731 Flashcards

shoulder

1
Q

What are axio-humeral muscles and how many are there?

A

Large muscles anchored to the axial skeleton acting on the glenohumeral joint/ humerus. There are 2: Pectoralis major and latissimus dorsi

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2
Q

Describe the pectoralis major? Flex, add, med rot (clavicular)

A

clavicular portion: Origin run inferiorly and lateral from the medial portion of the clavicle.

Action: flexion, horizontal adduction and medial rotation

Insertion: greater tubercle of the anterior humerus

Peripheral Innervation: lateral pectoral

segmental Innervation: 5, 6 ,7

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3
Q

Describe the pectoralis major? (sternal)

A

sternocostal: run medial to lateral in a horizontal line (frontal) from sternum and cartilage of ribs

Action: Shoulder depression and oblique adduction

Insertion: greater tubercle of the anterior humerus

Peripheral innervation: lateral and medial pectoral

Segmental innervation: 5 ,6, 7, 8, T1

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4
Q

What is the latissimus dorsi muscle?

A

Origin: T7-L5 spinous processes, inferior angle of scapula, ilium and sacrum
Insertion: intertubercular groove of anterior humerus
Action: extends, adducts and medially rotates (respiratory muscle)
Peripheral innervation: thoracodorsal
Segmental Innervation: 5, 6, 7

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5
Q

What are the muscles of the scapulohumeral joint?

A

Deltoid, teres major and rotator cuff muscles.

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6
Q

What are the deltoid muscles?

A

Origin:
anterior: acromion and clavicle
middle: acromion
posterior:scapular spin

Insertion: Deltoid tuberosity
Action: Main Action is ABDUCTION
Anterior: flex and medially rotate
middle: abduction
posterior: lateral rotation and horizontal abduction
Peripheral innervation: axillary
Segmental Innervation: 5,6

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7
Q

What is the teres major muscle? (same action as?)

A

Origin: inferior border of the scapula
Insertion: lesser tubercle crest of the anterior humerus
Action: med rot,, adducts and extends humerus stabilizes humerus in glenoid cavity
Peripheral innervation: upper and lower subscapular
Segmental Innervation: 5,6,7

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8
Q

What are the 4 rotator cuff muscles and what is their action?

A

They are rotate the humerus except the supraspinatus m.
Infraspinatus
Subscapularis
Teres minor

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9
Q

What is the supraspinatus muscle?

A

Origin: supraspinatus fossa of the scapula
Insertion: greater tubercle of the proximal humerus
Action: abducts humerus and stabilizes head of humerus in glenoid cavity
Peripheral: suprascapular
Segmental: 4,5,6

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10
Q

what is the infraspinatus muscle?

A

Origin: infraspinatus fossa of the scapula
Insertion: greater tubercle of the proximal humerus
Action: lateral rotation and stabilizes head of the humerus in glenoid cavity
Peripheral: suprascapular
Segmental: 4,5,6

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11
Q

What the subscapularis muscle?

A

Origin: the subscapular fossa of the scapula
Insertion: lesser tubercle of the proximal humerus
Action: medial rotation and stabilizes head of the humerus in glenoid cavity
Peripheral: upper and Lower subscapular
Segmental: 5,6,7

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12
Q

What is the teres minor muscle?

A

Origin: dorsal and lateral scapula
Insertion: inferior greater tubercle of the humerus
Action: lateral rotation stabilizes head of the humerus in glenoid cavity and internally rotates scapula
Peripheral: axillary
Segmental: 5,6

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13
Q

What are the scapulothoracic muscles?

A

The muscles anchored to the thorax/axial skeleton that act on the scapula 6 muscles

  • pectoralis minor
  • serratus anterior
  • trapezius
  • rhomboids
  • levator scapula
  • subclavius
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14
Q

What is the pectoralis minor muscle?

A

Origin: 3rd, 4th, 5th ribs
Insertion: coracoid process of scapula
Action: anteriorly tilts scapula + assists in inspiration
Peripheral Innervation: medial pectoral
Segmental Innervation: 6,7,8,T1

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15
Q

What is the serratus anterior muscle?

A

Origin: outer surface of 8/9ribs
Insertion:anterior and medial boarder of scapula
Action: Upward rotator, abducts scapula, prevents scapula winging via external rotation
Peripheral Innervation: long thoracic
Segmental Innervation: 5,6,7,8

BEST UPWARD ROTATER OF SCAPULA!
SALT-57

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16
Q

what is the trapezius?

A

Origin:
Upper: occipital bone
Middle: T1-5 spinous processes
Lower: T6-T-12
Insertion: clavicle and acromion process
and scapula spine
Action:
Upper: elevation, upward rotation of scapula
Middle: adduction of scapula
Lower: depression of scapula and upward rotation of scapula
Peripheral Innervation: spinal portion of cranial nerve (accessory) and ventral ramus
Segmental Innervation: C2,3,4

17
Q

What is the rhomboid minor muscle?

A

Origin: C7-T1
Insertion: anterior and medial boarder of scapula
Action: adduct scapula Externally and Downwardly Rotate scapula
Peripheral Innervation: Dorsal Scapula
Segmental Innervation: C4,5

18
Q

What is the rhomboid major muscle?

A

Origin: Spinous processes of T2-T5 vertebrae
Insertion: medial border of scapula
Action: adduct scapula and Externally and Downwardly rotate scapula
Peripheral Innervation: dorsal scapula
Segmental Innervation: C4,5

19
Q

What is the levator scapulae muscle?

A

Origin: transverse process of the C1-4 vertebrae
Insertion: anterior medial border of scapula
Action: elevates scapula, downward rotation, extend rotate and sidebend cervical spine
Peripheral Innervation: dorsal scapula and cervical spine
Segmental Innervation: C4,5 - C3,4

20
Q

What is the subclavius muscle?

A

Origin: 1st rib
Insertion:under the surface of the clavicle
Action:draws clavicle down, stabilizes sternoclavicular joint
Peripheral Innervation: subclavian
Segmental Innervation: C5,6

21
Q
A

Origin:
Insertion:
Action:
Peripheral Innervation:
Segmental Innervation:

22
Q
A

Origin:
Insertion:
Action:
Peripheral Innervation:
Segmental Innervation: