Muscles of the Thorax Flashcards
List the layers of the back muscles and the muscles that belong to each layer
Superficial (most superficial to deep): trapezius, latissimus dorsi, serratus posterior
- act largely on upper limb and ribs (serratus posterior only)
Intermediate (lateral to medial): iliocostalis, longissimus, spinalis
Deep: transversospinalis which encompasses the 3 deep muscles. Superficial to deep: semispinalis, multifidus, rotatores
What comprises the shoulder complex?
3 bony articulations and one physiological coupling
Bony articulations (synovial joints):
- Sternoclavicular joint
- Acromioclavicular joint
- Glenohumeral joint: ball and socket
Physiological coupling: scapulo-thoracic joint (depends on the SC and AC joints as well as muscles and bursae that separate them)
- Allows scapula to slide over thoracic cage
What muscles border the scapulothoracic joint?
Bordered by subscapularis posteriorly and serratus anterior anterior-medially
Scapulothoracic joint movements involve the subscapularis sliding over serratus anterior
Describe the 6 movements of the scapula
- elevation
- depression
- retraction
- protraction
- medial rotation/downward rotation: inferior angle turns toward midline
- lateral rotation/upward rotation: inferior angle turns away from midline
What muscles cause scapular elevation
Superior/descending portion of trapezius
Levator scapulae
Rhomboid major
Rhomboid minor
What muscles cause scapular depression
Inferior/ascending portion of trapezius
Pectoralis minor
What muscles cause scapular retraction
All parts of the trapezius
Rhomboid major
Rhomboid minor
What muscles cause scapular protraction
Pectoralis minor
Serratus anterior
What muscles cause medial rotation/ downward rotation of the scapulae
Levator scapulae
Rhomboid minor
Rhomboid major
Pectoralis minor
What muscles cause lateral rotation/ upward rotation of the scapulae
Superior/descending and inferior/ascending portion of trapezius
Serratus anterior
Trapezius
- origin
- insertion
- action
- innervation
- origin:
Superior/descending part: Superior nuchal line and external occipital
protuberance
Middle part: Spinous
processes of T1-T4
Inferior/ascending part: Spinous processes of T5-T12
- insertion:
Superior part: Lateral third of clavicle
Middle part: Spine and acromion of scapula
Inferior part: Spine of scapula
- action:
all parts: retraction
superior/inferior part: upward rotation of scapula
superior part: scapular elevation
inferior part: scapular depression - innervation: accessory nerve (CNXI)
Levator scapulae
- origin
- insertion
- action
- innervation
- origin: Transverse processes of C1-C4
- insertion: Medial border of the scapula
(superior to the spine) - action:
downward rotation of
scapula, elevates scapula
if scapulae are fixed, levator scapulae will cause neck to flex laterally
- innervation:
dorsal scapular nerve
Rhomboid minor
- origin
- insertion
- action
- innervation
- origin: Dorsal spinous processes of the C6-C7 (or C7-T1) vertebra
- insertion: Medial border of the
scapula (~at the level
of the spine; superior to r. major) - action: Retraction, elevation and downward rotation of scapula
- innervation: Dorsal scapular nerve
Rhomboid major
- origin
- insertion
- action
- innervation
- origin: Dorsal spinous processes of the T2-T5
vertebrae - insertion: Medial border of the
scapula (below the
spine; inferior to r.
minor) - action: Retraction, elevation
and downward
rotation of scapula - innervation: Dorsal scapular nerve
Latissimus Dorsi
- origin
- insertion
- action
- innervation
- origin: Spinous process of T7-T12,
thoracolumbar fascia, iliac crest, ribs 9-12, inferior angle
of scapula - insertion: Floor of intertubercular
groove of humerus - action: Adduction, extension, medial rotation of humerus;
If humerus fixed: elevates the trunk (ex. pull-up);
moves trunk anteriorly (ex. cross-
country skiing)
- innervation: Thoracodorsal nerve