Practical 1 Flashcards
Muscles in superior extrinsic shoulder
Trapezius
Latissimus dorsi
Trapezius origin
Base of skull
nuchal ligament
C7-T12
Trapezius insertion
lateral third of clavicle
acromion
spine of scapula
Trapezius action
elevate, depress, retract scapula
rotate glenoid cavity superiorly
Trapezius innervation
spinal accessory nerve
lat. dorsi origin
Spinous process of lower 6 thoracic vertebrae
iliac crest
Thoracolumbar fasica
lat dorsi insertion
the floor of the intertubercular groove
Lat dorsi action
medial rotation of humerus
Extend and adduct humerus
pull trunk to upper limbs for when climbing
lat. dorsi innervation
thoracodorsal nerve
Muscles of deep posterior extrinsic shoulder
Levator scapulae
Rhomboid major
Rhomboid minor
Origin levator scapulae
transverse process C1 - C4
insertion levator scapulae
medial border of scapula - above spine level
action levator scapulae
elevate scapula
rotate glenoid cavity inferiorly
Innervation levator scapulae
dorsal scapular nerve
Origin Rhomboid minor
spinous process C7 and T1
Insertion rhomboid minor
medial border of scapula at level of spine
Action rhomboid minor
retract scapula
rotate glenoid cavity inferiorly
Innervation rhomboid minor
Dorsal scapular nerve
Rhomboid major origin
spinous process T2- T5
Rule of deep posterior extrinsic muscles
4,2,2,4 rule
Insertion rhomboid major
medial border of scapula, level below spine
Innervation rhomboid major
dorsal scapular nerve
action rhomboid major
Retract scapula
rotate glenoid cavity inferiorly
Muscles of intrinsic shoulder
Deltoid
Teres major
Origin deltoid
lateral third of clavicle
acromion
Spine of scapula
Deltoid insertion
deltoid tuberosity
deltoid action
extend and flex humerus
medial and lateral rotation of humerus
abduct humerus
Deltoid innervation
axillary nerve
Teres major origin
posterior surface of scapula
Teres major insertion
intertubercular groove - medial lip
Teres major action
medial rotation of humerus
Adduct humerus
Teres major innervation
lower scapular nerve
Muscles in rotator cuff
Subscapularis
supraspinatus
infraspinatus
teres minor
subscapulris origin
subscapular fossa
subscapularis insertion
lesser tubercle of humerus
subscapularis action
medial rotation of humerus
stabilize shoulder
innervation subscapularis
upper subscapular nerve
lower subscapular nerve
supraspinatus origin
supraspinatus fossa
supraspinatus insertion
greater tubercle of humerous - superior facet
action supraspinatus
adduct humerus
stabilize shoulder
supraspinatus innervation
suprascapular nerve
origin infraspinatus
infraspinous fossa
Infraspinatus insertion
Greater tubercle - middle facet
Action infraspinatus
Lateral rotation of humerus
Stabilize shoulder
Infraspinatus innervation
Suprascapular nerve
Teres minor origin
Lateral border of scapula -superior portion
Teres minor insertion
Greater tubercle of humerus - inferior facet
Action teres minor
Lateral rotation of humerus
Stabilize shoulder
Teres minor innervation
Axillary nerve
Anterior thoracoappendicular muscles
Pectoralis major
Pectoralis minor
Subclavius
Serratus anterior
Pec major origin
Medial half of clavicle
Sternum
Pec major insertion
Lateral lip of intertubercular groove
Pec major action
Adducts and medical rotation of humerus
Pec minor origin
Ribs 3 - 5
Pec major innervation
Lateral and medial pectoral nerves
Pec minor insertion
Coracoid process
Pec minor action
Stabilize scapula
Pec minor innervation
Lateral and medial Pectoral nerves
Subclavius origin
Junction of rib 1 and its costal cartilage
Subclavius insertion
Middle third of clavicle
Inferior surface
Subclavius innervation
Nerve to Subclavius
Subclavius action
Stabilize/anchor clavicle
Depress clavicle
Serratus anterior Origin
Ribs 1 -8 lateral surface
Serratus anterior insertion
anterior suface of scapula - medial border
Serratus anterior innervation
long thoracic nerve
serratus anterior action
protract and rotate scapula
holds scapila against thorax
Intermediate extrinsic back muscles
Serratus posterior superior
Serratus posterior inferior
Serratus posterior superior origin
spinous processes: C7 - T2
Serratus posterior superior insertion
upper ribs
Serratus posterior superior innevation
anterior rami
Serratus posterior superior action
respiration?
proprioceptive function?
