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66 Cards in this Set

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External Oblique

Origin, insertion and action?

Origin: external surface of ribs 5 to 12,

Insertion: linea alba, pubic tubercle, anterior 1/2 of iliac crest.


Action: compress + support viscera, flex and rotate trunk

Internal oblique

Origin, insertion and action?

Origin: thoracolumbar fascia, anterior 2/3 or iliac crest. Insertion: inferior border of 10 to 12 ribs, linea alba.

Action: compress + support viscera, flex and rotate trunk

Transversus abdominus

Origin, insertion and action?

Origin: internal surfaces of 7-12th costal cartiladges


Insertion: linea alba with aponeurosis of internal oblique, pubic crest and pecten pubis


Action: compress support abdominal viscera

Rectus Abdominus


Origin, insertion and action?

Origin: Pubic symphisis, pubic crest


Insertion: xiphoid process, and 5-7th costal cartilidges


Action: flex trunk, compress viscera, stabilise and control pelvic tilt

Movements of vertebral column:


Flexion (From extended position)

Bilateral concentric contraction of; Rectus Abdominus, Psoas Major. In the coronal plane.

Movements of vertebral column: extension (From flexed position)

Bilateral concentric contraction of: erector spinae, multifidus, semi spinalis thoracis.

Movements of vertebral column: lateral flexion (From neutral position)

Initial Unilateral concentric contraction of iliocostalis, thoracis, lomborum, longissimus, multifidus, external and internal oblique, quadratus lomborum, rhomboids and serratus anterior

Movements of vertebral column: lateral flexion (slowing down to stop)

eccentric contraction of liocostalis, thoracis, lomborum, longissimus, multifidus, external and internal oblique, quadratus lomborum, rhomboids and serratus anterior on other side

Movements of vertebral column: Trunk rotation

Unilateral contraction of: rotatores, multifidus, iliocostalis, longissimus, external oblique, splenius thoracis

Anterior (primary) rami of spinal nerves supply....

anterolateral trunk, upper + lower limbs

think big

Posterior (primary) rami of spinal nerves supply....

Nerve fibres to the synovial joints of vertabral column, and deep muscles of the back

think proximal and medial and deep

Superficial Layer of the intrinsic back muscles:


Splenius


Proximal, distal attachment, nerve supply and actions?





Proximal attatchment: Nuchal ligament and spinous processes of c7 to t6 vertebrae


Distal Attachment:


Splenius capitis - fibres run superolaterally to mastoid process, lateral 1/3 of superior nuchal line of occipital bone


Splenius cervicus - tubercles of transverse process of c1-c3


Nerve supply: posterior rami of spinal nerves


Actions: unilaterally - lateral flexion on neck, rotate head, bilateral - extend head + neck

Hint: cervicus means what? and capitis means what? to do with distal attachment and finding them on cadaver!

Intermediate layer of the intrinsic back muscles:


erector spinae - iliocostalis, longissimus, spinalis


Proximal, distal attachment, nerve supply and actions?

Proximal attatchment: broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacro-iliac ligaments


distal attachement:


iliocostalis: lumborum,thoracis, cervicis; fibers runsuperiorly to angles of lowerribs and cervical transverseprocesses


Longissimus: thoracis,cervicis, capitis; fibers runsuperiorly to ribs betweentubercles and angles totransverse processes in thoracic and cervicalregions, and to mastoidprocess of temporal bone


Spinalis: thoracis, cervicis,capitis; fibers run superiorlyto spinous processes in theupper thoracic region andto cranium


nerve supply: posterior rami of spinal nerves


actions: Extend vertebral column + head, control flexion via eccentric contraction, laterally flex vertabral column

Deep layer of intrinsic muscles of the back:


transverve spinalis


Proximal, distal attachment, nerve supply and actions?

Proximal Attachment: Transverse processes


Distal attachement: Spinous processes ofmore superior vertebra


Nerve supply: Spinous processes ofmore superior vertebra


Actions: extensio

Deep layer of intrinsic muscles of the back: Semispinalis


Proximal, distal attachment, nerve supply and actions?

Proximal Attachment: arises fromtransverse processes ofC4–T12 vertebrae


Distal attachement: thoracis,cervicis, capitis; fibersrun superomedially tooccipital bone and spinousprocesses in thoracic andcervical regions, spanning4–6 segments


Nerve supply: Posterior rami of spinalnervesa


Actions: extendshead and thoracic andcervical regions of verte-bral column and rotatesthem contralaterally

Deep layer of intrinsic muscles of the back: multifidus


Proximal, distal attachment, nerve supply and actions?

