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106 Cards in this Set
- Front
- Back
vertebral column - is made up of what
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33 total vertebrae:
7 cervical, 12 thoracic, 5 lumbar, 5 sacral, 4 coccygeal |
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acromion
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highest point of scapula
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iliac crest
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above hip bone, dimples, no muscle under skin
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external occipital protuberance
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bump on back of head
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mastoid process
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bone on skull behind the ear - part of temporal bone
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transverse process
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bones that stick out to the sides
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transverse foramen
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little hole in the transverse process
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spinous process
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bone that sticks out of the back
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atlas
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lacks a body and spinous process (C1)
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axis
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bifid spine - spinous process branches in 2 (C2)
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vertebral foramen
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hole in the middle - contains the spinal cord and meninges
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pedicles
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bone between body and processes
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laminae
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bone between spinous and transverse processes
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facets
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attach articular processes to rib
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superior/inferior articular processes
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bone that sticks up attaches to rib
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intervertebral discs
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fibrocartilaginous; join adjacent vertebrae
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intervertebral foramen
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holes where spinal nerve exit
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neurovascular bundles
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nerves and vessels that innervate/supply the deep intrinsic muscles (dorsal branches of dorsal rami)
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name 3 groups of back muscles
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superficial, intermediate, deep
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name the superficial back muscles
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trapezius
latissimus dorsi rhomboids levator scapulae |
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trapezieus
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innervated by CN11 - spinal accessory nerve
supports weight of arm, retract scapulae, medially rotates and depress scapula |
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latissimus dorsi
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innervated by thoracodorsal nerve
extension and adduction of shoulder joint |
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rhomboids major and minor
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from spinous processes to medial border of scapula
innervated by dorsal scapular nerve retracts scapula and holds ribcage |
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levator scapulae
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from transverse processes of atlas and axis to medial border of scapula
innervated by the dorsal scapular nerve raises medial angle of scapula |
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name intermediate back muscles + function
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serratus posterior superior
serratus posterior inferior function in respiration |
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serratus posterior superior
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from ligamentum nuchae + spinous processes C7-T3, to ribs
innervated by intercostal nerves elevates ribs |
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serratus posterior inferior
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from vertebrae (T11-L3) to ribs
innervated by intercostal nerves draws ribs back and down |
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name deep muscles of back
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splenius (2)
erector spinae (3) transversopinal/paravertebral (3) |
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splenius capitis
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from ligamentum nuchae and spinous process of C7-T3 to mastoid process and occipital bone
innervated by dorsal rami extends C and T vertebrae, and bends/rotates head |
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splenius cervicis
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from ligamentum nuchae to tubercle of transverse process of C1-3
innervated by dorsal rami extends C vertebrae |
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serratus posterior superior
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arises from ligamentum nuchae and spinous process of C7-T3 and ends at ribs
innervated by intercostal nerves elevates ribs |
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serratus posterior inferior
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arises from vertebrae T11-L3 to ribs
innervated by intercostal nerves draws ribs back + down |
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splenius capitis
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arises from ligamentum nuchae and spinous process of C7-T3 to mastoid process and occipital bone
innervated by dorsal rami extend cervical + thoracic vertebrae, bends/rotates head |
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splenius cervicis
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from ligamentum nuchae to tubercle of transverse processes of C1-3
extends cervical + thoracic vertebrae, bends/rotates head |
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Name the 3 muscles of the erector spinae
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spinalis
longissimus iliocostalis extends vertebral column or bend it laterally |
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spinalis
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closest to vertebrae; 3 parts, thoracic, cervicis, capitis; from spinous process of upper thorax to skull
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longissimus
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betwen spinalis and iliocostalis; 3 parts; runs from ribs to transverse processes of thoracic and cervical regions to mastoid process
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iliocostalis
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3 parts: lumbarum, cervicis, thoracic; from lower ribs to cervical transverse processes
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Name 3 paravertebral muscles (also transverseospinal)
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semispinalis
multifidus rotatores occupy groove btwn transverse processes ad spnal processes |
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semispinalis
