OINA etc week3/4 Flashcards
Splenius Cervicis Innervation
Dorsal primary rami
Psoas Minor Insertion
Pubic bone
Quadratus Lumborum Origin
Iliac crest, iliolumbar ligament, and transverse processes of lower lumbar vertebrae
Iliocostalis Lumborum Insertion
Angles of inferior 6 ribs
Splenius Capitis Origin
Ligamentum nuchae and spinous processes C7-T3
Longissimus Cervicis Origin
Transverse processes of T1-4 or 6
Inferior vena cava arises about the ____ vertebra from a union of the ______ veins
L5
Common iliac veins
Diaphragm Innervation
R and L phrenic nerve
What are the superficial muscles of the deep muscles of the back?
Splenius Capitis & Splenius Cervicis
Where are Multifidus most prominent?
Lumbar region
Rectus Abdominis Innervation
Lower 5 thoracic nerves, subcostal, iliohypogastric
Where are Rotatores easiest to observe?
Thoracic region
Diaphragm- lumbar portion Origin
Lumbar vertebra in form of right and left crus. Right crus: L1-3 and IV discs. Left crus: L1-2 and IV discs.
Multifidus Origin
Vertebral arches (C2-S4)
Psoas Major Origin
Transverse processes, bodies and intervertebral discs T12-L5
Psoas Minor Action
Flexion of pelvis & vertebral column.
Rhomboid Minor Innervation
Dorsal scapular nerve (C4-5)
Inferior boundary of abdominal wall
Line on either side connecting the ASIS to the pubic symphysis
Splenius Cervicis Action
Rotate head and neck to same side; extend head and neck.
Iliocostalis Innervation
Dorsal primary rami
Quadratus Lumborum Insertion
Rib 12, transverse processes of upper lumbar vertebrae
Serratus Posterior Superior Origin
Ligamentum nuchae, spinous process C7-T3
External Abdominal Oblique Insertion
Linea alba, pubic crest, iliac crest, pubic symphysis
Transverse Abdominis Origin
Thoracolumbar fascia, iliac crest, lateral third of inguinal ligament, internal surface of costal cartilages 7-12
Semispinalis Innervation
Dorsal rami of cervical spine nerves.
Iliocostalis Cervicis Origin
6 upper ribs
What muscles are in the intermediate layer of deep back?
Erector Spinae: Iliocostalis, Longissimus, Spinalis
Nerve to quadratus femoris
L4-S1
External iliac passes under _____ and enters _____ . It changes name to ____ when ______.
Inguinal ligament
Anterior compartment of thigh
Femoral artery
When it crosses under inguinal ligament
The _______ arises from the external iliac artery before it enters anterior thigh compartment. It supplies…
Inferior epigastric artery
Inferior aspect of anterior abdominal wall
Rotatores Action
Rotation of superior vertebrae to opposite side. (Likely serve proprioceptive role rather than biomechanical.)
Psoas Minor Innervation
Ventral primary rami L1
Splenius Capitis Action
Rotate the head and neck to the same side; neck and head extension.
Psoas Major Action
Flexion of thigh, flexion and lateral flexion of trunk
Transtubercular plane
Line passes through iliac tubercles at level of L5
Transumbilical plane
Belly button: IV disc between L3 and L4
Multifidus Action
Unilaterally: flexes trunk laterally, rotates vertebra to opposite side. Bilaterally: extends the trunk.
Semispinalis Capitis Insertion
Occipital bone
External Abdominal Oblique Innervation
Inferior 5 thoracic nerves and subcostal nerve (T12) and Iliohypogastric
What is omentum?
Double layer of peritoneum that attaches stomach to body wall or other abdominal organs.
Sciatic
L4-S3
Latissimus Dorsi Origin
Spinous processes of T7-L5, thoracolumbar fascia, iliac crest, inferior 3-4 ribs and inferior angle of the scapula
Spinalis Insertion
Spinous process of upper 4-8 thoracic vertebrae
What are the deep layer of intrinsic muscles?
Short muscles found in grooves between transverse and spinous processes of vertebrae. Known as transverospinalis muscles.
Semispinalis, Multifidus, Rotatores.
Sacral plexus derived from…
L4-S4
What/where is Linea Alba?
Where anterior and posterior walls meet and fuse in anterior median line.
Longissimus Capitis Origin
Lower 4 cervical vertebrae
Psoas Minor Origin
Bodies of vertebrae T12-L1 and IV disc
Twigs to piriformis
S1-S4
What makes up the portal triad?
