Muscles of Back Flashcards
MUSCLE LAYERS
SUPERFICIAL - movement upper limb
INTERMEDIATE - attached to ribs, respiratory function
(Extrinsic muscles innervated by Anterior Rami)
DEEP - movement vertebral column and head
( Intrinsic muscles innervated by Posterior Rami)
TRAPEZIUS (Origin)
Superior nuchal line
External occipital protuberance
Ligamentum nuchae
Spinous processes C7- T12
TRAPEZIUS (Insertion)
Lateral 1/3 Clavicle
Acromion
Spine of Scapula
TRAPEZIUS (Innervation)
Accessory Nerve (CN XI)
Proprioception (C3+C4)
TRAPEZIUS (Action)
UPPER fibres = Elevate scapula
MIDDLE fibres = Adduct/Retracts scapula
LOWER fibres = Depresses scapula
LATISSMUS DORSI (Origin)
Spinous Process T7-L5
Iliac Crest
Ribs 10-12
LATISSMUS DORSI (Insertion)
Medial Lip intertubercular sulcus of Humerus
LATISSMUS DORSI (Innervation)
Thoracodorsal Nerve (C6-C8)
LATISSMUS DORSI (Action)
Extends
Adducts
Medially Rotates Humerus
LEVATOR SCAPULAE (Origin)
Transverse Processes C1-C4
LEVATOR SCAPULAE (Insertion)
Upper portion Medial border Scapula
LEVATOR SCAPULAE (Innervation)
Dorsal Scapular Nerve (C5)
C3+C4 Spinal Nerves
LEVATOR SCAPULAE (Action)
Elevates scapula
Assist in Rotating Lateral aspects inferiorly
RHOMBOID MINOR (Origin)
Lower portion Ligamentum Nuchae
Spinous Processes C7+T1
RHOMBOID MINOR (Insertion)
Medial border Scapula
Spine Scapula
RHOMBOID MINOR (Innervation)
Dorsal Scapular Nerve (C4-C5)
RHOMBOID MINOR (Action)
Adducts
Elevates scapula
RHOMBOID MAJOR (Origin)
Spinous Processes T2-T5
RHOMBOID MAJOR (Insertion)
Medial border scapula
RHOMBOID MAJOR (Innervation)
Dorsal Scapular Nerve (C4-C5)
RHOMBOID MAJOR (Action)
Adducts
Elevates Scapula
SERRATUS POSTERIOR SUPERIOR (Origin)
Fibres DESCEND
Lower portion Ligamentum Nuchae
Spinous Processes C7-T3
SERRATUS POSTERIOR SUPERIOR (Insertion)
Upper border Rib 2-5 (Lateral to angle)
SERRATUS POSTERIOR SUPERIOR (Innervation)
Anterior Rami T2-T5
SERRATUS POSTERIOR SUPERIOR (Action)
Elevates Ribs 2-5
SERRATUS POSTERIOR INFERIOR (Origin)
Fibres ASCEND
Spinous Processes T11-L3
Supraspinous Ligament
SERRATUS POSTERIOR INFERIOR (Insertion)
Lower border Ribs 9-12 (Lateral to angle)
SERRATUS POSTERIOR INFERIOR (Innervation)
Anterior Rami T9- T12
SERRATUS POSTERIOR INFERIOR (Action)
Depresses Ribs 9-12
May Prevent ribs elevating during diaphragm contraction
THORACOLUMBAR FASCIA
(Lower Back pain)
SUPERIORLY
- Anteriorly to Serratus Posterior Superior
THORACIC REGION
- Covers /Separates deep muscles from other groups
MEDIALLY
- Attaches to spinous processes
LATERALLY
- Attaches to angle ribs
THORACOLUMBAR FASCIA (Lumbar Region)
- POSTERIOR:
~ Thick, attaches to Spinous processes and sacrum
~ Cover Erector spinae - INTERMEDIATE (MIDDLE):
~ Medially tips of Transverse processes
~ Inferiorly Iliac Crest
~ Superiorly lower border Rib 12 - ANTERIOR:
~ Covers Quadratus Lumborum
~ Medially Transverse Processes
~ Inferiorly Iliac Crest
~ Superiorly forms Lateral Arcuate Ligament
SPINOTRANSVERSALES
Extensors and Rotators of Head and Neck
- Splenius Capitis
- Splenius Cervicis
SPLENIUS CAPITIS (Origin)
Lower 1/2 Ligamentum Nuchae
Spinous Processes C7-T4
SPLENIUS CAPITIS (Insertion)
Mastoid Process
Skull below Later 1/3 Superior Nuchal Line
SPLENIUS CAPITIS (Innervation)
Posterior Rami MIDDLE Cervical Nerves (Between C3 and C4)
