Posterior Back And Shoulder Flashcards
Action of Trapezius
Descending part elevates scapula, ascending part depresses scapula, middle retracts scapula. Descending and ascending parts act together to rotate the glenoid cavity superiorly
Trapezius Origin
Medial part of superior nuchal line, external occipital protuberance; nuchal ligament; spinous processes of C7-T12
Trapezius Insertion
Acromion, lateral third of clavicle, and spine of scapula
Latissimus Dorsi Action
Extends, adducts, and medially rotates humerus.
Latissimus Dorsi Origin
Spinous Processes of last 6 thoracic vertebrae, thoracolumbar fascia, iliac crest, and last 3 ribs, inferior angle of the scapula
Latissimus Dorsi Insertion
bicipital groove
Levator Scapulae Action
elevate scap, rotates glenoid cavity inferiorly by rotating scapula
Levator Scapulae Origin
Posterior tubercle of transverse processes of C1-C4
Levator Scapulae Insertion
Medial border of scapula from superior angle
Levator Scapulae Innervation
Dorsal scapular (C4,C5) and cervical nerve (C3,C4)
Latissimus Dorsi Innervation
Thoracodorsal nerve (C6-C8)
Trapezius Innervation
Spinal accessory nerve (CN XI) and C3, C4 spinal nerves
Rhomboid Major & Minor action
Retract scap, rotate glenoid cavity inferiorly.
Rhomboid Major Origin
Spinous processes of T2-T5 vertebrae
Rhomboid Minor Origin
Nuchal ligament, spinous process of C7 and T1 vertebrae
Rhomboid Major Insertion
medial border of scapula from level of spine to inferior angle
Rhomboid Minor Insertion
medial end of scapular spine
Rhomboid Major & Minor Innvervation
Dorsal scapular nerve (C4, C5)
Serratus Posterior Superior & Inferior Action
Superior muscle elevates ribs while the inferior portion depresses ribs, also proprioceptive
Serratus Posterior Superior Origin
spinous processes of C7 to T3
Serratus Posterior Inferior Origin
spinous processes and supraspinous ligaments of T11 to L2
Serratus Posterior Superior Insertion
posterior surface of ribs 2-5
Serratus Posterior Inferior Insertion
posterior surface of ribs 9-12
Serratus Posterior Superior Innervation
Intercostal nerves (T2-T5)
Splenius Cervicis & Captis Action
Unilateral= ipsilateral lateral flexion/rotation Biilateral= extension of head/neck Maintain posture, help control vertebral column
Splenius Cervicis Origin
spinous processes of T3 to T6
Splenius Cervicis insertion
tubercles of transverse processes of C1 to C3 or C4 vertebrae
Splenius Cervicis & Capitis innervation
dorsal rami of spinal nerve roots of C2-C8
Iliocostalis Action
extending spine, laterally flex spine
Iliocostalis Origin
broad tendon of iliac crest, posterior surface of sacrum
Iliocostalis Insertion
superior to angles of lower ribs and cervical processes
Iliocostalis Innervation
dorsal rami of adjacent spinal nerve roots (C3–L5)
Longissimus Action
extending spine, laterally flex spine
Longissimus Origin
broad tendon of iliac crest, posterior surface of sacrum
Longissimus Insertion
superior to ribs between tubercles and angles to transverse processes in thoracic and cervical regions
Longissimus Innervation
dorsal rami of adjacent spinal nerve roots (C3–L5)
Spinalis Muscle Action
Anteriorly tilt pelvis, extending spine, laterally flex spine
Spinalis Origin
broad tendon of iliac crest, posterior surface of sacrum
Spinalis Insertion
superior to ribs between tubercles and angles to transverse processes in thoracic and cervical regions, to mastoid process in temporal bone
Spinalis Innervation
dorsal rami of adjacent spinal nerve roots (C3–L5)
Semispinalis (capitis, cervicis, and thoracis) Action
Extension and contralateral rotation of head, cervical, and thoracic regions
Semispinalis Origin
transverse processes of C4 to T12
Semispinalis insertion
posterior occipital bone below superior nuchal line
Semispinalis (capris, cervicis, and thoracis) Innervation
dorsal rami of adjacent spinal nerve roots (C1-T6)
Multifidus Action
extension, ipsilateral lateral flexion and contralateral rotation of the spine
Multifidus Origin
posterior sacrum, posterior superior iliac spine, erector spinae aponeurosis, sacro-iliiac ligs, mammillary processes of lumbar vertebrae, tranverse processes of T1-T3, articular process C4-C7
Multifidus Insertion
entire length of spinous processes
Multifidus Innervation
posterior rami of C3-C7
Rotatores longus and brevis (cervicis and thoracis) action
Proprioceptive
Interspinales action
Proprioceptive
Levatores Costarum longus and brevis) action
Proprioceptive
Rectus capitis posterior major action
extends and rotates head to same side
Rectus capitis posterior major Origin
Spinous process C2
Rectus capitis posterior major Insertion
lateral part of inferior nuchal line of occipital bone
