Anatomy: the Upper Limb: shoulder and arm Flashcards
Upper limb much more flexible due to what
pectoral girdle
clavicle and scapula
axilla - lateral chest wall
lateral chest wall
Neuro vs enter
below the scapula
When they leave the axilla they get called
brachial
brachial plexus is
c5-t1
Axillary nerve
shoulder
Musculo-cutaneous nerve
flexor compartment of arm
Radial nerve
extensor muscles in posterior and forearm
Ulnar nerve
few of medial in muscles, most of small muscles in hand
Median nerve
majority of flexor compartment of forearm
thumb muscles
Dorsal muscles (4)
Trapezius
Lattissimus dorsi
Rhomboids
Levator scapulae
Can move the scapulae
Decompression
retraction
Contraction
Lower rhomboids dp
retraction
Lattissimus dorsi - what does it do?
pulls humerus down
pulls pectoral girdle
serratus anterior attaches through
first 8 ribs
how does the serrates anterior protract
slides the scapula around the trunk - protraction
supple to the serratus anterior
long thoracic nerve - on the surface
Winged scapula
Clinical sign of injury to the long thoracic nerve
Ventral musculature - - pec maj - main features
what movement does it have?
pectorals major - runs all around the chest wall - attaches humerus
ADDUCTION
muscle that can do everything - what movement?
deltoid
ABDUCTS the arm at the shoulder
Deltoid has what parts ? (3)
anterior
lateral
posterior
deltoid abduction
- what do they anterior fibres do ?
bring the arm out - abducted it
brings the arm forward - flexion at the shoulder joint
posterior fibres - pull humeral joint backwards- extension of shoulder joint
Lateral deltoid will
abduct
stretch anterior and posterior - adduct
Deltoid is supplied by?
nerve travelling around the neck of humerus - axillary nerve - injured in a shoulder dislocation
short scapular muscles - rotator cuff - examples (4)
Supraspinatus
infraspinatus
Teres minor
Teres major
Rotator cuff muscle movements
ABduction
lateral rotation
Space above the spine
supraspinous fossa
What kind of muscle is the Serratus anterior
What does it do?
ventrolateral muscle which attaches to the medial border of the scapula and protracts and stabilises the pectoral girdle
Glenohumeral rhythm is the? (2)
Upward rotation of scapula
Abduction of humerus
The teres major attaches
anteriorly
doesn’t cross the joint so doesn’t stabilise
Subscapularis muscle - what does it do
crosses the gh joint
attaches to humerus
- constant pulls humerus in to prevent shoulder dislocation
ANTERIOR MUSCLE
Key flexors and extensors of the elbow joinT?
TRICEPS brachii
What does the TRICEPS brachii do?
what surface?
extends the arm (shoulder at GH joint) and forearm at elbow joint
Key extensor
posterior surface
Point of the ulnar - what bone does it belong to?
olecranon process
Ulnar bone
Biceps brachii is the? where doesn’t attach
Triceps antagonist
from the scapula to the radius
What nerve travels on the surface of posterior humerus?
radial nerve
DEEP TO MUSCLE
damage to the radial nerve
inability to extend the wrist
What nerve is a key extensor?
radial
Where does the Biceps brachii attach?
what movement does this allow?(2)
the radius
flexion and supination of the forearm
What is the bicipital groove?
What does it hold
separates greater tubercle from the lesser tubercle
Holds the tendon of the biceps
the biceps cross? what does this make it?
shoulder and elbow anteriorly
- FLEXOR of both
What bone mobilises the fore arm
the radius
Brachialis is a?
Powerful flexor of the elbow
Brachioradialis is a ?
strong flexor only in the MID-POSITION
Clockwise direction is called
supination
Where does the Brachialis attach
ulnar
In the forearm, the ulna is involved in what movement ?
flexion and extension at the elbow joint
Brachialis and Brachioradialismuscle supplied by?
Musculo cutaneous nerve
when you move you change the
move the location of the radius
What can the radius also move around?
how does it do this?
ulnar
articulating at the superior and inferior radioulnar joints
Biceps is an important
supinator
What muscles are important pronators (2)
Pronator teres (superficual) and
Pronator quadratus (lies under the tendons so quite hidden)