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YEAR 1
ANATOMY UPPER LIMB
CERVICAL SPINE AND THORAX
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Cards (21)
ILIOCOSTALIS THORACIS
O: COMMON ORIGIN ->
Iliac
crest
Sacrum
Spinous process
of
T11
-
L5
and
supraspinous
ligaments
R:
Up
and
out via
slips
I:
Upper
6
ribs
and
transverse
process
of
C7
A: ->
UNILATERAL ACTION:
Ipsilateral
side
flexion
/
rotation
BILATERAL ACTION: Trunk/neck
extension
NS:
Adjacent
posterior
primary
rami
ILIOCOSTALIS CERVICIS
O: COMMON ORIGIN:
Iliac crest
and
tuberosity
Sacrum
Spinous process
of
T11-L5 and supraspinous ligaments
R:
Up
and
out
via
slips
I:
Posterior tubercles
of the
transverse processes C4-C7
A: ->
UNILATERAL ACTION:
Ipsilateral side flexion
/
rotation
BILATERAL ACTION: Trunk/neck extension
NS: Adjacent posterior primary rami
LONGISSUMUS CERVICIS
O:
Transverse processes T1-T6
R:
Upwards
and
outwards
I:
Posterior tubercles
of
transverse processes C2-C6
A: ->
UNILATERAL ACTION:
Ipsilateral side flexion
/
rotation
BILATERAL ACTION:
Trunk
/
neck extension
NS:
Adjacent posterior primary rami
LONGISSIMUS CAPITIS
O:
Transverse
processes of
T1-T5
and
articular
processes of
C4-C7
R:
Upwards
and
outwards
I:
Posterior
aspect
of
mastoid
process
A: ->
UNILATERAL ACTION:
Ipsilateral
side flexion/rotation
BILATERAL ACTION: Trunk/neck
extension
NS:
Adjacent
posterior
primary
rami
SPINALIS CERVICIS AND CAPITIS
O: ->
GENERAL
:
Spinous process
to
spinous process
(
Spinalis Thoracis T11-T12
)
Poorly developed
and
frequently blends with other muscles
R:
Upwards
I:
Poorly
developed
and frequently blends with other muscles (
Spinalis
thoracis
T1-T6
)
A: ->
UNILATERAL ACTION: Ipsilateral side flexion/rotation
BILATERAL ACTION: Trunk
extension
NS: Adjacent
posterior
primary rami
SEMISPINALIS CERVICIS
O:
Transverse process T1-T6
R:
Upwards
and
Inwards
I:
Spinous process C1-C6
A: ->
UNILATERAL
ACTION: Contralateral rotation
BILATERAL
ACTION: Trunk extension
NS:
Adjacent posterior primary rami
SEMISPINALIS CAPITIS
O: ->
Transverse process T1-T6
Articular process of C4-C7
R: Upwards and Inwards
I:
Medial impression between the superior and inferior nuchal lines on base of skull
A: ->
UNILATERAL ACTION:
Contralateral rotation
BILATERAL ACTION:
Trunk extension
NS:
Adjacent posterior primary rami
LONGUS COLLI
- Thin strap like muscle running vertically on the anterior aspect of the cervical spine (behind
trachea
)
3 SECTIONS ->
O&I:
UPPER SECTION: From
transverse
processes
TO
anterior
tubercle
of atlas
MIDDLE SECTION: From
vertebral
bodies
below
TO vertebral bodies
above
LOWER SECTION: From vertebral bodies
below
TO
transverse
processes above
A: ->
BILATERAL ACTION:
Neck
flexion
NS:
Ventral
rami
C3-C6
LONGUS CAPITIS
- Thin strap like muscle running vertically on anterior aspect of cervical spine (behind trachea)
O:
Transverse processes
R: Upwards and medially
I:
Anterolateral occipital bone
A: ->
BILATERAL ACTION:
Neck flexion
NS:
Ventral rami C1-3
(
4
)
SCALENES
O:
COMMON ORIGIN
-> Transverse processes of the cervical spine
R:
Downwards
and
laterally
I: ->
ANTERIOR
AND
MIDDLE
:
1st rib
POSTERIOR
:
2nd rib
A: ->
All 3 assist with respiration
ANTERIOR:
BILATERAL ACTION
:
Neck flexion
UNILATERAL ACTION
:
Ipsilateral lateral flexion
and
contralateral rotation
MIDDLE AND POSTERIOR:
UNILATERAL ACTION
:
Ipsilateral lateral flexion
NS:
Ventral rami cervical spine
(C3-C8)
STERNOCLEIDOMASTOID
O: ->
TWO HEADS:
STERNAL
HEAD:
Upper
surface
of
manubrium
CLAVICULAR
HEAD: Upper
surface
medial
1/3
clavicle
R:
Upwards
I:
Mastoid
process
of skull
A: ->
Assists with respiration
BILATERAL ACTION:
Neck
flexion
(posterior fibres may also extend head on neck at AO joint
UNILATERAL ACTION:
Ipsilateral
flexion
and
contralateral
rotation
NS: ->
MOTOR
:
Spinal
part
of
accessory
nerve
(
Cranial
nerve
11
)
SENSORY
:
Ventral
rami
C2, C3
SUBOCCIPITAL MUSCLES
RECTUS
CAPITIS
POSTERIOR
MINOR
O&I: From
C1
to
skull
2. RECTUS
CAPITIS
POSTERIOR
MAJOR
O&I: From
C2
to
skull
3.
