Exam 2 thorax muscles (copy)

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muscles of neck extension

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1

muscles of neck extension

rectus capitis posterior major

rectus capitis posterior minor

semispinalis capitis

splenius capitis

longissimus capitis

trapezius

<p>rectus capitis posterior major</p><p>rectus capitis posterior minor </p><p>semispinalis capitis</p><p>splenius capitis</p><p>longissimus capitis</p><p>trapezius</p>
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muscles of neck lateral flexion

trapezius

scalene anterior

scalene medius

scalene posterior

<p>trapezius</p><p>scalene anterior</p><p>scalene medius</p><p>scalene posterior</p>
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muscles of neck flexion

longus capitis

rectus capitis anterior

SCM (both contracting)

<p>longus capitis</p><p>rectus capitis anterior </p><p>SCM (both contracting)</p>
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muscles of neck rotation- same side

rectus capitis posterior major and minor

splenius capitis

splenius cervicis

<p>rectus capitis posterior major and minor</p><p>splenius capitis</p><p>splenius cervicis</p>
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muscles of neck rotation- oppositie side

SCM

semispinalis capitis

<p>SCM</p><p>semispinalis capitis</p>
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6

Sternocleidomastoid (SCM)

origin: two heads

-sternal head: anterior surface of manubrium of sternum

-calvicular head: superior surface of medial 1/3 of clavicle

insertion: mastoid process

innervation:

- motor- spinal portion CN XI

-pain/pripriooception- C2 and C3

action:

-bilaterally- flexion of head, elevate sternum during forceful inhalation

-unilaterally- rotate had towards opposite side of contracting muscle

<p><strong>origin:</strong> two heads</p><p>-sternal head: anterior surface of manubrium of sternum</p><p>-calvicular head: superior surface of medial 1/3 of clavicle</p><p><strong>insertion:</strong> mastoid process</p><p><strong>innervation:</strong></p><p>- motor- spinal portion CN XI</p><p>-pain/pripriooception- C2 and C3</p><p><strong>action:</strong></p><p>-bilaterally- flexion of head, elevate sternum during forceful inhalation</p><p>-unilaterally- rotate had towards opposite side of contracting muscle</p>
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Trapezius

origin: occipital protuberance and C7-T12 spinous processes

insertion: clavicle, acromion process, scapula

innervation: CN XI, C3 and C4

action: upper fibers- retracts/adducts, elevates, and rotates scapula

lower fibers- depresses scapula

<p><strong>origin:</strong> occipital protuberance and C7-T12 spinous processes</p><p><strong>insertion:</strong> clavicle, acromion process, scapula</p><p><strong>innervation:</strong> CN XI, C3 and C4</p><p><strong>action:</strong> upper fibers- retracts/adducts, elevates, and rotates scapula</p><p>lower fibers- depresses scapula</p>
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8

Infraspinatus

origin: infraspinatus of scapula

insertion: greater tubercle of humerus

innervation: suprascapular nerve

action: lateral rotation of arm, stabilizes humerus

<p><strong>origin:</strong> infraspinatus of scapula</p><p><strong>insertion:</strong> greater tubercle of humerus</p><p><strong>innervation:</strong> suprascapular nerve</p><p><strong>action:</strong> lateral rotation of arm, stabilizes humerus</p>
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Rhomboid Major

origin: spinous processes of T2-T5

insertion: medial border of scapula, inferior to the insertion of rhomboid minor

innervation: dorsal scapular nerve (C4 and C5)

action: retract/adduct scapula, downward rotation of scapula to depress glenoid cavity, fixes scapula to thoracic wall

<p><strong>origin:</strong> spinous processes of T2-T5</p><p><strong>insertion:</strong> medial border of scapula, inferior to the insertion of rhomboid minor</p><p><strong>innervation: </strong>dorsal scapular nerve (C4 and C5)</p><p><strong>action: </strong>retract/adduct scapula, downward rotation of scapula to depress glenoid cavity, fixes scapula to thoracic wall</p>
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Rhomboid Minor

origin: spinous processes of C7-T1

insertion: medial border of scapula, superior to insertion of rhomboid major

innervation: dorsal scapular nerve (C4-C5)

action: retract/adduct and downward rotation of scapula, fix scapula to thoracic wall

