Muscles of the Trunk Flashcards
Superficial Vertebral muscles
Trapezius, Latissimus Dorsi, Rhomboids, Levator Scapulae, Serratus Posterior Superior+Inferior
Erector Spinae - Iliocostalis SA&IA
SA - Transv process lower cervical spine
IA - ES aponeurosis into post ilium
Erector Spinae - Iliocostalis N&A
N - Dorsal Rami
A - Trunk extension & ipsilateral side bending
Erector Spinae - Longissimus SA&IA
SA - Mastoid process & transv process of upper cervical vertebrae
IA - Forms Pars Lumborum w/ spinalis & iliocostalis
Erector Spinae - Longissimus N&A
N - Dorsal Rami
A - Trunk extension & ipsilateral side bending
Erector Spinae - Spinalis SA&IA
SA - Nuchal line & spinous process of cervical vertebrae
IA - Joins longissimus & iliocostalis @ posterior ilium
Erector Spinae - Spinalis N&A
N - Dorsal Rami
A - Trunk extension
Multisegmental - Semispinalis SA&IA
SA - Spinous process of cervical segments
Multisegmental - Semispinalis I&A
I - Dorsal spinal nerves
A - Trunk extension & contralateral rotation
Multisegmental - Multifidus SA&IA
SA - Spinous process of cervical segments
IA - Transv process of 2-4; mamillary process of L and S spine
Multisegmental - Multifidus I&A
I - Dorsal primary spinal nerves
A - Trunk extension & contralateral rotation & stabilization
Multisegmental - Rotatores SA&IA
SA - Spinous process of vertebrae
IA - Junct of transv & lamina
Multisegmental - Rotatores I&A
I - Dorsal primary nerves
A - Trunk extension & contralateral rotation
Unisegmental - Interspinal
Connect consecutive spinous processes for extension ( C&L)
Unisegmental - Intertransverse
Connect consecutive spinous processes for side bending, aid in lateral flexion, stabilization
Cervical - Splenius Capitis & Cervicis N&A
N - Dorsal rami of mid cervical spinal nerves
A - unilaterally - lateral flexion & rotate head and neck
- bilaterally - extend head and neck
Cervical - Sub-Occipitals
Ram’s horn; w/ Rectus capitis post maj &min + Obliquus Capitis sup & inf
Cervical - Sternocleidomastoid SA&IA
SA - Mastoid process & lateral nuchal line
IA - 2 heads - Sternal: ant manubrium
- Clavicular: Medial 1/2 clav
Cervical - Sternocleidomastoid N&A
N - CN XI
A - Ipsilateral side bending neck, contralateral rotation
Cervical - Anterior Scalene SA&IA
SA - Transv process of C3-C6
IA - 1st rib
Cervical - Anterior Scalene N&A
N - Ventral Rami C4-6
A - Elev 1st rib, lateral flex & rotate neck
Cervical - Middle Scalene SA&IA
SA - Posterior transv C4-7
IA - Superior surface 1st rib
Cervical - Middle Scalene N&A
N - Ventral Rami of cervical spinal nerves
A - Elev 1st rib & lateral neck flex
What muscles compress the Brachial plexus
Anterior and Middle Scalene
Cervical - Posterior Scalene SA&IA
SA - Posterior transv C4-6
IA - External border of 2nd rib
Cervical Posterior Scalene N&A
N - Ventral Rami of cervical spinal nerves
A - Elev 2nd rib & lateral flex of neck
Thoracic - External Intercostals
Run - hands in pockets (down/med)
A - elev rib in inspiration
Thoracic - Internal Intercostals
Run - hands in back pockets (down/lat)
A - Elev rib in inspiration
Thoracic - Innermost Intercostals
Run- hands in back pockets (down/lat)
A - Elev rib in inspiration
Thoracic - Transversus Thoracis
Run - upper costal cartilage to lower post sternum
A - pulls ribs down in forced expiration
Thoracic - Levatores Costarum
Run - Transv C7 & thoracic ribs, btwn tubercles and angles
A - pulls ribs up in inspiration
Thoracic - Serratus Posterior Superior
Run - Spinous process of Cervical & Thoracic to angles
A - Elev ribs in inspiration
Diaphragm - SA&IA
SA - Medial & lateral arcuate ligament, internal costal cartilage, xiphoid process
IA - all fibers converge on a central tendon
Thoracic - Serratus Posterior Inferior
Run - Spinous process of Cervical & Thoracic to angles
A - ribs down and back in inspiration
Diaphragm - N&A
N - Phrenic Nerve
A - Important in inspiration
Rectus Abdominis - O&I
O - Pubic crest & symphysis
I - Costal cartilages of 5-7 & xiphoid process
Rectus Abdominis - N&A
N - Anterior Rami of inf 6 Thoracic nerves
A - Flex vertebral column
What is the Rectus Sheath
Aponeurotic sheath that encloses the rectus abdominis - meets at the midline (linea alba)
Anterior Rectus Sheath
Extension of external abd oblique & part of int abd oblique
Posterior Rectus Sheath
Extension of transv abd & part of int abd oblique
Arcuate Line
Marks lower limit of posterior sheath, inferior iliac crest, no posterior sheath below arcuate line
Lumbar Lateral Wall - Transversus Abdominis
Run - from inguinal ligament & iliac crest & costal cartilages 7-12
A - support and compress abdominal viscera; forced expiration
Lumbar Lateral Wall - Internal Oblique
Run - from inguinal ligament & iliac crest to inf ribs 10-12 (back pocket)
A - compress & support viscera, support lumbar, expiration, bilateral lateral flexion and ipsilateral rotation
Lumbar Lateral Wall - External Oblique
Run - from ribs 5-12, blends into linea alba ( hands in pockets)
A - support & compress viscera, expiration, bilateral vertebrae flex
- Lateral fibers - bilateral - post pelvis rotation. - unilateral - lat vertebrae flex
- Anterior fibers - unilateral flex & rotate ipsilateral vertebrae
Lumbar Lateral Wall - Iliacus - O&I
O - Iliac fossa & ala of sacrum
I - Lesser Trochanter
Lumbar Lateral Wall - Iliacus - N&A
N - Femoral nerve
A - Flex thigh & hip
Posterior Lumbar - Psoas Major SA&IA
SA - Transverse process T12 - L5
IA - Lesser Trochanter
Posterior Lumbar - Psoas Major N&A
N - Ventral Rami of L2-4
A - Flex thigh & ipsilateral flex w/ distal extremity is fixed
Posterior Lumbar - Psoas Minor N&A
N- Ventral ramus of lumbar spine
A - Very weak trunk flexion
Posterior Lumbar - Quadratus Lumborum SA&IA
SA - Inferior border of 12th rib
IA - Iliac crest
Posterior Lumbar - Quadratus Lumborum N&A
N - Ventral Rami
A - Ipsilateral side bending & bilateral extension
Diaphragm Hiatuses
3 - Caval (IVC & R phrenic nerve)
- Esophageal (esophagus & vagus nerve)
- Aortic ( Aorta, thoracic duct)