Spine Flashcards
External Oblique Origin
Ribs 5-12
External Oblique Insertion
Pubic tubercle, Iliac crest, and Linea alba
External Oblique Innervation
Anterior rami nerves
External Oblique Action
Compresses and supports abdominal viscera, flexes and contralaterally rotates trunk
Internal Oblique Origin
Iliac crest, Thoracolumbar fascia
Internal Oblique Insertion
Ribs 10-12, Linea alba, Pecten pubis
Internal Oblique Innervation
Anterior Rami
Internal Oblique Action
Compresses and supports abdominal viscera, flexes and ipsilaterally rotates trunk
Transverse Abdominis Origin
Costal Cartilage 7-12, Iliac crest, Thoracolumbar fascia
Transverse Abdominis Insertion
Linea alba, Pecten pubis and Pubic crest
Transverse Abdominis Innervation
Anterior Rami
Transverse Abdominis Action
Compresses and supports abdominal viscera
Rectus Abdominis Origin
Pubic crest and pubic symphysis
Rectus Abdominis Insertion
Costal cartridges 5-7 and xiphoid process of sternum
Rectus Abdominis Innervation
Anterior Rami
Rectus Abdominis Action
Flexes trunk, compresses abdominal viscera and stabilizes tilt of pelvis
Levatores Costarum Origin
Transverse processes of cervical and thoracic
Levatores Costarum Insertion
Subjacent ribs
Levatores Costarum Action
Elevate ribs, assists with respiration and lateral flexion of vertebral column
Levatores Costarum Innervation
Posterior Rami
Quadratus Lumborum Origin
12th rib and transverse processes Lumbar spine
Quadratus Lumborum Insertion
Iliac crest and Iliolumbar ligament
Quadratus Lumborum Innervation
Anterior Rami
Quadratus Lumborum Action
Extends and laterally flexes vertebral column, fixes 12th rib during inspiration
Psoas Major Origin
Transverse processes, sides of bodies and intervening intervertebral disc in lumbar spine
Psoas Major Insertion
Lesser trochanter of Femur
Psoas Major Innervation
Anterior Rami
Psoas Major Action
Acting with iliacus, flexes hip and trunk; flexes vertebral column laterally; used to balance trunk in sitting position
SCM Origin
Manubrium of sternum and medial clavicle
SCM Insertion
Mastoid Process and Lateral Nuchal Line
SCM Innervation
Accessory Nerve (CN 11)
SCM Action
Bilaterally: flexes head at lower cervical vertebrae, flexes at upper cervical vertebrae, elevates thorax for respiration,
Unilaterally: turns face toward opposite side, tilts head to same side
Anterior Scalene Origin
Transverse processes C3-C6
Anterior Scalene Insertion
Scalene tubercle on 1st rib
Anterior Scalene Innervation
Anterior Rami
Anterior Scalene Action
Elevates 1st rib and flexes head laterally bends to same side
Middle Scalene Origin
Transverse processes of C5-C7
Middle Scalene Insertion
1st rib and subclavian groove of the clavicle
Middle Scalene Innervation
Anterior Rami
Middle Scalene Action
Elevates 1st rib and flexes head laterally bends to same side
Posterior Scalene Origin
Transverse processes C5-C7
Posterior Scalene Insertion
2nd Rib
Posterior Scalene Innervation
Anterior Rami
Posterior Scalene Action
Elevates 2nd rib and flexes head laterally bends to same side
Trapezius Origin
Spinous processes of C7-T12, Nuchal ligament and External occipital protuberance
Trapezius Insertion
Lateral Clavicle, Acromion and Spine of the Scapula
Trapezius Innervation
Accessory Nerve (CN11)
Trapezius Action
Elevates, retracts, and rotates scapula; Lower fibers depress scapula
Levator Scapulae Origin
Transverse processes C2-C6
Levator Scapulae Insertion
Medial border of Scapula
Levator Scapulae Innervation
Anterior Rami and Dorsal Scapular Nerve
Levator Scapulae Action
Downward rotation of scapula
Rectus Capitis Posterior Major Origin
Spinous process of Axis (C2)
Rectus Capitis Posterior Major Insertion
Inferior Nuchal line
Rectus Capitis Posterior Major Innervation
Suboccipital Nerve
Rectus Capitis Posterior Major Action
Extends and rotates head to same side
Rectus Capitis Posterior Minor Origin
Posterior tubercle of Atlas (C1)
Rectus Capitis Posterior Minor Insertion
Inferior nuchal line
Rectus Capitis Posterior Minor Innervation
Suboccipital Nerve
Rectus Capitis Posterior Minor Action
Extends head
Obliquus Capitis Superior Origin
Transverse process of Atlas (C1)
Obliquus Capitis Superior Insertion
Occipital bone
Obliquus Capitis Superior Innervation
Suboccipital Nerve
Obliquus Capitis Superior Action
Extends and bends head laterally
Obliquus Capitis Inferior Origin
SP of Atlas (C2)
Obliquus Capitis Inferior Insertion
Transverse process of Axis (C1)
Obliquus Capitis Inferior Innervation
Suboccipital Nerve
Obliquus Capitis Inferior Action
Rotates atlas to turn face to same side
Iliocostalis Origin
Iliac crest, posterior sacrum, sacro-iliac and supraspinous ligament, and sacral and lumbar spinous processes
Longissimus Origin
