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31 Cards in this Set

  • Front
  • Back

Occipital artery

In the superficial fascia at the base of the skull

Greater occipital nerve

In the superficial fascia at the base of the skull.


Pierces the trapezius muscle inferolateral to the external occipital protuberance.


Although the nerve arises medially to the artery, it often crosses over the artery along it's path to the skin.

Accessory Nerve (Cranial Nerve XI)

Provides motor innervation to the trapezius.

Trapezius Muscle

Medial Att: Superior Nuchal line, external occipital protuberance, ligamentum nuchae, Spinous process of C7- T12


Lateral Att: 1/3 of the clavicle, acromion, & spine of scapula


Actions: Rotates & elevates superior part of scapula, Retracts middle part of scapula, depresses inferior part of scapula


Innervations: Motor spinal accessory nerve (CN XI)


Blood Supply: Transverse cervical artery

Latissimus dorsi muscle

Medial Att: Spinous process T7-L5, thoracolumbar fascia, sacrum, iliac crest, ribs 10-12


Lateral Att: floor of intertubercular sulcus of humerus


Actions: extends, adducts, and medially rotates humerus


Innervations: Thoracodorsal nerve (middle subscapular nerve)


Blood supply: Thoracodorsal artery

Rhomboid Major muscle

Medial Att: Spinous process T2-T5


Lateral Att: medial border of scapula below spine


Actions: Retracts & rotates the scapula to tilt the glenoid cavity inferiorly


Innervation: Dorsal scapular nerve


Blood supply: dorsal scapular artery

Rhomboid minor muscle

Medial Att: ligamentum nuchae, Spinous process C7-T1


Lateral Att: medial border of scapula at spine


Action: Retracts & rotates the scapula to tilt the glenoid cavity inferiorly


Innervation: dorsal scapular nerve


Blood supply: ??

Levator scapulae

Medial Att: transverse process C1-C4


Lateral Att: superior angle of scapula


Actions: elevates & rotates the scapula to tilt the glenoid cavity inferiorly


Innervation: Dorsal scapular nerve


Blood supply: ??

Triangle of auscultation

Latissimus dorsi, trapezius, & rhomboid Major muscles

Lumbar triangle

Latissimus dorsi muscle, external oblique muscle, & iliac crest

Serratus posterior superior

Medial Att: Spinous process C7-T3


Lateral Att: superior borders of ribs 2-5, lateral to their angles


Action: Elevates ribs 2-5


Innervation: Anterior (ventral) Rami of T2-T5

Serratus posterior inferior

Medial Att: Spinous process of T11-L2


Lateral Att: inferior borders of ribs 9-12, lateral to their angles


Action: depresses ribs 9-12


Innervation: Anterior (ventral) Rami of T9-T12

Splenius capitis

Inferior Att: ligamentum nuchae, Spinous process C7-T4


Superior Att: mastoid process, lateral 1/3 of superior nuchal line


Actions: Unilateral- laterally flexes & rotates head or neck to same side


Bilateral- extends head & neck


Innervation: Posterior rami of middle cervical nerves

Splenius cervicis

Inferior Att: Spinous process of T3-T6


Superior Att: transverse process of C1-C3.


Actions: unilateral- laterally rotates & flexes head or neck to same side.


Bilateral- extends head and neck.


Innervation: posterior Rami of middle cervical nerves


Erector Spinae: spinalis muscle

Inferior Att: median sacral crest, posterior surface sacrum, Spinous process of lumbar & lower thoracic, & medial part of iliac crest.


Superior Att: Spinous process of thoracic & cervical vertebrae.


Actions: Unilateral- laterally flexes vertebral column to same side. Bilateral- extends vertebral column and stabilizes vertebral column.


Innervation: posterior Rami of lower cervical nerves


Erector Spinae: longissimus muscle

Inferior Att: median sacral crest, posterior surface sacrum, SP lumbar vertebrae & lower thoracic vertebrae, medial part of iliac crest.


Superior Att: between tubercles and angles of ribs and transverse process of thoracic & cervical vertebrae.


Actions: Unilateral- laterally flexes vertebral column to same side.


Bilateral- extends vertebral column and head, stabilizes vertebral column.


Innervation: posterior Rami of lower cervical nerves


Erector Spinae: Iliocostalis muscle

Inferior Att: median sacral crest, posterior surface sacrum, SP of lumbar vertebrae & lower thoracic vertebrae, medial part of iliac crest.


Superior Att: angles of lower ribs and transverse process of Cervical vertebrae.


Actions: Unilateral- laterally flexes vertebral column to same side. Bilateral- extends vertebral column and head, stabilizes vertebral column.


Innervation: posterior Rami of lower cervical nerves


Semispinalis capitis

Inferior Att: Transverse process of C7-T6/T7, articular process of C4-C6.


Superior Att: between superior & inferior nuchal lines of occipital bone medially.


Actions: Unilateral- extends & laterally rotates the head to opposite side. Bilateral- extends head.


Innervation: posterior Rami of spinal nerves


Semispinalis cervicis

Inferior Att: transverse process of T1-T5/T6.


Superior Att: Spinous process of C2-C5.


Actions: Unilateral- extends & laterally rotates neck to opposite side. Bilateral- extends neck.


Innervation: posterior Rami of spinal nerves


Multifidus

Inferior Att: sacrum, ilium, transverse process of T1-L5, & articular process of C4-C7.


Superior Att: Spinous process L5- C2.


Actions: extends & rotates vertebral column to opposite side.


Innervation: posterior Rami of spinal nerves



Rectus capitis posterior major

Medial Att: Spinous process of C2(axis).


Lateral Att: lateral inferior nuchal line of occipital bone.


Actions: extends head & rotates face to same side.


Innervation: posterior ramus C1


Rectus capitis posterior minor

Lateral Att: posterior tubercle of C1(atlas).


Medial Att: medial inferior nuchal line of occipital bone.


Actions: extends head.


Innervation: Posterior ramus C1


Obliquus capitis superior

Medial Att: transverse process of C1(atlas) (inferior attachment)


Lateral Att: between lateral aspect of superior and inferior nuchal lines of occipital bone (superior attachment).


Actions: extends head.


Innervation: posterior ramus C1

Obliquus capitis inferior

Medial Att: Spinous process C2(axis).


Lateral Att: transverse process C1(atlas).


Actions: rotates face to same side.


Innervation: posterior ramus C1


Dura Mater

External meningeal layer.

Arachnoid mater

Thin delicate membrane against the deep surface of the dura Mater.


Separated from pia mater by the subarachnoid space.

Subarachnoid space

Contains cerebrospinal fluid

Pia mater

Vascular membrane that firmly adheres to the surface of the spinal cord.

Denticulate ligaments

On each side of the spinal cord. Sheet of pia mater that extends laterally from the cord toward the arachnoid & dura mater.


Each ligament has 21 teeth, each attached to the inner surface of the dura mater, which anchors the spinal cord laterally.

Conus medullaris

Inferior to the lumbar enlargement, marks the end of the spinal cord between L1 & L2

Cauda equina

Collection of anterior & posterior nerve roots surrounding the conus medullaris and extends inferiorly.