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Anatomy
Anatomy
92
Medical
Professional
09/22/2012

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Term
Protraction (abduction) of scapula
Definition
Serratus anterior
Pectoralis minor
Pectoralis major
Term
Retraction (adduction) of scapula
Definition
Rhomboideus major
Rhomboideus minor
Trapezius
Term
Elevation of scapula
Definition
Levator Scapulae
Trapezius (upper fibers)
Term
Depression of scapula
Definition
Pectoralis minor
Trapezius (lower fibers)
Subclavius
Lattisimus Dorsi
Term
Upward rotation of scapula
Definition
Trapezius
Serratus anterior
Term
Downward rotation of scapula
Definition
Pectoralis minor
Pectoralis major
Subclavius
Latissimus dorsi
Term
Abduction of the arm
Definition
Initiation: Supraspinatus
Up to 90 degrees: Deltoid
Beyond 90: Trapezius, Serratus Anterior
Term
Adduction of the arm
Definition
Pectoralis major
Pectoralis minor
Latissimus dorsi
Teres major
Deltoid (lowest fibers)
Term
Flexion of the arm
Definition
Pectoralis major
Coracobrachialis
Biceps Brachii
Deltoid (anterior fibers)
Term
Extension of the arm
Definition
Latissimus dorsi
Teres major
Long head of the Triceps
Deltoid (posterior fibers)
Term
Medial rotation of the arm
Definition
Subscapularis
Latissimus dorsi
Teres major
Pectoralis major
Deltoid (anterior fibers)
Term
Lateral rotation of the arm
Definition
Infraspinatus
Teres minor
Deltoid (posterior fibers)
Term
Circumduction of arm
Definition
Pectoralis major
Subscapularis
Coracobrachialis
Biceps brachii
Supraspinatus
Deltoid
Latissimus dorsi
Teres major
Teres minor
Infraspinatus
Long head of Triceps
Term
Greater occipital nerve
Definition
-cutaneous branch of the C2 posterior ramus
-provides cutaneous sensation on posterior head
-penetrates deep neck muscles and origin of trapezius from superior nuchal line
Term
Dermatomes
Definition
strip of skin innervated by several branches of the same spinal nerve
Term
Posterior rami (aka dorsal rami, dorsal primary rami)
Definition
-innervate deep back muscles
-cutaneous sensation to skin of back
Term
Anterior (ventral) rami
Definition
innervate superficial muscles of back
Term
Deep investing fascia
Definition
dense layer of connective tissue between subcutaneous tissue and muscles - surrounds entire muscle groups. often contain spread of infection or tumor
Term
Accessory nerve
Definition
-Cranial nerve XI
-emerges from skull medial to mastoid process
-innervates sternocleidomastoid muscle
-innervates trapezius (runs underneath)
-joined by transverse cervical artery and vein
Term
Thoracodorsal nerve, artery, vein
Definition
serve latissimus dorsi
Term
C3 and C4
Definition
sensation of trapezius
Term
Triangle of auscultation
Definition
Triangular gap formed by the superior horizontal border of the latissimus dorsi, medial border of the scapula, inferolateral border of the trapezius

good place to listen to the lungs!
Term
Lumbar triangle
Definition
Bordered medially by the latissimus dorsi, laterally by the external abdominal oblique, inferiorly by the iliac crest

Vulnerable to abdominal hernias
Term
Latissimus dorsi
Definition
Insertion: T7 to sacrum, posterior 1/3 of iliac crest, lower 4 ribs
Insertion: intertubercular groove
Action: Extend and Medially Rotate and Adduct arm
Innervaion: thoracodorsal nerve (C7,8) from posterior cord of brachial plexus
Artery: thoracodorsal artery
Term
Levator scapulae
Definition
Insertion: transverse process
Origin: C1-4
Action: Elevates scapula
Innervation: Dorsal scapular nerve (C5), upper part C3,4
Artery: Dorsal scapular artery
Term
Rhomboideus major
Definition
Origin: T2-5
Insertion: Medial border of scapula, inferior to scapular spine
Action: Retracts, Elevates, Inferiorly rotates scapula
Innervation: Dorsal scapular nerve (C5)
Artery: Dorsal scapular artery
Term
Rhomboideus minor
Definition
Origin: C7,T1, inferior end of ligamentum nuchae
Insertion: medial border of scapula at root of scapular spine
Action: Retracts, Elevates, Inferiorly rotates scapuls
Innervation: Dorsal scapular nerve (C5)
Artery: Dorsal scapular artery
Term
Trapezius
Definition
Origin: C7-T12, medial 1/3 of superior nuchal line, extern. occ. protuberance
insertion: lateral 1/3 of clavicle, medial acromion, upper crest and tubercule of scapular spine
Action: Elevates/Depresses scapula, Retracts and Superiorly rotates scapula
Inntervation: Accessory nerve (XI), proprioception C3,4
Artery: Transverse cervical artery
Term
vertebra
Definition
33 total: 7 cervical, 12 thoracic, 5 lumbar, 5 sacral, 4 coccygeal
features: body, pedicles, transverse processes, laminae, articular processes, spinous process

