Unit 1 (Back, Arm, Elbow, Shoulder, Spinal Cord Flashcards
Trapezius Origination
EOP, Nuchal Ligament, spinous process of C7-T12
Trapezius Insertion
Lateral 1/3 Clavicle, Acromion, spine of scapula
Trapezius Innvervation
Spinal Accessory Nerve (CN XI), C3, C4
Trapezius Blood Supply
Transverse Cervical Artery
Trapezius Action
Desending - elevate scapula
Middle - Retract Scapula
Ascending - Depress Scapula
Latissimus Dorsi Origin
Spinous process of T7-T12, thoracolumbar fascia, illiac crest, inferior 3-4 ribs
Latissimus Dorsi Insertion
Floor of intertubercular groove of humerus
Latissimus Dorsi Innervation
Thoracodorsal Nerve (C6,C7)
Latissimus Dorsi Action
Extend, adduct, medially rotate shoulder, raises body towards arms when climbing
Levator Scapulae Origin
Posterior tubercles of transverse processes of C1-C4
Levator Scapulae Insertion
Medial border of scapula superior to root of spine
Levator Scapulae Innervation
Dorsal Scapular (C5), C3,C4
Levator Scapulae Action
Eleveates scapula and titls glenoid cavity inferiorly
Rhomboid minor/major Origin
Minor: nuchal ligament, spinous processes of C7 and T1
Major: spinous processes of T2-T5
Rhomboid minor/major Insertion
Minor: triangular area at medial end of scapular spine
Major: medial border of scapula from level of spine to inferior angle
Rhomboid Innveration
Dorsal Scapular Nerve (C5)
Rhomboid Action
Retract scapula and rotate it to depress glenoid cavity
Splenius Origin
Nuchal ligament and spinous processes of C7-T6
Splenius Insertion
Splenius Capitis: mastoid process of temporal bone and lateral third of superiour nuchal line of occipital bone
Splenius Cervicis: tubercles of transverse processes of C1-C3 or C4
Splenius Innveration
Post rami of spinal nerves
Splenius Action
Acting alone: laterally flex neck and rotate head to same side
Acting together: extend head and neck
Erector Spinae (Illocostalis, Longissimus, Spinalis) Origin
Broad tendon from posterior illiac crest, posterior surface of sacrum, sacro-illiac ligaments, sacral and inferior lumbar spinous processes and supraspinous ligament
Erector Spinae (Illocostalis, Longissimus, Spinalis) Insertion
Illiocostalis (lumborum, thoracis, cervicis): angles of lower ribs and cervical transverse processes
Longissimus (thoracis, cervicis, capitis): ribs between tubercles and angles, transverse processes in thoracic and cervical regions, mastoid process of temporal bone
Spinalis (thoracis, cervicis, capitis): spinous processes in upper thoracic region and cranium
Erector Spinae (Illocostalis, Longissimus, Spinalis) Innervation
Post rami of spinal nerves
Erector Spinae (Illocostalis, Longissimus, Spinalis) Action
Bilaterally: extend vertebral column and head
Unilaterally: laterally flex vertebral column
Semispnialis (thoracis, cervicis, capitis) Origin
Transverse processes of C4-T10
Semispinalis (thoracis, cervicis, capitis) Insertion
Occipital bone and spinous processes in upper thoracic and cervical regions
Semispinalis (thoracis, cervicis, capitis) Innervation
Post rami of spinal nerves
Semispinalis (thoracis, cervicis, capitis) Action
Extends head and thoracic and cervical regions of vertebral column and rotates them contralaterally
Multifidus Origin
Posterior sacrum, posterior superior illiac spine, aponeurosis of erector spinae, sacro-illiac ligaments, mammillary processes of lumbar vertebrae, transverse processes of thoracic vertebrae, articular processes of C4-C7
Multifidus Insertion
Fibvers pass obliquely superomedially to entire length of spinous processes of vertebrae locaated 2-4 segments superior to origin
Multifidus Innervation
Post rami of spinal nerves
Multifiuds Action
Unilateral contraction rotates to contralateral side
Rotatores Origin
Transverse processes of vertebrae
Rotatores Insertion
junction of lamina and transverse processes or spinous process of vertebra immedidately (brevis) or two segments (longus) superior to vertebra of origin
Rotatores Innervation
Post rami of spinal nerves
Rotatores Action
Proprioception
Rectus capitis posterior major Origin
Spinous process of C2
