The Back Flashcards
Proximal attachment of the Trapezius muscle
External occipital protuberance of skull, nuchal ligament, spinous processes of C7-C12 vertebrae
Distal attachment of the Trapezius
Lateral third of clavicle (anterior), acromion, and spine of scapula
Actions of the Trapezius
Elevates, depresses, and retracts scapula; rotates glenoid fossa superiorly
Innervation of the Trapezius
Motor: Accessory Nerve
Sensory: Ventral rami of C3 and C4
Proximal attachment of Latissimus Dorsi
Spinous processes of inferior 6 thoracic vertebrae, thoracolumbar fascia, iliac crest, and inferior ribs
Distal attachment of Latissimus Dorsi
Floor of intertubercular sulcus (bicipital groove) of humerus
Actions of Latissimus Dorsi
Extends, adducts, and medially rotates humerus; raises torso towards arms during climbing
Innervation of Latissimus Dorsi
Thoracodorsal nerve
Proximal attachment of Rhomboid major
Spinous processes of T2-T5
Distal attachment of Rhomboid major
Medial border of scapula from level of spine to inferior angle
Actions of Rhomboid major
Retract, elevate, and rotate scapula downward, as well as fix it to thoracic wall. (also action of rhomboid minor)
Innervation of Rhomboid major
Dorsal scapular nerve (same as rhomboid minor)
Proximal attachment of Rhomboid minor
Nuchal ligament, spinous processes of C7 and T1
Distal attachment of Rhomboid minor
Medial end of scapular spine
Actions of Rhomboid minor
Retract, elevate, and rotate scapula downward, as well as fix it to thoracic wall (same as Rhomboid major)
Innervation of Rhomboid minor
Dorsal scapular nerve (same as Rhomboid major)
Proximal attachment of Levator scapulae
Posterior tubercles of transverse processes of first 4 cervical vertebrae
Distal attachment of levator scapulae
Medial border of scapula, superior part of scapular spine
Actions of levator scapulae
Elevates scapula and tilts glenoid fossa inferiorly by rotating scapula (downward rotation)
Innervation of levator scapulae
Dorsal scapular nerve and ventral rami of cervical spinal nerves
Proximal attachment of Serratus posterior superior
Nuchal ligament, spinous processes of C7-T3 vertebrae
Distal attachment of Serratus posterior superior
Superior border of ribs 2-4
Actions of Serratus posterior superior
Elevates ribs
Innervation of Serratus posterior superior
T2-T5 intercostal nerves (ventral rami)
Proximal attachment of Serratus posterior inferior
Spinous processes of T11-L2 vertebrae
Distal attachment of Serratus posterior inferior
Inferior borders of ribs 8-12, near their angles
Actions of Serratus posterior inferior
Depress ribs
Innervation of Serratus posterior inferior
Intercostal nerves and subcostal nerve (T12) (ventral rami)
Name the two Splenius muscles
Splenius cervicis
Splenius capitis
Origin of both splenius cervicis and splenius capitis
Both arise from nuchal ligament (ligamentum nuchae) and spinous processes of T1-T6 vertebrae
Insertion of splenius cervicis
Tubercles of transverse processes of C1-C4 vertebrae
Insertion of splenius capitis
Lateral parts of mastoid processes and superior nuchal line
Actions of both splenius cervicis and splenius capitis
Bilaterally: extend head and neck
Unilaterally: laterally flex neck and rotate head to side of contracting muscle
Innervation of both splenius cervicis and splenius capitis
Dorsal rami of spinal nerves
Name the muscles of the Erector spinae group
Iliocostalis
Longissimus
Spinalis
Actions of the Erector spinae group of muscles
Bilaterally: Extend vertebral column and head
Unilaterally: Laterally flex vertebral column
Innervation of the Erector spinae group
Dorsal rami of spinal nerves
Name the three Iliocostalis muscles
Lumborum, thoracis, and cervicis
Origin of the Iliocostalis muscles
Broad common tendon attaches to iliac crest, posterior part of sacrum, sacroiliac ligaments, sacral and inferior lumbar spinous processes, and supraspinous ligament
Insertion of iliocostalis lumborum
Ribs 6-12
Insertion of iliocostalis thoracis
Ribs 1-6
Insertion of iliocostalis cervicis
Ribs 1-6 and posterior tubercles of the transverse processes of cervical vertebrae 4-6