adjacent vertebrae articulate through a symphysis
Term
vertebral arch
Definition
pedicles + laminae
protects spinal cord
Term
pedicle
Definition
connects body with transverse process; superior and inferior vertebral notches
Term
transverse process
Definition
extends from junction of pedicle and lamina
site for muscle attachment and rib articulation
Term
lamina
Definition
ligamenta flava spans interval between adjacent laminae
Term
articular process
Definition
superior and inferior pairs on each vertebrae, articulate w/ processes of adjacent vertebra through synovial joints
Term
intervertebral notch
Definition
superior and inferior form intervertebral foramen
Term
intervertebral foramen
Definition
opening between pedicles of adjacent vertebrae where spinal nerve passes
Term
vertebral canal
Definition
contains spinal cord, meninges, epidural fat, internal vertebral venous plexus
Term
spinous process
Definition
important site of muscle attachment, spinous processes of C2-6 are bifid
Term
atlas
Definition
first cervical vertebra, no vertebral body. articulates w/ odontoid process of axis
Term
axis
Definition
C2: odontoid process (dens) projects superiorly and articulates w/ anterior arch of atlas
Term
vertebra prominens
Definition
C7, long, non-bifid spinous process
Term
costal articular facet on body
Definition
small smooth areas (superior and inferior) at junction of body and vertebral arch in T vertebra that articulate w/ head of ribs (demifacets)
Term
costal articular facet on transverse process
Definition
articulates w articular facet on tubercule of rib
Term
anterior sacral foramina
Definition
4 pairs, each transmits the ventral primary ramus of the sacral nerves, branches of lateral sacral artery enter here
Term
posterior sacral artery
Definition
3 pairs, each transmits dorsal primary ramus of sacral nerves
Term
sacral hiatus
Definition
opening in posterior surface of sacrum in midline
Term
coccyx
Definition
vertebrae have no pedicles, laminae or spines
Term
interspinous ligament
Definition
connects spinous processes of two adjacent vertebrae
Term
intervertebral disc
Definition
fibrocartilaginous disc between adjacent vertebral bodies: outer anulus fibrosis and inner nucleus pulposis (remnant of the notochord)
Term
ligamenta flava
Definition
formed predominantly by elastic fibers, joins laminae of adjacent vertebrae
YELLOW!
penetrated by the needle during spinal tap
Term
nuchal ligament (aka ligamentum nuchae)
Definition
midline ligament extendign from spinous processes of cervical vertebrae to the base of the skull
Term
anterior longitudinal ligament
Definition
courses superior to inferior along anterior surfaces of all vertebral bodies, lies directly posterior to the thoracic and abdominal viscera
Term
posterior longitudinal ligament
Definition
courses from superior to inferior along posterior surfaces of all vertebral bodies; located in vertebral canal
Term
supraspinous ligament
Definition
connects tips of spinous processes of thoracic and lumbar vertebrae; serves as muscle attachment site
Term
zygapophyseal joint
Definition
joint between articular processes of adjacent vertebrae
Term
dorsal primary ramus
Definition
first branch off dorsal side of spinal nerve
motor: deep back muscles, sympathetic innervation to skin
sensory: general sense to skin of back

mixed: sensory AND motor fibers
Term
dorsal root
Definition
multiple rootlets from dorsal horn of spinal cord to spinal nerve

entirely sensory; dorsal to denticulate ligament
Term
dorsal root ganglion
Definition
sensory to one dermatome

