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Transcript of ANATOMI_Muscle_of_the_Back.pptx
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Muscle of the Back, Head
and Neck
Disusun oleh
I Nyoman Mangku Karmaya
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Tujuan
• Memahami distribusi otot ventral dan dorsaltubuh
• Memahami laisan otot dorsal tubuh
• Mengidenti!kasi otot dorsal tubuh, origo,insertio dan fungsinya
• Menjelaskan thoracolumbar fascia
• Mengidenti!kasi otot "ajah, otot engunyahdan fungsinya
• Memahami akibat yang terjadi akibatkelainan ada otot di atas
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Department of Anatomy, MedicalFaculty Udayana University
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Department of Anatomy, MedicalFaculty Udayana University
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Department of Anatomy, MedicalFaculty Udayana University
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Coccygeal
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Superficial Muscles
Superficial layer First layer
• Trapezius
• atissimus dorsiSecond layer
• evator scapulae
• !"om#oid minor and ma$or%onnect upper lim# to trun&
MOBTCD
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Trapezius
• T"e trapezius is a lar'e, flat,trian'ular muscle, covering the
posterior aspect of the neck
and superior half of the trunk.
• (t attaches the pectoral girdle tothe skull and the vertebral
column.
• (t also "elps in suspending the
shoulder girdle and rotates thescapula.
• T"e trapezius is supplied #y t"e
spinal part of the accessory, t"e
elevent" cranial nerve)
MOBTCD
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• Lower third fi#res insert into t"emedial end of spine of scapula
• +erve supply: spinal accessory
nerve %- . 5/
• 0roprioceptive fi#res from t"e %3 . 4cervical ple1us)
• Actions:
2 Upper fi#res elevate and e1tension of
t"e nec&
2 Middle fi#res retract scapula
2 Upper and loer fi#res rotation of
scapula
Trapezius MOBTCD
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• The upper fibres elevate t"e scapula,s"ru' s"oulders)
• The intermediate fibres dra t"e
medial #order of t"e scapula near to
t"e midline and press a'ainst t"e
c"est all)
• The lower fibres pull t"e scapula
donard and depress t"e tip of t"e
s"oulder)
• The three parts of t"e trapezius, actin' to'et"er,
dra t"e scapula medially and rotate t"e 'lenoid
fossa superiorly in a#duction of t"e s"oulder)
TrapeziusMOBTCD
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• T"e trapezius muscle is involved int"roin' events
• (n racuet sports and in over"ead
movements
• Middle fi#res "elp to sta#ilise t"escapula in roin' and simmin'
• (t prevents t"e 'lenoid fossa #ein'
pulled don "en liftin' "eavy
o#$ects it" your arms• (t also "elps "en you are "oldin'
an o#$ect over"ead
Trapezius MOBTCD
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atissimus Dorsi
• T"e latissimus dorsi is a lar'e,ide fan.s"aped muscle
covering the inferior part of
the back
• (t arises from
2 t"e spines of t"e loer si1
t"oracic verte#rae
2 T"e lum#ar fascia
2 T"e posterior t"ird of t"e outer
lip of t"e iliac crest
2 T"e loer t"ree ri#s and t"e
inferior an'le of t"e scapula
MOBTCD
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• (t spirals around t"e teresma$or
• Forms medial part of t"e
posterior fold of t"e a1illa
• (t is inserted #y a flat "ite
#ilaminated tendon into t"e
floor of t"e #icipital 'roove
• +erve supply: t"oracodorsalnerve %,6,7
atissimus Dorsi MOBTCD
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• 81tends t"e s"oulder • 0oerful adductor of t"e arm
clim#in' muscle/
• !otates t"e "umerus medially
at t"e s"oulder $oint
• T"e latissimus dorsi is anaccessory muscle of
respiration if "umerus is fi1ed
• (t is supplied #y t"e t"oracodorsal nerve
%,6,7• (t is involved in activities suc" as paddlin'
a canoe, clim#in' and simmin'
atissimus Dorsi MOBTCD
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• (n freestyle simmin', t"elatissimus dorsi is a prime
mover in t"e don stro&e of
t"e arm, mainly an e1tension
movement and some medialrotation
• (n canoein', t"e muscle is a
prime mover in t"e don
stro&e of t"e paddle, amovement of e1tension,
adduction and medial
rotation
atissimus Dorsi MOBTCD
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Superficial Muscles
Second ayer
Deep to trapezius• evator scapulae
• !"om#oid minor
and ma$or• T"ey connect
upper lim# to
trun&
MOBTCD
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evator Scapulae
• T"e levator scapulae musclelies under the trapezius
• (t "as its origin from t"e
transverse processes of t"e
upper four cervical verte#rae
%- to %4/
• Inserted into t"e superior
