Module 5: Back and axilla Flashcards
The sacrum
Large bone located at terminal part of vertebral column
What does the sacrum articulate with?
Articulates with ileum bilaterally and fifth lumbar vertebrae at its base
Sacral canal
Continuation of vertebral canal terminating at sacral hiatus
Sacral foramina
4 sacral foramina located lateral to the fused sacral bodies
Sacral cornua
Two bony processes that palpated by clinicians as an anatomical landmark when administrating injections into sacral hiatus
Promontory
Where upper border of base of sacrum articulates with L5
The coccyx
Four fused coccygeal vertebrae that articulate with sacrum superiorly at sacrococcygeal joint
Accessory ligaments of vertebral column
- Ligamentum flavum
- Anterior longitudinal ligament
- Posterior longitudinal ligament
Lumbar spinal stenosis
Narrowing of vertebral canal in lumbar region; caused by extra bone or tissue growth in the vertebral canal from calcification of ligamentum flavum or outgrowth of bone
Symptoms of lumbar spinal stenosis
Numbness and weakness in lower limb, lower back pain, pain with walking and standing, pain relief when bending forward
Extrinsic muscles of the back
Latissimus dorsi
Rhomboid major and minor
Trapezius
Levator scapulae
Insertion of latissimus dorsi
Intertubercular sulcus of humerus (bicipital groove)
Symptoms of latissimus dorsi strain
Lower back pain that radiates up to scapula, pain with lateral flexion or extension of back, adduction, rotation of arm
What are the erector spinae muscles (lateral to medial)
Iliocostalis, longissiumus and spinalis
Action of erector spinae muscles
Extend vertebral column
Symptoms of illiocostalis muscle strain
Back pain, decreased ROM of spine, pain that worsens when sitting for long periods, standing or climbing stairs
Common injured regions of iliocostalis muscle
- Iliocostalis thoracis
- Iliocostalis lumborum
Iliocostalis thoracis region
Pain felt along medial border of scapula and posterior thorax
Iliocostalis lumborum region
Pain felt in sacroiliac region