Superficial Shoulder Flashcards
The superficial, or extrinsic, muscles of the back are muscles that move the (2)
All but one are innervated by branches from the
upper limb and pectoral girdle brachial plexus (ventral rami)
layer 1 of the extrinsic back (2)
trapezius
latissimus dorsi
trapezius innervation
motor
sensory
motor: accessory nerve/CN11
sensory: C3/C4 spinal nerves
latissimus dorsi innervation
thoracodorsal nerve
layer 2 of the extrinsic back (3)
levator scapulae
rhomboid minor
rhomboid major
levator scapulae innervation
3rd & 4th cervical spinal nerves & dorsal scapular nerve
rhomboid major and minor innervation
dorsal scapular nerve
layer 3 extrinsic back muscles (2)
serratus posterior superior
serratus posterior inferior
serratus posterior superior and serratus posterior inferior do NOT
move the limb
serratus posterior superior and serratus posterior inferior innervation
intercostal nerve branches
trapezius proximal attachment (3)
external occipital protuberance of skull,
nuchal ligament,
spinous processes of C7-T12 vertebrae
trapezius distal attachment (3)
-lateral third of clavicle (anterior),
acromion,
spine of scapula
trapezius actions (2)
elevates, depresses, and retracts scapula,
rotates glenoid fossa superiorly
trapezius innervation
- motor:
- pain & proprioception:
- motor: accessory nerve (CNXI)
- pain & proprioception: C3 & C4
Latissimus dorsi
Proximal Attachment: (4)
spinous processes of inferior 6 thoracic vertebrae,
thoracolumbar fascia,
iliac crest,
inferior 3 ribs
Latissimus dorsi
Distal attachment
floor of intertubercular sulcus (bicipital groove) of humerus
Latissimus dorsi
Actions (3)
extends, adducts, and medially rotates humerus;
raises torso towards arms during climbing
pulls humerus down when torso is fixed
Latissimus dorsi
Innervation
thoracodorsal nerve
Rhomboid major & Rhomboid minor:
Proximal attachment
-r. major: (1)
-r. minor: (2)
- r. major: spinous processes of T2-T5
- r. minor: nuchal ligament, spinous processes of C7 & T1