Myology Flashcards
What are the attachment points of trapezius m.?
thoracic spinous processes, external occipital protuberance, clavicle, acromion, and scapular spine
What is the action and Innervation of the trapezius m.?
Rotate glenoid cavity superiority, retract the scapula, elevate scapula, depress scapula, extend the neck (with bilateral contraction), laterally flex the neck and rotate the face away (with unilateral contraction)
Spinal Accessory N.
What are the attachment points for Latissimus Dorsi M.?
Thoracic spinous process, ribs, Inferior scapula, Intertubercular groove of the humerus, and iliac crest
What is the action and Innervation of Latissimus Dorsi M.?
Extend, ADduct, and medically rotate the humerus, rotate the glenoid cavity inferiority
N: Thoracodorsal
What are the attachment points for rhomboid major and minor?
Major: thoracic spinous processes and medial border of scapula, inferior to the scapular spine
Minor: thoracic spinous processes and medial border of scapula, at the level of the scapular spine
What is the innervation for Rhomboid major, minor, and levator scapulae m.?
Dorsal Scapular N.
What are the attachment points for Levator Scapulae M.?
Cervical transverse processes and medial border of scapula, superior to the scapular spine
What are the actions of rhomboid major, minor, and levator scapulae?
Major and Minor: Retract and elevate the scapula, rotate the glenoid cavity inferiorly
Levator: Elevate scapula, rotate the glenoid cavity inferiorly, extend and laterally flex the neck (when bilaterally and unilaterally contracting, respectively)
What muscles are in Layer 3 and what are their functions?
Serratus Posterior Superior: elevate ribs with forced inspiration (but primarily proprioception)
Serratus Posterior Inferior: depress ribs with forced expiration (but primarily proprioception)
What are the attachments for and innervations for Serratus Posterior Inferior/Superior?
S. P. Superior: nuchal line and cervical/thoracic spinal processes, and superior surfaces of ribs
N: Intercostal nerves (2-5)
S.P. Inferior: Thoracic/lumbar spinal processes and inferior surface of ribs
N: Anterior Rami T9-12
What layer are Splenius Capitus M. and Splenius Cervicis M. In and where do they respectively attach?
They are both in layer 4.
Splenius Capitus: mastoid process of temporal bone, cervical/thoracic spinous processes, and ligamentum nuchae
Splenius Cervicis: thoracic spinous processes and cervical transverse processes
What are the actions and innervations of Splenius Cervicis and Splenius Capitus?
Splenius Cervicis: Extend the neck (when contracting bilaterally), laterally flex the neck and rotate the face toward the muscle (when contracting unilaterally)
N: Posterior Rami C5-C7
Splenius Capitus: Extend the neck (when contracting bilaterally), laterally flex the neck and rotate the face toward the muscle (when contracting unilaterally) [SAME AS CERVICIS]
N: Posterior Rami C3-C7
What is the action and innervation of the Erector Spinae Group and what are they from lateral to medial?
They maintain erect posture and extend the vertebral column and head (when contracting bilaterally), and laterally flex the vertebral column (when contracting unilaterally)
N: Posterior rami of spinal nerves
Iliocostalis, Longissimus, and Spinalis
What are the different regions of Iliocostalis and their respective attachment points?
Iliocostalis Lumborum M.: Attaches from the iliac crest, to thoracic/lumbar spinal processes, sacral crest, and costal angles of ribs
Iliocostalis Thoracis M.: Costal angles of ribs and transverse process C7
Iliocostalis Cervicis M.: Costal angles of ribs and posterior tubercles of cervical transverse processes
What are the different regions of Longissimus and their respective attachment points?
Longissimus Thoracis M.: Iliac crest, sacral crest, and thoracic/lumbar spinous processes, thoracic transverse processes, and ribs
Longissimus Cervicis M.: Thoracic transverse processes and cervical posterior tubercles of transverse processes
Longissimus Capitis M.: Thoracic transverse processes, cervical articulated processes, and mastoid process of the temporal bone
What are the regional Spinalis muscles and what are their respective attachment points?
Spinalis Thoracis M.: Thoracic/lumbar spinous processes to upper thoracic spinous processes
Spinalis Cervicis M.: Thoracic spinous processes to cervical spinous processes
Spinalis Capitis M.: Usually absent or blended with Semispinalis Capitis M.
Over how many spinal segments does the semispinalis group extend and what are they innervated by?
5-6 segments
N: Posterior Rami
What are the regional separations for the semispinalis muscles and their respective actions/attachments?
Semispinalis Thoracis: Extends spine and rotates the spine away; attaches to thoracic transverse processes and upper thoracic/lower cervical spinous processes
Semispinalis Cervicis: Extends the spine and rotates the spine away; attaches to the upper thoracic transverse processes and cervical spinous processes
Semispinalis Capitis: Extends the head and rotates the face away; attaches to the cervical transverse processes and between the superior and inferior nuchal lines of the occipital bone
What are the actions of Multifidus, Rotatores Longus, and Rotatores Brevis, and what are they innervated by?
