Muscles of the Back Flashcards
What do extrinsic muscles move?
upper limbs and pectoral girdle
What do intrinsic muscles move and its role?
vertebral column (spine); maintain erect posture, proprioception
Where are the strong attachments of fascia in the lower lumbar?
Dimples indicating posterior superior ilian spines
Where is the site of nuchal ligament?
Nuchal groove
Triangle of Auscultation
less tissue, easier to hear breathing sounds
Lumbar Triangle is also known as what?
inferior lumbar triangle; triangle of petit
Lumbar Triangle
slight weakening in lateral abdominal wall, prone to herniation
what 2 groups are thoracolumbar fascia separated by
Extrinsic and intrinsic back muscles
what are intrinsic back muscles and its innervation?
epaxial; dorsal rami of spinal nerves
what are extrinsic back muscles and its innervation
hypaxial; ventral rami of spinal nerves
Latissimus dori
extrinsic back muscle (hypaxial and innvervated by ventral rami)
superficial layer of extrinsic back muscles
trapezius and latissimus dorsi
intermediate/ middle layer of extrinsic back muscles
Levator scapulae, Rhomboid minor & major
deep layer of extrinsic back muscles
Seratus posterior superior & inferior (vertical muscles; serratus= type of knife)
erector spinae group of intrinsic back muscles
lliocostalis, longissimus, spinalis
transversospinalis group of intrinsic back muscles
multifidus, semispinalis, rotatores
general groups of intrinsic muscles
erector and transversospinalis group
general extrinsic muscles of the back
serratus posterior, latissimus dorsi, trapezius
Dorsal ramus
innervates intrinsic back muscles and skin
Ventral ramus
innervate extrinsic back muscles
location of ventral ramus
anterior and lateral trunk; limbs
ventral ramus components?
cervical plexus, brachial plexus, intercostal nerves
muscles that move shoulder and arm
extrinsic
what extrinsic back muscle has both motor and sensory innervation?
trapezius
Motor and Sensory Innervation of trapezius
motor: Cranial nerve XI #11
sensory: Cervical Plexus (C3 &C4)
Latissimus dorsi motor innervation
brachial plexus
levator scapulae motor innervation
cervical plexus
Rhomboid minor and major motor innervation
brachial plexus
Serratus posterior superior & inferior innervation
intercostal nerve branches
What are extrinsic back muscles also called?
posterior axioappendicular muscles
Posterior axioappendicular muscles
Def: extrinsic back muscles connect the axial to appendicular skeleton
How are posterior muscles attached?
attached the scapular and humerus (upper arm bone) to spine and ribs (axial skeleton)
For extrinsic (hypaxial) muscles, all but 1 are innervated by what?
ventral rami from cervical or brachial plexuses in neck
hypaxial muscles that move scapula and humerus
Superficial: trapezius and latissimus dorsi
hypaxial muscles that move scapula
Middle: levator scapulae, rhomboid minor and major
hypaxial muscles that move ribs
serratus posterior superior and inferior
serratus posterior superior
elevate ribs
serratus posterior inferior
deevelate ribs
how are intrinsic back muscles run
longitudinally
location of intrinsic back muscles relative to serratus posterior muscles
deep
intrinsic back muscles enclosed by
thoracolumnbar fascia
Semispinalis capitis
attached to back of neck, deep to trapezius, innervated by dorsi rami, come from nuchal ligament
semispinalis cervicis
attach from cervical
semispinalis thoracis
most prominent in thoracic region, deep to the splenius
Multifidus
most prominent in thoracic region, goes from lower lumbar to next
superfical layer of intrinsic muscles
erector spinae
deep layer of intrinsic muscles
transversospinalis
splenius group
capitus, cervicis
erector spinae group
lliocostalis, longissimus, spinalis
transversospinalis group
multifidus, rotatores, semispinalis
In erector spinae, what runs from lumbar to neck?
llicostalis
In erector spinae, what runs from thoracic to head?
longissimus
In erector spinae, what runs up and down the spin AND most thick in lower lumbar?
spinalis
splenius
attach to spinous processes to transerve processes
erector spinae actions
active bilaterally- extend the trunk
active unilaterally- laterally flex (bend) the trunk
transversospinalis actions
active bilaterally- assist erector spinae trunk extension
active unilaterally- rotate (twist) trunk to oppsoite side of muscle activity
how many segments in rotatores longus and brevis
rotatores longus- 2
rotatores brevis- 1
what is transversospinalis additional group called?
segmental muscles
segmental muscles groups of transversospinalis
levator costarum, intertransversarii, interspinalis