Lecture 9 Flashcards
MUSCLES – ANTERIOR AND LATERAL NECK
Longus coli
Vertical portion
Interior oblique portion
Superior oblique portion
Longus capitus
Rectus capitus anterior
Rectus capitus lateralis
Scalenus anterior
Scalenus medius
Scalenus posterior
Sternocleidomastoid
Describe Longus coli
Situated on the anterior surface of the vertebral col
- between atlas (C1) & T3 vertebra
broad in the middle, narrow/pointed at either end
3 Portions of the Longus Coli
Inferior oblique portion
Superior oblique portion
Vertical portion aka Longus cervicus
Longus Coli
ORIGIN
Superior part – TVP of C3- C5
Inferior part – anterior surface of bodies of T2-T3
Vertical part - anterior surfaces of bodies of T1-T3 & C5-C7
Longus Coli
INSERTATION
Superior part – anterior arch of atlas
Inferior part – TVP of C5-C6
Vertical part - anterior surfaces of C2-C4
Longus Coli
ACTION
Flex cervical vertebra
Muscles - ANterior and Lateral neck
Nerves supply
Anterior Primary Rami
Describe the Longus capitis-
Long, narrow muscle-
Pass upward & medially from cervical vertebra to basilar
part of the occipital bone
Longus Capitis
ORIGIN
Anterior tubercles of TVP C3-C6
Longus Capitis
INSERTATION
Occipital bone anterior to foramen magnum
Longus Capitis
ACTION
Acting together – flex head
Acting on one side – rotate head
Describe the Rectus capitus anterior
short strap muscle lying deep to longus capitis
Rectus capitus anterior
ORIGIN
Anterior base od the TVP of atlas
Rectus Capitis Anterior
INSERTATION
Occipital bone anterior to foramen magnum
Rectus Capitis Anterior
ACTION
Flexes head
Rectus Capitis lateralis
ORIGIN
TVP of ATlas
Rectus Capitis lateralis
INSERTATION
Jugular process of the occipital bone
Rectus Capitis lateralis
ACTION
Bends head laterally
Describe the jugular process of the occipital bone
In the lateral part of the occipital bone, extending lateralward from the posterior half of the condyle is a quadrilateral plate of bone
How many scalene muscles are there?
3
Where does the Scalene’s anterior lie?
It lies deeply at the side of the neck, behind the Sternocleidomastoid muscle and in front of the scalenus medius
Scalenus anterior
ORIGIN
TVP of C3-C6
descends vertically
Scalenus anterior
INSERTATION
Inner border of first rib
Scalenus anterior
ACTION - 3
Raises first rib (inspiration)
Acting together – flex neck
Acting on one side – laterally flex and rotate neck
what is the middle of the three scalene muscles?
Scalenus medius
Describe the muscle fibres of the Scalenus medius
Muscle fibres run downward and laterally
Scalenus medius
ORIGIN
TVP C2-C7
Scalenus medius
INSERTATION
upper surface of 1st Rib
Scalenus medius
ACTION
Raises first rib (inspiration)
Acting together – flex neck
Acting on one side – laterally flex and rotate neck
Which is the smallest and most posterior of the scalene muscles?
Scalenus Posterior
Scalenus Posterior
ORIGIN
TVP C5-C7
Scalenus Posterior
INSERTATION
Outer surface of the second rib
Scalenus Posterior
ACTION
Raises 2nd rib (inspiration)
Acting together – flex neck
Acting on one side – laterally flex and rotate neck
What is the Sternocleidomastoid
known as
Sternomastoid SCM
Describe the Sternocleidomastoid
paired muscle in the superficial layers of the anterior neck
SCM spasm on one side – characteristic deformity of lateral flexion of neck on the same side with rotation of head to opposite side
SCM - sternocleidomastoid
Origin
Sternal Head- manubrium of sternum
Clavicular head- manibrium of sternum
SCM -sternocleidomastoid
INSERTATION
Mastoid process of temporal bone, lateral half of superior nuchal line
SCM -sternocleidomastoid
ACTION
Unilateral – bends neck laterally, rotates head to opposite side
Bilateral – flexes neck, draws head ventrally and elevates chin, draws sternum
superiorly in deep inspiration
SCM - Nerve Supply
Spinal part of accesory nerve
C2. C3
Name the MUSCLES – ANTERIOR ABDOMINAL WALL
(TIPER)
Rectus abdominis
External abdominal oblique
Internal abdominal oblique
Transverse abdominis
Pyramidalis
What is the six pack muscle
Rectus abdominis
Describe the Rectus abdominis
A paired muscle running vertically on each side of the anterior wall
What seperates the Rectus abdominis
separated by a midline band of connective tissue called the linea alba
How does the Rectus abdominis extend?
pubis to rib cage
What is the Rectus abdominis ensheathed by?
Aponeuroses of lateral muscles
What is the Rectus abdominis segmented by?
