00:01
Now, we want to shift our attention to the
intermediate muscle group and there are only
two muscles that occupy this layer of the
back musculature, and these would be the serratus
posterior superior and the serratus posterior
inferior. Both those muscles are shown here,
here is the superior one and then your inferior
fellow is shown down here in the lower thoracic
and lumbar region.
00:35
The attachments, the innervation and the actions
of the serratus posterior muscles, for example
your superior serratus posterior shown in
through here is going to originate from the
lower portion of the ligamentum nuchae as
we can see there and the spinous processes
of C7 downwards to T3, the insertion is going
to be on the ribs that we see along here.
01:08
Ribs 2 through 5 generally will be the insertion
points, there is some variability here. Innervation
will be by the anterior rami of your upper
thoracic spinal nerves and the action of the
superior serratus posterior is to assist with
respiration, it will help pull the ribs superiorly.
01:35
The inferior one shown here, the inferior
serratus posterior is going to originate from
the spinous processes of the Serratus posterior inferior will originate from the spinous processes of T11, T12
T10 as
well as the first three lumbar vertebrae.
01:56
It’s going to attach to ribs 9 through 12
typically. Innervation is by the anterior
rami of the relative nerves in this region
and the action is to assist in depressing
the ribs, pulling them downwards and these
muscle slips may also oppose the action of
the diaphragm when it’s contracting during
inspiratory movements.