Bile duct, Hepatic artery and Portal vein
Internal Abdominal Oblique Action
Flex and rotate trunk, laterally rotate trunk, compress abdominal contents
Latissimus Dorsi Insertion
Medial lip of intertubercular groove of humerus
anterior to teres major
Latissimus Dorsi Innervation
Thoracodorsal nerve
ASIS stands for….
Anterior Superior Iliac Spine
Psoas Major Innervation
Ventral primary rami L1 and L2
Quadratus Lumborum Innervation
Subcostal and upper lumbar ventral primary rami
External Abdominal Oblique Action
Flex and rotate trunk, laterally rotate trunk, compress Abdominal contents.
Transverse Abdominis Action
Compress and support abdominal viscera.
Rhomboid Major Action
Retracts and downwardly rotates the scapula
Rectus Abdominis Insertion
Xiphoid process, 5th and 7th costal cartilages
Rectus Abdominis Action
Flexes trunk and tenses anterior Abdominal wall
Longissimus Capitis Insertion
Mastoid process of temporal bone
Levator Scapulae Action
Elevates scapula, rotates head to the same side.
A dense fibrous sheath enclosing Rectus Abdominis
Rectus sheath
Genitofemoral
L1-L2
What is mesentery?
Double layer of peritoneum enclosing abdominal organs. Contained with the fibrous tissue are blood & lymph vessels, nerves, lymph nodes & adipose tissue.
Nerves of lumbar plexus
Iliohypogastric, ilioinguinal, genitifemoral, lateral femoral cutaneous, femoral & obturator
Serratus Posterior Inferior Action
Depress inferior 3 to 4 ribs to prevent superior pull by diaphragm
Sacral plexus gives rise to what nerves…
Superior gluteal, Inferior gluteal, Sciatic, Pudendal, Twigs to the piriformis, Nerve to obturator internus, Nerve to quadratus femoris.
Levator Scapulae Origin
Posterior tubercles of transverse processes C1-C4
The common iliac arteries divide into _________.
Internal and external iliac arteries
Iliocostalis Lumborum Origin
Broad tendon that attaches to the iliac crest.
Splenius Cervisis Origin
Spinous processes T3-T6
Lumbar plexus derived from…
L1-L3 and part of L4
Serratus Posterior Inferior Insertion
Inferior 3 or 4 ribs
Iliacus Action
Flexion of thigh
Serratus Posterior Superior Action
Elevates the Superior 4 ribs to increase the size of the thorax
Lumbar plexus L2 nerves
Genitofemoral,
Lateral femoral cutaneous,
Femoral,
Obturator
Inferior gluteal
L5 S1 S2
What 3 bones make up os coxae?
Ilium, ischium and pubis- fusion occurs at acetabulum
Multifidus Insertion
Spinous processes, spanning 1-3 vertebrae (C2-S4)
Serratus Posterior Superior Innervation
Ventral primary rami of first 3-4 thoracic nerves
Semispinalis Capitis Action
Bilaterally extends head. Unilaterally rotates head to same side.
Iliocostalis Cervicis Insertion
Transverse processes of lower cervical vertebrae 4-6
Serratus Posterior Superior Insertion
2nd to 5th ribs
Internal Abdominal Oblique Origin
Thoracolumbar fascia, anterior iliac crest, lateral half of inguinal ligament
Lumbar plexus L4 nerves
Femoral and Obturator
Transpyloric plane
Passes through body of L1; passes through pyloric sphincter of stomach
Abdominal aorta divides at ______ vertebrae into _____ and ______.
L4, R and L common iliac arteries
Iliohypogastric
L1
Iliocostalus Thoracis Insertion
6 upper ribs
Longissimus Thoracis Origin
Lower lumbar spinous processes and sacrum.
Femoral
L2-L4
Diaphragm- costal portion- Insertion
Internal surface of lower 6 ribs, costal cartilage, and lateral and medial arcuate ligaments
Obturator
L2-L4
Name of orifice that marks connection between stomach and esophagus
Cardia
Part of the diaphragm that is the shape of a boomerang into which the peripheral muscular portion inserts
Central tendon
Quadratus Lumborum Action
Flexion of trunk laterally, extend vertebral column, elevate hip, stabilize rib 12 against inspiration
Rhomboid Minor Action
Retracts and downwardly rotates the scapula.
Longissimus Innervation
Dorsal Primary Rami
Levator Scapulae Innervation
Dorsal scapular nerve (C4-5)
4 parts of the stomach
Cardia, fundus, Body, pyloric
Iliocostalis Thoracis Origin
6 lower ribs
What connects the lesser curvature of the stomach and duodenum to the liver?
