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106 Cards in this Set

  • Front
  • Back
vertebral column - is made up of what
33 total vertebrae:
7 cervical, 12 thoracic, 5 lumbar, 5 sacral, 4 coccygeal
acromion
highest point of scapula
iliac crest
above hip bone, dimples, no muscle under skin
external occipital protuberance
bump on back of head
mastoid process
bone on skull behind the ear - part of temporal bone
transverse process
bones that stick out to the sides
transverse foramen
little hole in the transverse process
spinous process
bone that sticks out of the back
atlas
lacks a body and spinous process (C1)
axis
bifid spine - spinous process branches in 2 (C2)
vertebral foramen
hole in the middle - contains the spinal cord and meninges
pedicles
bone between body and processes
laminae
bone between spinous and transverse processes
facets
attach articular processes to rib
superior/inferior articular processes
bone that sticks up attaches to rib
intervertebral discs
fibrocartilaginous; join adjacent vertebrae
intervertebral foramen
holes where spinal nerve exit
neurovascular bundles
nerves and vessels that innervate/supply the deep intrinsic muscles (dorsal branches of dorsal rami)
name 3 groups of back muscles
superficial, intermediate, deep
name the superficial back muscles
trapezius
latissimus dorsi
rhomboids
levator scapulae
trapezieus
innervated by CN11 - spinal accessory nerve

supports weight of arm, retract scapulae, medially rotates and depress scapula
latissimus dorsi
innervated by thoracodorsal nerve

extension and adduction of shoulder joint
rhomboids major and minor
from spinous processes to medial border of scapula

innervated by dorsal scapular nerve

retracts scapula and holds ribcage
levator scapulae
from transverse processes of atlas and axis to medial border of scapula

innervated by the dorsal scapular nerve

raises medial angle of scapula
name intermediate back muscles + function
serratus posterior superior
serratus posterior inferior

function in respiration
serratus posterior superior
from ligamentum nuchae + spinous processes C7-T3, to ribs

innervated by intercostal nerves

elevates ribs
serratus posterior inferior
from vertebrae (T11-L3) to ribs

innervated by intercostal nerves

draws ribs back and down
name deep muscles of back
splenius (2)
erector spinae (3)
transversopinal/paravertebral (3)
splenius capitis
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
splenius cervicis
from ligamentum nuchae to tubercle of transverse process of C1-3

innervated by dorsal rami

extends C vertebrae
serratus posterior superior
arises from ligamentum nuchae and spinous process of C7-T3 and ends at ribs

innervated by intercostal nerves

elevates ribs
serratus posterior inferior
arises from vertebrae T11-L3 to ribs

innervated by intercostal nerves

draws ribs back + down
splenius capitis
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
splenius cervicis
from ligamentum nuchae to tubercle of transverse processes of C1-3

extends cervical + thoracic vertebrae, bends/rotates head
Name the 3 muscles of the erector spinae
spinalis
longissimus
iliocostalis

extends vertebral column or bend it laterally
spinalis
closest to vertebrae; 3 parts, thoracic, cervicis, capitis; from spinous process of upper thorax to skull
longissimus
betwen spinalis and iliocostalis; 3 parts; runs from ribs to transverse processes of thoracic and cervical regions to mastoid process
iliocostalis
3 parts: lumbarum, cervicis, thoracic; from lower ribs to cervical transverse processes
Name 3 paravertebral muscles (also transverseospinal)
semispinalis
multifidus
rotatores

