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The thoracolumbar fascia is thought to be involved in load transfer between the trunk and limb (it is tensioned by the action of the latissimus dorsi muscle, gluteus maximus muscle, and the hamstring muscles), and lifting. [1]: 814–815 It is endowed with nociceptive receptors, and may be involved in some forms of back pain. [1]: 814–815
There are two rhomboid muscles on each side of the upper back: [1] [2] [3] Rhomboid major muscle; Rhomboid minor muscle; The large rhombus-shaped muscle, located under the trapezius muscle, in the upper part of the thoracic region of the back, and the small muscle, in the same way, participate in the movement of the scapula. [4]
The quadratus lumborum muscle originates by aponeurotic fibers into the iliolumbar ligament and the internal lip of the iliac crest for about 5 centimetres (2.0 in). It inserts from the lower border of the last rib for about half its length and by four small tendons from the apices of the transverse processes of the upper four lumbar vertebrae.
The multifidus (multifidus spinae; pl.: multifidi) muscle consists of a number of fleshy and tendinous fasciculi, which fill up the groove on either side of the spinous processes of the vertebrae, from the sacrum to the axis. While very thin, the multifidus muscle plays an important role in stabilizing the joints within the spine.
The latissimus dorsi (/ l ə ˈ t ɪ s ɪ m ə s ˈ d ɔːr s aɪ /) is a large, flat muscle on the back that stretches to the sides, behind the arm, and is partly covered by the trapezius on the back near the midline.
The erector spinae (/ ɪ ˈ r ɛ k t ər ˈ s p aɪ n i / irr-EK-tər SPY-nee) [1] or spinal erectors is a set of muscles that straighten and rotate the back.The spinal erectors work together with the glutes (gluteus maximus, gluteus medius and gluteus minimus) to maintain stable posture standing or sitting.
The prevertebral muscles are the muscles located between the prevertebral fascia (older definition) and the vertebral column, i.e., the longus capitis, [1] longus colli, [1] rectus capitis anterior, and rectus capitis lateralis [2] muscles.
Acute calcific tendinitis of the longus colli muscle can occur. This presents with acute onset of neck pain, stiffness, dysphagia and odynophagia, and must be distinguished from retropharyngeal abscess and other sinister conditions. Imaging diagnosis is by CT or MRI, demonstrating calcification in the muscle in addition to retropharyngeal oedema.