2 - Superficial Back (Exam 2)
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Questions and Answers

Which nerve innervates the latissimus dorsi muscle?

  • Thoracodorsal nerve (correct)
  • Long thoracic nerve
  • Dorsal scapular nerve
  • Accessory nerve (CN XI)

Which of the following is NOT a function of the trapezius muscle?

  • Depression of the scapula
  • Adduction of the scapula
  • Abduction of the scapula (correct)
  • Elevation of the scapula

What action is performed by the middle fibers of the trapezius muscle?

  • Medial rotation of the humerus
  • Adduction of the scapula (correct)
  • Elevation of the scapula
  • Depression of the scapula

Which muscle is primarily responsible for extending, adducting, and medially rotating the humerus?

<p>Latissimus dorsi (A)</p> Signup and view all the answers

The rhomboid major and minor muscles are innervated by which nerve?

<p>Dorsal scapular nerve (A)</p> Signup and view all the answers

Which muscle attaches to the posterior tubercles of the transverse processes of vertebrae C1-C4?

<p>Levator scapulae (B)</p> Signup and view all the answers

What is the relative size difference between the rhomboid major and minor muscles?

<p>The rhomboid major is generally twice as wide as the minor. (D)</p> Signup and view all the answers

Which of the following muscles directly acts on the shoulder joint?

<p>Latissimus Dorsi (A)</p> Signup and view all the answers

If a patient has damage to the dorsal scapular nerve, which of the following movements would be MOST affected?

<p>Elevation and retraction of the scapula (D)</p> Signup and view all the answers

A weightlifter strains a muscle while performing a pull-up. The injury results in an inability to effectively depress and adduct the scapula. Which specific portion of which muscle is MOST likely affected?

<p>Inferior fibers of the Trapezius (C)</p> Signup and view all the answers

What is the primary function of the superficial muscle group of the back?

<p>Facilitating upper limb movement. (A)</p> Signup and view all the answers

Which muscle in the superficial extrinsic group attaches the pectoral girdle to the skull and vertebral column?

<p>Trapezius (C)</p> Signup and view all the answers

The superficial and intermediate muscle groups of the back are considered what?

<p>Extrinsic (D)</p> Signup and view all the answers

How many layers are in the superficial muscle group of the back?

<p>Two (C)</p> Signup and view all the answers

What is the primary function of the trapezius muscle?

<p>Suspending the upper limb. (A)</p> Signup and view all the answers

Which of the following actions is NOT typically associated with superficial back muscles?

<p>Forced expiration (B)</p> Signup and view all the answers

If a patient is experiencing difficulty in elevating and rotating their scapula, which muscle is MOST likely affected?

<p>Trapezius (B)</p> Signup and view all the answers

Damage to which nerve would MOST directly impact the function of the trapezius muscle?

<p>Spinal Accessory Nerve (CN XI) (B)</p> Signup and view all the answers

Which of the following is a key distinction between the intermediate and superficial muscle groups of the back?

<p>The intermediate group primarily contributes to respiration, while the superficial group affects upper limb movement. (B)</p> Signup and view all the answers

A patient presents with an inability to shrug their shoulders and difficulty abducting their arm beyond 90 degrees. Assuming a single point of failure, which anatomical structure is MOST likely compromised?

<p>Spinal accessory nerve (CN XI) affecting the trapezius (C)</p> Signup and view all the answers

Flashcards

Back Muscles Grouping

Muscles divided into superficial, intermediate, and deep groups, based on location.

Extrinsic Back Muscles Function

Superficial and intermediate back muscles primarily control limb movement and respiration.

Superficial Back Muscles

Superficial back muscles are extrinsic muscles that connect the upper limb to the trunk and deal with the upper limb movement..

Trapezius Function

Connects the pectoral girdle to the skull and vertebral column. Assists in suspending the upper limb.

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Superficial Extrinsic Function

Upper limb to trunk connection and movement.

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Trapezius Muscle

A muscle with superior, middle, and inferior fibers that elevate, adduct, and depress/adduct the scapula, respectively.

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Latissimus Dorsi

A large, fan-shaped muscle covering the lower back, attaching to the humerus. It extends, adducts, and medially rotates the humerus.

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Levator Scapulae

Muscle attaching to C1-4 vertebrae and the scapula, assisting in scapular elevation and maintaining its level.

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Rhomboid Major and Minor

Muscles lying deep to the trapezius that retract, elevate, and fix the scapula to the thoracic wall.

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Superior fibers of Trapezius

Elevates the scapula

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Middle fibers of Trapezius

Adducts the scapula

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Inferior fibers of Trapezius

Depress and adducts the scapula

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Latissimus Dorsi action

Extends, adducts, and medially rotates the humerus

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Levator Scapulae action

Elevating the scapulae as well as maintaining its level

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Rhomboids action

Retracting the scapula, as well as elevate and maintain its level and fix it to the thoracic wall.

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Study Notes

  • There are 3 groups of muscles in the back: superficial, intermediate, and deep.
  • Superficial and intermediate muscle groups are extrinsic muscles dealing primarily with limb movement and respiration.

The Superficial Group

  • These muscles are extrinsics dealing with upper limb rotation.
  • There are two layers in the superficial muscle group that function in connecting the upper limb to the trunk.

Superficial Extrinsics

  • Trapezius attaches the pectoral girdle to the skull and vertebral column and assists in suspending the upper limb.
  • The trapezius is innervated by CN XI (accessory nerve) and exhibits three groups of fibers.
  • Superior fibers elevate the scapula.
  • Middle fibers adduct the scapula.
  • Inferior fibers depress and adduct the scapula.
  • Latissimus dorsi is another large fan-shaped muscle that covers the inferior part of the back from roughly T6 to the iliac crest.
  • The latissimus dorsi passes between the trunk and attaches to the floor of the intertubercular groove on the humerus.
  • The latissimus dorsi acts directly on the shoulder joint and indirectly on the pectoral girdle.
  • It is innervated by the thoracodorsal n.
  • The latissimus dorsi extends, adducts, and medially rotates the humerus.

Deep Extrinsics

  • Levator scapulae attaches to the posterior tubercles of the transverse processes of C1-4 and the vertebral (medial) border of the scapulae.
  • The levator scapulae assists the trapezius in elevating the scapulae as well as maintaining.
  • It is innervated by the dorsal scapular n.
  • Rhomboid major and minor lie deep to the trapezius forming parallel bands that pass inferolaterally from the vertebrae to the medial border of the scapula.
  • The major is generally twice as wide as the minor.
  • Both rhomboids brace back the shoulders by retracting the scapula as well as elevate and maintain its level and fix it to the thoracic wall.
  • Both rhomboids are innervated by the dorsal scapular n. and the 3rd and 4th cervical nn.
  • The remainder of the muscles of the back: the intermediate layer (extrinsics) and deep layer (intrinsics) will be covered in the section on the trunk.

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Description

Overview of the superficial muscle group in the back, including the trapezius and latissimus dorsi. The trapezius attaches the pectoral girdle to the skull and vertebral column, while the latissimus dorsi covers the inferior part of the back.

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