(7) Upper Extremity Myology Flashcards
Thoracoappendicular (Anterior Axioappendicular) Muscles
What are the (4)?
- Pectoralis Major M.
- Pectoralis Minor M.
- Subclavius M.
- Serratus Anterior M.
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What muscle is this?
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Pectoralis Major M.
Thoracoappendicular Muscles
Pectoralis Major M.
Origin?
Clavicular Head, Medial 1/2 of clavicle
Sternum
Costal Cartilages 1-6
Thoracoappendicular Muscles
Pectoralis Major M.
Insertion?
Lateral edge intertubercular groove of
HUMERUS
Thoracoappendicular Muscles
Pectoralis Major M.
Action?
ADduct and Medially rotate the HUMERUS
Protracts/retracts the SCAPULA
Clavicular head flexes the HUMERUS
Thoracoappendicular Muscles
Pectoralis Major M.
Innervation?
Lateral and Medial Pectoral N.
What is this?
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Pectoralis Minor M.
Thoracoappendicular Muscles
Pectoralis Minor M.
Origin?
Medial aspects of ribs 3-5
Thoracoappendicular Muscles
Pectoralis Minor M.
Insertion?
Coracoid process of Scapula
Thoracoappendicular Muscles
Pectoralis Minor M.
Action?
STABILIZES the Scapula
Thoracoappendicular Muscles
Pectoralis Minor M.
Innervation?
Medial Pectoral N.
What is this?
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Subclavius M.
Thoracoappendicular Muscles
Subclavius M.
Origin?
Upper border 1st rib and 1st costal cartilage
Thoracoappendicular Muscles
Subclavius M.
Insertion?
Inferior aspect of clavicle
Thoracoappendicular Muscles
Subclavius M.
Action?
Stabilize the CLAVICLE
Thoracoappendicular Muscles
Subclavius M.
Innervation?
Nerve to the Subclavius M. (C5-6)
What is this?
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Serratus Anterior M.
Thoracoappendicular Muscles
Serratus Anterior M.
Origin?
Lateral external surface of ribs 1-8
Thoracoappendicular Muscles
Serratus Anterior M.
Insertion?
Anterior surface of Medial border of SCAPULA
Thoracoappendicular Muscles
Serratus Anterior M.
Action?
Protracts Scapula
Rotates glenoid cavity superiorly
Thoracoappendicular Muscles
Serratus Anterior M.
Innervation?
Long Thoracic N.
CN:
What usually results in “winging of the scapula”?
Injury of Serratus Anterior M.
OR
Injury of Long thoracic N.
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CN:
What does an injury to the serratus anterior m. or the long thoracic n. usually cause?
Winging of the scapula
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What are the Posterior Axioappendicular Muscles?
- Trapezius M.
- Latissimus Dorsi M.
- Rhomboid Major M.
- Rhomboid Minor M.
- Levator Scapulae M.
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What are the Scapulohumeral Muscles?
- Deltoid M.
- Supraspinatus M.
- Infraspinatus M.
- Teres minor M.
- Teres Major M.
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Label the diagram for the Scapulohumeral Muscles
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What is this?
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Deltoid M.
Scapulohumeral Muscles
Deltoid M.
Origin?
Lateral 1/3 of clavicle
Scapular Spine
Acromion
Scapulohumeral Muscles
Deltoid M.
Insertion?
Deltoid Tuberosity of Humerus
Scapulohumeral Muscles
Deltoid M.
Action?
Anterior part= Flex and medially rotate the humerus
Middle part= ABduct the humerus
Posterior part= Extend and laterally rotate the humerus
Scapulohumeral Muscles
Deltoid M.
Innveration?
Axillary N.
What is this?
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Subscapularis M.
Deltoid M.
What’s special about it?
Think about the action, two opposing actions
CAN HAPPEN BECAUSE…
Deltoid M. is multipennate
What are the Rotator Cuff Muscles?
SITS
Subscapularis M.
Infraspinatus M.
Teres Minor M.
Supraspinatus M.
Scapulohumeral Muscles
Subscapularis M.