They all extend the spine and rotate the spine away
N: Posterior Rami
How many spinal segments do Multifidus, Rotatores Longus, and Rotatores Brevis extend over?
Multifidus: 3-4 segments
Rotatores Longus: 2 segments
Rotatores Brevis: 1 segment
What are the other deep back muscles and their innervation?
Interspinalis, Intertransversarii, levator cosatrum Longus, and levator cosatrum brevis
N: Posterior Rami
What are the attachments and their actions for the “other deep back muscles”?
Interspinalis: spinous process to adjacent spinous process; extend spine
Intertransversarii: transverse process to adjacent transverse process; laterally flex spine
Levator Costarum Longus: Transverse processes to 2nd rib inferior to the origin; elevate ribs
Levator Costarum Brevis: Transverse processes to adjacent rib inferior to origin; elevate ribs
What is the innervation for the Suboccipital muscles and what are they?
N: Suboccipital N.
Rectus Capitis Posterior Minor & Major
Obliquus Capitis Inferior and Superior
What makes up the Suboccipital triangle?
Rectus Capitis posterior major (medial border), Obliquus Capitis inferior (inferior border), and Obliquus Capitis Superior (lateral border)
What are the attachments and actions for Rectus Capitis Posterior Major and Minor?
Major: C2 spinous process and the lateral portion of the inferior nuchal line; extend head and rotate face toward the muscle
Minor: Posterior tubercle of C1 and just below the inferior nuchal line; extend the head
What are the attachments and actions for Obliquus Capitis Superior and Inferior?
Superior: Transverse process of C1 to in between superior and inferior nuchal lines; extend and laterally flex the head
Inferior: C2 spinous process to transverse process of C1; rotate the face toward the muscle
What are the attachments and action of Pectoralis Major M.?
It attaches to the clavicle, sternum, costal cartilage, the aponeurosis of the abdominal muscles, and the anteriolateral edge of the humerus
It ADducts and medically rotates the humerus, protracted and depresses the scapula, flexes the humerus, and extends the humerus when it is in the flexed state
What are the attachments and action of Pectoralis Minor M.?
The medial portion of the ribs and the coracoacromial process of the scapula
It stabilizes the scapula by protraction great and depressing it agains the thoracic wall
What are the innervations for the Pectoralis Major and Minor M.?
Major: Medial and Lateral Pectoral N.
Minor: Medial Pectoral N.
Where does the Subclavius M sit and what does it do?
It sits below the clavicle, in between the clavicle and 1st rib
It positions and depresses the clavicle
What innervates the Subclavius M.?
Subclavian Nerve
Where does Serratus Anterior M. attach and what does it do?
It attaches to the lateral external surface of the ribs and the anterior surface of the medial border of the scapula
It protracts the scapula, stabilizing it against the thoracic wall, and it rotates the glenoid cavity superiority
What innervates and supplies Serratus Anterior M.?
Long Thoracic Nerve and the Lateral Thoracic Artery
Where does the Deltoid M. attach and what does it do?
It attaches to the clavicle, scapular spine, acromion, and deltoid tuberosity on the humerus
Anterior part: Flexes and medially rotates the humerus
Middle part: ABducts the humerus
Posterior part: Extend and laterally rotates the humerus
What innervates and supplies the deltoid M.?
Axillary Nerve and Posterior Circumflex Humeral Artery
What are the rotator cuff muscles?
Subscapularis, Supraspinatus, Infraspinatus, and Teres Minor
Where does subscapularis attach and what does it do?
It attaches to the subscapular fossa and the humerus
It medially rotates and ADducts the humerus, and helps hold the humeral head in the glenoid cavity
Where does Supraspinatus attach and what does it do?
It attaches to the supraspinous fossa of the scapula and the greater tubercle of the humerus
It ABducts the humerus and helps to hold the humeral head in the glenoid cavity
Where does Infraspinatus sit and what does it do?
It attaches to the infraspinous fossa of the scapula and the greater tubercle of the humerus
It laterally rotates the humerus and helps to hold the humeral head in the glenoid cavity
What innervates Subscapularis, Supraspinatus, and Infraspinatus?
Subscapularis: Upper and Lower Subscapular Nerve
Supraspinatus: Suprascapular N.
Infraspinatus: Suprascapular N.
Where does Teres Minor attach and what does it do?
It attaches to the middle portion of the lateral border of the scapula
It laterally rotates the humerus and helps to hold the humeral head in the glenoid cavity
Where does Teres Major attach and what does it do?
It attaches to the posterior aspect of the inferior angle of the scapula and the intertubercular groove of the humerus
It ADducts and medially rotates the humerus