Arm and shoulder muscles Flashcards
Serratus anterior origin
External surfaces of the upper 8 or 9 ribs.
Serratus anterior insertion
Anterior surface of the medial border of the scapula.
Serratus anterior actions with origin fixed
Abduct, upwardly rotate and depress the scapula at the scapulothoracic joint, Hold the medial border of the scapula against the rib cage.
Serratus anterior innervation
Long thoracic nerve
Serratus anterior actions with the scapula fixed
May act to elevate the thorax during forced inhalation.
Serratus anterior palpation key
Supine, flex the shoulder to 90 degrees. Place the hand on the posterior ribs and have client alternate between abducting and relaxing the scapula.
Pectoralis minor origin
Third, fourth and fifth ribs
Pectoralis minor insertion
Medial surface of the coracoid process of the scapula
Pectoralis minor actions
Depress, abduct and downwardly rotate the scapula at the S/T joint. Assist to elevate the thorax during forced inhalation when the scapula is fixed.
Pectoralis minor innervation
Medial pectoral nerve and fibers from the communicating branch of the lateral pectoral nerve.
Pectoralis minor palpation key
Side-lying, arm flexed and pulled anteriorly. Run thumb under pectoralis major. Ask partner to depress scapula.
Coracobrachialis origin
Coracoid process of the scapula
Coracobrachialis insertion
Medial surface of the mid-humeral shaft.
Coracobrachialis Actions
Flex and adduct the shoulder at the glenohumeral joint.
Coracobrachialis innervation
Musculocutaneous
Coracobrachialis palpation key
Supine, laterally rotate and abduct the shoulder to 45 degrees. Place hand along medial side of arm and perform horizontal adduction with resistance.
Muscles which flex the shoulder at the glenohumeral joint
Deltoid (anterior), pectoralis major (upper), biceps brachii, coracobrachialis.
Muscles which extend the shoulder at the glenohumeral joint
Deltoid (posterior), latissimus dorsi, teres major, pectoralis major (lower), triceps brachii (long head)
Muscles which horizontally abduct the shoulder
Deltoid (posterior)
Muscles which horizontally adduct the shoulder
Deltoid (anterior), pectoralis major (upper)
Muscles which abduct the shoulder at the glenohumeral joint
Deltoid, supraspinatus
Muscles which adduct the shoulder at the glenohumeral joint
Latissimus dorsi, teres major, infraspinatus, teres minor, pectoralis major, triceps brachii (long head), coracobrachialis
Muscles which laterally rotate the shoulder at the glenohumeral joint
Deltoid (posterior), infraspinatus, teres minor
Muscles which medially rotate the shoulder at the glenohumeral joint
Deltoid (anterior), latissimus dorsi, teres major, subscapularis, pectoralis major
Muscles which elevate the scapula
Trapezius (upper), rhomboids, levator scapula
Muscles which depress the scapula
Trapezius (lower), serratus anterior (with origin fixed), pectoralis minor
Muscles which adduct the scapula
Trapezius (middle), rhomboids
Muscles which abduct the scapula
Serratus anterior (with origin fixed), pectoralis minor
Muscles which upwardly rotate the scapula
Trapezius (upper and lower), serratus anterior (with origin fixed)
Muscles which downwardly rotate the scapula
Rhomboids, levator scapula, pectoralis minor
Latissimus dorsi origin
Inferior angle of the scapula, spinous processes of the last six thoracic vertebrae, last 3 or 4 ribs, thoracolumbar fascia and posterior iliac crest.
Latissimus dorsi insertion
Intertubercular groove
Teres major origin
Inferior angle and lower third of the lateral border of the scapula.
Teres major insertion
Crest of the lesser tubercle of the humerus.
Teres major innervation
Lower subscapular
Rhomboid major origin
Spinous processes of T2 to T5
Rhomboid major insertion
Medial border of the scapula between the spine of the scapula and the inferior angle.
Rhomboid major innervation
Dorsal scapula
Rhomboid minor origin
Spinous processes of C7 and T1
Rhomboid minor insertion
Upper portion of medial border of the scapula, across from the spine of the scapula.
Rhomboid minor innervation
Dorsal scapular
Trapezius origin
External occipital protuberance, medial portion of the superior nuchal line of the occiput, ligamentum nuchae, SPs of C7-T12
Trapezius insertion
Lateral third of the clavicle, acromion and the spine of the scapula
Trapezius innervation
Cranial nerve 11
Lower trapezius actions
Depress and upwardly rotate the scapula
Upper trapezius actions
Extend the head and neck, side bend the neck, rotate the neck to the opposite side, elevate and upwardly rotate the scapula.
Pectoralis major origin
Medial half of the clavicle, sternum and cartilage of the first through sixth ribs.
Pectoralis major insertion
Crest of the greater tubercle of the humerus
Pectoralis major actions
All fibers adduct and medially rotate the shoulder. Upper fibers also flex and horizontally adduct the shoulder. Lower fibers also extend the shoulder to neutral.
Pectoralis major innervation
Lateral pectoral nerve and medial pectoral nerve in the upper fibers.
Subclavius origin
First rib and cartilage
Subclavius insertion
Interior surface of the middle third of the clavicle.
Subclavius actions
Depress the clavicle and draw it anteriorly, elevate the first rib and stabilize the SC joint
Subclavius innervation
Subclavian
Teres minor origin
Upper two thirds of lateral border of the scapula
Teres minor insertion
Greater tubercle of the humerus
Teres minor actions
Laterally rotate and adduct the shoulder, stabilize the head of the humerus
Teres minor innervation
Axillary
Biceps brachii origin
Coracoid process of the scapula and supraglenoid tubercle
Biceps brachii insertion
Tuberosity of the radius and aponeurosis of the the biceps brachii.
Biceps brachii actions
Flex the elbow and shoudler and supinate the forearm
Triceps brachii origin
Infraglenoid tubercle of the scapula and posterior surface of the humerus.
Triceps brachii innervation
Radial
Triceps brachii actions
Extend the elbow. THe long head also extends and adducts the shoulder.
Levator scapula origin
Transverse processes of the first through fourth vertebrae.
Levator scapula insertion
Medial border of the scapula, between the superior angle and superior portion of the spine of the scapula.
Levator scapula innervation
Cervical and dorsal scapular