of greater trochanter
Gluteus minimus
ACTION
same as gluteus medius
Works in concert with gluteus medius: abduction of the hip; preventing adduction of
the hip, medial rotation of thigh
Piri
Pear
Forma
ShapePi
Shape of the Piriformis
Pyradimal muscle
Where is the Piriformis located
located on the post. aspect of hip joint
inferior to gluteus minimus, issues from the great sciatic notch in pelvis lies on top of sciatic nerve
Piriformis
ORIGIN
Internal surface of sacrum, sacrotuberous ligament
Piriformis
INSERTATION
upper border of greater trochanter of femur
Piriformis
ACTION
Laterally rotates thigh, abducts thigh, stabilise hip joint
Piriformis
NERVE
Nerve to piriformis from sacral plexus
Describe Piriformis syndrome
Lies over the top of the sciatic nerve, dysfunction causes impingement (sciatica) and/or SI joint pain
Which of the following connective tissue sheaths surround each muscle fibre?
Endomysium
Which of the following muscles inserts into the anatomical horse shoe of the pectorial girdle?
Trapezius
Which of the following muscles originates on the spinous process of the axis
RCP major
Which of the following muscles rotates the head?
RCP major
Which of the following muscles is NOT innervated by the Dorsal Scapular nerve?
Latissimus dorsi
Which is NOT part of the Erector Spinae group?
Semispinalis
Which is the most medial group of the Erector Spinae group?
Spinalis
Which of the following muscles rotates the head?
Splenius Capitus
Which of the following muscles extends the vertebral column?
Longissimus cervicus
Which of the following muscles inserts into the bottom of the intertubercular groove of the humerus
Latissimus Dorsi
Which of the following muscles ORIGINATES on the mammillary processes of lumbar vertebrae?
Multifidius
Which of the following muscles is the deepest muscle?
Rotatores