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from thoracic and cervical processes; 3 parts: thoracis, cervicis, capitis; attach to occipital bone; extend head and the T/C regions of vertebrae
4-6 segments long |
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multifidus
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arises from sacrum and ilium, transverse processes of T1-T3 and articular processes of C4 and C7; go to spinous processes
2-4 segments stabilize vertebrae |
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rotatores
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arise from transverse process of vertebrae; best developed in T region; attach to junction of lamina and transverse process of origin of spinous process above
1-2 segments stabilize and assist with local extension/rotation |
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supraspinous/infraspinous ligaments
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attach adjacent spines together (spinal processes)
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ligamenta flava
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strong elastic ligament that connects adjacent laminae
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epidural space
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space outside of dura mater; within canal; contains fat and vertebral venous (Batson's) plexus
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dura mater
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outermost covering membrane of spinal cord; forms dural sac
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arachnoid mater
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sheath, lines dural sac and encloses CSF in subarachnoid space
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pia mater
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membrane covering spinal cord (nylon stocking)
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denticulate ligaments
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white colored pia mater extensions that anchor the spinal cord laterally to dura
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ventral/dorsal roots
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exit the ventral/dorsal horns of gray matter and contain motor/sensory info only
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dorsal root ganglion
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DRG - contain nerve cell bodies of sensory nerves, seen as bulge; appears before union of roots
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conus medullaris
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end of the spinal cord/ @ L1-L2 in adults, L3-L4 in children
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cauda equina
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collection of ventral and dorsal roots that looks like horses taill
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filium terminale
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fine strand of pia mater (whiter than nerve roots); extends to end of dural sac @ S2; pierces dura and passes thru sacral hiatus to anchor spinal cord to coccyx
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basilic vein
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found in subcutaneous tissue; passes along medial part of inferior arm, it penetrates deep fascia and runs superiorly to axilla, merging with axillary vein
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cephalic vein
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found in subcutaneous tissue; along anterolateral surface of proximal forearm and arm; visible thru skin; passes superiorly btwn deltoid and pectoralis major in dectopectoral groove and then in deltopectoral triangle, where it empties into the termination of axillary vein
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median cubital vein
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connects the basilic and cephalic veins; used for taking blood; lies in cubital fossa
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brachial fascia
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thin, loose, membranous sheath for muscles in arm (deep fascia)
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antebrachial fascia
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sheath for muscles in foremrm (deep fascia)
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superficial dorsal veins
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veins on dorsal side of hand, arm, and forearm
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acromion
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highest point of scapula; connects to clavicle
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spine
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thick projecting ridge of bone, continues laterally
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supraspinous fossa
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triangular flat scapular bone found above the spine of scapula; concave; broader @ vertebral than humerus end
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infraspinous fossa
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flat bone found under the spine of scapula
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glenoid cavity
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on upper, lateral angle of scapula, directed lateralward, forward, articulates the head of humerus; (socket)
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supraglenoid tubercle
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where biceps brachii muscle attaches; found on top part of glenoid cavity
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infraglenoid tubercle
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where tricep brachii muscle attaches; found on bottom of glenoid cavity
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coracoid process
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"crow's beak" or hook like; superoir to gleniod cavity, projects anterolaterally (bent finger pointing to shoulder); stabilizes shoulder joint; point of attachment for pectoralis minor msucle, short head of bcep brachii, coracobrachialis muscle
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scapular notch
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where superior border of scapula joins with coracoid process
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head of humerus
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ball-shaped; articulates with glenoid cavity
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greater tubercle
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lateral to head of humerus; provides attachment and leverage to some scapulohumeral muscles
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lesser tubercle
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projects anteriorly from head; provides attachment and leverage
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intertubercular sulcus
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also bicipital groove; separates the greater and lesser tubercles
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deltoid tuberosity
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in body of humerus; where deltoid muscle attaches; on lateral side
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sulcus for the radial nerve (spiral groove)
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oblique depression for radial nerve; posteriorly; also for deep brachial artery
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deltoid muscle
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attached from clavicle, acromion, spine to deltoid tuberosity of humerus; innevated by axillary nerve (C5, C6); flex, abduct, extend, and medial/lateral rotation
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axillary nerve
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innervated deltoid and teres minor; found in axilla
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posterior circumflex humeral artery