Origin?
Medial aspect of the Subscapular Fossa
Scapulohumeral Muscles
Subscapularis M.
Insertion?
Lesser tubercle of the HUMERUS
Scapulohumeral Muscles
Subscapularis M.
Action?
Medially rotate and ADduct the Humerus
Scapulohumeral Muscles
Subscapularis M.
Innervation?
Upper and Lower Subscapular N.
What is this?
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Supraspinatus M.
Scapulohumeral Muscles
Supraspinatus M.
Origin?
Supraspinous Fossa of SCAPULA
Scapulohumeral Muscles
Supraspinatus M.
Insertion?
Greater tubercle of the HUMERUS
Scapulohumeral Muscles
Supraspinatus M.
Action?
W/ deltoid m. …
ABduct the humerus
Holds the Humeral head in the glenoid cavity
Scapulohumeral Muscles
Supraspinatus M.
Innervation?
Suprascapular N.
What is this?
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Supraspinatus M.
What is this?
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Infraspinatus M.
Scapulohumeral Muscles
Infraspinatus M.
Origin?
Infraspinous fossa of Scapula
Scapulohumeral Muscles
Infraspinatus M.
Insertion?
Greater tubercle of Humerus
Scapulohumeral Muscles
Infraspinatus M.
Action?
LATERALLY rotates the HUMERUS
Holds humeral head in glenoid cavity
Scapulohumeral Muscles
Infraspinatus M.
Innervation?
Suprascapular N.
What is this?
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Teres Minor M.
Scapulohumeral Muscles
Teres Minor M.
Origin?
Middle part of the lateral border of the SCAPULA
Scapulohumeral Muscles
Teres Minor M.
Insertion?
Greater tubercle of the HUMERUS
Scapulohumeral Muscles
Teres Minor M.
Action?
Laterally rotates the HUMERUS
Holds the humeral head in the glenoid cavity
Scapulohumeral Muscles
Teres Minor M.
Innervation?
Axillary N.
CN:
What is the most commonly injured rotator cuff muscle?
Supraspinatous M.
What is this?
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Teres Major M.
Scapulohumeral Muscles
Teres Major M.
Origin?
Posterior aspect of the INFERIOR angle of the SCAPULA
Scapulohumeral Muscles
Teres Major M.
Insertion?
Medial edge of the Intertubercular Groove Humerus
Scapulohumeral Muscles
Teres Major M.
Action?
ADduct and Medially rotate the humerus
Scapulohumeral Muscles
Teres Major M.
Innervation?
Lower Subscapular N.
What are the ROTATOR CUFF MUSCLES?
SITS
Supraspinatous M., Infraspinatus M., Subscapularis M., Teres Minor M.
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What is this MRI showing?
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(Left): Normal MRI
(Right): Rotator Cuff Tear
Spaces of the Posterior Shoulder
Label the following:
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What is the point of learning the spaces of the posterior shoulder?
There are several important structures that are in the contents of THREE spaces
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Spaces of the Posterior Shoulder
Triangular Space
What are the borders?
Teres Minor M.
Teres Major M.
Long Head of the Triceps Brachii M.
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Spaces of the Posterior Shoulder
Triangular Space
Contents?
Circumflex Scapular A. and V.
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Spaces of the Posterior Shoulder
Quadrangular Space
Borders?
Teres Minor M.
Teres Major M.
Long and Lateral Heads of the Triceps Brachii M.
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Spaces of the Posterior Shoulder
Quadrangular Space
Contents?
Posterior Humeral Circumflex A. and V.
Axillary N.
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Spaces of the Posterior Shoulder
Triangular Interval
Borders?
Teres Major M.
Long and Lateral Heads of the Triceps Brachii M.
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Spaces of the Posterior Shoulder
Triangular Interval
Contents
Deep Brachial A. and V.
Radial N.
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What are these?
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Brachial Muscles in the Anterior Compartment
What are the muscles that make up the Brachial Muscles in the Anterior Compartment?
Coracobrachialis M.
Biceps Brachii M.
Brachialis M.
