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Flap 1 Flap 2
Q T/F The splenius capitis and the splenius cervicis are one m.?  A T, although they have two different insertions.  
Q What is the origin of the splenius capitis m.?  A lower 1/2 nuchal lig., C7-T4 SP's.  
Q As the splenius capitis m. attaches to the nuchal lig., a space is created between this attachment and underlying mm. that attach to the vertebrae. What m. is visualized because of this space?  A The semispinalis capitis m.  
Q What is the insertion of the splenius capitis m.?  A mastoid process, lat 1/3 sup nuchal line.  
Q What m. attaches to med 1/3 of sup nuchal line?  A traps  
Q What m. does the splenius capitis lie deep to?  A serratus pos. sup.  
Q The innervation of the deep grrroooop of back m. is essentially the same all around. What is it? What about the blood supply?  A dorsal rami of segmental nn. Blood supply varies.  
Q This m. originates T3-T6 Sp's, and inserts on the pos. tubercle of C1-C4 TP's.  A splenius cervicis  
Q Other than the splenius cervicis, what m. inserts on the TP's of C1-C4?  A levator scap  
Q How many iliocostalis m. are there?  A 3. Lumborum, Thoracis, Cervicis. These make up the intermediate layer of the deep group of back m.  
Q What is the most lateral bundle of mm. in the intermediate layer/deep group of back mm.?  A Iliocostalis. There is no "capitis" m. here, only lumborum, thoracis, and cervicis.  
Q Are the iliocostalis mm. associated with ribs, TP's, or SP's?  A Ribs.  
Q What is the O/I of the I. Lumborum?  A O = iliac crest, I = lower 6 ribs  
Q What iliocostalis m. spans from the bottom 6 ribs to the top 6 ribs?  A I. Thoracis  
Q The I. cervicis m. originates from the upper 6 ribs, and inserts where?  A TP's C4-6. Remember specifics are hard to give, so think "TP's of lower C's"  
Q Is there such thing as L. Lumborum m.?  A. No, Longissimus mm. only include thoracis, cervicis, and capitis.  
Q Are the longissimus mm. associated with rib, TP, or SP insertions?  A Longissimus = TP insertions.  
Q What is the O/I for the L. Thoracis m.?  A O = sacral ala (ala means wing), and lower lumbar SP's. I = T3-T12 TP's, w/ their adjacent ribs.  
Q The L. cervicis m. originates from T1-T5 TP's. Where does it insert?  Q C2-C6 TP's.  
Q The iliocostalis mm. are most bulky in the sacral region. Where are the Longissimus mm. most bulky?  A Thoracic.  
Q L. capitis originates from T1-T5 TP's. Where does it insert?  A Pos. mastoid process.  
Q Is there a Spinalis lumborum m.?  A NO. "lumborum" is only found in iliocostalis mm.  
Q Are the Spinalis mm. associated with ribs, TP's, or SP's?  A SP's.  
Q If the S. thoracis m. inserts as far up as T1. What is the origin of the S. cervicis? Where does it insert?  A O = C7 SP and lower nuchal lig. I = C2 SP  
Q What mm. blends with the medial side of the semispinalis capitis m.?  A S. Capitis. It lies medial, right next to the SP's, and O/I are same.  
Q Which mm. are considered "postural" mm.?  A erector spinae  
Q What mm. are found in the deep layer of the transversospinalis/deep group of back mm.? Where are these located?  A semispinalis, multifidus, and rotatores. These all lay between TP's and SP's  
Q in the deep layer of the deep group of back mm., which mm. are found in the lumbar region?  A multifidus, and rotatores. The semispinalis mm. originate from lower 6 thoracic TP's and up.  
Q How many vertebrae do the semispinalis m. bundles pass over? Multifidus? Rotatores?  A 4-6, 2-4, 1-2. Remember, these all extend from TP to SP except in cases where skull is involved.  
Q Which m. is the "key" to the SOT?  A semispinalis cervicis.  
Q The semispinalis thoracis m. originates from the lower 6 thoracic TP's. The semispinalis cervicis m. originates from the upper 6 thoracic TP's. Where do they insert?  A Semispinalis Thoracis inserts at upper thoracic/lower cervical SP's. Semispinalis cervicis inserts at C2-3 SP (bifid), maybe lower.  
Q Which m. forms the nuchal furrow?  A semispinalis capitis. This m. has a tendinous inscription, which is almost always vertical (horizontal in netters)  
Q The semispinalis capitis originates from T1-T6 TP's, and the lower 3-4 cervical articular processes. Where does it insert?  A on the occiput, BETWEEN sup. and inf. nuchal lines.  
Q Who is the reigning heavyweight champ in the UFC?  A Randy "The Natural" Couture. He's the man.  
Q What borders the semispinalis capitis m. medially?  A spinalis capitis  
Q Where are the multifidus mm. most easily visualized?  A in the lumbar section, because there is no semispinalis covering them.  
Q The multifidus mm. originate from the sacrum, PSIS, T12-T1 TP's, and C7-C4 articular processes. Where do they insert?  A up 2-4 vertebrae on SP's, meaning L5-C2  
Q The rotatores m. originate from C3-L5 Tp's. Where do they insert?  A rotatores insert 1-2 vertebrae sup. on SP's. if they cover one vert. they are "brevis", and 2 makes them "longus".  
Q The serr. pos. sup/inf mm. are deep to what mm.?  A serr. pos. sup deep to rhomboids, and serr. pos. inf. deep to lats  
Q Where does the transverse cervical artery divide into deep/superficial branches?  A around the levator scap. Remember, sup to traps, and deep to rhomboids.  
REMEMBER: CN11 runs between ant/pos roots of C1-C5  REMEMBER: The spinal accessory n. innervates the trapezius. This is a cranial n., not a spinal n., even though it exits from the spine. This is because it travels between the ant/pos roots of C1-C5, and does not travel through an spinal n. roots