Lecture 8: Suboccipital And neck Muscles Flashcards
Rectus capitis posterior major
ORIGIN: Posterior tubercle of the axis
INSERTION: Lateral part of the occipital bone below the inferior nuchal line
ACTION: Extension and ipsilateral rotation of the head
NERVE SUPPLY: Suboccipital nerve and the dorsal primary ramus of C1
ARTERIAL SUPPLY: Occipital artery
Slide 6 or view muscle app
Identify the sub occipital muscles on slide 4
Name them first without looking.
What movement do they cause
What nerve are they innervated by?
Yep
They are the deep muscles inferior to the occipital bone
-innervated by the suboccipital nerve (dorsal ramus of C1)
They are responsible for extending the head at the atlanto occipital joint
Rectus capitis posterior minor
Slide 7
ORIGIN: Posterior tubercle of the atlas
INSERTION: Medial part of the occipital bone below the inferior nuchal line
ACTION: Extension of the head
NERVE SUPPLY: Suboccipital nerve and the dorsal primary ramus of C1
ARTERIAL SUPPLY: Occipital artery
Obliquus capitis superior
Slide 8
ORIGIN: Transverse process of the atlas
INSERTION: Occipital bone below the superior nuchal line
ACTION: Extension and ipsilateral rotation of the head.
Bilateral: extends head at atlanto-occipital joint
Unilateral: bends head laterally
NERVE SUPPLY: Suboccipital nerve and the dorsal primary ramus of C1
ARTERIAL SUPPLY: Occipital artery
Obliquus capitis inferior
Also be able to label all the suboccipital muscles on the cadaver picture- slide 10
ORIGIN: Spinous process of the axis (C2)
INSERTION: Transverse process of the atlas
ACTION: Ipsilateral rotation of the head (rotates atlas to turn face to same side
NERVE SUPPLY: Suboccipital nerve and the dorsal primary ramus of C1
ARTERIAL SUPPLY: Occipital artery
Prevertebral muscles
Name them and their overall action
Long us capitis
Longus colli (cervicis)
Rectus capitis anterior
Rectus capitis lateralis
Overall action: flex head at atlanto-occipital joint
Longus capitis
Slide 13
ORIGIN: Tendinous slips to the anterior tubercles of the transverse processes of the 3rd-6th cervical vertebrae
INSERTION: Inferior surface of the basilar part of the occipital bone
ACTION: Flexion of the head and neck
Bilateral: flexes head at atlanto-occipital joint
Unilateral-tilts and slightly rotates head to same side
NERVE SUPPLY: Cervical plexus and the ventral primary rami of the spinal nerves (C1-C4)
ARTERIAL SUPPLY: Deep cervical artery
Longus colli
Slide 14
ORIGIN: Anterior tubercles and the surfaces of the transverse processes of vertebrae C3-T3
INSERTION: Anterior tubercle of the transverse process of vertebrae C5-6; the anterior arch of the atlas; the anterior surface of the C2-C4 vertebral bodies
ACTION: Flexion, rotation and external flexion of the cervical spine
NERVE SUPPLY: Direct branches of the cervical and brachial plexus (C2-C7)
ARTERIAL SUPPLY: Deep cervical artery
Rectus capitis anterior
Slide 15
ORIGIN: Transverse process and lateral mass of the atlas
INSERTION: Inferior surface of the occipital bone
ACTION: Flexion of the head
NERVE SUPPLY: Ventral primary rami of the spinal nerves (C1-C2)
ARTERIAL SUPPLY: Ascending cervical artery
Rectus capitis lateralis
Slide 17
ORIGIN: Upper border of the transverse process of the atlas
INSERTION: Jugular process of the occipital bone
ACTION: Lateral flexion of the head
Bilateral: flexes head at atlanto-occipital joint
Unilateral: lateral flexion at atlanto-occipital joint
NERVE SUPPLY: Ventral primary rami of the spinal nerves (C1-C2)
ARTERIAL SUPPLY: Ascending cervical artery and the muscular branches of the vertebral artery
Prevertebral muscles
Name them and there main action
Posterior scalene
Middle scalene
Anterior scalene
Common main action of group is flexing the neck laterally
Anterior scalene
Slide 19
ORIGIN: Anterior tubercles of the transverse processes of the vertebrae C3-C6
INSERTION: Scalene tubercle at the 1st rib
ACTION: Elevation of the upper ribs; flexion and ipsilateral inclincation of the cervical spine (flexes neck laterally and elevates first rib)
NERVE SUPPLY: Brachial plexus (C5-C7)
ARTERIAL SUPPLY: Ascending cervial artery; the branch of the thyrocervical trunk
Middle scalene
Slide 20
ORIGIN: Posterior tubercles of the transverse processes of the vertebrae C2-C7
INSERTION: Upper surface of the 1st rib behind the subclavian artery
ACTION: Elevation of the upper ribs; flexion and ipsilateral inclincation of the cervical spine. (Flexes neck laterally and elevates 1st rib)
NERVE SUPPLY: Brachial plexus (C3-C8)
ARTERIAL SUPPLY: Ascending cervical artery
Posterior scalene
21
ORIGIN: Posterior tubercles of the transverse processes of the vertebrae C5-C7
INSERTION: Lateral surface of the 2nd rib
ACTION: Elevation of the upper ribs; flexion and ipsilateral inclination of the cervical spine
(Flexes neck laterally; elevates 2nd rib)
NERVE SUPPLY: Brachial plexus (C3-C8)
ARTERIAL SUPPLY: Ascending cervical artery
Be able to label the cross section of the prevertebral muscles
Slide 25
Yep