Rectus capitis posterior major innervation
suboccipital nerve (posterior rami of C1)
Rectus capitis posterior minor action
Extends head
Rectus capitis posterior minor Origin
tubercle of posterior arch of C1 (atlas)
Rectus capitis posterior minor Insertion
inferior nuchal line of occipital bone
Rectus capitis posterior minor Innervation
suboccipital nerve (posterior rami of C1)
Obliquus capitis inferior action
rotates atlas to turn face to same side
Obliquus capitis inferior Origin
posterior tubercle of posterior arch of vertebra C2 (axis)
Obliquus capitis inferior Insertion
Transverse process of vertebra C1 (atlas)
Obliquus capitis inferior Innervation
suboccipital nerve (posterior rami of C1)
Obliquus capitis superior action
extends and bends head laterally
Obliquus capitis superior Origin
Transverse process C1
Obliquus capitis superior Insertion
Occipital bone between both superior and inferior nuchal lines
Obliquus capitis superior innervation
suboccipital nerve (posterior rami of C1)
Sternocleidomastoid action
Unilateral= lateral flexion, contralateral rotation Bilateral= flexes neck down to sternum, and also flexes/protudes chin while extending neck slightly (lying down)
Sternocleidomastoid Origin
Manubrium, clavicular head, posterior surface of medial first part of clavicle
Sternocleidomastoid Insertion
Mastoid process and superior nuchal line of occiptal bone
Sternocleidomastoid innervation
Spinal accessory nerve (CN XI)
supraspinatus action
abducts arm, also acts with rotator cuff muscles
teres minor action
laterally rotates arm, acts with rotator cuff muscles
teres minor origin
middle part of lateral border of scapula
teres minor insertion
Inferior facet of greater tubercle of humerus
teres minor innervation
axillary nerve (C5, C6)
teres major origin
Posterior surface of inferior angle of scapula
teres major innervation
Lower subscapular nerve (C5, C6)
infraspinatus insertion
middle facet of greater tubercle of humerus
Serratus Posterior Inferior Innervation
Intercostal nerves (T9-T12)
splenius capitis origin
nuchal ligament and spinous processes of C3 to T3 vertebrae
splenius capitis insertion
lateral aspect of mastoid process and lateral third of superior nuchal line
semispinalis cervicis origin
transverse processes of T1 to T6
semispinalis cervicis insertion
posterior surfaces of transverse processes of vertebrae C2-C5
Semispinalis origin
arises from transverse processes of C4-T12 vertebrae.
semispinalis capitis insertion
between superior and inferior nuchal lines of the occipital bone
supraspinatus origin
Supraspinous fossa of scapula
supraspinatus insertion
superior facet of greater tubercle of humerus
supraspinatus innervation
suprascapular nerve (C4, C5, C6)
infraspinatus origin
Infraspinous fossa of scapula
infraspinatus action
laterally rotates arm, acts with rotator cuff muscles
subscapularis action
medially rotates arm, as part of rotator cuff, helps hold head of humerus in glenoid cavity
subscapularis origin
subscapular fossa (most anterior surface of scapula)
subscapularis insertion
lesser tubercle of humerus
subscapularis innervation
Upper and lower subscapular nerves (C5, C6, C7)
teres major insertion
medial lip of intertubercle sulcus of humerus
teres major action
Adducts and medially rotates arm
Deltoid (Clavicular, acromial, and spinal) action
Clavicular (anterior) part: flexes and medially rotates arm
Acromial (middle) part: abducts arm
Spinal (posterior) part: extends and laterally rotates arm
Deltoid origin
Lateral third of clavicle; acromion and spine of scapula
Deltoid insertion
deltoid tuberosity of humerus
deltoid innervation
axillary nerve (C5, C6)
serratus anterior action
protracts scapula and holds it against thoracic wall; rotates scapula
serratus anterior origin
external surfaces of lateral parts of 1st-8th ribs
serratus anterior insertion
anterior surface of medial border of scapula
serratus anterior innervation
long thoracic nerve (C5-C7)
triceps brachii origin
long head: infraglenoid tubercle of scapula
lateral head: posterior surface of humerus, superior to radial groove
Medial head: posterior surface of humerus, inferior to radial groove
triceps insertion
proximal end of olecranon of ulna and fascia of forearm
triceps innervation
radial nerve (C6, C7, C8)
triceps action
chief extensor of forearm; long head resists dislocation of humerus; especially important during adduction
Anconeus origin
lateral epicondyle of humerus
Anconeus insertion
lateral surface of olecranon and superior part of posterior surface of ulna
Anconeus innervation
radial nerve (C7, C8, T1)
Anconeus action
assists triceps in extending forearm; stabilizes elbow joint; may abduct ulna during pronation