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trapezius
PA: external occipital protuberance, medial third of superior nuchal ligament, nuchal ligament, spinous processes of C7-T12
DA: lateral 1/3 of clavicle, spine of scapula, acromion
Inn: spinal accessory n (CN XI) and C3, C4 for sensory
A: elevates the scapular (upper/descending), retracts the scapula (middle), depresses the scapular (lower/ascending), rotates glenoid cavity superiorly when upper and lower work together
latissimus dorsi
PA: spinous processes of T7-T12, thoracolumbar fascia, iliac crest, inferior 3-4 ribs
DA: floor of bicipital groove of humerus
Inn: thoracodorsal n (C6, C7, C8)
A: extends arm, medially rotates arm, helps to pull body upwards
levator scapulae
PA: transverse processes of C1-C4
DA: medial border of scapula above spine
Inn: dorsal scapular n (C4, C5) and cervical nerves (C3, C4)
A: elevates scapula, rotates glenoid cavity inferiorly
rhomboid major
PA: spinous processes of T2-T5
DA: medial border of scapular below scapular spine to inferior angle
Inn: dorsal scapular n (C4, C5)
A: retracts scapula and rotates glenoid cavity inferiorly
rhomboid minor
PA: nuchal ligament, spinous processes of C7-T1
DA: smooth triangular area at medial end of scapular spine
Inn: dorsal scapular n (C4, C5)
A: retracts scapula and rotates glenoid cavity inferiorly
serratus posterior superior and inferior
thin muscles deep to rhomboids adn latissimus dorsi, involved in respiration, contribute little to movement or stability of the trunk
splenius muscles
superfical layer of intrinsic back, fibers run medial to lateral
erector spinae (spinalis, longissimus, iliocostalis)
intermediate layer of intrinsic back, fibers run mostly vertical, create bulges on either side of furrow on posterior back, align with rib angles, form shallow grooves
transversospinalis
deep layer of intrinsic back muscles, fibers run lateral to medial
function of the intrinsic back muscles
act on the vertebral column, maintain posture and enable movement
pectoralis major
PA: clavicular head: medial ½ of clavicle, sternocostal head: anterior surface of sternum, superior 6 costal cartilages, aponeurosis of external oblique
DA: lateral lip of bicipital groove of humerus
Inn: lateral and medial pectoral n (C5, C6) and (C7, C8, T1)
A: adducts and medially rotates humerus, clavicular head flexes, sternocostal head extends from flexed position
pectoralis minor
PA: ribs 3-5 near costal cartilages
DA: medial border and superior surface of coracoid process of scapula
Inn: medial pectoral n (C8, T1) and lateral pectoral n (variable)
A: stabilizes scapula by drawing inferiorly and anteriorly against thoracic wall
subclavius
PA: junction of first rib and costal cartilage
DA: middle 1/3 of inferior clavicle
Inn: nerve to subclavius (C5, C6)
A: anchors and depresses clavicle
serratus anterior
PA: external surfaces of lateral parts of ribs 1-8
DA: anterior surface of medial border of scapula
Inn: long thoracic n (C5, C6, C7)
A: protracts scapula, stabilizes by holding against thoracic wall, rotates scapula