Pin Pointing Pain Upper Back

Anterior muscles
Serratus anterior pg 94
Origin - surfaces of upper eight or nine ribs
Insertion - anterior surface of medial border of the scapula
Movement - with origin fixed: abduct the scapula, depress the scapula, hold the medial border of the scapula against the rib cage.
Joint - scapulothoracic
Posterior muscles
Scalene pg 253
Origin- transverse processes of second through seventh cervical vertebrae (posterior tubercles)
Insertion - first rib
Movement - unilaterally: with the ribs, fixed, laterally flex the head and neck to the same side, rotate the head and neck to the opposite side, elevate the ribs during inhalation
Levator scapulae pg 92
Origin - transverse processes of first through fourth cervical vertebrae
Insertion - upper region of medial border and superior angle of scapula
Movement - unilaterallly: elevate the scapula, downwardly rotate the scapula, laterally flex the head and neck, rotate the head and neck to the same side. Bilaterally: extend the head and neck
Joint - scapulothoracic
Supraspinatus pg 83
Origin- supraspinous fossa of the scapula
Insertion - greater tubercle of the humerus
Movement - abduct the shoulder, stabilize head of humerus in glenoid cavity
Joint - glenohumeral
Infraspinatus pg 83
Origin- infraspinous fossa of the scapula
Insertion - greater tubercle of the humerus
Movement - laterally rotate the shoulder, adduct the shoulder, extend the shoulder, horizontally abduct the shoulder, stabilize head of the humerus in glenoid cavity
Joint - glenohumeral
Trapezius pg 77
Origin- external occipital protuberance, medial portion of superior nuchal line of the occiput, ligamentum nuchae and spinous processes of C-7 through T - 12
Insertion- lateral one-third of clavicle, acromion and spine of the scapula
Movement - unilaterally, laterally flex the head and neck to the same side, rotate the head and neck to the opposite side, elevate the scapula, upwardly rotate the scapula
Joint - scapulothoracic

Rhomboids pg 90
Origin- major: spinous processes of T- 2 to T- 5, minor: spinous proesses of C - 7 to T - 1
Insertion - major: medial border of the scapula between the spine of the scapula and inferior angle
Movement - adduct the scapula, elevate the scapula, downwardly rotate the scapula
Joint - scapulothoracic

Serratus posterior superior pg 222
Origin- spinous processes of C-7 to T- 3
Insertion - posterior surface of second through fifth ribs
Movement - elevate the ribs during inhalation

Latissimus dorsi pg 79
Origin- spinous processes of last six thoracic vertebrae, last three or four ribs, thoracolumbar aponeurosis and posterior iliac crest
Insertion - crest of the lesser tubercle of the humerus
Movement - extend the shoulder, adduct the shoulder, medially rotate the shoulder
Joint - glenohumeral
Spinalis pg 203
Origin- spinous processes of the upper lumbar and lower thoracic vertebrae (thoracis) ligmentum nuchae, spinous process of C - 7 (cervicis)
Insertion- spinous processes of upper thoracic (thoracis) spinous processes of cervicals, except- C- 1
Movement - unilaterally: laterally flex vertebral column to the same side, bilaterally; extend the vertebral column