torso & neck Flashcards
Iliocostalis
Origin TO insertion:
Lumborum:
- Medial iliac crest
- Medial and lateral sacral crest
TO
- Angles of ribs 7-12
Thoracis:
- Angles of ribs 7-12
TO
- Angles of ribs 1-6
- Transverse process of C7
Cervicis:
- Angles of ribs 3-6
TO
- Transverse process of C4-C6
Action:
1. Extension of trunk & neck @ spinal joints
2. Lateral flexion of trunk & neck @ spinal joints
3. Ipsilateral rotation of trunk & neck @ spinal joints
Nerve:
Dorsal rami of spinal nerves
Arterial supply:
Dorsal branches of the posterior intercostal and lumbar arteries
Longissimus
Origin TO Insertion:
Thoracis:
- Medial iliac crest
- Posterior sacrum
- Transverse processes and spinal processes of L1-L5
TO
- Transverse processes of T1-T5 (all)
- Ribs 4-12 (between tubercles and angles)
Cervicis:
- Transverse processes T1-T5
TO
- Transverse processes of C2-C6 (posterior tubercles)
Capitis:
- Transverse processes of T1-T5
- Articular processes of C5-C7
TO
- Mastoid process of temporal bone
Action:
1. Extension of the trunk, neck, head @ spinal joints
2. Lateral flexion of trunk, neck, head @ spinal joints
3. Ipsilateral rotation of trunk, neck, head @ spinal joints
Nerve:
- Dorsal Rami of Spinal nerves
Arterial supply:
- Dorsal branches of posterior intercostal and lumbar arteries
Spinalis
Origin TO Insertion:
Thoracis:
- Spinous processes of T11-L2
TO
- Spinous processes of T4-T8
Cervicis:
- Inferior nuchal ligament
- Spinous process of C7
TO
- Spinous process of C2
Capitis:
- Transverse processes of C7-T6
- Articular process of C4-C6
- Medial part of semispinalis capitis
TO
- Occipital bone between superior and inferior nuchal line
Actions:
1. Extension of the trunk & neck @ spinal joints
2. Lateral flexion of the trunk & neck @ spinal joints
Nerve:
Dorsal rami of spinal n.
Arterial supply:
Dorsal branches of the posterior intercostal and lumbar arteries
Semispinalis
Origin TO Insertion:
Thoracis:
- TVP T6 - T10
TO
- SP C6-T4
Cervicis:
- TVP of T1-T5
TO
- SP C2-C5
Capitis:
- TVP C7-T6
- Articular processes of C4-C6
TO
- Occipital bone between the superior and inferior nuchal lines
Action:
1. Extension of the trunk, neck, head @ spinal joints
2. Lateral flexion of the trunk, neck, head @ spinal joints
3. Contralateral rotation of the trunk, neck @ spinal joints
Nerve:
Dorsal rami of spinal n.
Arterial supply:
- Occipital a
- Dorsal branches of the posterior intercostal a.
- Deep cervical a.
Multifidus
Origin:
Lumbar
- All mamillary processes (directly deep to ESG)
Thoracic:
- All transverse processes (directly deep to semispinalis)
Cervical:
- Articular processes of C4-C7 (directly deep to semispinalis)
Insertion:
- Spinous processes 3-4 segments above the origin (superior to the inferior origin)
Action:
1. Extension of the trunk & neck @ spinal joints
2. Lateral flexion of the trunk & neck @ spinal joints
3. Contralateral rotation of the trunk & neck @ spinal joints
Nerve:
dorsal rami of spinal nerves
Arterial supply:
Dorsal branches of the posterior intercostal and lumbar arteries
Rotatores
Origin:
-Transverse processes (inferiorly)
Insertion:
- Lamina (superiorly) 1-2 segments above (superior to the inferior orgin)
Action:
1. Contralateral rotation of the trunk & neck @ spinal joints
2. Extension of the trunk & neck @ spinal joints
3. Lateral flexion of the trunk & neck @ spinal joints
Nerve:
Dorsal rami of spinal nerves
Arterial supply:
Dorsal branches of the posterior intercostal and lumbar arteries
Splenius capitus
Origin:
- Nuchal ligament from C3-C6
- Spinous process of C7-T4
Insertion:
-Mastoid process of the temporal bone
- Lateral 1/3 of the superior nuchal line of the occiput
Action:
1. Extension of the head & neck @ spinal joints
2. Lateral flexion of the head & neck @ spinal joints
3. Ipsilateral rotation of the head @ spinal joints
nerve:
dorsal rami of the middle cervical spinal nerves
arterial supply:
occipital artery
Splenius Cervicis
Origin:
- Spinous processes of T3-T6
Insertion:
- Posterior tubercles of Transverse processes C1-C3
Function:
1. Extension of the neck @ spinal joints
2. Lateral flexion of the neck @ spinal joints
3. Ipsilateral rotation of the neck @ spinal joints
Nerve:
Dorsal Rami of the lower cervical spinal nerves
Arterial supply:
Occipital artery
Dorsal branches of teh upper posterior intercostal arteries
Rectus capitis Posterior minor
Origin:
- Posterior tubercle of Atlas (C1)
Insertion:
- Medial 1/2 of the inferior nuchal line
- Connective tissue attached to the dura mater
Function:
1. Protraction of the head @ atlanto-occipital joint
2. Capital extension of the head @ AOJ
3. Lateral flexion of the head @ AOJ
Nerve:
Dorsal Ramus of C1 - suboccipital n.
