Term
Deep Intrinsic Back Muscles |
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Definition
Erector Spinae (spinalis, longissimus, iliocostalis) Transversospinalis (multifidus, semispinalis, rotatores) interspinal intertraverse (interspinales, intertransversarii) dorsal rami |
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deep intrinsic back muscle - erector spinae - medial; spinous process below to spinous process above trunk extension, lateral flexion |
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deep intrinsic - erector spinae - middle; longest skeletal muscle from ileum to transverse processes and ribs extension, lateral flexion |
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from sacrum and ileum and insert onto ribs deep intrinsic back muscle - erector spinae - lateral extension, lateral flexion |
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most superficial bilateral trunk extension unilateral, lateral flexion |
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deeper than erector spinae between transverse and spinous processes multifidus, semispinalis, rotatores extension and unilateral rotate to opposite side |
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deep intrinsic back muscle -transversospinalis most superficial from sacrum upward to spinal processes |
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well developed at base of skull deep intrinsic back muscle - transversospinalis - middle |
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deepest transversospinalis muscle - deep intrinsic back muscle only span a level or two |
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intermediate extrinsic back muscles |
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Definition
serratus posterior superior, serratus posterior inferior, levator costae rhomboid major and minor ventral rami from hypaxial myotomes |
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serratus posterior superior |
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Definition
intermediate extrinsic back muscle accessory respiratory muscle intercostal nerves deep to rhomboids |
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serratus posterior inferior |
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intermediate extrinsic back muscle accessory respiratory muscles intercostal nerves |
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intermediate extrinsic back muscle accessory respiratory muscle intercostal nerves |
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intermediate extrinsic back muscle upper limb muscle dorsal scapular nerve C5 superficial to serratus posterior spinous processes of lower neck and upper thorax to vertebral border of the scapula major lies inferior to minor |
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superficial extrinsic back muscles |
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Definition
ventral rami or accessory nerve trapezius and latissimus dorsi |
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superficial extrinsic back muscle upper limb and neck muscle accessory nerve (CN11) originates from skull and nuchal ligament and spinous processes attaches to clavicle and scapula |
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upper limb muscle long thoracic nerve (C5-7) superficial extrinsic back muscle originates from thoracolumbar fascia and inserts on humerus |
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Extrinsic shoulder muscles |
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superficial: trap, lat dorsi deep: rhomboids, levator scapulae |
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rotator cuff: supraspinatus, subscapularis, infraspinatus, teres minor deltoid, teres major |
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intrinsic - rc
• O: supraspinus fossa • I: greater tubercle • A: shoulder abduction • N: suprascapular nerve • Passes superior to joint |
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intrinsic, rc
• O: infraspinus fossa • I: posterior greater tubercle • A: external rotation • N: suprascapular nerve • Posterior to joint |
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intrinsic rc
• O: subscapular fossa • I: lesser tubercle • A: internal rotation • N: upper subscapular and lower subscapular nerves |
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intrinsic, rc
• O: axillary border of scapula • I: lower greater tubercle • A: external rotation • N: axillary nerve |
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intrinsic
• O: • Anterior – lateral clavicle • Middle – acromion process • Posterior – spinus process • I: deltoid tuberosity • A: • Anterior – shoulder flexion • Lateral – abduction • Posterior – extension • N: axillary nerve |
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intrinsic
• O: inferior scapula • I: intertubercular sulcus • A: adductior, medial rotation, extension • N: lower subscapular nerve |
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• O: medial clavicle, sternocostal head • I: intertubercular sulcus • A: horizontal flexion • Clavicular head – flexion • Sternocostal head – extension from flexed position • N: lateral and medial pectoral nerves |
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• O: ribs 3-5 • I: coracoid process of scapula • A: depression of scapula, deeper breathing • N: medial pectoral nerve |
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o Ribs 1-8 o I: vertebral border of scapula o A: protraction of scapula; rotation of scapula upward o N: long thoracic nerve |
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anterior compartment of arm |
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Definition
flexion, musculocutaneous nerve biceps brachii, brachialis, coracobracialis |
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o Biceps Brachii • O: • Short head: coracoid process of scapula • Long head: supraglenoid tuberosity • I: radial tuberosity • Bicipital aponeurosis blends with deep fascia of forearm • A: flexes forearm, shoulder flexion, supination o Brachialis (deep to biceps) N: musculocutaneous nerve |
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deep to biceps
• O: anterior midshaft of humerus • I: ulna tuberosity/coranoid process • A: most powerful elbow flexor N: musculocutaneous nerve |
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• O: coracoid process • I: medial midshaft humerus • A: flexion of shoulder; adduction of shoulder; resists downward dislocation N: musculocutaneous n |
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posterior compartment of arm |
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extension radial nerve triceps brachii, anconeus |
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• O: • Long head: infraglenoid process of scapula • Lateral head: above radial groove • Medial head: below radial groove • I: olecranon process • A: extension of elbow; long head: arm extension N: radial |
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• O: lateral epicondyle • I: posterior superior ulna • A: extension of elbow N: radial |
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trunk muscles across scapulothoracic joint |
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trap, rhomboids, leavtor scapulae, serratus anterior, pectoralis minor, subclavius |
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supraspinatus, lateral deltoid, upper subscapularis |
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biceps brachii, ant deltoid, pec major (clavicular head), coracobrachialis |
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lat dorsi, post deltoid, pec major (sternocostal head), triceps brachii (long head), teres major |
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teres major, lat dorsi, pec major, coracobrachialis, teres minor |
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