Tendinous intersections
Rectus abdominis
ORIGIN
Pubic crest & symphysis
Rectus abdominis
INSERTATION
Xiphoid process and costal cartilages of rib5-7
Rectus abdominis
ACTION
Flexes VC
compresses abdomen used in sit-ups and curls
Rectus abdominis
Nerve supply
Intercoastal Nerves
External abdominal obliqueWhWhat is the largest of the three lateral muscles in the anterior abdominal wall?
External abdominal oblique
How do the fibres of the External abdominal oblique run?
downwards and medially
How does the aponuerosis run?
Inferiorly from inguinal ligament
External abdominal oblique
ORGIN
lower 8 ribs
External abdominal oblique
INSERTATION
Anterior part of the illiac crest
Abdominal apopneurosis to linea alba
External abdominal oblique
ACTION
Compresses abdomincal contents lateral flexes and rotates VC
External abdominal oblique
Nerve Supply
Intercostal Nerves
What is the intermediate muscle of the abdomen?
Internal abdominal oblique
Where does the Internal abdominal oblique lie?
Lying just underneath the external oblique and superficial to the transverse abdominal muscle
How do the fibres of the Internal abdominal oblique run?
medially perpendicular to the external oblique muscle
Internal abdominal oblique
ORIGIN
Lateral half of the inguinal ligament, illiac crest thoracolumbar fascia
Internal abdominal oblique
INSERTATION
Cartilage of bottom 3 or 4 ribs, abdominal aponeuris to linea alba
Internal abdominal oblique
ACTION
Compresses abdomincal contents lateral flexes and rotates VC
Internal abdominal oblique
NERVE
intercostals
iliohypogastric
iloinginal nerves
what is the lumbar fascia?
- layer of fibrous tissue - that covers the lumbar region.
what is the deepest most innermost muscles of the abdominal wall?
Transverse abdominis
Transverse abdominis
ORIGIN
Lateral part of inguinal lig, iliac crest, thoracolumbar fascia, cartilage of lower 6 ribs
Transverse abdominis
INSERTATION
Abdominal aponeurosis to linea alba
Transverse abdominis
ACTION
Compress abdominal content
Transverse abdominis
NERVE SUPPLY
intercostals, iliohypogastric, ilioinguinal nerves
A small and triangular muscle, anterior to the Rectus abdominis & contained in the rectus sheath
Pyramidalis
Pyramidalis
ORIGIN
pubic symphysis and pubic crest
Pyramidalis
INSERTATION
linea alba
Pyramidalis
ACTION
tensing the linea alba
Pyramidalis
NERVE SUPPLY
Subcostal nerve T12
What is the rectus sheath
- formed by the aponeuroses of the Obliqui and Transversus
It contains the Rectus abdominis and Pyramidalis muscles
MUSCLES OF THORAX
Intercostal muscles
External intercostals
Internal intercostals
Subcostals
Transverse thoracis
Serratus posterior
Diaphram
Levators costorum
Where are the intercostal muscles situated?
between the ribs
Describe the intercostal muscles
Groups of muscles – pass between adjacent ribs
How many layers of intercostal muscles are there?
Arranges in 03 layers – external, internal and subcostal
How many external intercostals?
- 11 in number on either side
thicker than the Intercostales interni
the external intercostals fibres of the back of thorax
their fibres are directed obliquely downward and laterally
the external intercostals fibres of the front of thorax
downward, forward, and medially
Intercostal muscles
ORIGIN
Lower margin of upper 11 ribs
Intercostal muscles
INSERTATION
Superior border of rib below
Intercostal muscles
ACTION
Draw ventral part of the ribs upwards - inspiration , inhalation
Intercostal muscles
NERVE SUPPLY
Intercostal nerves
How many Internal intercostals on either side
11
Internal intercostals
ORIGIN
From cartilages to the angles of the upper 11 ribs
Internal intercostals
INSERTATION
Superior border of the ribs below
Internal intercostals
ACTION
Draw ventral part of the ribs downward -expiration
Internal intercostals
NERVE SUPPLY
Imntercostal nerves
what is the innermost intercostals
Subcostals intercostals
Describe the subcostals
poorly developed - in upper intercostal spaced
How do the fibres of the subcostals run?
Fibers run in the similar direction as the internal intercostal
What seperates the subcostals and intercostal layers?
Intercostal nerves and vessels
Subcostals intercostals
ORIGIN
inner surface of each rib near its angle
Subcostals intercostals
INSERTATION
Medially on the inner surface of 2nd or 3rd rib below
Subcostals intercostals
ACTION
Draw ventral part of the ribs downward - forfeful expiration
Subcostals intercostals
NERVE SUPPLY
Intercostals
What les Lies internal to the thoracic cage, anteriorly
Transversus thoracis
Describe the Transversus thoracis
A thin plane of muscular and tendinous fibres
Where is the Transversus thoracis situated?
situated upon the inner surface of the front wall of the chest.
