Origins, Insertions, Actions, Innervations, Blood Supply Flashcards
Trapezius Origin
- External Occipital Protuberance
- Medial 1/3 of superior nuchal line
- Ligamentum nuchae
- Spinous processes of C7-T12
Trapezius Insertion
- Superior: Lateral 1/3 of clavicle
- Middle: Spine and acromion of scapula
- Inferior: Base of spine of scapula
Trapezius Innervation
- Spinal accessory nerve
- Ventral rami of 3rd and 4th cervical nerves
- CN XI and C3/C4 fibers form subtrapezial plexus on deep surface of muscle
Trapezius Blood Supply
Superficial branch of transverse cervical artery
Trapezius Actions
- Raises, retracts, and rotates scapula
- Bilateral contraction of superior fibers extends head
- Unilateral contraction of upper fibers laterally flexes head and cervical vertebrae
Latissimus Dorsi Origin
- Spinous processes of T7-T12
- All lumbar and sacral vertebrae (SPs)
- Posterior part of iliac crest
- From lower 3-4 ribs via muscular slips that interdigitate with external oblique muscle
Latissimus Dorsi Insertion
- Crest of lesser tubercle
- Floor of bicipital groove of humerus
Latissimus Dorsi Innervation
Thoracodorsal nerve (posterior cord of brachial plexus, C6-C8 fibers)
Latissimus Dorsi Blood Supply
Thoracodorsal artery (branch of subscapular artery)
Latissimus Dorsi Action
Extension, medial rotation, and adduction of arm
Levator Scapulae Origin
Posterior tubercles of TPs of C1-C3/C4
Levator Scapulae Insertion
Medial border of scapula from superior angle to base of spine
Levator Scapulae Innervation
- Ventral rami C3, C4 from deep branches of cervical plexus
- Twig from dorsal scapular nerve (C5)
Levator Scapulae Blood Supply
Deep branch of transverse cervical artery
Levator Scapulae Action
- Elevates and retracts scapula with trapezius
- Laterally flexes cervical vertebrae column when scapula is fixed
Rhomboid Minor Origin
- Lower part of ligamentum nuchae
- Spinous processes of C7 and T1
Rhomboid Minor Insertion
Medial border of scapula at base of spine
Rhomboid Minor Innervation
Dorsal scapular nerve (C4, C5)
Rhomboid Minor Blood Supply
Deep branch of transverse cervical artery
Rhomboid Minor Action
- Elevates medial border of scapula
- Retracts scapula
- Rotation of scapula (downwards)
Rhomboid Major Origin
Spinous processes of T2-T5
Rhomboid Major Insertion
Medial border of scapula between base of spine and inferior angle
Rhomboid Major Innervation
Dorsal scapular nerve (C4, C5)
Rhomboid Major Blood Supply
Deep branch of the transverse cervical artery
Rhomboid Major Action
- Elevates medial border of scapula
- Retracts scapula
- Rotation of scapula (downwards)
Serratus Posterior Superior Origin
- Lower end of ligamentum nuchae
- Spinous processes of C7-T2/3
Serratus Posterior Superior Insertion
Ribs 2-5 lateral to angle
Serratus Posterior Superior Innervation
First four intercostal nerves (ventral Rami of first four thoracic nerves)
Serratus Posterior Superior Blood Supply
- Highest intercostal artery
- Posterior intercostal arteries
Serratus Posterior Superior Action
Elevates upper ribs during inspiration
Serratus Posterior Inferior Origin
SPs of T10-L2
Serratus Posterior Inferior Insertion
Lower 3-4 ribs lateral angles
Serratus Posterior Inferior Innervation
Lowest 4 intercostal nerves (ventral rami of lower thoracic)
Serratus Posterior Inferior Blood Supply
Posterior intercostal arteries
Serratus Posterior Inferior Action
Depresses lower ribs down and back during inspiration
Splenius Capitis Origin
- Caudal half of ligamentum nuchae
- SPs of C7-T3/4
Splenius Capitis Insertion
Mastoid process and occipital bone inferior to lateral 1/3 of superior nuchal line
Splenius Capitis Innervation
Dorsal Rami of middle cervical nerves
Splenius Capitis Blood Supply
- Muscular and descending branches of the occipital artery
