Muscles of the back Flashcards
Trapezius origin
Medial third of the superior nuchal line, external occipital protuberance, ligamentum nuchae, C1-T12 spinous processes
Trapezius insertion
Spine of scapula, acromion, lateral third of the clavicle
Trapezius action
Elevates, retracts, superiorly rotates the scapula
Trapezius innervation
Spinal accessory nerve (CN XI) (motor), C3-C4 ventral rami (sensory)
Trapezius blood supply
Transverse cervical artery
Latissimus dorsi origin
T7-L5 spinous processes, thoracolumbar fascia, dorsal sacrum, iliac crest
Latissimus dorsi insertion
Floor of inter tubercular sulcus of humerus
Latissimus dorsi actions
Extends, adducts, and medially rotates the humerus
Depresses, retracts, and inferiorly rotates the scapula
Latissimus dorsi innervation
Thoracodorsal nerve
Latissimus dorsi blood supply
Thoracodorsal artery
Rhomboid major origin
T2-T5 spinous processes
Rhomboid major insertion
Medial border of the scapula
Rhomboid major actions
Retracts, elevates, and inferiorly rotates the scapula
Rhomboid major innervation
Dorsal scapular nerve
Rhomboid major blood supply
Dorsal scapular artery
Rhomboid minor origin
C7-T1 spinous processes
Rhomboid minor insertion
Medial border of the scapula
Rhomboid minor actions
Retractes, elevates, and inferiorly rotates the scapula
Rhomboid minor innervation
Dorsal scapular nerve
Rhomboid minor blood supply
Dorsal scapular artery
Levator scapulae origin
C1-C4 transverse processes
Levator scapulae insertion
Superior angle of the scapula
Levator scapulae actions
Elevates and inferiorly rotates the scapula, assists neck extension
Levator scapulae innervation
Dorsal scapular nerve
Levator scapular blood supply
Dorsal scapular artery
What are the superficial (extrinsic) muscles of the back?
Trapezius, Latissimus dorsi, Rhomboid major, Rhomboid minor, Levator scapulae
What are the intermediate muscles of the back?
Serratus posterior superior, Serratus posterior inferior
Serratus posterior superior origin
C7-T3 spinous processes
Serratus posterior superior insertion
Superior border of ribs 2-5
Serratus posterior superior actions
Elevates (weakly) ribs 2-5 (accessory muscle if respiration)
Serratus posterior superior innervation
Segmentally by thoracic ventral primary rami (intercostal nerve)
Serratus posterior superior blood supply
Branches of posterior intercostal artery
Serratus posterior inferior origin
T11-L3 spinous processes
Serratus posterior inferior insertion
Inferior border of ribs 9-12
Serratus posterior inferior actions
Depresses (weakly) ribs 9-12 (accessory muscle of respiration)
Serratus posterior inferior innervation
Segmentally by thoracic ventral primary rami (intercostal nerve)
Serratus posterior inferior blood supply
Branches of posterior intercostal artery
What are the deep (intrinsic) back muscles?
Splenius capitis, Splenius cervicis, Erector spinae muscle group (iliocostalis, longissimus, spinalis), Transversospinalis group (semispinalis, multifidus, rotators), Levatores costarum, Intersegmental muscles, Thoracolumbar fascia
Splenius capitis/cervicis origin
Ligamentum nuchae and T1-T4 spinous processes
Splenius capitis insertion
Mastoid process and superior nuchal line
Splenius capitis/cervicis actions
Unilateral: lateral flexion and ipsilateral rotation of head/neck
Bilateral: extension of head/neck
Splenius cervicis insertion
C1-C4 transverse processes
Erector spinae group origin
Common tendon of origin from posterior iliac crest, dorsal sacrum, and lumbar spinous processes; additional slips originate along the axial skeleton
Iliocostalis insertion
Angles of ribs, cervical transverse processes
Longissimus insertion
Thoracic transverse processes and adjacent ribs, cervical transverse processes, mastoid process (capitis portion)
Spinalis insertion
Upper thoracic spinous processes, ligamentum nuchae, occipital) bone between nuchal lines (captious portion)
Erector spine group actions
Unilateral: lateral flexion and ipsilateral rotation of trunk and head/neck
Bilateral: extension of trunk, head/neck
Transversospinal group
Semispinalis, multifidus, rotators
Erector spinae group
Iliocostalis, longissimus, spinalis
Transversospinal group origin
Dorsal sacrum and posterior iliac crest, lumbar mamiliary processes, cervical and thoracic transverse processes
Transversospinal group insertion
Spinous processes and occipital bone (capitis portion)
Semispinalis segments
4-6 segments, best defined in cervical region
Multifidus segments
2-4 segments, best defined in lumbar regio
Rotator segments
1-2 segments, best defined in thoracic region
Transversospinalis group actions
Unilateral: lateral flexion and contralateral rotation of trunk, head, and neck
Bilateral: extension of trunk, head, and neck
Levatores costarum origin
Transverse processes of thoracic vertebrae
Levatores costarum insertion
Superior borders of ribs (1 or 2 segments inferiorly)
Levatores costarum actions
Elevates ribs, assist lateral flexion
Interspinales
Tiny muscles spanning spinous processes
Intertransversarii
Tiny muscles spanning transverse processes
Thoracolumbar fascia posterior layer
Attaches to the vertebral spinous processes
Thoracolumbar fascia middle layer
Attaches to vertebral transverse processes; continuous with aponeurosis of transversus abdominus muscles
Thoracolumbar fascia anterior layer
The anterior fascia of quadrates lomborum
Suboccipital muscles
Rectus capitis posterior major, Rectus capitis posterior minor, Obliquus capitis superior, Obliquus capitis inferior
Rectus capitis posterior major origin
Spinous process of axis (C2)
Rectus capitis posterior major insertion
Inferior nuchal line
Rectus capitis posterior major actions
Unilateral: Ipsilateral rotation of head
Bilateral: Extension of head
Rectus capitis posterior minor origin
Posterior tubercle of atlas (C1)
Rectus capitis posterior minor insertion
Inferior nuchal line medial to rectus capitis posterior major
Rectus capitis posterior minor actions
Bilateral: extension of head
Obliquus capitis superior origin
Transverse process of atlas (C1)
Obliquus capitis superior insertion
Occipital bone between nuchal lines
Obliquus capitis superior actions
Unilateral: lateral bending of head
Bilateral: Extension of head
Obliquus capitis inferior origin
Spinous process of axis (C2)
Obliquus capitis inferior insertion
Transverse process of atlas (C1)
Obliquus capitis inferior actions
Unilateral: ipsilateral rotation of head