M01.09.003 Intermediate Muscles

The back muscles are categorized into three major groups based on their location and function:

Classification of Back Muscles

  1. Superficial Group
    • Associated with: Shoulder movements.
    • Development: Extrinsic, as they do not develop embryologically in the back.
  2. Intermediate Group
    • Associated with: Movements of the thoracic cage.
    • Development: Extrinsic, similar to the superficial group.
  3. Deep Group
    • Associated with: Movements of the vertebral column.
    • Development: Intrinsic, as they develop embryologically in the back.

This guide focuses on the intermediate back muscles, including their attachments, innervation, and functions.


Intermediate Back Muscles

The intermediate group comprises two muscles:

  • Serratus Posterior Superior
  • Serratus Posterior Inferior

These muscles extend from the vertebral column to the rib cage and contribute slightly to respiratory functions by elevating or depressing the ribs.


Serratus Posterior Superior

  • Shape: Thin and rectangular.
  • Location: Lies deep into the rhomboid muscles in the upper back.
Feature Details
Attachments Originates from the lower ligamentum nuchae and cervical/thoracic spines (C7–T3); attaches to ribs 2–5 in an inferolateral direction.
Actions Elevates ribs 2–5.
Innervation Intercostal nerves.

Serratus Posterior Inferior

  • Shape: Broad and strong.
  • Location: Lies underneath the latissimus dorsi.
Feature Details
Attachments Originates from thoracic and lumbar spines (T11–L3); attaches to ribs 9–12 in a superolateral direction.
Actions Depresses ribs 9–12.
Innervation Intercostal nerves.

Key Points to Remember

  1. Intermediate muscles are extrinsic, meaning they develop outside the back and migrate during embryogenesis.
  2. Function: These muscles primarily assist with thoracic cage movement and may play a minor role in respiration.
  3. Innervation: Both muscles are innervated by the intercostal nerves.
  4. Serratus Posterior Superior: Elevates ribs 2–5 for inspiration.
  5. Serratus Posterior Inferior: Depresses ribs 9–12 for expiration.

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