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What are the muscles of the neck and vertebral column?
splenius
erector spinae
ILIOCOSTALS
LONGISSIMUS
SPINALIS
semispinalis
quadratus lumborum
broad 2-part superficial muscle (capitis and cervicis parts) extending from upper thoracic vertebrae to skull: capities portion known as “bandage muscle” because it covers and holds down deeper neck muscles.
splenius
What is the origin and insertion of splenius? What is the action?
O- ligamentum nuchae, spinous processes of verterbra c7-t6
I- mastoid process of temporal bone and occipital bone (capities): transverse processes of C2-c4 vertebrae
action- extend or hyperextend head
Prime mover of back extension. Lifting a load or moving suddenly from a bent-over position can injure these muscles.
erector spinae
most lateral muscle group of erector spinae muscles; extend from pelvis to neck
iliocostalis
What is the origin and insertion of iliocostalis? What is the action?
O- iliac crest, thoracic ribs, and cervical ribs 3-6
I- ribs
Action- extend the vertebral column, laterally flex the vertebral column
intermediate 3-part muscle group of erector spinae; extend by many muscle slips from lumbar region to skull; mainly pass between transverse processes of verterbrae
longissimus
What is the origin and insertion of longissimus? What is the action?
O- transverse processes
I- transverse processes, and mastoid process
action- extend the vertebral column, laterally flex the vertebral column, extends and rotates the head
most medial muscle column of erector spinae; cervicis usually rudimentary and poorly defined.
spinalis
What is the origin and insertion of spinalis? What is the action?
O- spinous process
I- spinous process
action- extends vertebral column (no flexion!!)
composite muscle forming part of deep layer of intrinsic back muscles; extends from thoracic region to head (profound to longissimus)
semispinalis
What is the origin and insertion of semispinalis? What is the action?
O- transverse processes
I- spinous processes
action- extends vertebral column and head and rotates them to opposite side
fleshy muscle forming part of posterior abdominal wall
quadratus lumborum
What is the origin and insertion of quadratus lumborum? What is the action?
O- iliac crest and lumbar fascia
I transverse processes of lumbar vertebrae
action- laterally flexes vertebral column
What are the superficial muscles of the anterior and posterior thorax?
Anterior:
Pectoralis minor
Serratus anterior
Posterior:
Trapezius
Levator scapulae
Rhomboids
flat, thin muscle directly beneath and obscured by pectoralis major
pectoralis minor
What is the origin and insertion of pectoralis minor? What is the action? What is the nerve supply?
O- ribs 3-5 (or 2-4)
I- coracoid process of scapula
action- with ribs fixed, pulls scapula forward and downward
Nerve supply- medial and lateral pectoral nerves
fan-shaped muscle; lies deep to scapula, deep and inferior to pectoral muscles on lateral rib cage; forms medial wall of axilla;orgins hare serrates apperance; paraylysis results in “winging” of verterbral border of scapula away fro chest wall, making arm elevation impossible
serratus anterior
What is the origin and insertion of serratus anterior? What is the action? What is the nerve supply?
O- ribs
I- medial border of scapula
action- rotates scapula, prime mover to protract
nerve supply- long thoracic nerve (C5-C7)
upper fibers run inferiorly to scapula; middle fibers run horiontally to scapula; lower fibers run superiorly to scapula.
trapezius
What is the origin and insertion of trapezius? What is the action? What is the nerve supply?
O- occipital bone, ligamentum nuchae, spinous processes of c2 and all thoracic
I- acromion, spine of scapula, lateral 3rd of clavicle
action- stabilizes, elevates, retracts, and rotates scapula
nerve supply- accessory nerves (cranial nerve XI); C3 and C4
located at back and side of neck; deep to trapezius; thick straplike muscle
levator scapulae
What is the origin and insertion of levator scapulae? What is the action? What is the nerve supply?
O- transverse processes
I- medial border of scapula
action- elevates and adducts scapula
nerve supply- cervical spinal nervers and dorsal scapular nerve (C3-C8?)