- Superficial branch of the transverse cervical artery
Splenius Capitis Actions
- Unilaterally rotates the head and neck
- Bilaterally extends head and neck
Splenius Cervicis Origin
Narrow, tendinous band from SPs T3-6
Splenius Cervicis Insertion
Posterior tubercles of TPs of upper 2-3 cervical vertebrae
Splenius Cervicis Innervation
Doral rami lower cervical nerves
Splenius Cervicis Blood Supply
- Muscular and descending branches of occipital artery
- Superficial branch of transverse cervical artery
Splenius Cervicis Actions
- Unilaterally draws head to one side and slightly rotates
- Bilaterally extends head
Iliocostalis Lumborum Origin
Thoracolumbar fascia
Iliocostalis Lumborum Insertion
Lower borders of lower six or seven ribs near angles
Iliocostalis Lumborum Innervation
Dorsal rami of lumbar spinal nerves
Iliocostalis Lumborum Blood Supply
- Posterior intercostal arteries
- Lumbar arteries
Iliocostalis Lumborum Action
Extension and lateral flexion of vertebral column
Iliocostalis Thoracis Origin
Upper borders of lower six ribs medial to insertions of iliocostalis lumborum
Iliocostalis Thoracis Insertion
Upper six ribs and sometimes TPs of C7
Iliocostalis Thoracis Innervation
Dorsal rami of thoracic spinal nerves
Iliocostalis Thoracis Blood Supply
Posterior intercostal arteries
Iliocostalis Thoracis Action
Extension of vertebral column
Iliocostalis Cervicis Origin
Upper six ribs medial to insertion of iliocostalis thoracis
Iliocostalis Cervicis Insertion
TPs of C4-6
Iliocostalis Cervicis Innervation
Dorsal Rami of spinal nerves C4-6
Iliocostalis Cervicis Blood Supply
Posterior intercostal arteries
Iliocostalis Cervicis Action
Extension and lateral flexion of vertebral column
Longissimus Thoracis Origin
- Thoracolumbar fascia
- Accessory processes of lumbar vertebrae
Longissimus Thoracis Insertion
TPs of lower nine thoracic vertebrae and lower nine ribs
Longissimus Thoracis Innervation
Dorsal rami of spinal nerves T1-12
Longissimus Thoracis Blood Supply
Posterior intercostal and lumbar arteries
Longissimus Thoracis Action
Extension and lateral flexion of vertebral column
Longissimus Cervicis Origin
TPs of upper 4-6 thoracic vertebrae medial to insertion of longissimus thoracis
Longissimus Cervicis Insertion
TPs of C2-6
Longissimus Cervicis Innervation
Dorsal rami of spinal nerves C4-8
Longissimus Cervicis Blood Supply
Posterior intercostal arteries
Longissimus Cervicis Action
Extension and lateral flexion of vertebral column
Longissimus Capitis Origin
- Medial to upper border of longissimus cervicis
- Accessory processes of lower 4 cervical vertebrae
Longissimus Capitis Insertion
Posterior edge of mastoid process
Longissimus Capitis Innervation
Dorsal rami of spinal nerves C3-8
Longissimus Capitis Blood Supply
- Muscular branches of occipital arteries
- Deep cervical branch of costocervical trunk
Longissimus Capitis Action
- Bilaterally extends vertebral column
- Unilaterally rotates face laterally
Spinalis Thoracis Origin
Blends with longissimus Thoracis and arises from SPs of T11-L2
Spinalis Thoracis Insertion
SPs of upper 4-8 thoracic vertebrae
Spinalis Thoracis Innervation
Dorsal rami of T1-T12
Spinalis Thoracis Blood Supply
Posterior intercostal arteries
Spinalis Thoracis Action
Extension and lateral flexion of vertebral column
Semispinalis Capitis Origin
TPs of upper 6-7 thoracic vertebrae
Semispinalis Capitis Insertion
Occipital bone between superior and inferior nuchal lines
Semispinalis Capitis Innervation
Medial branches of dorsal rami C1-C6
Semispinalis Capitis Blood Supply
- Descending branch of occipital artery
- Deep branch of costocervical trunk
Semispinalis Capitis Actions
- Bilaterally extends neck
- Unilaterally turns face towards opposite side