Sem 2 - Q - Suboccipital region - Trapezius/Splenius/Semispinalis/Longissimus, Suboccipital muscles/triangle, vessels/ligaments Flashcards
When looking at the muscles of the posterior neck region, we can divide the muscles into
- * Superficial - trapezius
- * Intermediate - splenius muscles
- * Deep - Semispinalis and longissimus muscles
And then we reach the suboccipital muscles
State the attachments, nerve supply and function of the trapezius muslces?
Attaches from the medial 1/3rd of the superior nuchal line, the nuchal ligament, the spinous processes of C7-T12 and inserts into the lateral clavicle, acromion and spine of the scapula
- Motor innervation - Spinal accessory nerve (CN XI)
- Pain and proprioception - anterior rami C3,4 spinal nerves
Function
- * Upper (descending) fibres elevate the scapulae and rotate glenoid cavity
- * Middle fibres retract the scapula
- * Lower (ascending) fibres depress the scapula
When looking at the muscles of the posterior neck region, we can divide the muscles into
- * Superficial - trapezius
- * Intermediate - splenius muscles
- * Deep - Semispinalis and longissimus muscles
And then we reach the suboccipital muscles
There are two splenius muscles, splenius capitis and cervicis
- What are the attachments of splenius capitis and cervicis?
Splenius capitis attaches from nuchal ligament and spinous process of C7-T3/4 The capitis fibres then ascend to the mastoid process and lateral 1/3rd of the superior nuchal line
Splenius cervicis attaches from spinous processes of T3-T6 to the posterior tubercles of transverse processes of C1-C3/4
What is the function and nerve supply of the splenius muscles?
Bilateral contraction will extend the head and neck
Unilateral contraction will laterally flex and rotate the head to the same side
- Splenius capitis and cervicis are innervated by posterior rami C1-C6 spinal nerves
Restate the attachments of the splenius capitis and cervicis
Splenius capitis - nuchal ligament and spinous processes of C7-T3/4 to the mastoid process & lateral 1/3rd of the superior nuchal line
Splenius cervicis- spinous processes of T3-T6 to the posterior tubercles of transverse processes C1-C3/4
Restate the function and nerve supply to the splenius muscles
Function
- Bilateral contraction will extend the head and neck
- Unilateral contraction will laterally flex and rotate the head to the same side
ALL SUPPLIED BY POSTERIOR RAMI C1-C6
When looking at the muscles of the posterior neck region, we can divide the muscles into
- * Superficial - trapezius
- * Intermediate - splenius muscles
- * Deep - Semispinalis and longissimus muscles
The longissimus capitis and semisppinalis capitis lie deep to the splenius muscles
- What is the attachments of the longissimus capitis?
Longissimus capitis attaches from the transverse processes of C4-T3 and inserts into the mastoid process
What is the attachments of the semispinalis capitis?
Semispinalis capitis attaches between the transverse process of C4-T7 to the occipital bone between the nuchal lines
State the different functions of the longissimus capitis and semispinalis capitis What is the nerve supply to these muscles?
Longissimus capitis
- Bilateral contraction - extends the head
- Unilateral contraction - laterally flexes and rotates the head to the same side
Semispinalis capitis
- Bilateral contraction - extends the cervical spine
- Unilateral contraction - laterally flexes & rotates cervical spine to same side
Supplied by posterior rami
STATE THE ATTACHMENTS, FUNCTION AND NERVE SUPPLY OF THE LONGISSIMUS AND SEMISPINALIS CAPITIS
ALL SUPPLIED BY POSTERIOR RAMI OF SPINAL NERVES
Longissimus capitis -
- C4-T3 transverse processes to the mastoid process
- * Function - Bilateral contraction extends the head, unilateral contraction laterally flexes and rotates head to the same side
Semispinalis capitis -
- C4-T7 transverse processes the occipital bone between the nuchal lines
- * Function - Bilateral contraction extends the cervical spine, unilateral contraction laterally flexes and rotates the cervical spine to the same side
When looking at the muscles of the posterior neck region, we can divide the muscles into
- * Superficial - trapezius
- * Intermediate - splenius muscles
- * Deep - Semispinalis and longissimus muscles
And then we reach the suboccipital muscles The suboccipital muscles are a group of 4 muscles ituated beneath the occipital bone.
- * WHAT ARE THESE FOUR MUSCLES?
- * WHAT NERVE ARE THEY ALL SUPPLIED BY?
- Rectus capitis posterior major
- Rectus capitis posterior minor
- Obliquus capitis superior
- Obliquus capitis inferior
All supplied by the suboccipital nerve (posterior rami of C1)
What is the attachments of the rectus capitis posterior major and rectus capitis posterior minor?
- Rectus capitis posterior major - attaches from C2 spinous process to the inferior nuchal line
- Rectus capitis posterior minor - attaches from posterior tubercle of C1 to inferior nuchal line
What is the function of rectus capitis posterior major and minor? What is the nerve supply?
Rectus capitis posterior major and minor
- Bilateral contraction extend head
- Unilateral contraction will rotate head to same side
Nerve supply - Suboccpital nerve (posterior rami C1)
RESTATE THE ATTACHMENT, FUNCTION AND NERVE SUPPLY OF
- * Rectus capitis posterior major
- * Rectus capitis posterior minor
Rectus capitis posterior major - spinous process of C2 to inferior nuchal line
Rectus capitis posterior minor - posterior tubercle of C1 to inferior nuchal line
- Bilateral contraction - extension of the head
- Unilateral contraction - rotation of the head to the same side
- Innervation - Suboccipital nerve (posterior rami C1)
What is the attachment of the obliquus capitis superior and the obliquus capitis inferior?
- Obliquus capitis superior - C1 transverse process to the occipital bone above the inferior nuchal line
- Obliquus capitis inferior - C2 spinous process to the C1 transverse process
What are the separate functions of the obliquus capitis superior and inferior?
Obliquus capitis superior -
- Bilateral contraction - extends the head
- Unilateral contraction - tilts head to same side (lateral flexion) and rotates head to opposite side
Obliquus capitis inferior -
- Bilateral contraction - extends the head
- Unilateral contraction - rotates head to same side