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106 Cards in this Set
- Front
- Back
posterior midline elevation of the occipital bone of the skull with superior & inferior nuchal lines extending laterally from it
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external occipital protuberance
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muscle attachment site behind the ear
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mastoid process
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has a medial vertebral border, lateral/axillary, superior & inferior angles, spine & acromion processs
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scapula
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crests end medially as the posterior superior iliac spines (can be seen as dimples above the buttock)
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Iliac crests
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verticle groove in the center of the back between the two large blocks of the erector spinae muscles
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Posterior Median Furrow
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"vertebral prominens" is spine of the T7
Inferior angle of the scapula is at this level |
vertebral spinous process
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horizontal line joining the highest part of the iliac crests
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supracristal line
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has sub q fat
thickest in lumbar region & can have a fat pad at the inferior aspect of the posterior neck |
superficial fascia
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thin, but dense & surrounds each muscle
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deep fascia
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somatosensory nerves which pierce the skin just lateral to the midline of the back
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dorsal rami
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innervate the lateral aspects of the truck, back
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ventral rami
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How many vertebral disc's are there?
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33
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How many intervertebral disc's are there?
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23-24 (none between the occipital and the atlas or the atlas and the axis) No disc's in the saccrum & coccyx
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What is the major source of support for the spinal cord?
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vertebral body (centrum)
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How are the symphyses formed?
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bodies articulating with other bodies through the disc's form the joints
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Characteristics of the symphyses?
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amphiarthoritic/ slightly movable fibrocartilaginous joints
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Composition of the vertebral/neural arch?
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2 posterolateral pedicles & 2 posterior laminae
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What vertebral process projects posteriorly?
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spinous process
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What vertebral process project laterally at junctions of pedicles & laminae?
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transverse processes
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What processes are necessary for intervertebral joints?
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superior & inferior articular processes
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How do you form the vertebral canal?
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joining of consecutive vertebral foramen
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Where do the spinal nerves & blood vessels exit?
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intervertebral foramina
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C1
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atlas (inferior part of the atlanto-occipital joint) used for extension & flexsion
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C2
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axis
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dens/odontoid
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superior portion of the axis forms the atlantoaxial joint to provide rotational movement
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Role of transverse foramen in cervical vertebrae?
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this transmits the vertebral artery
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How are the spinous processes in the cervical vertebra?
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bifid spinous processes
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Where do you have coastal facets & demifacets ?
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thoracic vertebrae
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Where do you have transverse facets interacting with the tubercle of the rib?
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thoracic vertebrae
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These vertebra have spinous processes that are long and oriented caudally
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thoracic vertebrae
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These vertebrae have short and posterior spinous processes
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lumbar vertebraes
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What is the pars interarticularis
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located in the lumbar vertebrae and connects the superior and inferior facets
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What are the anterior and posterior sacral foramina?
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exit points for the rami from the spinal canal
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What is the sacral hiatus?
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termination of the sacral canal with the sacral cornua located laterally
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What is the supraspinous ligament?
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along posterior border of spinous processes, connects tips of spinous
processes; enlarged and thickened in cervical region as ligamentum nuchae |
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What are the interspinous ligaments?
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they are between adjacent spinous processes
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What is the ligamentum flava?
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between laminae, located within vertebral canal
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What is the anterior longitudinal ligament?
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wide ligament along the anterior bodies
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What is the posterior longitudinal ligament?
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thin ligament along the posterior bodies
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What are the zygapophyseal joints?
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synovial joints between the superior and inferior articular facets of adjacent
vertebrae |
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Which vertebrae have a posteriorly concave curvature?
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cervical (3-4 months) & lumbar (12-18 months) secondary curvature
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Which vertebrae have a posteriorly convex curvature?
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thoracic and sacral (primary curvature)
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What is scoliosis?
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lateral curvature of the spine at the thoracic or lumbar regions
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What is kyphosis?
