Superficial Back Flashcards
Dermatomes
area of skin innervated by fibers from single spinal nerve or spinal cord segment C5 clavicle C6 thumb T4 nipple T10 umbilical L1 groin L4 medial foot S1 outer foot
Superficial fascia
subcutaneous tissue - immediately below skin
covers most of body
storage area for body fat
Deep fascia
strong, dense deep to superficial fascia
contains no fat
Investing layer of deep fascia
covers deeper structures like muscles and neurovascular bundles
Intermuscular septa
separates muscles into groups
Retinaculum
thickening of deep fascia across tendons of muscles at joints
Superficial back muscles include
trapezius, latissimus dorsi, levator scapulae, rhomboid major/minor
(Attach upper limb to axial skeleton, move arms not back - extrinsic back muscles)
Superficial back muscles are supplied by
ventral primary rami (because they are upper limb muscles)
Intermediate back muscles include
Serratus posterior superior, serratus posterior inferior
Deep back muscles
true muscles of back, primary movers of back, innervated by dorsal primary rami
Trapezius muscle
attach pectoral girdle to axial skeleton
Flat triangular muscles
2 muscle, cover back of neck and upper half of trunk
Trapezius origin
Occipital bone, ligamentum nuchae, spinous process of C7-T12
Trapezius insertion
lateral 1/3 of Clavicle, acromion and spine of scapula
Trapezius nerve supply
Cranial nerve XI (spinal accessory nerve) - motor
C3, C4 (ventral primary rami) - pain and proprioception
Trapezius blood supply
Superficial branch of transverse cervical artery (on deep surface)
Trapezius action
hold upper limb to trunk
adduct (retract) scapula, raises scapula, depresses scapula, rotates scapula so inferior angle is moved laterally for abduction of upper limb above horizontal position
Nerve injury to trapezius causes
drooping of scapula - shoulder drop
Latissimus dorsi
broad, flat muscle
covers inferior half of back (T6 to iliac crest)
Acts on shoulder joint