SPLENIUS CAPITIS (Action)
INDIVIDUALLY - rotate head one side
TOGETHER - draws head backwards, extend neck
SPLENIUS CERVICIS (Origin)
Spinous Processes T3- T6
SPLENIUS CERVICIS (Insertion)
Transverse Processes C1-C3
SPLENIUS CERVICIS (Innervation)
Posterior Rami LOWER Cervical Nerves
SPLENIUS CERVICIS (Action)
INDIVIDUALLY - Rotate head one side
TOGETHER - Extend neck
ERECTOR SPINAE
Extensors and Rotators of Vertebral Column
(Keep you UPRIGHT)
- Iliocostalis
- Longissimus
- Spinalis
ACTION:
Primary Extensor
BILATERALLY = straighten back, return upright position, pulls head posteriorly
UNILATERALLY = bends vertebral column Laterally, turns head actively contracting side
ILIOCOSTALIS (Origin)
(Attaches angle of ribs)
LUMBORUM
- Sacrum and Spinous Processes Lumbar and Lower 2 Thoracic
- Iliac Crest
ILIOCOSTALIS (Insertion)
CERVICIS
- Transverse Processes C4-C6
LONGISSIMUS (Origin)
(Attaches Transverse Processes)
THORACIS
- Transverse Processes Lumbar vertebrae
LONGISSIMUS (Insertion)
CERVICIS
- Posterior margin Mastoid Process
SPINALIS (Origin)
(Attaches Spinous Processes)
THORACIS
- Transverse Processes Lumbar vertebrae
SPINALIS (Insertion)
CAPITIS
-Blends with Semispinalis Capitis
TRANSVERSOSPINALES
Extensors and Rotators of Vertebral Column
From Transverse processes to Spinous processes
DEEP to Erector Spinae
- Semispinalis
- Multifidus
- Rotatores
SEMISPINALIS
Crosses 4-6 VERTEBRAE
Thoracic and Cervical regions
~ Semispinalis Thoracis
~ Semispinalis Cervicis
~ Semispinalis Capitis
MULTIFIDUS
Lateral origin upward, Medially inserts Spinous process
Spans 2-4 VERTEBRAE
Starts = sacrum
Ends = Spinous Process Axis (C2)
ROTATORES
Fibres upward and medially, Transverse to Spinous process
Cross 2 VERTEBRAE (Long Rotators)
Attach ADJACENT VERTEBRAE
~ Rotatores Lumborum
~ Rotatores Thoracis
~ Rotatores Cervicis
SEGMENTAL MUSCLES
- Levatores Costarum
- Intertransversarii
- Interspinales
SUBOCCIPITAL MUSCLES
Connects C1 to C2, vertebrae to base of skull
Extension and Rotation
~ atlanto-occipital joint
~ atlanto-axial joint
Innervated by Posterior Ramus C1
RECTUS CAPITIS POSTERIOR MAJOR (Origin)
Spinous processes Axis (C2)
RECTUS CAPITIS POSTERIOR MAJOR (Insertion)
Lateral part skull, below Interior Nuchal line
RECTUS CAPITIS POSTERIOR MAJOR (Action)
Extension of head
Rotation of head to face same side
RECTUS CAPITIS POSTERIOR MINOR (Origin)
Posterior Tubercle Atlas (C1)
RECTUS CAPITIS POSTERIOR MINOR (Insertion)
Medial part skull, below Interior Nuchal line
RECTUS CAPITIS POSTERIOR MINOR (Action)
Extension of head
OBLIQUUS CAPITIS SUPERIORIS (Origin)
Transverse Process Atlas (C1)
(ONLY muscle to originate from Transverse process)
OBLIQUUS CAPITIS SUPERIORIS (Insertion)
Occipital bone between Nuchal lines
OBLIQUUS CAPITIS SUPERIORIS (Action)
Extension of head
Bends head to side
OBLIQUUS CAPITIS INFERIORIS (Origin)
Spinous Process Axis (C2)
OBLIQUUS CAPITIS INFERIORIS (Insertion)
Transverse Process Atlas (C1)
OBLIQUUS CAPITIS INFERIORIS (Action)
Rotation of head to face same side
SUBOCCIPITAL TRIANGLE (Boundaries)
MEDIAL - Rectus Capitis Posterior Major and Minor
LATERAL - Obliquus Capitis Superioris
INFERIOR - Obliquus Capitis Inferioris
SUBOCCIPITAL TRIANGLE (Contents)
Posterior Ramus C1
Vertebral Artery
Veins