<p><strong>origin:</strong> spinous processes of C7-T1</p><p><strong>insertion:</strong> medial border of scapula, superior to insertion of rhomboid major</p><p><strong>innervation:</strong> dorsal scapular nerve (C4-C5)</p><p><strong>action: </strong>retract/adduct and downward rotation of scapula, fix scapula to thoracic wall</p>
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Teres Major

origin: posterior aspect of inferior angle of scapula

insertion: humerus

innervation: lower sup scapular nerve (C5 -C6)

action: adduct humerus, medial rotation of humerus, extend humerus form flexed position, protract/abduct scapula, depress shoulder

<p><strong>origin:</strong> posterior aspect of inferior angle of scapula</p><p><strong>insertion:</strong> humerus</p><p><strong>innervation:</strong> lower sup scapular nerve (C5 -C6)</p><p><strong>action: </strong>adduct humerus, medial rotation of humerus, extend humerus form flexed position, protract/abduct scapula, depress shoulder</p>
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Teres Minor

origin: lateral border of scapula

insertion: greater tubercle of humerus

innervation: axillary nerve

actions: lateral (upward) rotation of arm, stabilizes humerus

<p><strong>origin:</strong> lateral border of scapula</p><p><strong>insertion:</strong> greater tubercle of humerus</p><p><strong>innervation:</strong> axillary nerve</p><p><strong>actions:</strong> lateral (upward) rotation of arm, stabilizes humerus</p>
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Splenius Capitis

origin: C7-T4 spinous processes

insertion: mastoid process

innervation: C3, C4

action: bilaterally- extend/hyperextend head and neck

unilaterally- laterally flex and rotate face to same side

<p><strong>origin: </strong>C7-T4 spinous processes</p><p><strong>insertion:</strong> mastoid process</p><p><strong>innervation: </strong>C3, C4</p><p><strong>action: </strong>bilaterally- extend/hyperextend head and neck</p><p>unilaterally- laterally flex and rotate face to same side</p>
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Splenius Cervicis

origin: T3-T6 spinous processes

insertion: transverse processes C1-C3

innervation: C5-C6

action: bilaterally - extend neck

unilaterally- laterally flex and rotate neck toward same side

<p><strong>origin: </strong>T3-T6 spinous processes</p><p><strong>insertion:</strong> transverse processes C1-C3</p><p><strong>innervation:</strong> C5-C6</p><p><strong>action:</strong> bilaterally - extend neck</p><p>unilaterally- laterally flex and rotate neck toward same side</p>
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Latissimus Dorsi

origin: T7-T12, L1-L5 spinous processes and iliac crest

insertion: humerus

innervation: thoracodorsal N (C6-C8)

action: extension, adduction, and medial rotation of shoulder joint

<p><strong>origin:</strong> T7-T12, L1-L5 spinous processes and iliac crest</p><p><strong>insertion:</strong> humerus</p><p><strong>innervation:</strong> thoracodorsal N (C6-C8)</p><p><strong>action: </strong>extension, adduction, and medial rotation of shoulder joint</p>
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Levator Scapulae

origin: C1-C4 transverse processes

insertion: scapula

innervation: C3-C5

action: elevate scapula

<p><strong>origin: </strong>C1-C4 transverse processes</p><p><strong>insertion:</strong> scapula</p><p><strong>innervation:</strong> C3-C5</p><p><strong>action:</strong> elevate scapula</p>
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erector spinae- lateral column

iliocostalis lumborum

iliocostalis thoracis

iliocostalis cervicis

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erector spinae- intermediate column

longissimus thoracis

longissimus cervicis

longissimus capitis

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erector spinae- medial column

spinalis thoracis

spinalis cervicis

spinalis capitis

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Erector Spinae muscle group

action: bilaterally- extend vertebrae column

unilaterally- rotate vertebrae column, lateral flexion

<p><strong>action:</strong> bilaterally- extend vertebrae column</p><p>unilaterally- rotate vertebrae column, lateral flexion</p>
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Iliocostalis Lumborum

origin: ribs 6-12, lateral crest of sacrum, medial end of iliac crest, vertebrae L1-L4

