Module 5: The Back and Axilla Flashcards
Parts of the sacrum
-sacral canal
-sacral foramina
-sacral cornua
-promontory
Sacral canal
-continuation of vertebral canal terminating at sacral hiatus
Sacral foramina
-located lateral to fused sacral bodies on both anterior and posterior surface
How many sacral foramina are there
-4
Sacral cornua
-2 bony processes that can be palpated by clinicians as an anatomical landmark
Promontory
-upper border articulates with L5 vertebral body
-it projects forwards, decreasing the anteroposterior diameter of pelvic brim
Why is promontory considered important in women
-to measure size of pelvis
The coccyx
-composed of 4 fused rudimentary coccygeal vertebrae, which articulate with sacrum superior at sacrococcygeal joint
What happens at coccyx when sitting
-small and variable amount of flexion and extension occurs at sacrococcygeal joint
What happens to vertebral foramina going further down column
-they get smaller
Accessory ligaments of the vertebral column
-ligamentum flavum
-anterior longitudinal ligament
-posterior longitudinal ligament
Function of accessory ligaments of vertebral column
-flexion and extension of back
Lumbar spinal stenosis
-narrowing of vertebral canal in lumbar region
-may be caused by extra bone and/or tissue growth in vertebral canal from calcification of ligamentum flavum
Lumbar spinal stenosis symptoms
-numbness and weakness in lower limb
-pain in lower back
-worse with weight bearing
-relieved when bending forward
Extrinsic muscles of the back
-latissimus dorsi
-trapezius
-rhomboid minor
-levator scapulae
-rhomboid major
Parts of the latissimus dorsi
-thoracolumbar fascia
-insertion point
Thoracolumbar fascia of latissimus dorsi
-made form multiple crosshatched layers of collagen, plays an important role in stabilization and load transfer
Insertion point of latissimus dorsi
-intertubucular sulcus (bicipital groove) of humerus
Latissimus dorsi strain
-can be caused by overuse
Who is at higher risk of latissimus dorsi strain
-those with poor posture
Latissimus dorsi strain symptoms
-lower back pain that radiates to scapula
-pain and discomfort with lateral flexion of back
-as well as with extension, adduction, or rotation of arm
Erector spinae muscles
-iliocostalis
-longissimus
-spinalis
Iliocostalis
-most lateral
Longissimus
-middle