Lesser omentum
Levator Scapulae Insertion
Superior part of the medial border of the scapula
Iliacus Insertion
Lesser trochanter with psoas Major
Longissimus Thoracis Insertion
Lower 9 ribs and associated transverse processes
What muscles form posterior abdominal wall?
Diaphragm, iliacus, psoas major and quadratus lumborum
Lumbar plexus L3 nerves
Lateral femoral cutaneous,
Femoral,
Obturator
Transverse Abdominis Insertion
Linea alba, pubic crest, pubic symphysis
Rhomboid Major Insertion
Medial border of the scapula from the level of the spine to the superior angle
Nerve to obturator internus
L5 S1 S2
Rectus Abdominis Origin
Pubic symphysis, pubic crest
Rotatores Origin
Transverse process of 1 vertebrae
Pudendal
S2-S4
Semispinalis Capitis Origin
Transverse processes T1-6
What bones form posterior abdominal wall?
Lumbar vertebrae, sacrum, wings of ilium and ribs
Diaphragm- sternal portion Insertion
Central tendon
Iliacus Origin
Iliac fossa
Lumbar plexus L1 nerves:
Iliohypogastric,
Ilioinguinal,
Genitofemoral
Trapezius action
Elevation from upper fibers, retraction from middle fibers, depression from lower fibers.
Splenius Capitis Innervation
Dorsal primary rami
3 elements of the os coxae
Ilium, ischium and pubis
Psoas Major Insertion
Lesser trochanter with iliacus
Trapezius Origin
External occipital protuberance, ligamentum nuchae,
spinous processes C7-T12
Spinalis Origin
Spinous processes of T11-L2
Rotatores Innervation
Dorsal rami of spinal nerves
Rhomboid Minor Innervation
Medial border of the scapula from the level of the spine to the inferior angle.
Trapezius innervation
Spinal root of the accessory nerve CN XI
3 parts of Semispinalis
Thoracis, Cervicis, Capitis
The internal iliac supplies…
Viscera of pelvic cavity
Superior gluteal
L4-L5 S1
Latissimus Dorsi Action
Extends, adducts and medially rotates the humerus, elevates Body when climbing
What is the fat laden fold of peritoneum that connects the stomach with the transverse colon?
Greater omentum
What are the superficial muscles of the back?
Trapezius, Latissimus Dorsi, Levator Scapulae, Rhomboid Major & Minor, Serratus Posterior Superior & Inferior
Splenius Cervicis Insertion
Transverse processes of C1-C4
Spinalis Innervation
Dorsal primary rami
Serratus Posterior Inferior Origin
Spinous processes T11-L2
Internal Abdominal Oblique Insertion
Linea alba, pubic crest, inferior surface ribs 10-12
Trapezius Insertion
Posterior border of lateral third of the clavicle, acromion process and spine of scapula
Rhomboid Major Origin
Spinous process T2-T5
Superior boundary of abdominal wall
Right and left costal margins, xiphisternal joint
Multifidus Innervation
Dorsal rami of spinal nerves
Transverse Abdominis Innervation
Lower 5 thoracic nerves, subcostal, iliohypogastric
Rhomboid Major Innervation
Dorsal scapular nerve (C4-5)
Diaphragm- sternal portion Origin
Fibers arise from xiphoid
Subcostal plane
Line through most inferior points of costal cartilage, 10th costal cartilage. Line passes through body of L3.
Ilioinguinal
L1
Spinalis Action
Extensors of vertebral column
Iliacus Innervation
Femoral nerve
External Abdominal Oblique Origin
External surface of 5th to 12th ribs
Rhomboid Minor Origin
Spinous processes C7 and T1, and the ligamentum nuchae.
Serratus Posterior Inferior Innervation
Ventral primary rami of last 4 thoracic nerves
Openings in diaphragm
Sternocostal hiatus
Foramen for inferior vena cava
Esophageal hiatus
Aortic hiatus
Lateral boundary of abdominal wall
Vertical lines ascending from the ASIS on each side.
Longissimus Cervicis Insertion
Transverse processes C2-6
Splenius Capitis Insertion
Mastoid process, occipital bone
Posterior boundary of abdominal wall
Lumbar paravertebral musculature
Internal Abdominal Oblique Innervation
Lower 5 thoracic nerves, subcostal, iliohypogastric
Lateral femoral cutaneous
L2-L3
Rotatores Insertion
Base of the spinous process of the superior vertebrae.