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Posterior axio-appendicular muscles and descriptions

Posterior axio-appendicular muscles and descriptions
Muscle Proximal attachment Distal attachment Innervation* Main action
Superficial posterior axio-appendicular (extrinsic shoulder) muscles
Trapezius Medial third of superior nuchal line; external occipital protuberance; nuchal ligament; spinous processes of C7 - T12 vertebrae Lateral third of clavicle; acromion and spine of scapula Spinal accessory nerve (CN XI) (motor fibers) and C3, C4 spinal nerves (pain and proprioceptive fibers) Descending part elevates; ascending part depresses; and middle part (or all parts together) retracts scapula; descending and ascending parts act together to rotate glenoid cavity superiorly
Latissimus dorsi Spinous processes of inferior 6 thoracic vertebrae, thoracolumbar fascia, iliac crest, and inferior 3 or 4 ribs Floor of intertubercular sulcus of humerus Thoracodorsal nerve (C6, C7, C8) Extends, adducts, and medially rotates humerus; raises body toward arms during climbing
Deep posterior axio-appendicular (extrinsic shoulder) muscles
Levator scapulae Posterior tubercles of transverse processes of C1 - C4 vertebrae Medial border of scapula superior to root of scapular spine Dorsal scapular (C4, C5) and cervical (C3, C4) nerves Elevates scapula and rotates its glenoid cavity inferiorly by rotating scapula
Rhomboid minor and major

Minor: nuchal ligament; spinous processes of C7 and T1 vertebrae

Major: spinous processes of T2 - T5 vertebrae

Minor: smooth triangular area at medial end of scapular spine

Major: medial border of scapula from level of spine to inferior angle
Dorsal scapular nerve (C4, C5) Retract scapula and rotate its glenoid cavity inferiorly; fix scapula to thoracic wall
* The spinal cord segmental innervation is indicated (eg, "C4, C5" means that the nerves supplying the rhomboids are derived from the fourth and fifth cervical segments of the spinal cord). Numbers in boldface (C5) indicate the main segmental innervation. Damage to one or more of the listed spinal cord segments or to the motor nerve roots arising from them results in paralysis of the muscles concerned.
Reproduced with permission from: Clinically Oriented Anatomy, 7th ed, Moore KL, Agur AM, Dalley AF (Eds), Lippincott Williams & Wilkins, Philadelphia 2013. Copyright © 2013 Lippincott Williams & Wilkins. www.lww.com.
Graphic 97468 Version 3.0

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