Serratus posterior inferior origin
spinous processes T11 - L3
Serratus posterior inferior insertion
lower ribs
Serratus posterior innervation
Anterior rami
Serratus posterior inferior action
respiration?
proprioceptive function?
Superfical intrinsic back muscles
Splenius (Capitis and cervicis)
Splenius origin
Nuchal ligament
spinous processes C7-T6
Splenius insertion
capitis - mastoid process, superior nuchal line
cervicis - transverse processes ~C1 - C4
Splenius innervation
posterior rami
splenius action
lateral flexion of neck
rotation of head
Extension of head and neck
Intermediate intrinsic back muscles
Erector spinae
- Iliocostalis
- longisssimus
- Spinalis
Origin of erector spinae
common insertion for each muscle
- sacrum
- iliac crest
- spinous processes T11 - L5
longissimus insertion
Ribs
Transverse processes of cervical and thoracic
Iliocostalis insertion
angles of lower ribs
Spinalis insertion
Spinous processes - cervical and thoracic
innervation of erector spinae
posterior rami
action of erector spinae
extend, laterally flex and stabilize vertebral column
Deep intrinsic back muscles
Transversospinalis group
- semispinalis
- multifidus
- Rotatores
Origin of Tranversospinalis
Transverse processes of all vertebrae
Semispinalis insertion
spinous processes - cervical and thoracic
(4-6 segments)
Multifitus insertion
Spinous processes - all vertebrae
( 2 - 4 segments)
insertion rotatores
spinous processes - all vertebrae
( 1 -2 segments)
Transversospinalis action
Extend, laterally flex/rotate and stabilize vertebral column
innervation of transversospinalis group
posterior rami
Deepest intrinsic back muscles
Segmental group
- Interspinalis
- intertransversarii
- levator costarum
interspinales origin
Spinous processes of vertebrae
Intertransversarii origin
transverse processes of vertebrae
Levator costarum origin
transverse processes of thoracic vertebrae
Inerspinales insertion
spinous process of vertebrae above origin
intertransversarii insertion
transverse spinous process above origin
segmental group innervation
posterior rami
intertransversarii - also anterior rami
Levator costarum insertion
Ribs between tubercle and angle
segmental group origin
extend, lateral flexion, stabilize vertebral column
Levator costarum : elevates ribs for breathing and lateral flextion of vertebral column
Anterior compartment of arm muscles
Coracobrachialis
Biceps brachii
Brachialis
Coracobrachialis origin
coracoid process
Coracobrachialis insertion
Humerus - medial third, medial surface
Coracobrachialis innervation
musculocutaneous nerve
Coracobrachialis action
shoulder flextion and adduction
Biceps brachii origin
Short head - coracoid process
long head - supraglenoid tubercle of scapula
Biceps brachii innervation
musculocutaneous nerve
Biceps brachii insertion
radial tuberosity
Brachialis origin
distal half, anterior surface of humerus
Biceps brachii action
Forearm supination
Elbow flextion
Brachialis insertion
coronoid process of ulna - ulnar tuberosity
Brachialis innervation
musculocutaneous nerve
Brachialis action
elbow flexion
Posterior compartment of arm muscle
Triceps brachii
Triceps brachii origin
Long head: infraglenoid tubercle of scap
Lateral head: posterior surface if humerus, superior to radial groove
medial head: posterior surface of humerus, inferior to radial groove
Triceps brachii insertion
olecranon of ulna
Triceps brachii innervation
radial nerve
Triceps brachii action
elbow extension