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109 Cards in this Set

  • Front
  • Back
How many vertebrae are in the spine?
33 vertebrae
types of vertebra, and how many are in each
Cervical-7
thoracic-12
lumbar-5
Sacral-5
what is the composition of the vertebra
body,
2 pedicles,
2 laminae,
vertebral foramen,
vertebral canal,
2 transverse processes,
spinous process
what are the articular proceses of the vertebra
The superior articular facet
inferior articular facet
where are spinal taps performed and why is that spot preferable?
in the Lumbar laminae, there is more space.
what are the ligaments that run along the length of the spine?
anterior longitudinal ligament, posterior longitudinal ligament,
These ligaments prevent excessive flexion and act as buffers in the extremes of extension.
ligamenta flava
what other ligaments resist flexion in the spine
supraspinous and interspinous ligaments
which ligaments are alx and permit gliding motions?
capsular ligaments
what are the two parts of the body of the vertebra
annulus fibrosus, and nucleus pulposus
Erector Spinae: what does it comprise of?
iliocostalis, longissimus, spinalis.
Erector Spinae: origins
posterior aspects of iliac crest and sacrum, sacral and inferior lumbar spinous process, supraspinous ligament
Erector Spinae: insertion
iliocostais: angles of lower ribs and cervical transverse process

longissimus: ribs between the tubercles and angles, transverse processes in thoracic and cervical regions, and to mastoid process of temporal bone

spinalis: spinous process in upper thoracic region, midcervical region, and to the skull
Erector Spinae: action
extend vertebral column and head. bend vertebral column laterally
Erector Spinae: innervation
dorsal rami of respective spinal nerve in each region
Surface anatomy: most prominent spine at base of neck
C7
Surface anatomy: The medial end of the spine of the scapula corresponds to
T3
Surface anatomy: the inferior angle of the scapula is lateral to the spinous process of
T7
Surface anatomy:A line connecting the highest levels of the iliac crests crosses the spinous process and body of
L4
Surface anatomy:The dimples about five centimeters lateral to the midline in the sacral region denote the posterior superior iliac spines and are at the level of the spinous process of
S2
The inferior opening of the vertebral canal used for administering anesthesia duing childbirth
the sacral hiatus
what are the 3 membranes surrounding the spinal cord in order?
from superficial to
deep they are the dura mater, arachnoid and pia mater
Where is the cerebrospinal fluid located?
subarachnoid space
Where does the Spinal Cord extend to, and what is the end called?
L1-L2, Conus Medullaris
what are the nerve roots collectiveliy called below L1?
Cauda Equina
How many spinal nerves are there in each region
Cervical-8
Thoracic-12
lumbar-5
sacral-5
coccygeal-1
where can a spinal tap (lumbar puncture) be taken?
must be accomplished at vertebral levels where there is a subarachnoid space (above S1-2 vertebral level) and is most safely performed below the conus medullaris (L1-2 vertebral level).
what happens when a disc is slipped?
A "slipped" or "ruptured" disc occurs either when the nucleus pulposus has partially escaped (herniated) through a break (rupture) in the annulus or when the annulus itself bulges (protrudes) at a weakened area
why do disk ruptures happen in one region more than the other?
the annulus pulposus is generally thinner in its radial dimension posteriorly than anteriorly
What forms the Superior Trunk of the Brachial Plexus
The ventral rami of C5 and 6 fuse to form the superior trunk
What forms the middle trunk?
the ventral ramus of C7 continues on as the middle trunk
what forms the inferior trunk?
the ventral rami of C8 and T1 fuse to form the inferior trunk
How does each trunk divide?
Each trunk divides into an anterior and posterior division
What do the anterior divisions innervate?
The anterior divisions will innervate the anterior or flexor muscles
What do the posterior divisions innervate
the posterior divisions will innervate the posterior or extensor muscles of the upper limb
what comes together to form the lateral cord?
The anterior divisions of the superior and middle trunks join to become the lateral cord
what comes together to form the medial cord?
the anterior division of the inferior trunk becomes the medial cord
what will the lateral and medial cords inervate?
Since the lateral and medial cords are the anterior division cords, their branches will innervate anterior limb or flexor muscles
what comes together to form the posterior cord?
The posterior divisions of all three trunks unite to form the posterior cord
How do the cords end?
by dividing into five terminal nerves branches
what does the lateral cord terminate with?
The lateral cord gives off the lateral root of the median nerve and then continues as the musculocutaneous nerve
what does the medial cord terminate with?
The medial cord gives off the medial root of the median nerve and then continues as the ulnar nerve.
What does the posterior cord terminate with?
The posterior cord terminates by dividing into the axillary and radial nerves.
How are nerves named?
IN GENERAL, NERVES ARE NOT NAMED FOR THEIR ORIGIN BUT RATHER FOR THEIR PERIPHERAL DISTRIBUTION. THAT IS, NERVES ARE NAMED ACCORDING TO WHERE THEY GO ---
What does the C4 Dermatone innervate?
Shoulder pad area
What does the C5 Dermatone innervate?
Lateral aspect of arm and elbow
What does the C6 Dermatone innervate?
Lateral aspect of forearm and hand, and the radial two digits
What does the C6 Dermatone innervate?
Middle finger and middle of hand
What does the C8 Dermatone innervate?
Ulnar two digits and medial aspect of hand and wrist
What does the T1 Dermatone innervate?
Medial aspect of forearm, elbow and lower arm
What does the T2 Dermatone innervate?
Medial aspect of upper arm
how is scalene interval syndrome tested?
Adson test
how is costoclavicular syndrome tested?
by loading the extremity
how is coracopectoral syndrome tested?
raising the arm overhead
what is included in the Pectoral Girdle?
Scapula and Clavicle
What does the Clavicle artivulate with?
It articulates medially with the manubrium of the sternum and laterally with the acromion process of the scapula
what muscels are in the rotator cuff, and what is their location in the joint?
subscapularis anteriorly,
supraspinatus superiorly
infraspinatus and teres minor posteriorly.
Trapezius: Origin
upper: occipital region of the skull and posterior cervical spine ligaments.