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abnormal curvature of the spine that is convex posteriorly
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What is lordosis?
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abnormal curvature of the spine that is convex anteriorly
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What is the dorsal root ganglion?
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it is where the cell bodies for the sensory neurons are located
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Where are the cell bodies for the motor neurons located?
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in the ventral and lateral gray horns of the spinal cord
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What are roots?
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Roots attach a spinal nerve to the cord and are FUNCTIONALLY
distinct, i.e. either sensory (dorsal) or motor (ventral) |
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What are rami?
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DISTRIBUTIONAL branches of a spinal nerve, and are mixed (sensory and motor)
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What is the origin of the trapezius muscle?
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Base of the skull (superior
nuchal line), ligamentum nuchae (running along spinous processes of cervical vertebrae), and spinous processes of C7 to T12 |
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What is the insertion of the trapezius?
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Upper fibers - Lateral
portion of clavicle, Middle fibers - Acromion process of scapula, Lower fibers - Spine of scapula |
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What is the action of the trapezius?
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Upper - Elevates scapula
(and clavicle), Middle - Retracts (adducts) scapula, Lower - Depresses scapula. Upper and lower together rotate scapula (important in raising arm) |
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What is the innervation of the trapezius?
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Spinal accessory nerve
(CN XI) plus C3-C4 |
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What is the blood supply to the trapezius?
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Transverse cervical artery (off thyrocervical trunk which is off subclavian)
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What is the origin of the lattisimus dorsi?
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Spinous processes of T7-T12, thoracolumbar/thoracodorsal fascia, lower few ribs, sacrum and iliac crest
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What is the insertion of the lattisimus dorsi?
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Bicipital/intertubercular groove of humerus
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What is the action of the lattisimus dorsi?
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Extends, adducts, and medially (inwardly/internally) rotates the arm, draws shoulder down and backward (prevents upward displacement of shoulder), raises body toward
arms during climbing (used in crawl stroke in swimming) |
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What is the innervation of the lattisimus dorsi?
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Thoracodorsal nerve
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What is the blood supply to the lattisimus dorsi?
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Thoracodorsal artery (off subscapular which is off axillary)
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What is the origin of the Rhomboids major & minor?
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spinous processes of upper thoracic vertebrae
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What is the insertion of the Rhomboids major & minor?
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inferior medial border of scapula (below spine to the inferior angle)
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What is the action of the Rhomboids major & minor?
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Adducts scapula and fixes it to thorax, rotates scapula to depress glenoid cavity
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What is the innervation of the Rhomboids major & minor?
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dorsal scapular nerve
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What is the blood supply to the Rhomboids major & minor?
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dorsal scapular artery (off of the subclavian)
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What is the origin of the serratus posterior superior?
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spinous process of the upper vertebraes
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What is the insertion of the serratus posterior superior?
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upper ribs, medial to their angles
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What is the action of the serratus posterior superior?
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assists in raising ribs in inspiration (slightly increasing diameter of thorax)
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What is the innervation of the serratus posterior superior?
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ventral rami (upper intercostal nerves)
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What is the origin of the serratus posterior inferior?
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spinous processes of lower vertebrae?
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What is the insertion of the serratus posterior inferior?
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lower ribs, near their angles
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What is the action of the serratus posterior inferior?
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pulls ribs down slightly & stabilizes them, resisting the pull of the diaphragm
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What is the innervation of the serratus posterior inferior?
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ventral rami (lower intercostal nerves)
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What is the origin of the splenius capitas?
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spinous processes
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What is the insertion of the spelnius capitas?
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mastoid process of the temporal bone & the lateral part of the superior nuchal line acting at the base of the skull
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What is the action of the splenius capitas?
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act together to extend the head, one side will laterally flex and rotate the head and neck to the same side
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What is the innervation of the splenius capitas?
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dorsal rami of the middle cervical nerves
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What is the origin of the splenius cervicis
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spinal processes
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What is the insertion of the splenius cervicis?
