Superficial Back Flashcards
What are dermatomes?
area of skin innervated by fibers from a single spinal nerve or spinal cord segment
- not definitive, overlap between segments
What are the different types of fascia?
superficial and deep
Where is superficial fascia found?
subcutaneous tissue (just below the skin) - between skin and deep fascia
What is the function of superficial fascia?
- storage area for body fat
- covers most of the body
- not well organized
Where is deep fascia?
strong, dense, well organized layer of connective tissue
- becomes continuous with periosteum where muscles attach to bones
- helps form compartments
What are the different types of deep fascia?
investing layer
intermuscular septa
retinaculum
Investing layer
- covers deeper structures
- invests deeper structures such as muscles and neurovascular bundles
Intermuscular septa
separates muscles into groups
Retinaculum
thickening of deep fascia across tendons of muscles at joints
What is another name of superficial back muscles (extrinsic layer)?
axioappendicular muscles
What’s the function of superficial back muscles?
movement of upper limb
What are the superficial back muscles?
Trapezius
Latissimus dorsi
Levator scapulae
Rhomboid major and minor
What is the origin of trapezius?
occipital bone
ligamentum nuchae
spinous process of C7-T12
What is the insertion of trapezius?
lateral 1/3 of clavicle
acromion and spine of scapula
What are the actions of trapezius?
1) holds upper limb to trunk
2) adducts (retract) scapula - middle fibers
3) raises scapula - upper fibers
4) depresses scapula - lower fibers
5) rotates scapula so that inferior angle is moved
6) laterally for abduction of upper limb above horizontal position
What is the motor innervation of trapezius?
CN XI (spinal accessory nerve)
What is the sensory innervation of trapezius?
C3, C4 (ventral primary rami)
- pain and proprioception
What is the blood supply to trapezius?
superficial branch of transverse cervical artery
- located on deep surface of muscle
What happens to trapezius when there’s nerve injury ?
drooping of scapula (shoulder)
- shoulder drop
How do you test the strength of trapezius?
shrug against resistance