Anatomy lecture 2 Flashcards
medial attachement=
- origin
- proximal
lateral attachement=
insertion
= distal
Pectoralis major
- Proximal attachment: clavicular head, anterior 1/2 of medial clavicle, sternocostal head ribs 1-6
- Distal attachment: lateral lip of intertubercular groove (sulcus) of humerus
- Innervation: lateral and medial pectoral
- action: adduction and medial rotation of humerus, draws scapula anteriorly and inferiorly
- ex: climbing, throwing, pushing, hugging
pectoralis minor
proximal attachment: ribs 3-5
distal attachment: coracoid process of scapula
innervation: a medial pectoral nerve
action: stabilize scapula by drawing inferiorly and anteriorly rotating against thoracic wall
Subclavius
- proximal attachment: junction of 1st rib and its costal cartilage
- Distal attachment: inferior surface of middle third of clavicle
- innervation: subclavian nerve
- action: actors and depresses clavicle
Serratus anterior
- Proximal attachment: 1st to 8th ribs
- Distal attachment: medial border of scapula
- innervation: long thoracic nerve
- action: move scapula forward, boxers muscle (hold scapula against wall)
What is the action of Trapezius ?
- descending (superior) part elevates “shoulder shrugging”
- ascending (inferior) part depresses and middle part retracts (pulls posteriorly) scapula
- shoulder drop if injured
What is the action of Latissimus Doris?
- extend, adduction and medial rotation of shoulder joint (striking action ex blow, hammering, swimming, and rowing)
- raises body towards arm during climbing
Ability to bow hunt is impaired due to injury to
dorsal scapular nerve/levetator scapulae
SSIT
Subscapularis-lesser tubercle
Supraspinatus-greater tubercle
Infraspinatus-
aTeres minor
0-15 degrees of arm abduction
supraspinatous
15-90 degrees of arm abduction
medial deltoid
> 90 degree of arm abduction
upper trapezius
SITS for rotator cuff
Supraspinatus- helps deltoid abduct arm 15
Infraspinatus- laterally rotates arm
Teres minor- adducts and laterally rotate arm
Subscapularis- medially rotates and adducts arm
Rotator cuff injury common in
baseball pitcher
Will have pain in neck and at the tip of the shoulder
All muscles will pull towards…
the origin
Brachial plexus
nerve supply to upper limb
-extends from cervical region to axilla
-formed by anterior rami of C5 to T1 (roots of brachial plexus)
Anterior rami roots
C5-C8, T1
anterior rami (roots)—->
trunks
——–>
divisions
——–>
cords
——->
terminal branches
Trunks
-Superior trunnk
-Middle trunk
-Inferior trunk