Proximal attachment: arises fromposterior sacrum, posterior superior iliac spineof ilium, aponeurosis oferector spinae, sacro-iliacligaments, mammillaryprocesses of lumbarvertebrae, transverseprocesses of T1–T3,articular processes ofC4–C7


Distal attachment: thickest inlumbar region; fibers passobliquely superomediallyto entire length of spinousprocesses, located 2–4segments superior toproximal attachment


Nerve supply: Posterior rami of spinal nerves


Actions: stabilizes ver-tebrae during local move-ments of vertebral column

Deep layer of intrinsic muscles of the back: Rotatores


Proximal, distal attachment, nerve supply and actions?

Proximal Attachment: arise fromtransverse processes ofvertebrae; best developedin thoracic region


Distal Attachement: fibers passsuperomedially to attachto junction of laminaand transverse processor spinous process ofvertebra immediately(brevis) or 2 segments(longus) superior tovertebra of attachment


Nerve supply: Posterior rami of spinal nerves


Actions: Moore tabilize verte-brae and assist with localextension and rotatorymovements of vertebral column; mayfunction as organs ofproprioception

Cervical Regions of vertebral column and features

7 cervical (atlas on axis)


- have uncus


- biford spinous process


- almost horizontal articular facet


- transverse foramina


- large and triangular vertebral foramen

think two dishes together

Thoracic Region of the Vertabral column and features

12 thoracic vertebrae


- heart shaped vertebral body


- costal facets


- smaller circular vertebral foramen compared to cervical and lumbar


- long transervse processes that extend postero-latterally


- nearly vertical articular facets


- long spinous processes that extend posteo-inferiorly

Lumbar Region of the vertebral column and its features

5 vertabrae


- large kidney shaped body


- triangular foramen


- long and slender transverse processes


- nearly vertical facets


- thick hatchet shaped spinous process

football posts only allow flexion, extension

Flexion of the neck is caused by?

Longus Capitis, Rectus capitis anterior, anterior fibres of SCM, suprahyoid and infrahyoid muscles

posterior muscles

Extension of the neck caused by?

Rectus capitis posterior/major/minor, obliqus capitis superior, splenius capitis, longissimus capitis, trapezius

anterior muscles

Lateral Flexion of the neck caused by?

Sternocleidomastoid (SCM), Obliqus capitis superior, rectus capitis lateralis, longissimus capitis, splenius capitis


Rotation of the head by contraction of?

ipsilateral contraction of obliqus capitis inferior, longissimus capitus, splenius capitus, rectus capitis inferior and superior.




Contralateral contraction of SCM and semispinalis capitis

Superficial layer of the neck:


Platysma


superior, inferior attachment, innervation and action?

Superior attachments: Inferior border of mandible


Inferior attachments: fascia covering super parts of pec major


Innervation: cervical branch of facial nerve


Action: expressions

superficial layer of the neck:


Sternocleidomastoid (SCM)


superior, inferior attachment, innervation and action?

Superior attachments: Lateral surface of mastoid process of temporal bone, lateral 1/2 of superior nuchal line


Inferior attachments: Sternal head: anterior surface of manubrium,


Clavicular head: superior medial 1/3 of clavicle


Innervation: spinal accessory nerve


Action: laterally flex neck, extend neck, bring ching towards manubrium

Superficial layer of the neck


Trapezium


superior, inferior attachment, innervation and action?

Superior attachment: medial 1/3 of superior nuchal line, external occipital protuberance, nuchal ligament and spinous processes of c7-t12


Inferior attachment: lateral 1/3 of clavicle, acromion and spine of scapulae.


Innervation: spinal accessory nerve


Actions: Elevates, retracts, and rotates scapulae superiorly Descending (superior) fibers: elevate scapulae/shoulders, maintain level of shoulders againstgravity or resistance Transverse (middle) fibers: retract scapulaeAscending (inferior) fibers: depress scapulae/ shoulders Descending and ascending fibers together: rotate spinous process of scapulae superiorly With shoulders fixed, bilateral contractionextends neck; unilateral contraction produceslateral flexion to same side

Prevertabral muscles of the neck?


anterior are? lateral are?

Anterior vertrbral muscles: Longus colli, longus capitis, rectus capitis anterior, anterior scalene




Lateral Vertebral muscles: Rectus capitis lateralis, splenius capitis, levator scapulae, middle scalene, posterior scalene.

