Posterior Appendicular Muscles Flashcards
what are they?
posterior muscles that attach scapula and humerus to the axial skeleton, or the scapular to the humerus
Trapezius innervation
motor: accessory nerve/CN11 sensory: C3/C4 spinal nerves
Latissimus dorsi innervation
thoracodorsal nerve
Levator scapulae
3rd and 4th cervical spinal nerves and dorsal scapular nerve
Rhomboid major
dorsal scapular nerve
Rhomboid minor
dorsal scapular nerve
Accessory nerve innervates (CN XI)
sternocleidomastoid and trapezius
CN XI leaves via
foramen magnum
Roots of accessory nerve emerge from cervical vertebrae
C1-C5
Dorsal scapular nerve arises from
C5
Thoracodorsal nerve arises from
posterior cord
Arrange these superficial to deep: erector spinae transversospinalis hypaxial
Hypaxial –>erector spinae group –> transversospinalis
Trapezius: blood supply
transverse cervical artery
Trapezius: actions
elevates, depresses, retracts scapula rotates glenoid fossa
Trapezius: innervation
motor: accessory nerve (CN XI) pain and proprioception: C3 and C4
What are the ligaments and origins of the trapezius?
Posterior: nuchal ligament O: external occipital protuberance and superior nuchal line C7-T12 vertebrae anterior lateral 1/3 of clavicle spine and acromion process
What actions doesnt the scapula perform?
protraction and DOWNWARD rotation
Trapezius nuchal ligament is responsible for
retraction
thoracic insertions of the trapezius are responsible for
depression and upward rotation
Scapular and cervical insertions of trapezius are responsible for
elevation and upward rotation
if the inferior angle of the scapula moves toward the axillary region, this is called
upward rotation
Triangle of Auscultation
less tissue, easier to hear breathing sound between deltoid, latissimus, and trapezius
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Triangle of auscultation
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lumbar triangle
where herniation often occurs
Latissimus dorsi
proximal attachment and distal
spinous process of inferior 6 thoracic vertebrae
thoracolumbar fascia
iliac crest
inferior 3 ribs
distal: bicipital groove
latissimus dorsi
actions
extends, adducts, medially rotates humerus. raises torso towards arms during climbing
Latissimus dorsi moves the humerus at the
shoulder joint (glenohumeral joint)
Latissimus dorsi
Medial rotation
Adduction
Extention of humerus
Rhomboid major m.
prox and distal attachments
prox major: thoracic vert
prox minor: nuchal ligament
distal major: medial border of rib to inferior angle
distal minor: mediat end of scapula spin
rhomboid major and minor: blood supply
dorsal scapular artery
Rhomboid major minor: actions
both retract, elevate, and rotate scapula downward, as well as fix it to scapular spine
Levator scapulae: innervation
dorsal scapular nerve and cervical nerves 3-4
Levator scapulae: blood supply
dorsal scapular artery
Levator scapular does what
Rhomboids do what
Levator elevates, downward rotation scapula
rhomboids elevate, downward rotate, retracts scapula
the difference is retraction
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