Vertebral body, vertebral arch, 7 processes, vertebral foramen, superior and inferior vertebral notch.
What is the role of the vertebral body?
Give strength to the vertebral column and support body weight.
What is the role of the vertebral arch?
Protect the spinal cord.
Name the seven processed for a typical vertebra.
One spinous, two transverse, and four articular (two superior and two inferior).
What is the purpose of the spinous process?
muscle attachment and movement.
What is the purpose of the transverse processes?
Muscle attachment and movement.
What is the purpose of the articular processes of the vertebra?
Restriction of movement in certain direction.
Abnormal increase in the thoracic curvature
Kyphosis
Anterior rotation of the pelvis and can cause low back pain
Lordosis
Abnormal lateral curvature that is accompanied by rotation of the vertebrae.
Scoliosis.
Formed by the vertebral arch and the posterior surface of the vertebral body
Vertebral foramen.
Succession of vertebral foramen
Vertebral (spinal) canal
Superior and inferior notches of adjacent vertebrae contribute to the formation of ____.
IV foramina
What is the purpose of the IV foramina?
To give a passage to the spinal nerve roots and accompanying vessels.
Which type of vertebra is this? Transverse foramen for passing of blood vessels and nerves, body is small and wider, spinous process is short and sometimes bifid.
Cervical vertebrae
Which is the strongest cervical vertebra?
C2 axis
Which vertebra has no spinous process or body, it consists of anterior and posterior arches. The superior articular surfaces of C1 receive the two occipital condyles at the sides of the foramen magnum of the cranial base?
C1 atlas
Which type of vertebra is this? Costal facet for articulation with ribs, spinous processes are long and slopes posteroinferiorly, transverse processes are long, strong and extend posterolaterally, Articular processes Superior facets directed posteriorly and slightly laterally nferior facets directed anteriorly and slightly medially
Thoracic vertebrae
Usually composed of five fused sacral vertebrae in adults, forms the posterior part of the bony pelvic, articular facets for articulation with L5 and hip bone.
Sacrum
Usually formed by four rudimentaryvertebrae, but there may be one less or one more, the 1st vertebra may be separate, the last three vertebrae often fuse during middle life
An outer fibrous part - a ring consisting of
concentric lamellae of fibrocartilage forming the circumference of the IV disc. It provides strong bond between adjacent vertebrae.
Anulus fibrosus
The central core of the IV disc. It is a gelatinous central mass and acts like a shock absorber for forces and like a semifluid ball bearing during movements of the verterbral column.
Nucleus pulposus.
True or false: There is no IV disc between C1 and C2
True
Extends from the pelvic surface of the sacrum to the anterior tubercle of C1 and occipital bone anterior to the foramen magnum. Maintains stability of the joints and prevents hyperextension of the vertebral column
Anterior longitudinal ligament.
Runs from C2 to sacrum within the vertebral canal along the posterior aspects of the vertebral bodies prevents hyperflexion of the vertebral column
Posterior longitudinal ligament.
Connects two adjacent vertebral arches. Plane synovial joints between the superior and inferior articular processes of adjacent vertebrae. Each joint is surrounded by thin, loose joint capsule. Permits gliding movement between the vertebrae.
Zygapophysial joints / facet joints.
connect vertebral arches, enhance facet joints, bind the adjoining vertebrae
together form part of the posterior wall of
the vertebral canal
Ligamenta flava / yellow ligament.
Connect adjoining spinous processes
Interspinous ligament
Connects the apices of the spinous processes from C7 to the sacrum
Supraspinous ligament.
Extends from the external occipital protuberance and posterior border of foramen magnum to the spinous processes of cervical vertebrae. Connects skull and vertebral column and is for muscle attachment.
Nuchal ligament.
Connecting adjacent transverse processes.
Intertransverse ligament.
Articulations between the lateral masses of atlas (C1 ) and the occipital condyles of occipital bone, no IV discs
Atlanto-occipital joints.
What type of joint is the atlanto-occipital joint?
Synovial joint of the condyloid type and has thin, loose capsule.
What are the movements of the atlanto-occipital joint?
Main movement is flexion, little lateral bending and rotation.
Connects C1 to the occipital bone to help prevent excessive movement.
Anterior and posterior Atlanto-occipital membranes
How many atlanto-axial joints are there?
There are 3. Two lateral atlanto-axial joints between the lateral masses of C1 and C2 vertebrae (plane-type synovial joints). One median atlanto-axial joint C1 between the dens of C2 and the anterior arch of the atlas (pivot joint).