Iliac crest, posterior sacrum, sacro-iliac and supraspinous ligament, and sacral and lumbar spinous processes
Spinalis Origin
Iliac crest, posterior sacrum, sacro-iliac and supraspinous ligament, and sacral and lumbar spinous processes
Iliocostalis Insertion
Lower ribs and cervical transverse processes
Longissimus Insertion
ribs in thoracic and cervical regions, and mastoid process
Spinalis Insertion
Spinous processes in thoracic region, and to cranium
Iliocostalis Innervation
Posterior Rami
Longissimus Innervation
Posterior Rami
Spinalis Innervation
Posterior Rami
Iliocostalis Action
Acting Bilaterally: extends vertebral column and head and eccentrically controls movement while back is flexed
Acting unilaterally: Laterally flexes vertebral column
Longissimus Action
Acting Bilaterally: extends vertebral column and head and eccentrically controls movement while back is flexed
Acting unilaterally: Laterally flexes vertebral column
Spinalis Action
Acting Bilaterally: extends vertebral column and head and eccentrically controls movement while back is flexed
Acting unilaterally: Laterally flexes vertebral column
Semispinalis Origin
Transverse processes of C4-T12
Semispinalis Insertion
Spinous processes in thoracic and cervical regions, occipital bone
(4-6 segments)
Semispinalis Innervation
Posterior Rami
Semispinalis Action
Extends head in thoracic and cervical regions, rotates head contralaterally
(mostly cervical)
Multifidus Origin
Posterior sacrum, PSIS, aponeurosis, sacro-iliac ligament, transverse processes of the thoracic and lumbar spine
Multifidus Insertion
Spinous processes (Thickest in lumbar region)
Spans 2-4 segments
Multifidus Innervation
Posterior Rami
Multifidus Action
Stabilizes vertebrae during movement
(mostly lumbar)
Rotatores Origin
Transverse processes of vertebrae
Rotatores Action
Stabilize vertebrae and assists with extension and rotatory movement of vertebral column
(mostly thoracic)
Rotatores Innervation
Posterior Rami
Rotatores Insertion
Transverse or spinous processes of spine
What muscles make up the pelvic floor?
Coccygenus
Puborectalis (Levator Ani)
Pubococcygeus (Levator Ani)
Iliococcygeus (Levator Ani)
Pelvic Floor Action
Supports pelvic viscera and prevents incontinence
What three muscles make up the Levator Ani
Puborectalis
Pubococcygeus
Iliococcygeus
What ligaments help stabilize the SIJ?
Posterior and anterior SI ligaments
Sacrotuberous ligament
Sacrospinal ligament
What issue is associated with the suboccipital triangle?
Headaches
Longus Colli Origin
Transverse processes of C5-T3
Longus Colli Insertion
Anterior tubercle of C1, C1-C3 vertebral bodies, C3-C6 transverse processes
Longus Colli Innervation
Anterior Rami
Longus Colli Action
Bilateral: Flexes neck
Unilateral: Contralateral rotation
(Reason for cervical coupling)
Suprahyoid Muscles
Mylohyoid, Geniohyoid, Digastric and Stylohyoid
My Guy Dan Safford
Infrahyoid Muscles
Thyrohyoid, Omohyoid, Sternohyoid and Sternothyroid
TOSS
Suprahyoid Action
Raises hyoids for swallowing and supports the mouth
Infrahyoid Action
Depresses hyoid for swallowing
What are the three segmental muscles of the spine?
Interspinale, Intertransversarii and Levatores costarum
Longus Capitus Origin
Transverse processes of C3-C6
Longus Capitus Insertion
Basilar part of occipital
Longus Capitus Innervation
Anterior Rami
Longus Capitus Action
Flexes head
Longus Capitus Action
Flexes head
What are the borders of the Suboccipital triangle?
Rectus capitis posterior major, obliques wapitis superior and inferior
(2 OBLIgerent CAPtains and a MAJOR)
What is within the subocciptal triangle?
Vertebral artery, subocciptal nerve and posterior arch of C1
What is below the subocciptal triangle?
Greater occipital nerve (associated with headaches)
What muscles make up the erector spinae group?
Iliocostalis, Longissimus, and spinalis
(I love spaghetti)
What muscles make up the transversospinalis group?
Semispinalis, Rotatores and Multifidus
Name the abdominal muscles from Superficial to deep
Rectus Abdominis, External oblique, internal oblique and transverse abdominis
What fiber orientation does the internal and external oblique have?
Internal go towards the heart (up and back), and external goes toward groin (down and forward)
What is located in the 4 Quadrants?
LUQ: spleen/stomach
LLQ: descending colon
RUQ: galbladder/liver
RLQ: appendix
What are the level facet orientations and what motion do they allow?
C1/C2: 90ish, rotation
Cervical: 45ish, flex/ext and rotation
Thoracic: 180ish, side bend
Lumbar: 180ish (football goal), flex/ext
What two muscles are the trunks of the brachial plexus in between?
Anterior and middle scalene
What are the origin/insertions for the alar and transverse ligaments?
Alar: Dens to occiput
Transverse: C2-C2