Name the three Longissimus muscles
Thoracis, cervicis, and capitis
Origin of longissimus thoracis
Broad common tendon attaches to iliac crest, posterior part of sacrum, sacroiliac ligaments, sacral and inferior lumbar spinous processes, and supraspinous ligament
Insertion of longissimus thoracis
Ribs and adjacent transverse processes of thoracic vertebrae
Origin of longissimus cervicis
Transverse processes of cervical vertebrae
Insertion of longissimus cervicis
Transverse processes of cervical vertebrae
Origin of longissimus capitis
Transverse processes of cervical vertebrae
Insertion of longissimus capitis
Mastoid process
Name the three spinalis muscles
Thoracis, cervicis, and capitis
Origin of spinalis thoracis
Originates on spinous processes
Insertion of spinalis thoracis
Inserts on spinous processes superior to them
Describe spinalis cervicis and spinalis capitis
Both can be difficult to differentiate and capitis can be missing entirely
Name the muscles in the transversospinalis group
Semispinalis, rotatores, multifidus
Innervation of transversospinalis group
Dorsal rami of spinal nerves
Name the three semispinalis muscles
Thoracis, cervicis, and capitis
Semispinalis cervicis
Cervical transverse processes to spinous processes of 2nd cervical vertebra
Semispinalis capitis
Superficial to cervicis
Transverse processes of 1st-6th thoracic vertebrae to nuchal line
Semispinalis thoracis
Transverse to spinous processes in thoracic region
Action of Semispinalis group
Extend head, thoracic, and cervical regions; rotates them contralaterally
Origin of multifidus
Transverse processes
Insertion of multifidus
Spinous processes
Action of Mutifidus
Stabilizes vertebrae during localized movements of the vertebral column
Describe multifidus
Cover lamina and span vertebral segments from sacrum all the way to 2nd cervical vertebra.
Easiest to see in lumbar region
Describe Rotatores Brevis
Transverse process of one vertebra to base of spinous process of next vertebra above (spans one intervertebral joint)
Describe Rotatores Longus
Transverse process of one vertebra to spinous process of 2nd vertebra above (spans 2 intervertebral joints)
Where are the rotatores easiest to see?
In thoracic region
Action of Rotatores
Extend head, thoracic, and cervical regions; rotates them contralaterally
Innervation of interspinales
Dorsal rami of spinal nerves
Innervation of Intertransversari
Dorsal and ventral rami of s. nerves
Innervation of levator costarum
Dorsal rami of C8-T11 s. nerves
Muscles of the suboccipital region
- Rectus capitis posterior major
- Rectus capitis posterior minor
- Obliquus capitis superior (superior oblique capitis)
- Obliquus capitis inferior (inferior oblique capitis)
Innervation of suboccipital region muscles
All are innervated by suboccipital nerve (dorsal rami of C1)
Action of suboccipital region muscles
Mainly postural
Also aid in extension and rotation at atlantoaxial joint
Suboccipital Region: Nerves and Vessels
- Vertebral artery
- Suboccipital nerve
- Greater occipital nerve
- Posterior atlanto-occipital membrane (continuous with ligamentum flava)
Suboccipital nerve of Suboccipital region
Dorsal ramus of C-1
Between skull and atlas
Motor to all triangle muscles
Greater occipital nerve of Suboccipital region
Dorsal ramus of C-2
Between atlas and axis
Sensory fibers ONLY
Function of the superficial, or extrinsic, muscles of the back
Move the upper limb and pectoral girdle
Innervation of the superficial, or extrinsic, muscles of the back
All but one are innervated by branches from the brachial plexus (ventral rami)
Name the superficial, or extrinsic, muscles of the back
Layer 1: Trapezius and Latissimus dorsi
Layer 2: Levator scapulae, rhomboid major, and rhomboid minor
Layer 3: Serratus posterior superior and serratus posterior inferior
Posterior Axioappendicular Muscles
Posterior muscles that attach the scapula and humerus to the axial skeleton, and/or the scapula to the humerus
2 major groups of epaxial back muscles
Erector Spinae Group
Transversospinalis Group