OBLIQUUS CAPITIS SUPERIOR
O&I: From transverse process of C1 to skull
4.
OBLIQUUS CAPITIS
INFERIOR
O&I: From
spinous
process of
C2
to
transverse
process
of
C1
A: ->
IPSILATERAL ACTION:
Rotation
BILATERAL ACTION:
Extend
head
on
neck
NS: Dorsal rami of
C1
SPLENIUS CERVICIS
O:
Spinous
processes
of
T3-T6
R:
Upwards
I: Transverse processes of
C1-C4
A: ->
BILATERAL ACTION: Neck
extension
UNILATERAL ACTION:
Ipsilateral
lateral
flexion
and rotation
NS:
Dorsal
rami
C5
,
C6
,
C7
SPLENIUS CAPITIS
O: ->
Spinous processes (
T4-C7
)
Lower
half
of
ligamentum nuchae
R: Upwards
I: ->
Mastoid
process
Lateral
1/3 of
superior nuchal line
A: ->
BILATERAL ACTION:
Neck extension
UNILATERAL ACTION:
Ipsilateral lateral flexion
and
rotation
NS:
Dorsal rami C3
,
C4
,
C5
ILIOCOSTALIS LUMBORUM
O: ->
Iliac crest
and
tuberosity
Sacrum
Spinous process of
T11-L5
and
supraspinous ligament
R: Upwards and outwards via
slips
I:
Inferior
border of
lower 6 ribs
A: ->
UNILATERAL ACTION:
Ipsilateral side flexion
/
rotation
BILATERAL ACTION:
Trunk extension
NS: ->
Adjacent posterior primary rami
LONGISSIMUS THORACIS
O: ->
Transverse processes
of
lumbar vertebrae
Adjacent fascia
R:
Upwards
and
outwards
I: ->
Transverse processes
of all
12 Thoracic vertebra
Lower 10 ribs
A: ->
UNILATERAL ACTION
:
Ipsilateral side flexion
/
rotation
BILATERAL ACTION
:
Trunk extension
NS:
Adjacent posterior primary rami
SPINALIS THORACIS
O:
Spinous processes
of
T11-T12
R:
Upwards
I:
Spinous processes
of
T1-T6
A:
->
UNILATERAL ACTION:
Ipsilateral side flexion
/
rotation
BILATERAL ACTION:
Trunk extension
NS:
Adjacent posterior primary rami
SEMISPINALIS THORACIS
O:
Transverse process
of
lower thoracic vertebrae T6-T10
R:
Upwards
and
inwards
I:
Spinous processes C6-T2
A: ->
UNILATERAL ACTION:
Contralateral rotation
BILATERAL ACTION:
Trunk extension
NS:
Adjacent posterior primary rami
MULTIFIDUS
O: ->
Sacrum
Fascia
overlying
erector spinae
Transverse processes
R:
Upwards
and
inwards
I:
All spinous processes C2-L5. Fibres span 1-4 vertebrae
DEEPEST LAYER:
Vertebra immediately above
MIDDLE LAYER:
Vertebra 2 or 3 above
SUPERFICIAL LAYER:
Vertebra 3 or 4 above
A: ->
UNILATERAL ACTION:
Contralateral
rotation
BILATERAL ACTION:
Trunk
extension
Stabilisation
NS:
Adjacent
posterior primary rami
ROTATORES BREVIS
O:
Transverse processes
of
T2-T12
R:
Upwards
and
inwards
I:
Laminae 1-2 levels above insertion
A: ->
UNILATERAL
ACTION: Contralateral rotation
BILATERAL
ACTION: Trunk extension
Stabilisation
NS:
Adjacent posterior primary rami
ROTATORES LONGUS
O:
Transverse processes
of
thoracic vertebra
R:
Upwards
and
inwards
I:
Laminae
1-2 levels above insertion
A: ->
UNILATERAL
ACTION: Contralateral rotation
BILATERAL
ACTION: Trunk extension
Stabilisation
NS:
Adjacent posterior primary rami