It is in the same layer as the subcostal muscles and the innermost intercostal muscles
Transversus thoracis
Transversus thoracis
ORIGIN
Inner surface of lower portion of sternum and adjacent costal cartilages
Transversus thoracis
INSERTATION
Inner surface of costal cartilage of the 2nd - 6th ribs
Transversus thoracis
ACTION
Draw ventral part of ribs downward (forceful expiration)
Transversus thoracis
NERVE SUPPLY
Intercostals
Describe Serratus posterior superior
Serratus posterior superior
Origin
Ligamentum nuchae, SP C7- T2
Serratus posterior superior
INSERTATION
Upper borders of the 2-5 ribs to their angles
Serratus posterior superior
ACTION
Raises ribs in inspiration
Serratus posterior
NERVE SUPPLY
Intercostal
Describe the Serratus posterior inferior
lies at the junction of the thoracic and lumbar regions
Serratus posterior inferior
ORIGIN
SP T11-T12, L1-L2
Serratus posterior inferior
INSERTATION
Lower borders of bottom 4 ribs
Serratus posterior inferior
ACTION
Pulls ribs down, resisting pull of diaphram
Describe the Diaphram
a sheet of internal skeletal muscle
Where does the Diaphram extend?
Extends across the bottom of the rib cage
What does the Diaphram seperate and what important function does it play?
Separates the thoracic cavity from the abdominal cavity & performs an important function in respiration
Diaphram
ORIGIN
Sternal part
inner part of xiphoid process
Diaphram
ORIGIN
Costal Part
– inner surfaces of lower six ribs and their cartilages
Diaphram
ORIGIN
Lumbar Part
upper 2 -3 lumbar vertebrae and lateral and medial lumbocostal arches
Diaphram
INSERTATION
Fibres converge and meet on central tendon
Diaphram
ACTION
Draws central tendon inferiorly,
for inspiration
Diaphram
Phrenic nerve
Levator costorum
ORIGIN
TVP C7 - T11
Levator costorum
INSERTATION
Laterlally to outer surface of the next lower rib
Levator costorum
ACTION
Raises ribs, extends, laterally flexes, and rotates vertebral column
Levator costorum
NERVE SUPPLY
Intercostals nerves
MUSCLES OF THE PELVIC FLOOR
Levator ani
Coccygeus
Levator ani consists of?
Pubococcygeus
Puborectalis
iliococcygeus
describe Levator ani
Broad but thin, tripartite muscle (split into three parts)
How do the muscle fibres of Levator ani stretch?
stretch inferomedially-
forming a sling around prostate / vagina
urethra & anorectal junction
Sling fibers meet in the median plane
What does the Levator ani seperate?
pelvic cavity from perinium
a hammock-like muscle, found in both sexes
Pubococcygeus
Where does the Pubococcygeus stretch?
Stretches from the pubic bone to the coccyx – forms pelvic floor & supports pelvic organs
Pubococcygeus
ORIGIN
back of the pubis and from the anterior part of the obturator fascia
Pubococcygeus
INSERTATION
coccyx and sacrum
Pubococcygeus
ACTION
controls urine flow, & aids in urinary control, childbirth as well as core stability
A weakening in which muscle may be a cause of urinary incontinence ?
Pubococcygeus
Pubococcygeus
NERVE
Sacral nerves
Pubococcygeus
FUNCTION
A strong pubococcygeus muscle - linked to a reduction in urinary
incontinence & proper positioning of the baby’s head during childbirth
- contracts during orgasm
Iliococcygeus
ORIGIN
ischial spine & pubis
Iliococcygeus
INSERTATION
coccyx & median raphe (of perinium
Iliococcygeus
ACTION
tenses floor of the pelvis, supports pelvic organs, flexes coccygeal joints, elevates & retracts anus
Iliococcygeus
NERVE SUPPLY
Sacral nerves
4 Collective Functions of the Levator Ani Muscle
Support & maintain pelvic viscera
Resist downward thrusts – that accompany intrapelvic pressure during coughing, vomiting, expulisive efforts of abdominal muscles
Form sphincters at anorectal junction & vagina
Lift anal canal during defecation
Small triangular muscle- lying post to levator ani
Coccygeus
What does the Coccygeus
form part of?
Forms post part of pelvic diaphragm
Coccygeus
ORIGIN
ischial spine
Coccygeus
INSERTATION
Lateral, inferior borders of sacrum & coccyx
Coccygeus
ACTION
support pelvic viscera
support coccyx and pulls it forward –
after its reflection during defecation
and childbirth
Coccygeus
NERVE SUPPLY
Sacral Nerve
Describe the Pelvic diaphragm
made up of muscle fibers of the levator ani, the coccygeus
How many external intercostal muscles are there?
22
Which of the following is the innermost intercostal muscle?
Subcostal
Which of the following muscles is innervated by the Phrenic nerve?
Diaphram
Which of the following muscles supports inspiration?
External intercostals
Coccygeus muscle originates from which of the following structures?
Ischial Spine
Which of the following is NOT part of levator ani?
Coccygeus