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Trapezius: Descending Part Attachments
Medial Third Nuchal line, External Occipital Protuberance, Nuchal Ligament (On the spinous processes from External Occipital Protuberance to C7)
Lateral third of clavicle
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Trapezius: Descending Part Innervations
Spinal Accessory Nerve (CN XI) for motor. C3, C4 spinal nerves for pain and procioceptive fibers
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Trapezius: Descending Part Actions
Elevates scapula. When combined with Ascending Part, rotates glenoid cavity superiorly
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Trapezius: Ascending Part Attachments
Spinous Processes C7-T12
Spine of the Scapula
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Trapezius: Ascending Part Innervations
Spinal Accessory Nerve (CN XI) for motor. C3, C4 spinal nerves for pain and procioceptive fibers
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Trapezius: Ascending Part Actions
Depresses scapula. When combined with Descending Part, rotates glenoid cavity superiorly
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Trapezius: Middle Part Attachments
Spinous Processes C7-T12
Acromion
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Trapezius: Middle Part Innervations
Spinal Accessory Nerve (CN XI) for motor. C3, C4 spinal nerves for pain and procioceptive fibers
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Trapezius: Middle Part Actions
Retracts Scapula
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Latissimus Dorsi Attachments
Spinous processes of inferior 6 thoracic vertebrae, thoracolumbar fascia, iliac crest, and inferior 3 or 4 ribs
Floor of intertubercular sulcus of humerus
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Latissimus Dorsi Innervations
Thoracodorsal nerve (C6, C7, C8)
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Latissimus Dorsi Actions
Extends, adducts, and medially rotates humerus. Raises body toward arms during climbing.
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Rhomboid Minor Attachments
Nuchal Ligamnet, Spinous processes of C7 and T1
Smooth triangular area at medial end of scapular spine
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Rhomboid Minor Innervations
Dorsal Scapular nerve (C4, C5)
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Rhomboid Minor Actions
Retracts scapula and rotates it to depress gleniod cavity. Fix scapula to thoracic wall.
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Rhomboid Major Attachments
Spinous processes of T2-T5 vertebrae
To inferior angle of scapula at level of spine
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Rhomboid Major Innervations
Dorsal Scapular nerve (C4, C5)
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Rhomboid Major Actions
Retracts scapula and rotates it to depress gleniod cavity. Fix scapula to thoracic wall.
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Levator Scapulae Attachments
Posterior Tubercles of transverse processes 0f C1-C4 vertebrae
Medial border of scapula superior to root of scapular spine (superior angle)
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Levator Scapulae Innervations
Dorsal Scapular (C5) and cervical (C3, C4) nerves
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Levator Scapulae Actions
Elevates scapula and tilts its glenoid cavity inferiorly by rotating scapula
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Deltoid: Clavicle Part
Proximal Attachment
Lateral third of the clavicle
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Deltoid: Clavicle Part
Distal Attachment
Deltoid tuberosity of the humerus
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Deltoid: Clavicle Part
Innervation
Axillary Nerve (C5, C6)
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Deltoid: Clavicl Part
Actions
Flexes and medially rotates arm
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Deltoid: Acromial Part
Proximal Attachment
Acromion
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Deltoid: Acromial Part
Distal Attachment
Deltoid tuberosity of the humerus
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Deltoid: Acromial Part
Innervations
Axillary Nerve (C5, C6)
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Deltoid: Acromial Part
Actions
Abducts arm
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Deltoid: Spinal Part
Proximal Attachment
Spine of scapula
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Deltoid: Spinal Part
Distal Attachment
Deltoid tuberosity of the humerus
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Deltoid: Spinal Part
Innervations
Axillary Nerve (C5, C6)
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Deltoid: Spinal Part
Actions
Extends and laterally rotates arm
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Supraspinatus: Proximal Attachment
Supraspinous fossa of scapula
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Supraspinatus: Distal Attachment
Superior facet of greater tubercle of humerus
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Supraspinatus: Innervations
Suprascapular nerve (C4, C5, C6)
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Supraspinatus: Actions
Abduction. Rotator Cuff Muscle
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Infraspinatus: Proximal Attachment
Infraspinous fossa of scapula
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Infraspinatus: Distal Attachment
Middle facet of greater tubercle of humerus
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Infraspinatus: Innervations
Suprascapular nerve (C5, C6)
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Infraspinatus: Actions
Laterally rotates arm. Rotator Cuff Muscle
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Teres Minor: Proximal Attachments
Middle part of lateral border of scapula
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Teres Minor: Distal Attachments
Inferior facet of greater tubercle of humerus
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Teres Minor: Innervations
Axillary Nerve (C5, C6)
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Teres Minor: Actions
Laterally rotates arm. Rotator Cuff Muscle
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Teres Major: Proximal Attachment
Posterior surface of inferior angle of scapula
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Teres Major: Distal Attachments
Medial lip of intertubercular sulcus of humerus
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Teres Major: Innervation
Lower subscapular nerve (C5, C6)
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Teres Major: Actions
Adducts and medially rotates arm
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Subscapularis: Proximal Attachment
Subscapular fossa (Most of anterior surface of scapula)
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Subscapularis: Distal Attachments
Lesser tubercle of humerus
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Subscapularis: Innervations
Upper and lower subscapular nerves (C5, C6, C7)
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Subscapularis: Actions
Medially rotates arm. Rotator Cuff Muscle
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Splenius Capitis Proximal Attachment
Nuchal Ligament and spinous processes of C7-T3/T4 vertebrae
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Splenius Capitis: Distal Attachments
