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Serratus Posterior Superior Muscle Origin: Nuchal ligament; spinous processes of C7-T3 vertebrae. Insertion: External surfaces of second to fifth ribs. Action: Elevates ribs at their costovertebral joints. Innervation: Anterior rami of second to fifth thoracic nerves. The serratus posterior superior muscle is an extrinsic muscle of the back and is found in the upper back region. It is a thin, broad, quadrilateral type of skeletal muscle and its digitations, found at its insertion sites, give the
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