What are the movements of the atlanto-axial joints?
Flexion, rotation, lateral bending. During rotation movement,the skull and C1 rotate on C2 as aunit. The dens of C2 is the pivot.
Connects two tubercles on the medial aspects of the lateral masses of C1. It holds the dens of C2 against the anterior of C1
Transverse ligament of the atlas.
Pass from transverse ligament to theoccipital bone superiorly and to the body of C2 inferiorly
Longitudinal bands
Which two ligaments for the cruciate ligament?
Transverse ligament and longitudinal bands.
Connects the sides of the dens to the lateral margins of the foramen magnum
With what does the head of each typical rib articulate?
Demifacets of two adjacent thoracic vertebrae and the IV disc between them.
The head of which ribs articulate only with their own vertebral bodies?
1st, 11th, 12th, and sometimes 10th.
What enhances the the joints of the heads of ribs?
Joint capsules and ligaments.
What are the movements of joints of heads of ribs?
Slight gliding in each joints.
What does the tubercle of a typical rib articulate with?
Costal facet of the transverse process of corresponding vertebra.
What strengthens the costotransverse joints?
Costotransverse ligament.
What are the movements of the costo-transverse joints?
Some rotation can occur in the 1st to 6th rib, resulting in some elevation and depression of the distal ends of the ribs (1st to 6th) and sternum in the sagittal plane. Gliding and pivoting in 7th to 10th because their flat articular surfaces, resulting in elevation and depression of the ribs in the transverse plane
Which ribs articulate with the sternum?
1st to 7th pairs of costal cartilages
Which ligaments are involved in the sternocostal joints?
anterior and posterior radiate sternocostal ligaments
What are the movements of the thoracic wall?
elevation (inspiration) and depression (expiration)
What are the ligaments involved in the sacro-iliac joints?
Between ilium and sacrum:Sacro-iliac ligaments
Between ischium and sacrum: Sacro-tuberous ligament, Sacro-spinous ligament
Name the 3 parts of the sacro-iliac ligaments
Anterior, interosseous, posterior
Sacro-tuberous ligament attachements
Sacrum and ischial tuberosity
Sacrospinous ligament attachments
Sacrum and ischial spine.
What are the articulations of the lumbro-sacral joints?
One IV joint between L5 and S1, Two zygapophysial joints between the articular processes of these vertebrae
Which ligament is involved in the lumbo-sacral joint and what are its attachments?
Iliolumbar ligament unit the ilia and L5 vertebra.
Superior attachment of SCM
Mastoid process of temporal bone and superior nuchal line of occipital bone.
Inferior attachment of SCM
Sternal head: Anterior surface of manubrium of sternum
Clavicular head: superior surface of medial third of clavicle.
Unilateral action of SCM
Laterally flexes and rotates the head and neck so the ear approaches the shoulder of the same side.
Bilateral action of SCM
Neck flexion.
Common points of deep or intrinsic back muscles
Extend from the pelvis to the skull - specifically act on the vertebral column, maintain posture and produce movements of vertebral column - enclosed by fascia - innervated by posterior rami of spinal nerves.
Extensive fascial sheet that splits into anterior and posterior layers, enclosing the deep back muscles.
Thoracolumbar fascia
Superficial layer of the back muslces
Splenius muscles
Secondary role of superficial layer - splenius muscles
Cover and hold the deep vertical muscles in position.
Origin of splenius
Nuchal ligament and spinous processes of C7 - T3 or T4 vertebrae
Insertion of splenius capitis
Mastoid process of temporal bone and lateral third of superior nuchal line of occipital bone
Insertion of splenius cervicis
Transverse process of C1-C3 or C4 vertebrae
Main action of slpenius
One side: lateral flex and rotate head to the side of active muscles
Both sides: extend head and neck
Intermediate layer of the back muscles
Erector spinae (Sacrospinalis)
Name the 3 columns of the chief extensor of the vertebral column
Iliocostalis: Lateral column
Longissimus: intermediate column
Spinalis: Medial column
Common origin of the erector spinae muscles
Broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacral and inferior lumbar spinous processes, and supro-iliac ligament.
Iliocostalis insertion
Fibers run superiorly to ribs and cervical transverse processes.
Longissimus insertion
To ribs between tubercles and angles, to transverse processes in thoracic and cervical regions, and to mastoid process of temporal bone.