a sensory ganglion located along the dorsal root within the intervertebral foramen: one per spinal nerve' location of cell bodies of Somatic Afferent (sensory) neurons
Term
spinal nerve
Definition
formed at point where dorsal and ventral rootlets meet; ends where dorsal and ventral primary rami diverge. 31 pairs of spinal nerves
Term
ventral primary ramus
Definition
first branch off ventral side of spinal nerve, motor to skeletal and sense to skin of trunk and extremities
Term
ventral root
Definition
multiple rootlets from ventral horn of spinal cord to spinal nerve, motor to skeletal and NO sensory. Entirely motor in function, ventral to denticulate ligament.
Term
anterior midline fissure
Definition
longitudinal midline fissure one ventral surface of spinal cord (anterior spinal artery lies in this fissure)
Term
posterior median sulcus
Definition
long midline groove located on dorsal surface of spinal cord
Term
cervical enlargement
Definition
C4-T1, created by rootlets of spinal nerves C5-T1 that form the brachial plexus
Term
lumbosacral enlargement
Definition
T11-L1, created by rootlets of spinal nerves L1-S4 that form the lumbosacral plexus
Term
conus medullaris
Definition
cone-shaped inferior end of spinal cord, located at L1
Term
cauda equina
Definition
dorsal and ventral roots of all spinal nerves inferior to L1, lies within the lumbar cistern
Term
arachnoid mater
Definition
intermediate of 3 layers of meninges, thin membrane pressed against inner surface of dura mater by CSF. space deep to this mater is the subarachnoid space
Term
denticulate ligament
Definition
lateral extension of pia mater from spinal cord. attaches to dura mater to anchor the spinal cord
Term
dura mater
Definition
outermost of the meningeal layers covering brain and spinal cord
Term
epidural fat
Definition
lose connective tissue within the epidural space upon the dura mater
Term
filium terminale internum
Definition
thread-like extension of the pia mater from the conus medullaris; best seen between L2 and S2; becomes enclosed within filium terminale externum
Term
filium terminale externum
Definition
thread-like extension of dura mater below end of dural sac at S2; attaches to coccyx
Term
meninges
Definition
dura mater, arachnoid mater, pia mater
Term
pia mater
Definition
delicate membrane on surface of brain and spinal cord
Term
subdural space
Definition
potential space
Term
subarachnoid space
Definition
contains CSF and spider web-like filaments
Term
herniated disc
Definition
herniation of nucleus pulposis through a weakened anulus fibrosus, commonly puts pressure on nerve roots or dorsal root ganglion exiting the intervertebral foramen at or below this level
Term
lumbar puncture
Definition
used to gather CSF. needle inserted between spinous processes of L3 and L4 or L4 and L5. Superficial landmark for finding this point is the supracristal line, which runs on a line from the lilac crests and passes through L4's spinous process
Term
meningitis
Definition
infection of the meninges
Term
epidural anesthesia
Definition
injection of anesthetic agents into epidural space as opposed to subarachnoid space
Term
deltopectoral triangle
Definition
bound medially by clavicle, superiorly by deltoid, inferiorly by pec major - pierced by cephalic vein
Term
suprasternal notch
Definition
notch on superior border of the manubrium
Term
pectoralis major
Definition
Origin: medial 1/2 of clavicle, manubrium and body of sternum, costal cartilages of ribs 2-6
Insertion: crest of greater tubercule
Action: Flexes and Adducts and Medially rotates arm
Innervation: medial and lateral pectoral nerves (C5-T1)
Artery: pectoral branch of thoracoacromial trunk
Term
Pectoralis minor
Definition
Origin: ribs 3-5
Insertion: coracoid process of scapula
Action: draws scapula forward, medialward, downward
Innervation: medial pectoral nerve (C8,T1)
Artery: pectoral branch of thoracoacromial trunk
Term
serratus anterior
Definition
Origin: ribs 1-8,9
Insertion: medial border of scapula on costal surface
Action: draws scapula Forward, rotate scapula Superiorly
Innervation: long thoracic nerve (ventral rami C5-7)
Artery: lateral thoracic artery
Term
Thoracoacromial artery
Definition
source: axillary artery (2nd part)
Branches: pectoral, clavicular, acromial, deltoid
Supply to: pec major, pec minor, subclavius, deltoid, shoulder joint

Pieres the costocoracoid membrane
Term
axillary nodes
Definition
pectoral, lateral, central, subscapular, apical. drain upper limb, mammary gland, some anterolateral chest wall, scapular region
Term
intercostal nerve
Definition
travels below the posterior intercostal artery in the costal groove
Term
long thoracic nerve
Definition
on superficial surface of serratus anterior: injury causes winging! C5,6,7 keeps the wings from heaven
Term
pectoral lateral nerve
Definition
pierces clavipectoral fascia
Term
pectoral medial nerve
Definition
pierces the pec minor
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