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next to axillary nerve; supplies deltoids and shoulder joint; arises from axillary artery
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quandrangular space
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axillary space where axillary nerve and post circumflex humeral artery pass
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triceps muscle
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located in posterior part of ar
3 heads: long, lateral, medial extensor of elbow joint innervated by radial nerve (C6-C8) long: infraglenoid tubercle to olecranon of ulna lateral: posterior humerus, above radial groove, to olecranon of ulna medial: posterior humerus, interior to radial groove, to olecranon of ulna |
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teres minor
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from superior part of lateral border of scapula to inferior facet on greater tubercle of humerus;
innervated by axillary nerve part of rotator cuff; rotates arm and adducts |
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teres major
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from dorsal surface surface of inferior angle of scapula to medial lip of intertubercular groove of humerus; under teres minor
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supraspinatus
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from supraspinous fossa of scapula to superior facet on greater tubercle of humerus;
innervated by the suprascapular nerve (C4, C5, C6); helps deltoid abduct shoulder; part of rotator cuff |
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infraspinatus
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from its fossa to middle facet on greater tubercle; innervated by suprascaular nerve (C5, C6); laterally rotates shoulder; helps hold humeral head to glenoid cavity; part of rotator cuff
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suprascapular ligament, nerve, artery
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all between coracoid process and superoir border of scapula;
ligament creates foramen |
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muscles that make up rotator cuff
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supraspinatus
infraspinatus teres minor subscapilaris (SITS) protects joint and gives stability; holding head in glenoid cavity |
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subscapilaris
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triangular muscle; on costal surface of scapula; part of poseroir wall of axilla; crosses anteroir on its way to humerus; is the primary medial rotator of the arm and also adducts it; also holds others
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name 4 walls of axilla
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anterior wall: pectoralis major/minor
posterior wall: teres major, latissimus dorsi, subscapularis medial wall: serratus anteroir muscle lateral wall: intertubercle sulcus of humerus (bicipital ggroove) |
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biceps brachii
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2 heads: long and short; flexor and supinator of forearm
innervated by the musculocutaneous nerve long head:supraglenoid tubercle of scapula to radial tuberosity of forearm via bicipital aponeurosis short head: coracoid process to radial tuberosity of forearm; medial to long head |
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coracobrachialis
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located in superomedila part of arm; musculocutaneous nerve pierces it; from tip of coracoid process to middle of humerus;
innervated by mc nerve helps to flex and adduct arm |
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axillary sheath
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continuation of prevertebral fascia that encloses the axillary artery, vein and brachial plexus
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axillary artery
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supplies thorax, axilla, upper limb; after passing teres major, it becomes the brachial arter; divided into 3 parts in relation to pectoralis minor; begins @ first rib and ends @ brachial artery
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superior thoracic artery
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very small; first division of axillary artery (or thoracoacromial artery); runs along pectoralix minor; regoin 1 of ax artery
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thoracoacromial artery
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short trunk; origin overlapping with the upper edge of pec minor; divides into 4 branches: ABCD (b for breast)
Acromial branch B(pectoral) branch Clavicularal branch Deltoid humeral branch |
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lateral thoracic artery
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follows lower border of pec minor to the side of the chest, supplies serratus anteror and pec major and branches to axilla, lymph nodes, and subscapularis
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subscapular artery
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largest branch of axillary artery; arises from lower border of subscapularis, follow inferior angle of scapula; 2 terminal branches
- thoracodorsal artery - to lat dorsi - circumflex scapular artery |
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posterior/anterior circumflex humeral artery
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arises from third part of axillary artery
arteries anastomose to form a circle arond surgical neck of humerus; larger posteior circumflex humeral artery passes through quandragular space with axillary nerve |
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brachial plexus
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RTDCB - (roots, trunks, divisions, cords, branches)
cords: lateral, medial, posterior branches: mc nerve - enters corcaobrachialis ax nerve - thru quadrangular space radial nerve - follow deep brachial artery down post hum median nerve - passes anterior arm, innervates forearm ulnar nerve - passes down anterior arm, innervates forearm |
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medial cutaneous antebrachial nerve
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from medial cord, branch before ulnar nerve
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subscapular nerve
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innervates subscapularis and teres major
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long thoracic nerve
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to serratus anterior; from C5-C7, descends behind brachial plexus
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radial nerve
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supplies triceps and forearm; travels posteriorly thru triangular space of axilla; enters behind axillary artery; medial side
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deep brachial artery
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from medial posterior under teres major, follows with raial nerve, btwn medial and lateral heads of tricep to lateral side of the arm
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brachialis
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flexes elbow
in cubital fossa; from bottom of deltoid to just bellow elbow joint (coronoid process + tuberosity of ulna) innervated by mc nerve and radial nerve |
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lateral antebrachial cutaneous nerve
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branch of mc nerve; passes behind cephalic vein
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brachial artery
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from lower border of teres major to bifurcation in the cubital fossa into ulnar and radial arteries; gives rise to deep brachial artery
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