2 roughly diamond-shaped muscles lying deep to trapezius and inferior to levator scapulae; rhomboid is the more superior muscle
rhomboids
What is the origin and insertion of rhomboids? What is the action? What is the nerve supply?
O- spinous processes
I- medial border of scapula
action- stabilize scapula, to retract (addict), rotate downward
Nerve supply- dorsal scapular nerve (C4-C5)
What are the deep muscles of the thorax?
External intercostals
Internal intercostals
Diaphragm
11 pairs lie between ribs; fibers run obliquely (down and forward) from each rib to rib below; in lower intercostal spaces, fibers are continuous with external oblique muscle, forming part of abdominal wall
external intercostals
What is the origin and insertion of external intercostals? What is the action? What is the nerve supply?
O- inferior border of rib
I- superior border of rib
action- pulls ribs toward one another to elevate rib cage
nerve supply- intercostal nerves
11 pairs lie between ribs; fibers run deep to and at right angles to those of external intercostals; lower internal costal muscles are continuous with fibers of internal oblique muscle of abdominal wall
internal intercostals
What is the origin and insertion of internal intercostals? What is the action? What is the nerve supply?
O- superior border of rib
I- inferior border of rib
action- pull ribs together and depress rib cage
Nerve supply- intercostal nerves
broad muscle pierced by the aorta, inferior vena cava, and esophagus; forms floor of thoracic cavity; dome shaped in relaxed state; fibers converge from margins of thoracic cage toward a boomerang shaped central tendon
diaphragm
What is the origin and insertion of the diaphragm? What is the action? What is the nerve supply?
O- surface of rib cage and sternum, cartilages, lumbar vertebrae
I- central tendon
action- prime mover of inspiration; flattens on contraction
nerve supply- phrenic nerves
What are muscles of the abdominal wall?
rectus abdominis
external oblique
internal oblique
transverse abdominis
medial superfical muscle pair; extend from pubis to rib cage; ensheathed by aponeuroses of lateral muscles; segmented by 3 tendinous intersections
rectus abdominous
What is the origin and insertion of rectus abdominous? What is the action? What is the nerve supply?
O- pubic crest
I- xiphoid process & costal cartilages
Action- flex and rotate lumbar region of verterbral column
Nerve supply- intercostal nerves (T6 or T7-T12)
inguinal ligament
external oblique
What is the origin and insertion of external oblique? What is the action? What is the nerve supply?
O- lower 8 ribs
I- linea alba, pubic crest, iliac crest
action- flex verterbral column and compress abdominal wall, trunck rotation and lateral flexion
nerve supply- intercostal nerves (T7-T12)
most fibers run upward and medially; however the muscle fans so its inferior fibers run downward and medially
internal oblique
What is the origin and insertion of internal oblique ? What is the action? What is the nerve supply?
O- lumbar fascia, iliac crest, inguinal ligament
I- linea alba, pubic crest, ribs
action- flex verterbral column and compress abdominal wall, trunck rotation and lateral flexion
Nerve supply- intercostal nerves (T7-T12) and L1
deepest (innermost) muscle of abdominal wall: fibers run horizontally
transversus abdominis
What is the origin and insertion of transversus abdominis ? What is the action? What is the nerve supply?
O- lumbar fascia, inguinal ligament, iliac crest, cartilages, ribs,
I-linea alba, pubic crest
action- compresses abdominal contents
nerve supply- intercostal nerves (T7-T12) and L1
What are muscles of the pelvic diaphragm?
levator ani
Ischiococcygeus
broad, thin, 3-part muscle: its fibers extend inferomedially, forming a muscular “sling” around prostate (male) or vagina (female), urethra, and anorectoral junction before meeting in the median plane.
levator ani
What is the origin and insertion of levator ani ? What is the action?
O- pubis to ischial spine
I- coccyx, opposite side of levator ani
action- supports and maintains position of pelvic organs
small triangular muscle lying posterior to levator ani, forms posterior part of pelvic brim.
Ischiococcygeus (coccygeus)
What is the origin and insertion of ischiococcygeus? What is the action?
O- spine of ischium
I- sacrum and coccyx
action- supports pelvic organs