MS1 Musculature of the Back- Extrinsic Flashcards

(52 cards)

1
Q

What is a dermatome

A

region of skin supplied by 1 level of spinal nerves

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2
Q

What features are on the surface anatomy of the back?

A
External occipital protuberance
Site of nuchal ligament
Scapula
Iliac crest
Prominent spinous processes
Muscles: trapezius, latissimus dorsi, deltoid, erector spinae, teres major
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3
Q

What are the extrinsic muscles of the back

A

Superficial and Intermediate muscles of the back

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4
Q

What functions doe the extrinsic muscles have

A

movement of upper limbs and scapula

movement of ribs

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5
Q

What are the extrinsic muscles innervated by

A

anterior rami

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6
Q

What are the superficial muscles of the back

A
trapezius
latissimus dorsi
rhomboid minor
rhomboid major
levator scapulae
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7
Q

What are the intermediate muscles of the back

A

serratus posterior superior

serratus posterior inferior

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8
Q

What is the proximal origin of the trapezius

A

spinous process of C7-12

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9
Q

What is the distal insertion of the trapezius

A

acromion
spine of the scapula
lateral 1/3 of the clavicle

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10
Q

What is the action of the trapezius

A

elevate and depress the scapula
retraction of scapula
abduction of upper limb above 90 degrees

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11
Q

What is the blood supply to trapezius

A

superficial branch of transverse cervical artery

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12
Q

What is the innervation of the trapezius for motor function

A

spinal acessory nerve (CN XI)

-thing SANd TRAP

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13
Q

What is the innervation of the trapezius for proprioception

A

C2, C3, and C4

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14
Q

What are the three portions of the trapezius

A

superior
middle
inferior

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15
Q

Where does the superior portion attach

A

external occipital protuberance, ligamentum nuchae, spinous process of C7
to
1/3 of clavicle/ acromium

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16
Q

Where does the middle portion of the trapezius attach

A

spinous process of T1-T5
to
medial border of acronium and lip of spine of scapula

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17
Q

Where do the inferior portion of the trapezius attach

A

T6-T12 spinous processes
to
tubercle of spine

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18
Q

What is the function of the anterior portion of the trapezius

A

elevate scapula
unilateral: flex and rotate head to opposite side
bilaterally, extend neck
lateral rotate upwards

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19
Q

What is the function of the middle portion of the trapezius

A

adduct scapula, bring closer to the spine

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20
Q

What is the function of the posterior portion of the trapezius

A

depress scapula, glide inferiorly

laterally rotate scapula upwards

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21
Q

What is the proximal origin of the latissimus dorsi

A

Spinous process of T7-12, thoracolumbar fascia, iliac crest

22
Q

Where is the distal insertion of the latissimus dorsi

A

floor of intertubercle groove of the humerus (bicipital groove)

23
Q

What is the action of latissimus dorsi

A

extension
medial rotation
adduction of the upper limb (pull up muscle)

24
Q

What is the innervation of the latissimus dorsi

A

Thoracodorsal nerve (C6-C8) off the brachial plexus

25
What is the blood supply of latissimus dorsi
thoracodorsal artery
26
What muscles are involved in the 2nd layer of superficial back
serratus posterior superior and serratus posterior inferior
27
Axillary dissection of lymph nodes can affect the latissimus dorsi how
dissection leads to risk of damaging thoracodorsal nerve, which will affect the latissimus dorsi if cut weakness in adduction, extension, and medial rotation
28
How does the latissimus relate to breast cancer
you place a slip of latissimus dorsi and vasculature to support an implant after a mastectomy
29
What is the proximal origin of the levator scapulae
Transverse processes of C1-C4
30
Where is the distal insertion of the levator scapulae
Superior angle and medial border of the scapula
31
What is the action of levator scapulae
elevates scapula
32
What is the proximal orgin of the rhomboid minor
nuchal ligament | spinous process C7-T1
33
What is the proximal origin of the rhomboid major
spinous process of T2-T5
34
What is the distal insertion of the rhomboid minor
Medial border of scapula at level of the spine
35
What is the distal insertion of the rhomboid major
medial border of scapula inferior to spine
36
What are the actions of the rhomboids
retract and fix scapula
37
What is the innervation of the rhomboids
dorsal scapular nerve C4-C5
38
What is the innervation of the levator scapulae
dorsal scapular nerve and cervical nerve
39
What is the blood supply to the rhomboids
deep cervical artery
40
What is the blood supply to the levator scapulae
deep cervical artery
41
What is Petit's Hernia
herniation through inferior lumbar triangle
42
What is the lumbar triangle
space below latissimus dorsi above the iliac crest
43
What is triangle of auscultation
area at the 6th intercostal space with very little tissue that makes auscultation easy
44
What are the borders of the triangle of auscultation
trapezius--medial latissimus dorsi--inferior medial border of scapula--lateral
45
What borders the lumbar triangle
latissimus dorsi medially external oblique laterally iliac crest inferiorly
46
What is the proximal origin of the serratus posterior inferior
Spinous process of T11-L2/L3
47
What is the distal insertion of serratus posterior inferior
Ribs 9-12, lateral to angles
48
What is the proximal origin of serratus posterior superior
nuchal ligament | spinous processes C7-T3
49
What is the distal insertion of serratus posterior superior
ribs 2-5, lateral to angles
50
What are the actions serratus posterior inferior and superior
to elevate and depress ribs accessory respiratory muscle
51
What is the innervation for serratus posterior inferior and superior
segmental anterior rami (intercostal nerves)
52
What is the blood supply of serratus posterior inferior and superior
intercostal arteries