3 - Kines - Unit 1 - Shoulder & Arm Flashcards
Muscles Origins, Insertion & actions - Deltoid
The “shoulder” muscle
[Origin]
Spine of the scapula
Acromion process of the scapula
Lateral third of the clavicle
[Insertion]
Deltoid tuberosity of the humerus (lateral mid-humeral shaft)
[Action]
Flexion of the shoulder
Extension of the shoulder
Abduction of the shoulder
Muscles Origins, Insertion & actions - Trapezius
[Origin]
Base of the skull
Nuchal ligament
Spinous processes of C7-T12
[Insertion]
Spine of the scapula
Acromion process of the scapula
Lateral third of the clavicle
[Action]
Elevation of the scapula
Depression of the scapula
Retraction of the scapula
Muscles Origins, Insertion & actions - Latissimus Dorsi
The broadest muscle of the back
[Origin]
Spinous processes of T7-Sacrum
Thoracolumbar Aponeurosis
Iliac crest
[Insertion]
Crest of the lesser tubercle of the humerus
[Action]
Adduction of the shoulder
Extension of the shoulder
Internal rotation of the shoulder
Muscles Origins, Insertion & actions - Teres Major
[Origin]
Inferior angle of the scapula
Lower lateral border of the scapula
[Insertion]
Crest of the lesser tubercle of the humerus
[Action]
Adduction of the shoulder
Extension of the shoulder
Internal rotation of the shoulder
Muscles Origins, Insertion & actions - Rotator cuff muscles
SITS
- Supraspinatus
- Infraspinatus
- Teres Minor
- Subscapularis
Muscles Origins, Insertion & Actions - Rotator cuff muscles - Supraspinatus
[Origin]
Supraspinous fossa of the scapula
[Insertion]
Greater tubercle of the humerus
[Action]
Abduction of the shoulder
Muscles Origins, Insertion & Actions - Rotator cuff muscles - Infraspinatus
[Origin]
Infraspinous fossa of the scapula
[Insertion]
Greater tubercle of the humerus
[Action]
External rotation of the shoulder
Muscles Origins, Insertion & Actions - Rotator cuff muscles - Teres Minor
[Origin]
Upper lateral border of the scapula
[Insertion]
Greater tubercle of the humerus
[Action]
External rotation of the shoulder
Muscles Origins, Insertion & Actions - Rotator cuff muscles - Subscapularis
[Origin]
Subscapular fossa of the scapula
[Insertion]
Lesser tubercle of the humerus
[Action]
Internal rotation of the shoulder
Muscles Origins, Insertion & Actions - Rhomboids (major and Minor)
[Origin]
Spinous processes C7-T5
[Insertion]
Medial border of the scapula
[Action]
Retraction of the scapula
Muscles Origins, Insertion & Actions - Serratus Anterior
[Origin]
Anterior surface of the first eight ribs
[Insertion]
Medial border of the scapula
[Action]
Protraction of the scapula
Muscles Origins, Insertion & Actions - Levator scapula
[Origin]
Transverse processes of C1-C4
[Insertion]
Superior angle of the scapula
[Action]
Elevation of the scapula
Muscles Origins, Insertion & Actions - Pectoralis Major
[Origin]
Sternum
Ribs
Medial half of the clavicle
[Insertion]
Crest of the greater tubercle of the humerus
[Action]
Adduction of the shoulder
Internal rotation of the shoulder
Horizontal adduction of the shoulder
Muscles Origins, Insertion & Actions - Pectoralis Minor
[Origin]
Anterior surface of the 3rd, 4th & 5th ribs
[Insertion]
Coracoid process of the scapula
[Action]
Protraction of the scapula
Depression of the scapula
Muscles Origins, Insertion & Actions - Coracobrachialis
[Origin]
Coracoid process of the scapula
[Insertion]
Medial surface of mid-humeral shaft
[Action]
Flexion of the shoulder
Adduction of the shoulder
Muscles that form the auxiliary (= arm pit) borders
- Lattissimus dorsi
- Teres major
- Pectoralis major
Thoracic Outlet Syndrome (TOS)
Test bonus question: write definition
A tight pectoralis minor can compress the neurovascular bundle of the upper extremity causing pain, abnormal sensations and weakness in the upper extremity
Shoulder Complex or pectoral Girdles - Bones
6 bones - 3 each side
- Scapula (shoulder blades) - x2
- Humerus (arm bone) - x2
- Clavicle (collar bone) - x2
Landsmarks - Definition - Border
An edge of a bone
Landsmarks - Definition - Angle
Created by two borders coming together
Landsmarks - Definition - Fossa
A shallow depression or dent in a bone
Landsmarks - Definition - Process
A prominent bony growth that projects
Landsmarks - Definition - Tubercle
A small, rounded process
Tendon attachement point
Landsmarks - Definition - Head
A rounded projection at the end of a bone at an articulation
Landsmarks - Definition - Sulcus
A ditch like groove
Landsmarks - Definition - Tuberosity
A large, rounded, usually roughened protuberance
Landsmarks - Definition - Aponeurosis
A board sheet of connective tissue
Landsmarks - Scapula
- Medial (Vertebral) border
- Lateral (Axiliary) border
- Superior angle
- Inferior angle
- Spine of the scapula
- Subscapular fossa (on the anterieur surface - under the scapula)
- Supraspinous fossa (on the posterior surface of the scapula, above the spine of the scapula)
- Infraspinous fossa (on the posterior of the scapula below the spine of the scapula)
- Glenoid fossa (most lateral fossa of the scapula = shoudler joint ?)