Rectus capitis posterior major Insertion
Lateral 1/3 of inferior nuchal line
Rectus capitis posterior minor Origin
Posterior tubercle of C1
Rectus capitis posterior minor Insertion
Medial 1/3 of inferior nuchal line
Rectus capitis posterior Action
Bilateral: Extends head
Unilateral: Rotates head to same side
Obliquus capitis inferior Origin
Spinous process of C2
Obliquus capitis inferior Insertion
Transverse process of C1
Obliquus capitis inferior Action
Bilateral: Extends head
Unilateral: Rotates head to same side
Obliquus capitis Superior Origin
Transverse process of C1
Obliquus capitis Superior Insertion
Occipital bone between superior and inferior nuchal lines
Obliquus capitis Superior Action
Bilateral: Extends head
Unilateral: Tilts head to same side, rotates to opposite side
Serratus Posterior Inferior Origin
Spinous processes of T11-L2
Serratus Posterior Inferior Insertion
Inferior borders of ribs 8-12 near their angles
Serratus Posterior Inferior Action
Depresses Ribs
Serratus Posterior Inferior Innervation
9-11 Intercostal nerves, subcostal nerve
Serratus Posterior Superior Origin
Nuchal Ligament, spinous processes of C7-T3
Serratus Posterior Superior Insertion
2nd-4th ribs
Serratus Posterior Superior Action
Elevate Ribs
Serratus Posterior Superior Innervation
2nd-5th Intercostal nerves
Platysma Origin
Fascia covering superior parts of pectoralis major and deltoid muscles
Platysma Insertion
Inferior border of mandible, skin, and subcutaneous tissues of lower face
Platysma Innervation
Cervical branch of facial nerve (CN VII)
Platysma Actions
Draws corners of mouth inferiorly and widens it as in expressions of sadness and fright
Sternocleidomastoid Origin
Sternal Head: anterior surface of manubrium of sternum
Clavicual Head: superior surface of medial third of clavicle
Sternocleidomastoid Insertion
Lateral surface of mastoid process of temporal bone and lateral half of superior nuchal line
Sternoclediomastoid Innervation
Motor- Spinal accessory nerve (CN XI)
Sensory - C2 and C3 nerves
Sternocleidomastoid Action
Unilateral: tilts head to same side and rotates so face is turned superiorly toward opposite side
Bilateral: extends neck at atlanto-occipital joints; flexes cervical vertebrae so that chin approaches manubrium; extends superior cervical vertebrae while flexing inferior vertebrae so chin is thrust forward with head kept level
Anterior Scalene Origin
Anterior tubercles of transverse processes of C3-C6 vertebrae
Anterior Scalene Insertion
1st Rib
Anterior Scalene Innervation
Cervical spine nerves C4-C6
Anterior Scalene Action
Flexes neck laterally, elevates 1st rib during forced inspiration
Middle Scalene Origin
Posterior tubercles of transverse processes of C4-C7 vertebrae
Middle Scalene Insertion
Superior surface of 1st rib, posterior to groove for subclavian artery
Middle Scalene Innervation
Anterior rami of cervical spinal nerves
Middle Scalene Action
Flexes neck laterally, elevates 1st rib during forced inspiration
Posterior Scalene Origin
Posterior tubercles of transverse processes of C4-C6 vertebrae
Posterior Scalene Insertion
External border of 2nd rib
Posterior Scalene Innervation
Anterior rami of cervical spinal nerves C7 and C8
Posterior Scalene Action
Flexes neck laterally, elevates 2nd rib during forced inspiration
Deltoid Origin
Lateral 1/3 of clavicle, acromion and spine of scapula
Deltoid Insertion
Deltoid tuberosity of humerus
Deltoid Innervation
Axillary Nerve (C5, C6)
Deltoid Action
Clavicular (anterior): flexes and medially rotates shoulder
Acromial (middle): abducts shoulder
Spinal (posterior): extends and laterally rotates shoulder
Supraspinatus Origin
Supraspinous fossa of scapula
Supraspinatus Insertion
Superior facet of greater tubercle of humerus
Supraspinatus Innervation
Suprascapular Nerve (C4, C5, C6)
Supraspinatus Action
Initiates and assist deltoid in abduction of shoulder and acts with other rotator cuff muscles
Infraspinatus Origin
Infraspinous fossa of scapula
Infraspinatus Insertion
Middle facet of greater tubercle of humerus
Infraspinatus Innervation
Suprascapular Nerve (C5, C6)