action: extend and laterally flex vertebral column

<p><strong>origin:</strong> ribs 6-12, lateral crest of sacrum, medial end of iliac crest, vertebrae L1-L4</p><p><strong>action:</strong> extend and laterally flex vertebral column</p>
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Iliocostalis Thoracis

origin: ribs 6-12

insertion: ribs 1-6, transverse process of C7

action: extend and laterally flex vertebral column

<p><strong>origin: </strong>ribs 6-12</p><p><strong>insertion:</strong> ribs 1-6, transverse process of C7</p><p><strong>action: </strong>extend and laterally flex vertebral column</p>
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Iliocostalis Cervicis

origin: ribs 3-6

insertion: transverse process of C4-C6

action: extend and laterally flex vertebral column

<p><strong>origin:</strong> ribs 3-6</p><p><strong>insertion:</strong> transverse process of C4-C6</p><p><strong>action:</strong> extend and laterally flex vertebral column </p>
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Longissimus Thoracis

origin: transverse process of L1-L5

insertion: transverse process of T1-T12, ribs 9-10

action: extend head

<p><strong>origin: </strong>transverse process of L1-L5</p><p><strong>insertion: </strong>transverse process of T1-T12, ribs 9-10</p><p><strong>action: </strong>extend head</p>
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Longissimus Cervicis

origin: transverse process of T1-T5

insertion: transverse process of C2-C6

action: extend head

<p><strong>origin: </strong>transverse process of T1-T5</p><p><strong>insertion:</strong> transverse process of C2-C6</p><p><strong>action:</strong> extend head</p>
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Longissimus Capitis

origin: transverse process of T1-T5 and C4-C7

insertion: mastoid process

action: extend head

<p><strong>origin: </strong>transverse process of T1-T5 and C4-C7</p><p><strong>insertion: </strong>mastoid process</p><p><strong>action: </strong>extend head</p>
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Spinalis Thoracis

origin: spinous process of T11-L2

insertion: spinous process of T-14

<p><strong>origin: </strong>spinous process of T11-L2</p><p><strong>insertion:</strong> spinous process of T-14</p>
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Spinous Cervicis

Origin: spinous process of C2-T2

Insertion: spinous process of C2

Action: extend head

<p><strong>Origin: </strong>spinous process of C2-T2</p><p><strong>Insertion: </strong>spinous process of C2</p><p><strong>Action: </strong>extend<strong> </strong>head</p>
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Spinous Capitis

Origin: C4-C6

Insertion: occipital bone

Action: extend head

<p><strong>Origin: </strong>C4-C6</p><p><strong>Insertion:</strong> occipital bone</p><p><strong>Action:</strong> extend head</p>
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Serratus Posterior Inferior

Origin: T11-L2

Insertion: ribs 9-12

Innervation: intercostal nerves

Action: depress lower ribs aiding in inspiration

<p><strong>Origin: </strong>T11-L2</p><p><strong>Insertion: </strong>ribs 9-12</p><p><strong>Innervation: </strong>intercostal nerves</p><p><strong>Action:</strong> depress lower ribs aiding in inspiration</p>
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Serratus Posterior Superior

origin: spinous processes of vertebrae C7-T3

insertion: upper borders of ribs 2-5

innervation: 2-5 intercostal nerves

action: raise upper ribs aiding in inspiration

<p><strong>origin:</strong> spinous processes of vertebrae C7-T3</p><p><strong>insertion:</strong> upper borders of ribs 2-5</p><p><strong>innervation: </strong>2-5 intercostal nerves</p><p><strong>action:</strong> raise upper ribs aiding in inspiration</p>
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Pectoralis Major

Origin: anterior borer of medial half of clavicle, anterior surface of sternum, superior six costal cartilages

Insertion: bicipital groove of humerus

innervation: C5-T1

actions: flex, extend, adduct, and medially rotate humerus; draw scapula anterior and inferior

<p><strong>Origin:</strong> anterior borer of medial half of clavicle, anterior surface of sternum, superior six costal cartilages</p><p><strong>Insertion: </strong>bicipital groove of humerus</p><p><strong>innervation: </strong>C5-T1</p><p><strong>actions: </strong>flex, extend, adduct, and medially rotate humerus; draw scapula anterior and inferior</p>
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Pectoralis Minor

origin: ribs 3-5

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

innervation: medial pectoral nerve C8, T1

action: stabilize scapula by drawing inferior and anterior against thoracic wall, raises ribs in inspiration

