Muscles of the Back Flashcards
Trapezius - upper fibres
ORIGIN: external occipital protuberance and superior nuchal line of occipital bone, ligamentum nuchae, spinous process C7
INSERTION: posterior aspect of lateral third of clavicle, acromion of scapula
ACTION: elevation, retraction, upward rotation of scapula, lateral flexion & extension of head and neck
INNERVATION: CNXI (accessory nerve)
Trapezius - middle fibres
ORIGIN: spinous processes of C7-T4
INSERTION: acromion of scapula, medial half of spine of scapula
ACTION: retraction of scapula
INNERVATION: CNXI (accessory nerve)
Trapezius - lower fibres
ORIGIN: spinous processes of T5-T12
INSERTION: medial half of spine of scapula
ACTION: depression, retraction and upward rotation of scapula
INNERVATION: CNXI (accessory nerve)
Latissimus dorsi
ORIGIN: spinous processes T7-T12, ribs 9-12, thoracolumbar fascia, iliac crest
INSERTION: floor of intertubercular sulcus (groove) of humerus
ACTION: adduction, medial rotation and extension of humerus
INNERVATION: thoracodorsal nerve
Rhomboid minor
ORIGIN: lower part of ligamentum nuchae, spinous processes C7-T1
INSERTION: medial border of scapula adjacent to spine of scapula
ACTION: retraction and downward rotation of scapula
INNERVATION: dorsal scapular nerve
Rhomboid major
ORIGIN: spinous processes T2-T5
INSERTION: medial border of scapula inferior to spine of scapula
ACTION: retraction and downward rotation of scapula
INNERVATION: dorsal scapular nerve
Levator scapula
ORIGIN: transverse processes C1-C2, posterior tubercles of transverse processes C3-C4
INSERTION: superior angle of scapula, medial border of scapula superior to spine of scapula
ACTION: uni - elevation and downward rotation of scapula, lateral flexion of neck (ipsi.)
bi - extension of neck
INNERVATION: anterior rami of cervical spinal nerve, dorsal scapular nerve
Serratus posterior superior
ORIGIN: ligamentum nuchae, spinous processes C7-T3, supraspinous ligaments
INSERTION: external surfaces ribs 2-5
ACTION: elevation of ribs 2-5 at costovertebral joints (aids in respiration)
INNERVATION: anterior rami of thoracic spinal nerves
Serratus posterior inferior
ORIGIN: spinous processes T11-L2
INSERTION: external surfaces ribs 9-12
ACTION: depression of ribs 9-12 at costovertebral joints (aids in respiration)
INNERVATION: anterior rami of thoracic spinal nerves
INTRINSIC BACK (SUPERFICIAL) - Splenius
ORIGIN: ligamentum nuchae, spinous processes C7-T3/4 vertebrae
INSERTION: splenius capitis - fibres run superolaterally to mastoid process of temporal bone and lateral third of superior nuchal line of occipital bone
splenius cervicis - tubercles of transverse processes of C1-C3/4 vertebrae
ACTION: uni - lateral flexion and rotation of necl (ipsi.)
bi - extension of head and neck
INNERVATION: posterior rami of cervical nerves
INTRINSUC BACK (INTERMEDIATE) - Iliocostalis
ORIGIN: broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacro-iliac ligaments, sacral and inferior lumbar spinous processes and supraspinous ligament
INSERTION: lumborum, thoracis and cervicis fibres run superiorly to angles of lower ribs and cervical transverse processes
ACTION: uni - lateral flexion of vertebral column (ipsi.)
bi - extension vertebral column and head
INNERVATION: posterior rami of spinal nerves
INTRINSUC BACK (INTERMEDIATE) - Longissimus
ORIGIN: broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacro-iliac ligaments, sacral and inferior lumbar spinous processes and supraspinous ligament
INSERTION: thoracis, cervicis and capitis fibres run superiorly to ribs btw tubercles and angles to transverse processes in thoracic and cervical regions to mastoid process of temporal bone
ACTION: uni - lateral flexion of vertebral column (ipsi.)
bi - extension vertebral column and head
INNERVATION: posterior rami of spinal nerves
INTRINSUC BACK (INTERMEDIATE) - Spinalis
ORIGIN: broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacro-iliac ligaments, sacral and inferior lumbar spinous processes and supraspinous ligament
INSERTION: thoracis, cervicis and capitis fibres run superiorly to spinous processes in upper thoracic region and to cranium
ACTION: uni - lateral flexion of vertebral column (ipsi.)
bi - extension vertebral column and head
INNERVATION: posterior rami of spinal nerves
INTRINSIC BACK (DEEP) - Semispinalis (thoracis, cervacis & capitis)
ORIGIN: arises from transverse processes C4-T10 vertebrae
INSERTION: fibres run superomedially to occipital bone and spinous processes in upper thoracic and cervical regions, spanning 4-6 segments
ACTION: uni - lateral flexion (ipsi.) and rotation (contra.) of trunk
bi - extension of trunk
INNERVATION: posterior rami of spinal nerves
INTRINSIC BACK (DEEP) - Multifidus
ORIGIN: posterior superior iliac spine, dorsal surface of sacrum, mammillary processes of lumbar vertebrae, all transverse processes of thoracic vertebrae, articular processes of C4-C7
INSERTION: span btw 2-4 vertebrae to insert into spinous processes of lumbar, thoracic and cervical vertebrae
ACTION: uni - lateral flexion (ipsi.) and rotation (contra.) of trunk
bi - stabilisation of vertebral column, extension of trunk
INNERVATION: posterior rami of spinal nerves