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Brachial (Arm) Muscles | Anterior Compartment
Biceps Brachii M.
Origin?
- Long head* : Supraglenoid tubercle of the scapula
- Short head* : Coracoid process of the scapula
Brachial (Arm) Muscles | Anterior Compartment
Biceps Brachii M.
Insertion?
Radial Tuberosity and Antebrachial Fascia as the
BICIPITAL APONEUROSIS
Brachial (Arm) Muscles | Anterior Compartment
Biceps Brachii M.
Action?
Flex the humerus
Flex the supine forearm
Supinate forearm
Brachial (Arm) Muscles | Anterior Compartment
Biceps Brachii M.
Innervation?
Musculocutaneous N.
CN:
Striking the thumb placed over the Bicipital Tendon with a reflex hammer should produce…
Bicipital Myotactic Reflex
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CN:
What is the Bicipital Myotactic Reflex?
Failure of this tendon to tighten up when striken with thumb placed over Bicipital Tendon should produce the Bicipital Myotactic Reflex
FAILURE = Injury to Musculocutaneous N or C5/C6 Anterior Rami
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CN:
What is Biceps Tendinitis?
Caused by: repetitive movement of the Long head of the Biceps T. through the Intertubercular Groove makes that tendon susceptible to inflammation and even CREPITUS
CN:
What is Popeye Deformity?
When Biceps T. dislocates out of Intertubercular Groove or separates from Supraglenoid Tubercle
Creates balling up of muscle in arm
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Brachial (Arm) Muscles | Anterior Compartment
Coracobrachialis M.
Origin?
Coracoid process of Scapula
Brachial (Arm) Muscles | Anterior Compartment
Coracobrachialis M.
Insertion?
Medial aspect of the Humeral Body
Brachial (Arm) Muscles | Anterior Compartment
Coracobrachialis M.
Action?
Flex and ADduct the humerus
Brachial (Arm) Muscles | Anterior Compartment
Coracobrachialis M.
Innervation?
Musculocutaneous N.
Brachial (Arm) Muscles | Anterior Compartment
Brachialis M.
Origin?
Distal half of the anterior aspect of the HUMERAL BODY
Brachial (Arm) Muscles | Anterior Compartment
Brachialis M.
Insertion?
Ulnar tuberosity and Coronoid Process
Brachial (Arm) Muscles | Anterior Compartment
Brachialis M.
Action?
Flex the forearm
Brachial (Arm) Muscles | Anterior Compartment
Brachialis M.
Innervation?
Musculocutaneous N.
Label the diagram
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Brachialis M.
Label the diagram
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Coracobrachialis M.
What are the brachial muscles of the posterior compartment?
- Triceps Brachii M.
- Anconeus M.
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Label the diagram of the Posterior Compartment of Brachial Muscles
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Label the diagram of the Posterior Compartment of Brachial Muscles
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What are the two muscles of the Biceps Muscles Posterior Compartment?
- Triceps Brachii M.
- Anconeus M.
Brachial Muscles | Posterior Compartment
Triceps Brachii M.
Origin?
Long head: Infraglenoid tubercle of scapula
Medial Head: Posterior aspect of the Humeral Body; inferior to radial groove
Lateral head: Posterior aspect of the Humeral Body
Brachial Muscles | Posterior Compartment
Triceps Brachii M.
Insertion?
Olecranon of Ulna
and
Antebrachial Fascia
Brachial Muscles | Posterior Compartment
Triceps Brachii M.
Action?
Extend the forearm
Brachial Muscles | Posterior Compartment
Triceps Brachii M.
Innervation?
Radial N.
Brachial Muscles | Posterior Compartment
Anconeus M.
Origin?
Lateral Humeral Epicondyle
Brachial Muscles | Posterior Compartment
Anconeus M.
Insertion?
Lateral aspect of Olecranon
Brachial Muscles | Posterior Compartment
Anconeus M.
Action?
With the Triceps Brachii M.
EXTENDS the forearm
Brachial Muscles | Posterior Compartment
Anconeus M.
Innervation?
Radial N.
What is this?
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Anconeus M.