<p><strong>origin: </strong>ribs 3-5</p><p><strong>insertion:</strong> medial border and superior surface of coracoid process of scapula</p><p><strong>innervation: </strong>medial pectoral nerve C8, T1</p><p><strong>action:</strong> stabilize scapula by drawing inferior and anterior against thoracic wall, raises ribs in inspiration</p>
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Serratus Anterior

origin: outer surface ribs 1-8

insertion: costal aspect of medial margin of scapula

innervation: long thoracic nerve (from roots of brachial plexus C5-C7)

action: protract/abduct and stabilize scapula, assist in upward rotation of scapula

<p><strong>origin:</strong> outer surface ribs 1-8</p><p><strong>insertion:</strong> costal aspect of medial margin of scapula</p><p><strong>innervation:</strong> long thoracic nerve (from roots of brachial plexus C5-C7)</p><p><strong>action:</strong> protract/abduct and stabilize scapula, assist in upward rotation of scapula</p>
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Transversus Thoracis

origin: body of sternum, xiphoid process

insertion: ribs/costal cartilages 2-6

innervation: intercostal nerves

action: depress ribs

<p><strong>origin:</strong> body of sternum, xiphoid process</p><p><strong>insertion:</strong> ribs/costal cartilages 2-6</p><p><strong>innervation: </strong>intercostal nerves</p><p><strong>action: </strong>depress ribs</p>
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diaphragm anterior muscle fibers insertion

xiphoid process

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diaphragm lateral muscle fibers insertion

ribs 6-12

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diaphragm posterior muscle fiber insertion

T12-L3

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Diaphragm sternal attachment

xiphoid process

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diaphragm costal attachment

lower 6 ribs (6-12)

costal cartilages

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diaphragm vertebral attachment

bodies of lumbar vertebrae

-right crus - higher (liver)

-left crus

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medial arcuate ligament of diaphragm

body to transverse process of L1

passes over psoas major muscle and sympathetic trunk

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lateral arcuate ligament of diaphragm

transverse process L1-12th rib

passes over quadratus lumborum muscle

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Diaphragm Innvervation

phrenic nerve (C3-C5)

lower intercostal nerves (peripheral)- sensory only

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Throracic wall muscles

(innermost intercostal, internal intercostal, external intercostal)

origin: upper limb muscles attach to thoracic cage

innervation: intercostal nerves, posterior rami of T1-T11

action: elevate ribs during inspirations, depress ribs

<p>(innermost intercostal, internal intercostal, external intercostal)</p><p><strong>origin:</strong> upper limb muscles attach to thoracic cage</p><p><strong>innervation:</strong> intercostal nerves, posterior rami of T1-T11</p><p><strong>action: </strong>elevate ribs during inspirations, depress ribs</p>
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External Intercostal Muscles

origin: ribs 1-11

insertion: ribs 2-12

action: responsible for elevation of ribs, aid in quiet and forced inhalation

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Internal Intercostal muscles

origin: ribs 1-11

insertion: ribs 2-12

action: depression of ribs, decreasing transverse dimensions of thoracic cavity, aid in forced expiration and coughing

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muscles of forced inspiration

serratus posterior superior

serratus posterior inferior

scalene muscle group

external intercostal muscle group

levatores costarum

diaphragm

SCM

trapezius

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accessory muscles of forced inspiration

scalene muscle group

SCM

Ala nasi

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50

anterior/middle/posterior scalene

origin: C2-7

Insertion: 1st and 2nd ribs

Action: elevate ribs and rotate neck

innervation: C4-C8

<p><strong>origin: </strong>C2-7</p><p><strong>Insertion: </strong>1st and 2nd ribs</p><p><strong>Action:</strong> elevate ribs and rotate neck</p><p><strong>innervation:</strong> C4-C8</p>
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muscles of forced (active) expiration

internal intercostal

abdominal muscles

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muscles of quiet expiration

none :)

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53

muscles of quiet inspiration

external intercostals, diaphragm

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