5/20 - 5/21: Axilla and Brachial Plexus Flashcards
What is the insertion of the pectoralis major?
Humerus (crest of greater tuberosity)
What is the innervation of the pectoralis major?
Medial and lateral pectoral n. (C5-T1)
What is the action of the pectoralis major?
Entire muscle: Adduction, internal rotation
Clavicular and sternocostal parts: flexion; assist in respiration when shoulder is fixed
What is the origin of the pectoralis minor?
3rd-5th ribs
what is the insertion of the pectoralis minor?
coracoid process
what is the innervation of the pectoralis minor?
medial pectoral n. (C8, T1)
What is the action of the pectoralis minor?
anterior tilt, protracts scapula, depresses scapula when elevated
What is the origin of the serratus anterior (serratus part, intermediate part, inferior part)?
1st-9th ribs
What is the insertion of the serratus anterior (superior part, intermediate part, inferior part)?
Scapula (medial border)
What is the innervation of the serratus anterior (superior, intermediate, and inferior part)
Long thoracic n. (C5-C7)
What is the action of the serratus anterior superior part?
adducts the arm
What is the action of the serratus anterior intermediate part?
Entire muscle: Draws scapula laterally forward; elevates ribs when shoulder is fixed
Protracts scapula
What is the action of the serratus anterior inferior part?
Protracts scapula
What is the origin of the subclavius?
1st rib
What is the insertion of the subclavius?
Clavicle (inferior surface)
What is the innervation of the subclavius?
N. to subclavius (C5, C6)
What is the action of the subclavius?
Steadies the clavicle in the sternoclavicular joint
What is the origin of the deltoid clavicular part?
lateral one third of clavicle
what is the insertion of the deltoid?
humerus (deltoid tuberosity)
What is the innervation of the deltoid?
Axillary n. (C5,C6)
What is the action of the deltoid, clavicular part?
Flexion, internal rotation, adduction.
What is the origin of the deltoid acromial part?
Acromion
What is the action of the deltoid acromial part?
Abduction
What is the origin of the deltoid spinal part?
scapular spine
What is the action of the deltoid spinal part?
extension, external rotation, adduction
What is the origin of the latissimus dorsi?
Iliac crest, 9th-12th ribs, Scapula (inferior angle), spinous process of T7-T12 vertebrae; thoracolumbar fascia
What is the insertion of the latissimus dorsi?
Floor of the intertuberculargroove of the humerus
What is the innervation of the latissimus dorsi?
Thoracodorsal n. (C6-C8)
What is the action of the latissimus dorsi?
Internal rotation, adduction, extension, respiration
What is the origin of the sternocleidomastoid sternal head?
sternum (manubrium)
What is the insertion of the sternocleidomastoid?
Temporal bone (mastoid process), Occipital bone (superior nuchal line)
What is the innervation of the sternocleidomastoid?
Motor: Accessory n. (CN XI)
Pain and Proprioception: Cervical plexus (C2, C3)
What is the action of the sternocleidomastoid?
Unilaterally: Tilts head to same side, rotates head to opposite side
Bilateral: Extends head, aids in respiration when head is fixed
What is the origin of the pectoralis major?
Clavicular part: Clavicle (medial half)
Sternocostal part: sternum and costal cartilages 1-6
Abdominal part: rectus sheath (anterior layer)
What is the origin of the sternocleidomastoid clavicular head?
Clavicle (medial one third)
What is the origin of the anterior scalene?
C3-C6 (anterior tubercles of transverse processes)
What is the insertion of the anterior scalene?
1st rib (scalene tubercle)
What is the origin of the middle scalene?
C1-C2 (transverse processes),
C3-C7 (posterior tubercles of transverse processes)
What is the insertion of the middle scalene?
1st rib (posterior to groove for subclavian artery)
What is the origin of the posterior scalene?
C5-C7 (posterior tubercles of transverse processes)
What is the insertion of the posterior scalene?
2nd rib (outer surface)
What is the innervation of the scalenes?
Direct branches from cervical and brachial plexuses (C3-C8)
What is the action of the scalenes?
With ribs mobileElevates upper ribs (during forced inspiration)
With ribs fixed: Bends cervical spine to same side (Unilateral), Flexes neck (bilateral)
What is the origin of the omohyoid?
Superior border of the scapula
insertion of omohyoid?
hyoid bone
innervation of omohyoid?
ansa cervicalis of cervical plexus (C1-C3)
action of omohyoid?
depresses hyoid and larynx (for phonation and terminal phases of swallowing)
What is the insertion of the omohyoid?
Hyoid bone
What is the innervation of the omohyoid?
Ansa cervicalis of cervical plexus (C1-C3)
What are the actions of the omohyoid?
Depresses hyoid and larynx (for phonation and terminal phases of swallowing)