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transverse processes of the upper cervical vertebrae
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What is the action of the splenius cervicis?
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will act together to extend the heat, one side will laterally flex and rotate the head and neck to the same side
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What is the innervation of the splenius capitas?
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dorsal rami of the lower cervical nerves
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What are the characteristics of the iliocostalis group?
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they are the lateral column of the erector spinae group: have a lumar, thoracic & cervical region and they insert on the ribs and transverse processes
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What are the characteristics of the longissimus group?
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the intermediate column of the erector spinae group; has capitas, cervicis, thoracis, & lumoborum regions
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What are the characteristics of the spinalis group?
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the medial column of the erector spinae group; sometimes considered to be have three subdivisions (thoracic, cervical, & capitis) but is only well defined in the thoracic region
Originates & inserts on the spinous process |
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What is the semispinalis?
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Span 4-6 vertebral segments
This muscle is largely responsible for the ridge on either side of the midline of the neck. These extend the head and neck, and rotate them contralaterally. They are innervated by dorsal rami of spinal nerves. |
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What are the characteristics of the multifundus?
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Span 2-4 vertebral segments.
Located deep (anterior) to semispinalis and best developed in the lumbar region. These stabilize and rotate the vertebral column and are innervated by dorsal rami of spinal nerves |
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What are the characteristics of the rotatores?
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Span 1-2 vertebral segments.
Located deep (anterior) to the multifidus and are best developed in the thoracic region. These stabilize and rotate the vertebral column and are innervated by dorsal rami of spinal nerves |
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What are the characteristics of the Interspinales?
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Paired on the entire side of the interspinal ligament; unite spinous processes of adjacent vertebrae.
Act to stablize and extend the vertebral column. innervated by the dorsal rami of spinal nerves. |
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What are the characteristics of the intertransversarii?
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unite transverse process of adjacent vertebrae
unilaterally can produce slight lateral flexion of vertebrae column, bilaterally help stabilize veretebral column Mainly innervated by ventral rami of cervical spinal nerves (and so an exception to the rule), but some supplied by dorsal rami |
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What is the origination of the levator costarum?
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located laterally to the vertebral column
Originate on the transverse process |
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What is the insertion of the levator costarum?
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extend inferiorlaterally to the ribs
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What is the action of the levator costarum?
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function to elevate the ribs (assisting inspiration)
assist with lateral bending of vertebral column |
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What is the innervation of the levator costarum?
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dorsal rami
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What is the origination of Obliquus capitas inferior (inferior oblique)
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spinous process of the axis
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What is the insertion of the obliquus capitas inferior (inferior oblique)
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transverse process of the atlas
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What is the action of the obliquus capitas inferior (inferior oblique)
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rotates atlas (turns head to the same side)
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What is the innervation of the obliquus capitas inferior (inferior oblique)
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suboccipital nerve (doral ramus of C1)
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What is the origin of the obliquus capitas superior (superior oblique)
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transverse process of the atlas
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What is the insertion of the obliquus capitas superior (superior oblique)
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occipital bone between the superior & inferior nuchal lines
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What is the origin of the rectus capitas posterior major?
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spinous process of the atlas
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What is the insertion of the rectus capitas posterior major?
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lateral portion of the inferior nuchal line of occipital bone
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What is the action of the rectus capitas posterior major?
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extends & rotates the head (turns head to the same side)
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What is the innervation of the rectus capitas posterior major?
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dorsal ramus of the C1 (suboccipital nerve)
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What is the origin of the rectus capitas posterior minor?
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posterior arch/tubercle of atlas
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What is the insertion of the rectus capitas posterior minor?
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medial portion of the inferior nuchal line of the occipital bone
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What is the action of the rectus capitas posterior minor?
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It extends the head
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What is the innervation of the rectus capitas posterior minor?
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dorsal rami of C1
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