Muscles of the Back Flashcards
Rhomboid Minor:
Proximal Attachment
Distal Attachment
Action
Innervation
- Proximal Attachment: Ligamentum nuchae, spinous processes of C7 and T1.
- Distal Attachment: Medial border of scapula
- Action: Fix scapula to thoracic wall, retract and rotate scapula to depress glenoid fossa
- Innervation: Dorsal scapular nerve (C4 and C5)
Rhomboid Major:
Proximal Attachment
Distal Attachment
Action
Innervation
- Proximal Attachment: Spinous processes of T2-T5
- Distal Attachment: Medial border of scapula (below spine of scapula)
- Action: Fixes scapula to thoracic wall; retracts and rotates scapula to depress glenoid fossa
- Innervation: Dorsal scapular nerve (C4 and C5)
Serratus Posterior Superior:
Proximal Attachment
Distal Attachment
Action
Innervation
- Proximal Attachment: Ligamentum nuchae and spinous processes of C7-T3.
- Distal Attachment: 2nd to 4th ribs
- Action: Elevate ribs
- Innervation: Ventral rami
Serratus Posterior Inferior:
Proximal Attachment
Distal Attachment
Action
Innervation
- Proximal Attachment: Spinous processes of T11-L2
- Distal Attachment: Ribs 9-12
- Action: Depress ribs
- Innervation: Ventral rami
Splenius Capitis:
Proximal Attachment
Distal Attachment
Action
Innervation
- Proximal Attachment: Ligamentum nuchae and spinous processes of C7-T3.
- Distal Attachment: Mastoid process and lateral third of superior nuchal line of occipital bone.
- Action: Bilaterally: Extend head and neck; Unilaterally: Laterally flexes and rotates face to same side
- Innervation: Dorsal rami
Splenius cervicis:
Proximal Attachment
Distal Attachment
Action
Innervation
- Proximal Attachment: Spinous process of T3-T6
- Distal Attachment: Transverse processes of C1-C3
- Action: Bilaterally: Extend neck; Unilaterally: Laterally flexes and rotates neck toward same side
- Innervation: Dorsal rami
Erector Spinae:
Sections
Proximal Attachment
Distal Attachment
Action
Innervation
- Sections: Iliocostalis, Longissimus, Spinalis
- Proximal Attachment: Iliac crest, sacrum
- Distal Attachment:
- Iliocostalis - Angles of lower ribs and cervical transverse processes
- longissimus - Ribs (b/w tubercles and angles), transverse processes of T and C regions, and mastoid process
- spinalis - Spinous processes from upper T and mid C regions to skull
- Action: Extends and laterally bends veterebral column and head
- Innervation: Dorsal rami
Semispinalis capitis:
Proximal Attachment
Distal Attachment
Action
Innervation
- Proximal Attachment: Tendons from transverse processes of C7-T6 or T7
- Distal Attachment: Between superior and inferior nuchal lines of occipital bone
- Action: Extension of head
- Innervation: Dorsal rami
Semispinalis cervicis
Action
Innervation
- Action: Extension of vertebral column (neck)
- Innervation: Dorsal rami
Trapezius:
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Superior nuchal line, external occipital protuberance, nuchal ligament, spinous processes C7-T12
- Distal Attachment: Clavicle, acromion, scapular spine
- Action: Elevates, retracts, rotates scapula; lower fibers depress scapula
- Innervation: CN XI (spinal accessory nerve)
- Blood Supply: Transverse cervical artery
Latissimus dorsi:
Proximal Attachment
Distal Attachment
Action
Innervation
Blood Supply
- Proximal Attachment: Spinous processes of T7-L5, thoracolumbar fascia, iliac crest, last three ribs
- Distal Attachment: Humerus (intertubercular sulcus)
- Action: Extends, adducts, and medially rotates humerus
- Innervation: Thoracodorsal nerve
- Blood Supply: Thoracodorsal artery
Levator scapulae:
Proximal Attachment
Distal Attachment
Action
Innervation
Blood supply
- Proximal Attachement: Transverse processes of C1-C4
- Distal Attachment: Medial border of scapula from superior angle to spine
- Action: Elevate scapula medially
- Innervation: Dorsal scapular nerve (C5), ventral rami
- Blood supply: Dorsal scapular artery
Suboccipital Triangle
Muscle boundaries
Contains
Rectus capitis posterior major
Obliquus capitis superior
Obliquus capitis inferior (does not attach to skull)
Contains: Vertebral artery and suboccipital nerve (C1 dorsal ramus)
Semispinalis
Proximal Attachment
Distal Attachment
Action
Innervation
- Proximal Attachment: Transverse process of C4-T12 (spans 4-6)
- Distal Attachment: Spinous process of cervical and thoracic regions
- Action: Extends head, neck, and thorax and rotates them to opposite side
- Innervation: Dorsal rami
Multifidus
Proximal Attachment
Distal Attachment
Action
Innervation
- Proximal Attachment: Sacrum, illium, transverse processes of T1-T12
- Distal Attachment: Spinous processes of superior vertebrae, spans 2-4 vertebrae
- Action: Stabilizes spine
- Innervation: Dorsal rami