Insertion of spinalis
To spinous processes in the upper thoracic region and to skull.
Main action of Erector Spinae
Bilaterally: extend vertebral column and head
Unilaterally: laterally flex vertebral column
Deep layer of back muscle
Transverso-spinal muscle group
3 muscles of the transverso-spinal muscle group
Semispinalis - Superficial
multifidus - deeper
rotatores - deepest
They originate from transverse processes of vertebrae to spinous processes of more superior vertebrae. they occupy the space between transverse and spinous processes
Transverso-spinal muscle group
Semispinalis origin
Transverse process of C4 - T12
Semispinalis insertion
superomedially to occipital bone and spinous processes in thoracic and cervical regions, spanning 4 - 6 segments.
Semispinalis main action
Extend head, thoracic and cervical regions of vertebral column and rotate them contralaterally.
Multifidus origin
Posterior aspects of sacrum and ilium, transverse processes of thoracic and lumbar vertebrae, and articular processes of the C4 - C7
Multifidus insertion
Superomedially to entire length of spinous processed of vertebrae above, spannin 2 - 4 segments
Multifidus main action
Stabilizes vertebrae during local movements of vertebral column. Unilateral contraction rotates to contralateral side.
Rotatores origin
Transverse processes of vertebrae
Rotatores insertion
Pass superomedially to attach to the root of the spinous processes of the next one or two vertebrae superiorly, spanning 1 - 2 segments
Rotatores main action
Proprioception organs. Stabilize vertebrae and assists with local extension and rotary movements of vertebral column.
Which 3 muscles form the Minor Deep Layer of the back.
Interspinal, intertransverse, levatores costarum.
Muscles in the thoracic wall
External intercostals (superior layer)
Internal intercostals (middle layer)
Innermost intercostals (deepest layer)
Muscles in the thoracic wall superior attachment
Inferior border of ribs
Muscles in the thoracic wall inferior attachment
Superior border of ribs below
Muscles in the thoracic wall main action
Elevate ribs: external intercostals and probably innermost intercostals
Depress ribs: Internal intercostals
Occupy the intercostal spaces. Fibers run inferoanteriorly from rib above to the rib below. Are continuous inferiorly with the external oblique muscles in the anterolateral abdominal wall. Muscles of inspiration, elevate the ribs.
External intercostal muscles.
Run deep too and at right angles to the external intercostals. Fibers run inferoposteriorly form the inferior border of the ribs to the superior borders of the ribs inferior to them. Continuous with internal oblique in anterolateral abdominal wall. Muscles of expiration, depress ribs.
Internal Intercostal Muscles.
Similar to the internal intercostals in fibers running direction and deep parts of them.
Innermost Intercostals Muscles
What separates the Innermost Intercostals from Internal Intercostals?
Aponeuroses of the 3 flat muscles of the abdominal wall interlace there
Linea alba
Fibrous band running vertically from the pubic symphysis to the xiphoid process and is the central attachment for all the abdominal muscles.
Linea alba.
The largest and most superficial of the three flat anterolateral abdominal muscles
External Oblique
External Oblique origin
External surface of 5th-12th ribs.
External Oblique insertion
Linea alba pubic tubercle, and anterior half of iliac crest.
External Oblique main action
Compress and support abdominal viscera, flex and rotates trunk.
Internal oblique origin
Thoracolumbar fascia, anterior two-thirds of iliac crest and lateral half of inquinal ligament.
Internal oblique insertion
Inferior borders of 10-12 ribs, linea alba, and pubis via conjoint tendon.
Internal oblique main action
Compress and support abdominal viscera. Flex and rotate trunk.
Innermost of the three flat abdominal muscles.
Transverse abdominal
Transverse abdominal origin
Internal surface of 7-12 costal cartilages, thoracolumbar fascia, iliac crest, and lateral third of inquinal ligament.
Transverse abdominal insertion
Linea alba with aponeurosis of internal oblique, superior ramus of pubis
Transverse abdominal main action
Compress and support abdominal viscera
Strong, incomplete fibrous compartment of the two vertical muscles of the abdominal wall. Is formed by the decussation and interweaving of the aponeuroses of the flat abdominal muscles.
Rectus sheath.
Rectus abdominis origin
Pubic symphysis and pubic crest
Rectus abdominis insertion
Xiphoid process and 5-7 costal cartilages.
