Superficial Back Muscles

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wvsom14  on August 9, 2010

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Superficial Back Muscles

Trapezius Muscle
Extrinsic Back Muscle
Origin: along midline between the external occipital protuberance and spinous process of T12
Insertion: all fibers run laterally to the scapular spine
Innervated By: spinal accessory nerve (cranial nerve XI)
Function: moves and controls the scapula
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Trapezius Muscle Extrinsic Back Muscle
Origin: along midline between the external occipital protuberance and spinous process of T12
Insertion: all fibers run laterally to the scapular spine
Innervated By: spinal accessory nerve (cranial nerve XI)
Function: moves and controls the scapula
Superior Fibers of the Trapezius Muscle originate from the occipital bone and cervical spine
Function: elevation of the scapula
Middle Fibers of the Trapezius Muscle run horizontally from the upper thoracic spine
Function: retraction of the scapula
Inferior Fibers of the Trapezius Muscle originate from the lower thoracic spine
Function: depression of the scapula and inferior rotation of the glenohumeral joint
Latissimus Dorsi MuscleExtrinsic Back Muscle
Origin: broad thoracolumbar fascia and the medial aspects of the iliac crests
Insertion: a single point on the neck of the humerus
Innervated By: thoracodorsal nerve (C6-8), which runs vertically along its surface
Function: pennate muscle that pulls the shoulder into adduction and slightly into extension
Thoracolumbar FasciaInferior Anchor: bilaterally to the medial aspects of the iliac crest and dorsal aspect of the sacrum
Lateral Anchor: along the midline to the spinous processes of the sacrum
Superior Anchor: spinous process of T6
Function: several muscles connect with it
Notes: develops into 3 layers - posterior, middle, and anterior
Thoracodorsal Nerve C6-C8
Function: innervates the latissimus dorsi muscle
Lumbar Triangle Bounded By: latissimus dorsi muscle, external abdominal oblique, and iliac crest
Importance: common site for lumbar herniation
External Abdominal Oblique Origin: lower ribs (5-12)
Insertion: iliac crest lateral to the origin of the latissimus dorsi
Innervated By: thoracoabdominal nerves (T7-T11) and subcostal nerve
Notes: connected to the thoracolumbar fascia
Nuchal Ligament Origin: external occipital protuberance
Insertion: T2/T3 spinous process
Function: provides an attachment site for the muscles that attach to the spinous processes of vertebrae
Greater Occipital Nerve Origin: dorsal ramus of spinal nerve C2
Function: cutaneous innervation of the skin, not the muscles that it passes through
Spinal Accessory Nerve (Cranial Nerve XI) Origin: exits the skull
Innervates: travels beneath the sternocleidomastoid muscle to trapezius and innervates them both
Levator Scapulae MuscleOrigin: transverse Process of C1-C4
Insertion: superiormedial border of the scapula
Innervated By: ventral rami of C3-C5, particularly C5 (dorsal scapular nerve)
Function: allows the scapula to rotate upward (lifting an axe), elevates the scapula)
Notes: deep to the trapezius and latissimus dorsi and superior to rhomboid minor and major
Rhomboid Major MuscleOrigin: spinous process of T2-T5
Insertion: medial border of the scapula, immediately inferior to the levator scapulae muscle
Innervated By: dorsal scapular nerve (C5)
Function: allows the scapula to rotate downward (using an axe), retraction of the scapula
Notes: runs inferolaterally, inferior to the rhomboid minor muscle, acts as a single muscle
Rhomboid Minor MuscleOrigin: nuchal ligament and spinous process of C7-T1
Insertion: medial border of the scapula, immediately inferior to the levator scapulae muscle
Innervated By: dorsal scapular nerve (C5)
Function: allows the scapula to rotate downward (using an axe), retraction of the scapula
Notes: runs inferolaterally, superior to rhomboid major, acts as a single muscle
Deep Fascia lends structure to the body through its interconnectedness. fascia is thought to be a continuous structure (the body is a unit). fascial restriction in one area may result in pain in another. encloses the intrinsic back muscles.
Supraspinous Ligament thin, cord-like, anchors tips of adjacent spinous processes to each other, but does not strongly connect them to the pelvis. continuous with the thoracolumbar fascia. expands to form the nuchal ligament (ligamentum nuchae).
Serratus Posterior Inferior Muscle Origin: spinous process of T11-L2
Insertion: runs laterally to the last three or four ribs near the costal angle
Innervated By: intercostal nerves T8-T11
Notes: just deep to the latissimus dorsi muscle
Intercostal Nerves anterior divisions (rami anteriores; ventral divisions) of the thoracic spinal nerves from T1-T11
Dorsal Scapular Nerve nerve of the ventral rami (C5) that innervates the levator scapulae muscle. it runs deep to the levator scapulae muscle and rhomboid muscles and medial to their attachment to the scapula.
Serratus Posterior Superior Muscle Origin: aponeurosis from the nuchal ligament and spinous processes of C7-T2
Insertion: costal angles of ribs 2-5
Innervated By: ventral rami of spinal nerves T1-T4

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