Fibers run superolaterally to mastoid process and lateral 3rd of superior nuchal line
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Splenius Capitis: Innervations
Posterior rami of spinal nerves
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Splenius Capitis: Actions
Alone: Lateral flex neck and rotate head to side. Together: Extend head and neck
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Splenius Cervicis: Proximal Attachments
Nuchal Ligament and spinous processes of C7-T3/T4 vertebrae
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Splenius Cervicis: Distal Attachments
Tubercle of transverse processes of C1-C3/C4 vertebrae
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Splenius Cervicis: Innervations
Posterior rami of spinal nerves
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Splenius Cervicis: Actions
Alone: Lateral flex neck and rotate head to side. Together: Extend head and neck
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Iliocostalis: Proximal Attachments
Arises by a broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacroiliac ligaments, sacral and inferior lumbar spinous processes, and supraspinous ligament
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Iliocostalis: Distal Attachments
Lumborum, thoracis, cervicis. Fibers run superiorly to angles of lower rins and cervicle transverse processes
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Iliocostalis: Innervations
Posterior rami of spinal nerves
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Iliocostalis: Actions
Bilaterally: Extend vertebral column and head; as back is flexed, control movement via eccentric contraction. Unilaterally: Laterally flex vertebral column
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Longissimus: Proximal Attachments
Arises by a broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacroiliac ligaments, sacral and inferior lumbar spinous processes, and supraspinous ligament
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Longissimus: Distal Attachments
Thoracis, cervicis, capitis. Fibers run superiorly to ribs between tubercles and angles to transverse processes in thoracis and cervical regions, and to mastoid process
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Longissimus: Innervations
Posterior rami of spinal nerves
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Longissimus: Actions
Bilaterally: Extend vertebral column and head; as back is flexed, control movement via eccentric contraction. Unilaterally: Laterally flex vertebral column
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Spinalis: Proximal Attachment
Arises by a broad tendon from posterior part of iliac crest, posterior surface of sacrum, sacroiliac ligaments, sacral and inferior lumbar spinous processes, and supraspinous ligament
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Spinalis: Distal Attachments
Thoracis, cervicis, capitis. Fibers run superiorly to spinous processes in the upper thoracic regions and to cranium
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Spinalis: Innervations
Posterior rami of spinal nerves
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Spinalis: Actions
Bilaterally: Extend vertebral column and head; as back is flexed, control movement via eccentric contraction. Unilaterally: Laterally flex vertebral column
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Semispinalis: Proximal Attachments
Transverse processes of C4-T12 vertebrae
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Semispinalis: Distal Attachments
Thoracis, cervicis, capitis. Occipital bone and spinous processes in thoracis and cervical regions, spanning 4-6 segments
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Semispinalis: Innervations
Posterior rami of spinal nerves
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Semispinalis: Actions
Extension. Extends head and thoracic and cervical regions of vertebral column and rotates contralaterally
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Multifidis: Proximal Attachments
Posterior sacrum, posterior iliac spine, aponeurosis of erector spinae, sacroiliac ligaments, mammillary processes of lumbar vertebrae, transverse processes of T1-T3, articular processes of C4-C7
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Multifidis: Distal Attachments
Fibes pass entire length of spinous processes, located 2-4 segments superior to proximal attachment
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Multifidis: Innervations
Posterior rami of spinal nerves
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Multifidis: Actions
Extension. Stabilizes vertebrae during local movements of vertebral column
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Rotares: Proximal Attachments
Transverse processes of vertebrae, developed best in thoracic region
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Rotares: Distal Attachments
Junction of lamina and transverse process or spinous process of vertebra immediately (brevis) or 2 segments (longus) superior to vertebra of attachment
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Rotares: Innervations
Posterior rami of spinal nerves
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Rotares: Actions
Extension. Stabilize vertebrae and assist with local extension and rotary movements of vertebral column. May function as organs of proprioception
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Rectus Capitis Posterior Major: Proximal Attachments
Spinous process of vertebra C2
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Rectus Capitis Posterior Major: Distal Attachments
Lateral part of inferior nuchal line of occipital bone
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Rectus Capitis Posterior Major: Innervations
Suboccipital nerve (C1)
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Rectus Capitis Posterior Major
Extension and rotation of head
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Rectus Capitis Posterior Minor: Proximal Attachments
Posterior tubercle of posterior arch of C1
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Rectus Capitis Posterior Minor: Distal Attachments
Medial part of inferior nuchal line
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Rectus Capitis Posterior Minor: Innervations
Suboccipital nerve (C1)
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Rectus Capitis Posterior Minor: Actions
Extension of Head
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Obliques Capitis Inferior: Proximal Attachments
Posterior tubercle of posterior arch of C2
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Obliques Capitis Inferior: Distal Attachments
Transvers process of verteba C1
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Obliques Capitis Inferior: Innervations
Suboccipital nerve (C1)
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Obliques Capitis Inferior: Actions
Rotation of head
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Obliques Capitis Superior: Proximal Attachments
Transverse process of vertebra C1
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Obliques Capitis Superior: Distal Attachments
Occipital bone between superior and inferior nuchal lines
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Obliques Capitis Superior: Innervations
Suboccipital nerve (C1)
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Obliques Capitis Superior: Actions
Extension of head
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