Infraspinatus Action
Laterally rotates shoulder, helps hold humeral head in glenoid cavity of scapula
Teres Minor Origin
Middle part of lateral border of scapula
Teres Minor Insertion
Inferior facet of greater tubercle of humerus
Teres Minor Innervation
Axillary Nerve (C5, C6)
Teres Minor Action
Laterally rotates shoulder, helps hold humeral head in glenoid cavity of scapula
Teres Major Origin
Inferior part of lateral border of scapula and posterior surface of inferior angle of scapula
Teres Major Insertion
Medial lip of intertubercular sulcus of humerus
Teres Major Innervation
Lower subscapular nerve (C5, C6)
Teres Major Action
Adducts and medially rotates shoulder joint
Subscapularis Origin
Subscapular fossa
Subscapularis Insertion
Lesser tubercle of humerus
Subscapularis Innervation
Upper and lower subscapular nerves (C5, C6, C7)
Subscapularis Action
Medially rotates and adducts shoulder, helps hold humeral head in glenoid cavity
Pectoralis Major Origin
Clavicular Head: anterior surface of medial half of clavicle
Sternocostal Head: anterior surface of sternum, superior six costal cartilages, aponeurosis of external oblique muscle
Pectoralis Major Insertion
Lateral lip of intertubercular groove of humerus
Pectoralis Major Innervation
Lateral and Medial pectoral nerves, clavicular head (C5, C6), sternocostal head (C7, C8, T1)
Pectoralis Major Action
Adducts and medially rotates shoulder joint, draws scapula anteriorly and inferiorly
Acting alone, clavicular head flexes shoulder joint and sternocostal head extends it from the flexed position
Pectoralis Minor Origin
3rd-5th ribs near their costal cartilages
Pectoralis Minor Insertion
Medial and superior surface of coracoid process of scapula
Pectoralis Minor Innervation
Medial Pectoral Nerve (C8, T1)
Pectoralis Minor Action
Stabilizes scapula by drawing inferiorly and anteriorly against thoracic wall
Subclavius Origin
Junction of 1st rib and its costal cartilage
Subclavius Insertion
Inferior surface of middle third of clavicle
Subclavius Innervation
Nerve to Subclavius (C5, C6)
Subclavius Action
Anchors and depresses clavicle
Serratus Anterior Origin
External surfaces of lateral parts of 1st-8th ribs
Serratus Anterior Insertion
Anterior surface of medial border of scapula
Serratus Anterior Innervation
Long thoracic Nerve (C5, C6, C7)
Serratus Anterior Action
Protracts scapula and hold against thoracic wall; rotates scapula
Biceps Brachii Origin
Short Head: tip of coracoid process of scapula
Long Head: supraglenoid tubercle of scapula
Biceps Brachii Insertion
Tuberosity of radius and fascia of forearm via bicipital aponeurosis
Biceps Brachii Innervation
Musculocutaneous Nerve (C5, C6)
Biceps Brachii Action
Supinates forearm and, when it is supinated, flexes elbow joint; flexes shoulder joint; short head resists dislocation of shoulder
Brachialis Origin
Distal half of anterior surface of humerus
Brachialis Insertion
Coronoid process and tubersoity of ulna
Brachialis Innervation
Musculocutaneous Nerve (C5, C6)
Brachialis Action
Flexes elbow joint in all position
Corocobrachialis Origin
Tip of coracoid process of scapula
Corocobrachialis Insertion
Middle third of medial surface of humerus
Corocobrachialis Innervation
Musculocutaneous Nerve (C5, C6, C7)
Corocobrachialis Action
Helps flex and adduct shoulder joint; resists dislocation of shoulder
Triceps Brachii Origin
Long Head: infraglenoid tubercle of scapula
Lateral Head: posterior surface of humerus, superior to radial groove
Medial Head: posterior surface of humerus, inferior to radial groove
Triceps Brachii Insertion
Proximal end of olecranon of ulna and fascia of forearm
Triceps Brachii Innervation
Radial Nerve (C6, C7, C8)
Triceps Brachii Action
Chief extensor of elbow joint; long head extends shoulder joint and resists dislocation of humerus (especially important during abduction)
Omohyoid Origin
Superior border of scapula near suprascapular notch
Omohyoid Insertion
Inferior border of hyoid bone
Omohyoid Innervation
C1-C3 by a branch of ansa cervicalis
Omohyoid Action
Depresses, retracts and steadies hyoid