occupy groove btwn transverse processes ad spnal processes
semispinalis
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
multifidus
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
rotatores
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
supraspinous/infraspinous ligaments
attach adjacent spines together (spinal processes)
ligamenta flava
strong elastic ligament that connects adjacent laminae
epidural space
space outside of dura mater; within canal; contains fat and vertebral venous (Batson's) plexus
dura mater
outermost covering membrane of spinal cord; forms dural sac
arachnoid mater
sheath, lines dural sac and encloses CSF in subarachnoid space
pia mater
membrane covering spinal cord (nylon stocking)
denticulate ligaments
white colored pia mater extensions that anchor the spinal cord laterally to dura
ventral/dorsal roots
exit the ventral/dorsal horns of gray matter and contain motor/sensory info only
dorsal root ganglion
DRG - contain nerve cell bodies of sensory nerves, seen as bulge; appears before union of roots
conus medullaris
end of the spinal cord/ @ L1-L2 in adults, L3-L4 in children
cauda equina
collection of ventral and dorsal roots that looks like horses taill
filium terminale
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
basilic vein
found in subcutaneous tissue; passes along medial part of inferior arm, it penetrates deep fascia and runs superiorly to axilla, merging with axillary vein
cephalic vein
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
median cubital vein
connects the basilic and cephalic veins; used for taking blood; lies in cubital fossa
brachial fascia
thin, loose, membranous sheath for muscles in arm (deep fascia)
antebrachial fascia
sheath for muscles in foremrm (deep fascia)
superficial dorsal veins
veins on dorsal side of hand, arm, and forearm
acromion
highest point of scapula; connects to clavicle
spine
thick projecting ridge of bone, continues laterally
supraspinous fossa
triangular flat scapular bone found above the spine of scapula; concave; broader @ vertebral than humerus end
infraspinous fossa
flat bone found under the spine of scapula
glenoid cavity
on upper, lateral angle of scapula, directed lateralward, forward, articulates the head of humerus; (socket)
supraglenoid tubercle
where biceps brachii muscle attaches; found on top part of glenoid cavity
infraglenoid tubercle
where tricep brachii muscle attaches; found on bottom of glenoid cavity
coracoid process
"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
scapular notch
where superior border of scapula joins with coracoid process
head of humerus
ball-shaped; articulates with glenoid cavity
greater tubercle
lateral to head of humerus; provides attachment and leverage to some scapulohumeral muscles
lesser tubercle
projects anteriorly from head; provides attachment and leverage
intertubercular sulcus
also bicipital groove; separates the greater and lesser tubercles
deltoid tuberosity
in body of humerus; where deltoid muscle attaches; on lateral side
sulcus for the radial nerve (spiral groove)
oblique depression for radial nerve; posteriorly; also for deep brachial artery
deltoid muscle
attached from clavicle, acromion, spine to deltoid tuberosity of humerus; innevated by axillary nerve (C5, C6); flex, abduct, extend, and medial/lateral rotation
axillary nerve
innervated deltoid and teres minor; found in axilla
posterior circumflex humeral artery
next to axillary nerve; supplies deltoids and shoulder joint; arises from axillary artery
quandrangular space
axillary space where axillary nerve and post circumflex humeral artery pass
triceps muscle
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
teres minor
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
teres major
from dorsal surface surface of inferior angle of scapula to medial lip of intertubercular groove of humerus; under teres minor
supraspinatus
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
infraspinatus
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
suprascapular ligament, nerve, artery
all between coracoid process and superoir border of scapula;

ligament creates foramen
muscles that make up rotator cuff
supraspinatus
infraspinatus
teres minor
subscapilaris
(SITS)

protects joint and gives stability; holding head in glenoid cavity
subscapilaris
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
name 4 walls of axilla
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)
biceps brachii
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
coracobrachialis
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
axillary sheath
continuation of prevertebral fascia that encloses the axillary artery, vein and brachial plexus
axillary artery
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
superior thoracic artery
very small; first division of axillary artery (or thoracoacromial artery); runs along pectoralix minor; regoin 1 of ax artery
thoracoacromial artery
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
lateral thoracic artery
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
subscapular artery
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
posterior/anterior circumflex humeral artery
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
brachial plexus
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
medial cutaneous antebrachial nerve
from medial cord, branch before ulnar nerve
subscapular nerve
innervates subscapularis and teres major
long thoracic nerve
to serratus anterior; from C5-C7, descends behind brachial plexus
radial nerve
supplies triceps and forearm; travels posteriorly thru triangular space of axilla; enters behind axillary artery; medial side
deep brachial artery
from medial posterior under teres major, follows with raial nerve, btwn medial and lateral heads of tricep to lateral side of the arm
brachialis
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
lateral antebrachial cutaneous nerve
branch of mc nerve; passes behind cephalic vein
brachial artery
from lower border of teres major to bifurcation in the cubital fossa into ulnar and radial arteries; gives rise to deep brachial artery