Muscles of the trunk Back muscles Thoracic wall Diaphragm
Transcription
Muscles of the trunk Back muscles Thoracic wall Diaphragm
Muscles of the trunk Back muscles Thoracic wall Diaphragm Muscle: Trunk 1 Back muscles on vertebral column 1) Erector spinae (Sacrospinalis) a) Iliocostalis (lateral) b) Longissimus c) Spinalis (medial) 2) Transversospinalis a) Semispinalis b) Multifidus c) Rotatores Innervation: dorsal rami of spinal nerve Muscle: Trunk 2 Iliocostalis Iliocostalis (Sacrospinalis): aponeurotic origin Iliocostalis cervics: angles of ribs 3-6 to C4- 6 trans. proc. Iliocostalis thoracis: angles of ribs 7-12 to angles of ribs 1-6 and C7 trans. proc. Iliocostalis lumborum: sacrum, L and T12 spin. proc. , ligaments, iliac crest to angles of 7-12 ribs Muscle: Trunk 3 Ilocostalis Aponeurotic origin: Iliac crest, Post. Sup. Iliac spine Cervics: C4-6 trans. proc. Thoracis: ribs 1-6 Lumborum: ribs 7-12 Muscle: Trunk 4 Longissimus Aponeurotic origin in iliac crest Thoracics: ribs Cervics: rib, trans. proc. Capitis: mastoid proc. Muscle: Trunk 5 Spinalis Common origin in sacroiliac joint, and spinous proc. Spinous proc. of T, C- spine, and nuchal lig. Muscle: Trunk 6 Transversospinalis group of back muscles a) Semispinalis: 5 segments: capi., cerv., thor. b) Multifidus: 3 segments: cerv., thor., lumb., sacral c) Rotatores: adjacent segments Muscle: Trunk 7 Semispinalis Origin: C4-T12 (trans. proc.) Trans. Proc Insertion: occipital bone, spinous proc. Span 5 (4-6) spines Muscle: Trunk 8 Multifidus Origin: post. Sacrum Insertion: spinsou proc. 3 (2-4) segments above Muscle: Trunk 9 Rotatores Origin: trans. proc. (esp. at T) Insertion: trans. proc. or spinous proc.; spanning 2 spines (long) or 1 spine (short) Muscle: Trunk 10 betw’ spin. & trans. proc trans. proc. rib paraspinal muscles Muscle: Trunk 11 Paraspinal muscles = paravertebral muscles Innervated by dorsal rami of spinal nerves Muscle: Trunk 12 Muscles of thoracic wall 1) Intercostals: between adjacent ribs a) External intercostal mm. b) Internal intercostal mm. c) Innermost intercostal mm. [ 2) Subcostals] [ 3) Transversus thoracis] [ 4) Small mm. between ribs and vertebrae] Muscle: Trunk 13 Muscle: Trunk 14 Muscle: Trunk 15 Muscle: Trunk 16 Diaphragm Origin: deep xiphistemum, costal margin, lat. and med. arcuate lig., upper lumbar vertebrae central tendon; 3-lobed, central lobe more anteriorly positioned ventral rami of C3-5; phrenic n. Major apertures in the diaphragm: a) esophageal opening: in right crus; transmits vagus n., br. of left gastric a. b) vena caval opening: pierces the tendinous part c) aortic opening; behind median arcuate lig., between right and left crura, also for thoracic duct Muscle: Trunk 17 Muscle: Trunk 18 Muscle: Trunk 19 Review on Muscles for respiration Inspiration Diaphragm External Intercostal muscles Expiration Internal intercostal muscles Muscle: Trunk 20