Arterial Supply:
Occipital a., Deep cervical a., Vertebral a.
Rectus Capitis Posterior Major
Origin:
- Spinous Process of Axis
Insertion:
- Lateral 1/2 of the inferior nuchal line of the occiput
Function:
1. Extension of the head @ atlanto-occipital joint
2. Lateral flexion of head @ AOJ
3. Ipsilateral rotation of head @ AOJ
nerve:
Dorsal ramus of C1 - suboccipital nerve
arterial supply:
Occipital a., Deep cervical a., muscular branches of vertebral a.
Obliquus Capitis Inferior
Origin:
- Spinous process of the Axis (C2)
Insertion:
- Transverse process of the atlas (C1)
Function:
1. Ipsilateral rotation of the atlas @ the atlanto-axial joint
nerve:
Dorsal ramus of C1 - suboccipital nerve
arterial supply:
Deep cervical a., descending branch of occipital a., vertebral a.
Obliquus capitis superior
Origin:
- Transverse process of atlas (c1)
insertion:
- Occiput between the superior and inferior nuchal lines
function:
1. Protraction of the head @ atlanto-occipital joint (AOJ)
2. lateral flexion of the head @ AOJ
3. Capital extension of the head @ AOJ
4. Contralateral rotation of the head @ AOJ
Nerve:
Dorsal ramus of C1 - suboccipital n.
arterial supply:
Occipital a., deep cervical a., vertebral a.
Rectus capitis anterior
Origin:
- Anterior surface of the base of the transverse process of the Atlas (c1)
Insertion:
- Inferior surface of the basilar portion of the occiput (anterior to foramen magnum)
Function:
1. Flexion of the head @ atlanto-occipital joint
nerve:
- ventral rami of c1-c2 spinal n.
arterial supply:
vertebral a.
rectus capitis lateralis
origin:
- superior surface of transverse process of atlas (c1)
insertion:
- Inferior surface of the jugular process of the occiput
function:
1. Lateral flexion of the head @ atlanto-occipital j.
nerve:
- ventral rami of c1-c2 spinal n.
arterial supply:
vertebral a.
occipital a.
Longus colli
origin:
- superior oblique part of the transverse process c3-c5
- inferior oblique part of anterior bodies of t1-t3
- vertical part of anterior bodies of c5-t3
insertion:
- anterior arch of c1
- transverse processes of c5-c6
- anterior bodies of c2-c4
function:
1. flexion of neck @ spinal j.
2. lateral flexion of neck @ spinal j.
3. contralateral rotation of neck @ spinal j.
nerve:
ventral rami of c2-c6 spinal n.
arterial supply:
inferior thyroid a.
vertebral a.
ascending pharyngeal a.
longus capitis
origin:
- anterior tubercles of transverse processes of c3-c5 (often c6)
insertion:
- inferior surface of basilar part of the occiput (anterior to foramen magnum)
function:
1. flexion of neck and head @ spinal j.
2. lateral flexion of neck & head @ spinal j.
nerve:
ventral rami of c1-c3 spinal n.
arterial supply:
inferior thyroid a.
vertebral a.
ascending pharyngeal a.
Sternocleidomastoid
origin:
sternal head:
- anterior superior surface of the manubrium of the sternum
clavicular head:
- medial 1/3 of the clavicle
insertion:
- Mastoid process of the temporal bone
- Lateral 1/2 of the superior nuchal line of the occipital bone
function:
1. flexion of the lower neck @ spinal joints (bilateral)
2. Extension of the upper neck and head @ spinal joints & AOJ (bilateral)
3. Lateral flexion of the neck & head @ spinal joints (unilateral)
4. Contralateral rotation of the neck and head @ spinal joints (unilateral)
nerve:
spinal accessory n. (CN XI) & C2-c3
arterial supply:
occipital a.
posterior auricular a.
Anterior Scalene
Origin:
- anterior tubercle of transverse processes c3-c6
insertion:
- rib 1 (scalene tubercle on inner border)
function:
1. bilateral flexion of the neck @ spinal joints
2. unilateral lateral flexion of the neck @ spinal j.
3. elevation of rib 1 @ sternocostal and costospinal j.
4. contralateral rotation of the neck @ spinal joints
nerve:
ventral rami of c4-c6
arterial supply:
ascending cranial a. (branch of the inferior thyroid artery)
Middle Scalene
origin:
- posterior tubercles of transverse processes of c2-c7
insertion:
- rib 1 (superior surface)
function:
1. bilateral flexion of the neck @ spinal j.
2. unilateral lateral flexion of the neck @ spinal j.
3. elevation of rib 1 @ sternocostal and costospinal j.
nerve:
ventral rami of c3-c8
arterial supply:
transverse cervical artery
posterior scalene
origin:
- posterior tubercles of transverse processes c5-c7
insertion:
- rib 2 (external surface)
function:
1. unilateral lateral flexion of the neck @ spinal j.
2. elevation of rib 2 @ sternocostal and costospinal j.
nerve:
ventral rami of c5-c8 spinal n.
arterial supply:
transverse cervical a.