6c Flashcards
subunits of brachial plexus
Roots -> Trunks -> Divisions -> Cords -> Branches
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brachial plexus
Not the only plexus in the body have a cervical, lumbar and saccral ones
They give rise to nerves that innervate certain muscles.
This is how the nerves arise of the spinal cord in bundles
why have a brachial plexus
Why have plexus, why not have nerves straight of the spinal cord?
The reason is of the redundancy to the type of innervation
If there is damage to the plexus
We have multiple levels of input for a certain movement.
brachial plexus - M
Musculocutaneous Nerve
Medial Nerve
Ulnar Nerve
KNOW DIAGRAM - GO DO THAT NOW + CHECK NOTES TO SEE WHAT THEY ALL DO
radial nerve
is posterior and not a part of the M, goes to posterior arm and posterior forearm
subclavian artery + vein
In between radial nerve and the Median and Ulnar Nerve
median nerve
Anterior forearm from the spinal cord
It has multiple roots down to the spinal cord.
It thereby also has lots of innervation and it can go from C5 and C8
In between those two is partial innervation ( C5 and C8)
Multiple levels provide movement.
muscles of pectoral girdle
Anterior and posterior muscles
- Same region we have muscles that move the humerus as well.
Humerus
- Axial muscles move the humerus
- Muscles also orginate both anteriorily and posteriorily off the scapula
muscles that move shoulder
trapezius
rhomboids
levator scapulae
trapezius
Large muscle group labelled number 1 is a triangular shaped muscle.
Functional sense it has multiple functions with opposite functions
It can extend and flex depending on which fibers are contracted
And since the muscle is so large you can select the fibres that can do specific functions.
trapezius - contractions
When you contract the muscle it is not an all out contraction it is not maximal
It is delicate and not all the muscle groups are affected at once.
It is possible to maximally contract just not realistic.
trapezius - fibers
There are fibers in this muscle that run in different directions.
Inferior medially
Horizontal
Oblique
trapezius - attachments
All along the spinous processes.
Superior spinous ligament
In this region of the back where the trapezius goes down the spinuous process as many muscles attach to the superior spinous ligament or ligamentum nuchae.
- - >The trapezius orginates here.
trapezius - relation to scapula`
It attaches to the spine of the scapula
Abduction - scapula moves laterally
Adduction - scapula moves inwards
Scapula can downwardly rotate where the glenoid fossa moves down or upwardly rotate where the glenoid fossa moves up.
Superior fibres cause upwards rotation of the scapula
When the inferior fibres contract the press down and upwards rotate the scapula
Middle fibers are horizontal so it causes abduction of the scapula and innervation is via the accessory nerve.
rhomboids
Major and minor and functionally they do the same thing
Innervated by the dorsal scapular nerve
These elevate, adduct and downwardly rotate the scapula.
There are two muscles here collectively move the body.
levator scapulae
Elevates and downwards rotation of the scapula
Dorsal scapula nerve.
subclavius
Only muscle that attaches to the clavicle and attaches from the first rib to the underside of the clavicle.
Contract this muscle when we breathe or move our shoulder.
Innervation is via the subclavian nerve
pectoralis minor
Attaches from ribs 3 to 5 and attaches to the coracoid process on the scapula which is its insertion point.
It does two things:
- Breathing as it attaches to the ribs, lifts up the ribs
- It causes abduction of the scapula by contraction pulling it away from the midline.
Innervation through the muscle is via the pectoral nerve.
serratus anterior
originates at the ribs
- From the ribs it goes along the ribs around to the back and goes underneath the scapula and attaches to the medial border.
Innervation is in the long thoracic nerve.
It assists in breathing
This muscle is used to ensure the scapula stays flat against the back of the rib cage.
- No matter where we position our arm it stays in its position and moves slightly when it is rotating.
If you generate a lot of force the scapula would move laterally and the glenoid fossa would come anterior
- If the force was strong enough it would go to the clavicle and this is why we do not have this why the serratus anterior muscle.
If you ask people to push against a wall when they have a damage to the long thoracic nerve they get winging scapulae they would likely break their clavicle.
coracobrachialis
Anterior compartment of the arm and it is a deep muscle
It is not part of this muscle compartment with the subclavius, pectoralis minor and serratus anterior but is innervated by the musculocutaneous nerve.
pectoralis major muscle
Shoulder girdle majority comes off the sternum and the medial third of the clavicle
It attaches to the greater tubercle of the humerus.
It is a large muscle with multiple functions
When contracted you can have adduction of the humerus, flexion of the shoulder or bringing the humerus forwards and medial rotation.
Innervation by the pectoral nerves.
latissmuss dorsi muscle
Comes off the axial skeleton at the thoracolumbar fascia.
It runs underneath the armpit and attaches to the intertubercular cursis or the biccipital groove just medial to the attachment of the pectoralis major
It adducts the humerus and medially rotates the humerus as well.
It goes underneath the arm to medially rotate to attach to the anterior side of the proximal humerus.
It also causes extension of the shoulder since it arises from the back.
Innervation is from the thoracodorsal nerve.
deltoid
Moves the humerus and it can be either an anterior or posterior muscle
It has multiple fibre groups.
Deltoid starts by attaching to the lateral process of the clavicle along the acromion process and down the spine of the scapula.
Axillary nerve innervates this whole muscle.
On the humerus it attaches to the deltoid tuberosity just down from the shaft.
deltoid - groups of fibres
Anterior
- Attach to the clavicle
- Contract these you have flexion and medial rotation.
Middle
- Acromion process
- Contraction abduction lift up the humerus
Posterior
- Spine of the scapula.
- Fibres from here extension and lateral rotation of the shoulder joint.