Middle:lower cervical and upper thoracic spinous processes

Lower: lower thoracic spinous processes
Trapezius: Insertion
upper: lateral clavicle and acromion

middle: length of the scapular spine.

lower: medial end of the scapular spine
Trapezius: action
Upper: supports the weight of the arm

middle: retracts the scapulae;

lower: medially rotates and depresses the scapulae.
Trapezius: Innervation
Spinal accessory Nerve (CN XI)
Levator Scapulae: Origin
descends from cervical transverse processes
Levator Scapulae: insertion
superior angle of the scapula
Levator Scapulae: action
functions mostly as an accessory scapular elevator.
Levator Scapulae: Innervation
dorsal scapular nerve and a branch from C4.
rhomboid muscles: origin
posterior cervical spine ligaments and lower cervical and upper thoracic spinous processes
rhomboid muscles: Insertion
medial (dorsal) border of the scapula
Rhomboid Muscles: action
scapular adductors
Rhomboid Muscles: innervation
Dorsal Scapular Nerve (C4-5)
latissimus dorsi: Origin
below from the lower ribs, iliac crest and lower vertebral spinous processes through a fusion of its aponeurosis with the thoracolumbar fascia
latissimus dorsi: insertion
intertubercular sulcus on the anterior aspect of the upper humerus
latissimus dorsi: action
extension, adduction and internal rotation at the shoulder
latissimus dorsi: innervation
Thoracodorsal Nerve (C6-8)
serratus anterior: Origin
anterolateral aspect of the upper 8-9 ribs
serratus anterior: insertion
scapula's medial border.
serratus anterior: action
prevents both scapular adduction and displacement of the medial border of the scapula from the chest wall when the upper limb is used to push a load

(aka, prevents scapular winging)
serratus anterior: Innervation
long thoracic nerve (C5-7)
pectoralis major: origin
upper:clavicle

intermediate: sternum and adjacent costal cartilages

lower: anterior aspect of the lower ribs
pectoralis major: insertion
crest of the greater tubercle of the humerus
pectoralis major: action
Adducts and medially rotates humerus, draws scapula anteriorly and inferiorly. Clavicular head flexes humerus and sternocostal head extends it from a flexed position
pectoralis major: innervation
Lateral and medial pectoral nerves(C5,C6, C7, C8, T1)
Pectoralis Minor: Origin
anterior aspect of about the second to fifth ribs
Pectoralis Minor: insertion
coracoid process.
Pectoralis Minor: action
minor adductor and downward rotator of the glenoid.
Pectoralis Minor: innervation
Medial Pectoral Nerve
Deltoid: Origin
Lateral 1/3 of clavicle, superior surface of acromion, spine of scapula
Deltoid: insertion
lateral aspect of the midshaft of the humerus (deltoid tuberosity)
Deltoid: action
Anterior part flexes and medially rotates arm, middle part abducts arm, and posterior part extends and laterally rotates arm
Deltoid: Innervation
Axillary Nerve (C5-6)
teres minor: Origin
Lateral border of scapula
teres minor: insertion
Inferior facet of greater tubercle of humerus
teres minor: action
Rotates the arm laterally. adducts the arm at the shoulder. extends arm from flexed position, adducts and medially rotates arm at shoulder
teres minor: Innervation
Axillary nerve (C5-C6)
infraspinatus muscle: Origin
nfraspinous fossa of the scapula
infraspinatus muscle: insertion
posterior aspect of the greater tubercle just above the teres minor
infraspinatus muscle: action
external rotator of the shoulder
infraspinatus muscle: innervation
Suprascapular Nerve (C5-6)
supraspinatus muscle: Origin
supraspinous fossa of the scapula
supraspinatus muscle: insertion
superior aspect of the greater tubercle
supraspinatus muscle: action
Initiates and assists deltoid in abduction of arm and acts with rotator cuff muscles
supraspinatus muscle: innervation
Suprascapular nerve (C4, C5, C6)
subscapularis: origin
subscapular fossa of the scapula
subscapularis: insertion
lesser tubercle of the humerus
subscapularis: action
internal rotator of the shoulder when no resistance is offered
subscapularis: innervation
upper and lower subscapular nerves (C5-7)
Teres Major: Origin
Inferior angle of scapula
Teres Major: insertion
Medial lip of intertubercular groove of humerus
Teres Major: Action
Adducts and medially rotates arm
Teres Major: Innervation
Lower subscapular nerve (C5, C6)