Prevertebral muscle:


Longus Colli

Superior attachment: Tubercle of C1, bodies of c1-c3, tranverse process of c3-c6


Inferior attachment: body of c5-t3, transverse processes of c3-c5


Innervation: anterior rami


Actions: flex neck unilaterally



Prevertebral muscle:


Longus capitis

Superior attachment: basiliar part of Occipital bone


Inferior attachment: anterior tubercles of c3-c6 transverse processes


Innervation: anterior rami


Actions: flex head

Prevertabral muscle:


Rectus Capitis anterior

Superior attachment: base of cranium, anterior to occipital condyle


Inferior attachment: Anterior surface of lateral mass of atlas


Innervation: c1-c2 spinal nerves


Actions: flex head

Prevertebral muscle:


Anterior Scalene

Superior attachment: Transverse process of c3-c6


Inferior Attachment: 1st rib


Innervation: cervical spinal nerves


Actions: flex head

Prevertebral Muscle:


Rectus Capitis Lateralis

Superior: jugular process of occipital bone


Inferior: transverse process of atlas


Innervation: c1-c2 spinal nerve


Action: flex head + stablise

Prevertebral muscle:


Splenius Capitis

Superior: Inferior 1/2 of nuchal ligament and spinous processes of t1-t6


Inferior: lateral aspect of mastoid process, lateral 1/3 of nuchal line


Innvervation: posterior rami


Action: laterally flex, rotate head, bilateral contraction extend head and neck

Prevertebral muscle:


levator scapulae

Superior: Posterior tubercle of transverse process of c2-c6


Inferior: superior medial border of scapluae


Innervation: dorsal scapular nerce, cervical spinal nerve


action: downward rotation of scapulae

Prevertebral muscle:


Middle Scalene

Superior: posterior tubercle of transverse process of c5-c7


Inferior: superior surface of 1st rib


Innervation: anterior rami


Action: flex neck laterally

Prevertebral muscle:


Posterior scalene

Superior: posterior tubercle of transverse process of c5-c7


Inferior: external border of 2nd rib


innveration: anterior rami


Action: flex neck laterally

Name the suboccipital and deep muscles of the neck (sub occipital triangle)

Triangle is made of up rectus capitis poster major and minor, obliqus capitis superior, obliqus capitis inferior.

Flexion at atlanto-occipital joints?

Longus capitis, Rectus capitis anterior, Anterior fibers of sternocleidomastoid, Suprahyoid and infrahyoid muscles

Extension at atlanto-occiptal joints?

Rectus capitis Posterior major and minor, Obliquus capitis superior, Splenius capitis, Longissimus capitis

Lateral Flexion at atlanto-occipital joints?

SCM, Obliqus Capitis superior, Rectus capitis lateralis, Longissimus Capitis, Splenius Capitis

Rotation at atlanto-occiptal joints?

Obliqus capitis Inferior, Rectus capitis posterior major and minor, longissimus capitis, splenius capitis

Elevation of scapula


muscles producing movement, nerves, ROM

Muscles producing movement:


descending trapezius, levator scaupluae, Rhomboid




Nerves to muscle:


Spinal accessory, Dorsal scapula




ROM: 10-12cm



Depression of scapula


muscles producing movement, nerves, ROM

Muscles:


Pec major (sternocostal head), lattismus dorsi, Serratus Anterior, Ascending trapezius, pec minor




Nerves:


pectoral nerces, thorocodorsal, Spinal accesory, Medial pector




ROM: 10-12cm



Protraction of scapula


muscles producing movement, nerves, ROM

Muscles: pec major, pec minor, serratus anterior




Nerves: long thoracic (SA), pectoral nerve, medial pectoral




ROM: 40-45degrees, 15cm

Retraction of scapula:


muscles producing movement, nerves, ROM

Muscles: transverse trapezius, rhomboids, lattismus dorsi




Nerves: spinal accessory, dorsal scapula, thoracodorsal




ROM: 40-45degrees, 15cm

Upward rotation of scapula


muscles producing movement, nerves, ROM

Muscles: descending trapezius, ascending trapezius, serratus anterior




Nerves: spinal accessory, long thoracic




ROM: 60 degrees inferior angle, 10-12cm, superior angle 5-6cm

Downward Rotation of scapula


muscles producing movement, nerves, ROM

Gravity!


