Origin: Skull, nuchal ligament and the spinous processes of C7 to T12
Insertion: Clavicle, acromion and the scapular spine
Function: Upper fibers elevate the scapula and rotate it during abduction of the arm (90 to 180 degrees), Middle fibers retract the scapula
Latissimus dorsi
Origin: Spinous processes of T6 to T12, iliac crest, thoracolumbar fascia, the inferior three ribs, and the inferior angle of the scapula
Insertion: Intertubercular sulcus of the humerus
Function: Extends, adducts and medially rotates the upper limb
Rhomboid major
Function: Retracts and rotates the scapula
Origin: Spinous processes of T2 to T5 vertebrae
Insertion: Inferomedial border of the scapula
Rhomboid minor
Function: Retracts and rotates the scapula
Origin: Spinous processes of C7 to T1 vertebrae
Insertion: Medial border of the scapula
Levator scapulae
Origin: Transverse processes of the C1 to C4 vertebrae
Insertion: Medial border of the scapula
Function: Elevates the scapula
Serratus posterior group
Serratus posterior superior
Serratus posterior inferior
Splenius capitis
Function: Assists in supporting the head in the erect position
Splenius cervicis
Function: Extension of the cervical spine, rotation and lateral flexion
Erector Spinae muscle group
Iliocostalis
Longissimus
Spinalis
Erector Spinae muscle group
When both sides are engaged function as the primary extensor of the back, Unilaterally they assist with lateral bending and rotation of the spine
Transversospinales muscle group
Semispinalis
Multifidus
Rotatores
Transversospinales muscle group
Assist in bending the back posteriorly when contracted bilaterally, When unilateral contraction occurs, they are responsible for assisting with lateral bending and rotation
Intercostal muscles
External Intercostal
Internal Intercostal
Innermost Intercostal
Transversus thoracis
Levatores costarum
External Intercostal muscles
Muscles Expand the Thoracic Cage by Elevating and Extending the Sternum
Internal Intercostal muscles
Together with innermost intercostals, pull down on the rib cage and push air out of the lungs
Innermost Intercostal Muscles
Functions are similar to those of internal intercostals; they assist breathing by depressing the ribs and support the thoracic cage
Transversus thoracis
Accessory muscle of respiration, It depresses the ribs which supports expiration
Levatores costarum muscles
Help to elevate the ribs
Neurovascular bundle of intercostal muscles: Vein, Artery, Nerve (VAN) sit in subcostal groove
Diaphragm
Thin skeletal muscle that sits at the base of the chest and separates the abdomen from the chest, Contracts and flattens when you inhale
Diaphragm openings
Caval
Esophageal
Aortic
Inspiration
Diaphragm contracts and pulls down, Intercostal muscles contract and expand the rib cage, Air enters the lungs
Expiration
Diaphragm relaxes and goes up, Intercostal muscles relax and rib cage collapses, Air exits the lungs
Accessory inspiratory muscles
Sternocleidomastoid
Scalene muscles
Serratus anterior
Pectoralis major
Pectoralis minor
Trapezius
Latissimus dorsi
Erector spinae
Iliocostalis
Pectoralis major
Origin: There, Function: Arm adduction, Arm internal rotation, Arm flexion
Pectoralis minor
Origin: Third, fourth, fifth ribs close to their respective costal cartilages
Insertion: Coracoid process
Function: Draws scapula anteroinferiorly, stabilizes scapula on thoracic Wall
Serratus anterior
Origin: Surface of the upper eight ribs at the side of the chest
Insertion: Along the entire anterior length of the medial border of the scapula
Function: Fixes the scapula into the thoracic wall, and aids in rotation and abduction of the arm (90 to 180 degrees)
Layers of Anterolateral Abdominal Wall: Skin, Superficial fascia (Camper's fascia, Scarpa's fascia)