part of t"e medial #order oft"e scapula
MOBTCD
MOB
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• The action of t"e levatorscapulae is to raise t"e medial
mar'in of t"e scapula and in
doin' so rotate it so as to
produce donard rotation oft"e 'lenoid cavity
• The nerve supply is %5 via t"e
nerve to t"e r"om#oids from t"e
roots of t"e #rac"ial ple1us
evator Scapulae MOBTCD
MOB
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!"om#oid Ma$or and Minor
• T"e r"om#oid ma$or and minor
muscles lie deep to the trapezius
and are not alays distinct from eac"
ot"er
• !"om#oid minor arises from %6 and
T- verte#rae• T"e ma$or is a#out tice as ide as
t"e minor
• Arises from T9.5
• Appearin' as parallel #ands, t"ey#ot" pass inferiolaterally from t"e
verte#rae
)
MOBTCD
MOB
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•T"e r"om#oid ma$or and minormuscles or& to'et"er
• Action :
2 Retract the scapula and rotate it
to depress t"e 'lenoid cavity
2 elp the serratus anterior
muscle to "old t"e scapula
a'ainst t"e t"oracic all
2 !i" the scapula durin'
movements of t"e upper lim#• The nerve supply is %5 via t"e
nerve to t"e r"om#oids from t"e
roots of t"e #rac"ial ple1us
!"om#oid Ma$or and Minor MOBTCD
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MOB
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Deep ayer: Transversospinal
• (n t"e 'roove #eteen transverseprocesses and spines of verte#rae
• %ollectively termed t"e
transversospinal muscles
• %onsists of several s"ort muscles• Semispinalis
• Actin' #ilaterally: e1tend and sta#ilise
spine
• Actin' unilaterally: rotate spine to
opposite side and laterally fle1
MOBTCD
MOB
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Semispinalis
• T"ree part muscle 2 T"oracis
2 %ervicis
2 %apitis
• Actin' #ilaterally it ille1tend "ead, nec& and
t"oracic spine
• Actin' unilaterally it
rotates "ead and nec&
to t"e opposite side
OTCD
MOB
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!otatores
• S"ort muscle• Attac"ed from transverse
processes of one verte#ra
• To t"e #ase of t"e spinous
process of t"e verte#ra
superiorly
• Action: rotates t"e spine to
opposite side• Mainly in t"oracic re'ion
TCD
MOB
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MultifidusTCD
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Thoracolumbar #ascia
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$oyright % &''(
)earson *ducation, Inc+,ublishing as Benjamin
Muscles of the Head #acial
*-ression
• Muscles of facial e-ression 2 .ie in the face and scal
2 Thin and variable in shae
2 /ften insert in the skin not on bones
2 Innervated by cranial nerve 0II thefacial nerve
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$oyright % &''(
)earson *ducation, Inc+,ublishing as Benjamin
Muscles of the Head #acial
*-ression
Fi'ure --)7
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$oyright % &''(
)earson *ducation, Inc+,ublishing as Benjamin
Muscles Mastication and Tongue
Movement
• #our main airs of musclesinvolved in mastication 2 Innervated by mandibular division of
the trigeminal nerve 1cranial nerve 02
2 )rime movers of ja" closure• Masseter and temoralis
2 3ide4to4side movement• )terygoid muscles
2 $omression of cheeks• Buccinator muscles
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$oyright % &''(
)earson *ducation, Inc+,ublishing as Benjamin
Muscles of Mastication and Tongue
Movement
Fi'ure --);a, #
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$oyright % &''(
)earson *ducation, Inc+,ublishing as Benjamin
Muscles Mastication and Tongue
Movement
• *-trinsic muscles of the tongue
• Move tongue 2 .aterally
2 5nteriorly
2 )osteriorly
• 5ll innervated by cranial nerve 6II
the hyoglossal nerve
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$oyright % &''(
)earson *ducation, Inc+,ublishing as Benjamin
Muscles of Mastication and Tongue
Movement
Fi'ure --);c
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$oyright % &''(
)earson *ducation, Inc+,ublishing as Benjamin
Muscles of the 5nterior Neck and Throat 3"allo"ing
• The neck is divided into anterior andosterior triangles
• 5nterior triangle 2 Divided into suprahyoid and
infrahyoid muscles
2 )articiate in s"allo"ing
• Pharyngeal constrictors 2 37uee8e food into the esohagus
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$oyright % &''(
)earson *ducation, Inc+,ublishing as Benjamin
Muscles of the 5nterior Neck and Throat 3"allo"ing
Fi'ure --)-<#
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$oyright % &''(
)earson *ducation, Inc+,ublishing as Benjamin Fi'ure --)--a
Muscles of the Neck and 0ertebral
$olumn
• Head movement 2 Sternocleidomastoid
2 Splenius capitis and splenius
cervicis
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