- Acromion process
- Coracoid process
- Supraglenoid tubercle
- Infraglenoid tubercle
Landsmark - Humerus (proximal end)
- Head
- Greater tubercle (larger and lateral)
- Lesser tubercle (smaller and medial)
- Intertubercular groove (aka bicipital sulcus)
- Crest of the greater tubercle
- Crest of the lesser tubercle
- Deltoid tuberosity
Landsmark - Clavicle
- Acromial (lateral) end - connects the clavicle to the scapula
- Sternal (medial) end - connects the clavicle to the sternum
Landsmark - Miscellaneous structures
- Spinous and transverse processes of vertebra
- Nuchal ligament (attaches to the posterior portions of the cervical vertebrae)
- Thoracolumbar aponeurosis
- Iliac crest (top edge of the flat portion of the hip bone)
- Sacrum
- Ribs and Sternum (breast bone)
Shoulder Complex or pectoral Girdles - 4 Joints
3 true joints - Synovial or Freely Movable joints - Sternoclavicular joint - Acromioclavicular joint - Glonohumeral joint Not a true joint - Scapulothoracic joint
Shoulder Complex or pectoral Girdles - Sternoclavicular joint
- AKA SC joint or SCJ
- Formed by the sternum and the medial clavicle
Shoulder Complex or pectoral Girdles - Acromioclavicular joint
- AKA AC joint or ACJ
- Formed by the acromion process of the scapula and lateral clavicle
Shoulder Complex or pectoral Girdles - Glonohumeral joint
- AKA GH joint or GHJ
- Formed by the glenoid fossa of the scapula and the head of the humerus
Shoulder Complex or pectoral Girdles - Scapulothoracic joint
- AKA ST joint or STJ
- Location where the scapula slides upon the thorax
Movements - Flexion
Decrease of the angle in a joint by bringing bones together
Movements- Extension
Increase of the angle in a joint by bringing bones apart
Movements - Abduction
Lateral movement away from the midline of the trunk of the body
Movements - Adduction
Medial movement towards the midline of the trunk of the body
Movements - External rotation
Rotary movement around the axis of the limb away from the midline
Movements - Internal rotation
Rotary movement around the axis of a limb towards the midline
Movements - Horizontal abduction
Abduction of a limb (away from midline) in the transverse plane
Movements - Horizontal adduction
Adduction of a limb (toward midline) in the transverse plane
Movements - Elevation
Movement superiorly
Movements - Depression
Movement inferiorly
Movements - Retraction
Movements backwards towards the spine
Movements - Protraction
Movements forwards away from the spine
Movements - Shoulder movements
+ Glenohumeral joint / Humeral Movements / Arm
- Flexion of the shoulder
- Extension of the shoulder
- Abduction of the shoulder
- Adduction of the shoulder
- External (lateral) of the shoulder
- Internal (medial) of the shoulder
- Horizontal Abduction of the shoulder - aka Horizontal Extension
- Horizontal Adduction of the shoulder - aka Horizontal Flexion
Movements - Scapula movements
Scapulothoracic joint
- Elevation of the scapula
- Depression of the scapula
- Retraction (adduction) of the scapula
- Protraction (abduction) of the scapula
Movements - Shoulder flexion
- Deltoid (primary)
- Coracobrachialis
Movements - Shoulder extension
- Deltoid
- Lats
- Teres Major
Movements - Shoulder abduction
- Deltoid
- Supraspinatus
Movements - Shoulder adduction
- Lats
- Teres Major
- Pectoralis Major
Movements - Shoulder internal rotation
- Subscapularis
- Pectoralis major
- Lats
- Teres Major
Movements - Shoulder external rotation
- Infraspinatus
- Teres Minor
Movements - Shoulder elevation
- Levator scapula
- Trapezius
Movements - Shoulder depression
- Trapezius
- Pectoralis Minor
Movements - Scapula protraction
- Serratus anterior
- Pectoralis Minor
Movements - Scapula retraction
- Rhomboid
- Trapezius