Abnchors the Rectus abdominis transversely
Tendinous intersections
Rectus abdominis main action
Flex trunk, compress abdominal viscera, and stabilizes and controls tilt of pelvis.
Summary of functions and actions of the anterolateral abdominal muscles.
Form a stron expendable support for the anterolateral abdominal wall. Abdominal viscera protection. Abdominal contents compression. Intra-abdominal pressure, assisting expiration, defecation, micturition, and parturition. Move trunk, flex and rotate v.column, bend it laterally, and help maintain posture.
Muscles of the posterior abdominal wall
Quadratus lumborum
Quadratus lumborum origin
Medial half of inferior border of 12th rib and tips of lumbar transverse processes
Quadratus lumborum insertion
Iliolumbar ligament and iliac crest
Quadratus lumborum main action
Extends and laterally flexes v.column; fixes 12th rib during respiration.
Dome-shaped musculotendinous partition. Separates the thoracic and abdominal cavities. Chief muscle of inspiration
Thoracic Diaphragm.
Bony ring, incomplete posteriorly, formed by the scapulae and clavicles, which is completed anteriorly by the manubrium of the sternum.
Pectoral girdle.
A doubly curved long bone, with two ends: sternal end and lateral or acromial end
Clavicle
The sternal end of the clavicle articulates with...
the manubrium of the sternum at the sternoclavicular joint.
Lateral or acromial end of the clavicle articulates with...
The acromion of the scapula at the acromioclavicular joint.
Clavicle function
Connects the upper limb to the trunk. Serves as a strut from which the scapula and free limb are suspended. Transmits shocks form the upper limb to the axial skeleton.
Articulates with manubrium to form sternoclavicular joint
Sternal facet
In the lateral end articulates with acromion of the scapula to form acromioclavicular joint
Acromial facet
For the attachment of the deltoid muscle
Deltoid tubercle
Gives attachment to the conoid ligament
Conoid tubercle
Is the site of attachment of the subclavius muscle
Subclavian groove
Binds the 1st rib to the clavicle
Impression for costoclavicular ligament
Where the trapezoid ligament attaches
Trapezoid line.
three fossae of the scapula
Subscapular, supraspinous, infraspinous.
Landmark of point of the shoulder and articulates with the acromial end of the clavicle.
Acromion
Shallow, concave, oval fossa, and articulates with the head of the humerus at the glenohumeral joint.
Glenoid cavity
Articulates with glenoid cavity of the scapula
Head of humerus
Provide attachment and leverage to some scapulohumeral muscles
Greater and lesser tubercle
Separates the head from the tubercles (humerus)
Anatomical neck
The narrow part distal to the tubercles and is a common fracture site
Surgical neck.
Separates the greater tubercle from the lesser tubercle
Intertubercular (biceptital) groove
Attachment of deltoid on humerus
Deltoid tuberosity
Posteriorly, the radial nerve and deep artery of the arm lie in the ...
radial groove
(anterior aspect) receives the coronoid process of the ulna during full extension of the elbow
Coronoid fossa
(Posterior aspect) accommodates the olecranon of the ulna during full extension of the elbow
olecranon fossa
Accommodates the edge of the head of the radius when the forearm is fully flexed.
Radial fossa
they make up the condyle of the humerus
Epicondyles, trochlea, capitulum, olecranon, coronoid, and radial fossa.
Two articular surfaces of the condyle
Lateral capitulum and medial trochlea
Articular surface of the condyle for articulation with the head of the radius
Capitulum
Articular surface of the condyle for articulation with the trochlear notch of the ulna.
Medial trochlea.
Two projections at the proximal end of the ulna
Olecranon which projects posteriorly and coronoid projecting anteriorly
Articulates with the trochlea of the humerus
Trochlear notch
Articulates with the head of the radius
radial notch
Attachment of the tendon of the biceps brachii muscle on the ulna
Tuberosity of the ulna
Just for muscle attachment on the ulna
Supinator crest and supinator fossa
At which end is located the head of the ulna and ulnar styloid process
T or F: the ulna does not articulate directly with the carpal bones.
The lateral and shorter of the two forearm bones
Radius
The radius articulates with ...
The humerus, ulna and carpus.
The head of the radius articulates with the ____ of the humerus, peripherally with the ____ of the ulna
capitulum, radial notch
At its distal end, the ____ accommodates the head of the ulna.
ulnar notch
T or F: the radial styloid process is larger and longer than the ulnar styloid process