Muscles: levator scapule, rhomboids, pec major (SC), lat dorsi, pec minor




Nerves: dorsal scapula, thoracodorsal, medial pectoral, medial and lateral pectoral nerve




ROM: 60 degrees inferior angle; 10-12cm, superior angle = 5-6cm

Flexion of GH joint


prime mover, synergist

prime mover:


Pectoralis major (clavicular head)


anterior deltoid


synergist:


coracobrachialis


biceps brachii

Extension of GH joint


prime mover, synergist

prime mover:


deltoid posterior


syngergist:


teres major


long head of triceps brachii

Abduction of GH joint


Prime mover, syngergist

Prime mover:


Middle deltoid


synergist:


supraspinatus

adduction of GH joint


Prime mover, synergist

Prime mover:


pec major, lat dorsi


syngergist:


teres major


long head triceps brachii

Medial rotation of GH joint


Prime mover, syngergist

Prime mover:


subscapularis


Synergist:


pec major, deltoid (clavicular), lat dorsi, teres major

lateral rotation of GH joint


Prime mover, synergist

Prime mover:


Infraspinatus


synergist:


teres minor, anterior deltoid

Pectoralis Major


proximal, distal attachment, innervation and main action

proximal: clavicular head - medial half of clavicle. Sternocostal head - anterior surface of sternum, superior 6 costal cartiladges


distal attachment: lateral lip of intertubercular sulcus of humerus


innervation: lateral medial pectoral nerves


main action: adduct, medially rotate humerus. clavicular head; flexes humerus. Sterno-costal head: extends humerus from flexed position



Pectoralis Minor


proximal, distal attachment, innervation and main action

Proximal: 3-5th ribs near costal cartiladge


Distal: medial border of and superior surface of coracoid process of scapula


Innervation: Medial pectoral nerve


Actions: stabilise scapula

Subclavius:


proximal, distal attachment, innervation and main action

Proximal: junction of 1st rib and its costal cartiladge


Distal: coracoid surface of scapula


Innervation: subclavius


Action: anchor, depress clavicle

Serratus Anterior:


proximal, distal attachment, innervation and main action

Proximal: external surface of lateral parts of 1-8 ribs


Distal: medial border of scapula


Innervation: Long thoracic nerve


Action: Protracts scapula, rotate scapula anterior

Trapezius


proximal, distal attachment, innervation and main action

Proximal: superior nuchal line, external occipital protuberance, nuchal ligament, spinous process of c7-t12


Distal : lateral 1/3 of clavicle, acromion and spine scapula


Innervation: Sinal accessory nerve


Muscle action: descending: elevation scapula.


ascending: depresses.


together: retract scapula,


Rotate glenoid cavity superiorly.

Lattisimus dorsi:


proximal, distal attachment, innervation and main action

Proximal: spinous processes of inferior 6 thoracic vertebrae, iliac crest and inferior 3-4 ribs.


Distal: Floor of intertubercular sulcus of humerus.


Innervation: thoracodorsal nerve


Action: Extend, adducts, medially rotates humerus.

Levator Scapulae:


proximal, distal attachment, innervation and main action

Proximal: Posterior tubercles of transverse processes of c1-c4


Distal Attachment: medial border of scapula superior to spine of scapula


Innervation: dorsal scapula, cervical nerces


Actions: elevate scapula, rotate glenoid cavitity inferiorly.

Rhomboid Major + minor


proximal, distal attachment, innervation and main action

Proximal: minor: nuchal ligament, spinous process of c7-t1.


Major: spinous processes of t2-t5


Distal:


minor: medial scapula spine


Major: medial border of scapula


proximal, distal attachment, innervation Dorsal scapula nerve


main action: retract scapula, rotate glenoid cavity inferiorly

Deltoid:


proximal, distal attachment, innervation and main action

Proximal: lateral 1/3 of clavicle acromion and spine of scapula


Distal: Deltoid tuberosity of humerus


Innervation: axillary nerve


Action: anterior - flex, medially rotate, middle - abduct humerus, posterior - extension and lateral rotation

Supraspinatus


proximal, distal attachment, innervation and main action

Proximal: supraspinous fossa


Distal: greater tubercle


Innervation: suprascapular nerve


Actions: initiate in abduction



Infraspinatus


proximal, distal attachment, innervation and main action

Proximal: Infraspinous fossa


Distal: greater tubercle


Innervation: suprascapular nerve


Action: Lateral rotation

Teres major


Proximal, Distal Attachment,


Innervation and main action

Proximal: inferior angle of scapula


Distal: medial lip of intertubercular sulcus


Innervation: subscapular nerve


Action: adducts, medially rotate