Back and Shoulders Flashcards
Where do extrinsic back muscles originate from/ insert?
vertebral column/ upper limb land
What are the 2 bones in the pectoral girdle?
clavicle/ scapula
What is another word for scapula?
shoulder blade
What is another word for clavicle?
collarbone
What are the scapulo-humeral (intrinsic shoulder) muscles?
suprapsinatus
infraspinatus
teres minor
subscapularis
deltoid
teres major
What are the posterior axio-appendicular muscles? (thoraco-appendicular)?
superficial- trapezius/ latissimus dorsi
deep- levator scapulae/ rhomboid minor + major
What are the 4 muscles in rotator cuff?
supraspinatus
infraspinatus
teres minor
subscapularis
What is an the incomplete bony ring that functions for attachment/ support of upper limb?
pectoral girdle
What is the T-shaped bone medial chest?
sternum
What is the top part of the sternum?
manubrium
What is the large bone in the arm?
humerus
What does pectoral girdle look like?
horseshoe
What is the top edge/ bony structure on scapula?
acromion
What is the prominent ridge of bone on the posterior surface of scapula?
spine of scapula
What muscle originates from horseshoe?
deltoid
What muscle inserts in horseshoe?
trapezius
What is the broad area on the anterior side of scapula?
subscapular fossa
What is situated on the lateral part of the superior border of the scapula? next to coracoid process of scapula
suprascapular notch
What is the small hook-like structure on lateral edge of the superior anterior portion of the scapula?
coracoid process of scapula
What does the spine of scapula flatten out laterally into?
acromion
What is the broad area on inferior posterior side of scapula?
infraspinous fossa
What is the broad area on superior posterior side of scapula?
supraspinous fossa
What part of the scapula articulates with the head of the humerus?
glenoid cavity
What passes through the suprascapular notch/ by the suprascapular ligament?
suprascapular nerve/ artery
What is located between the greater/ lesser tubercles of the proximal humerus?
intertubercular groove
What is the midway rounded prominent structure distally down humerus? (not elbow)
deltoid tubersosity
What are the bony projections of proximal humerus?
greater/ lesser tubercles (bigger/ smaller)
Where does the trapezius originate?
base of skull
nuchal ligament
spinous processes C7-T12
Where does trapezius insert?
lateral 1/3 of clavicle
acromion
spine of scapula
What muscle is responsible for elevation/ retraction/ depression of scapula?
trapezius
What happens to the glenoid cavity when trapezius rotates scapula?
goes up
What is the innervation of trapezius?
spinal accessory nerve
Where is the origin of latissimus dorsi?
spinous processes of lower thoracic vertebrae
iliac crest
Where does latissimus dorsi insert?
floor (middle) of intertubercular groove of humerus
What muscles insert in the intertubercular groove of the humerus?
latissimus dorsi
teres major
What is the action of latissimus dorsi?
extend humerus at shoulder joint
adduct humerus
medially rotate humerus
raise body during climbing
What is the innervation of latissimus dorsi?
thoracodorsal nerve
What is the origin of levator scapulae?
transverse processes C1-C4
Where is insertion of levator scapulae?
medial border of scapula
- at level above spine of scapula
What is the action of levator scapulae?
elevate/ rotate scapula
What happens to glenoid cavity when levator scapulae rotates scapula?
goes down
What is the innervation of levator scapulae?
dorsal scapular nerve
What is the origin of rhomboid minor?
spinous processes C7/T1
What is the origin of rhomboid major?
spinous processes T2-T5
What is the insertion of rhomboid minor?
medial border of scapula
- at level of spine of scapula
What is the insertion of rhomboid major?
medial border of scapula
- at level below spine of scapula
What is the action of rhomboid minor/ major?
retract/ rotate scapula
What happens to glenoid cavity when rhomboids rotate scapula?
goes down
What is the innervation of rhomboid major/ minor?
dorsal scapular nerve
What is the menomic for remembering where levator scapulae/ rhomboids originate from?
4 2 2 4
4 - levator scapulae TP C1-C4
2- skip 2
2- rhomboid minor SP C7-T1
4- rhomboid major SP T2-T5
Where do the scapulo-humeral muscles originate from/ insert? = intrinsic shoulder muscles
scapulus to humerus
What are the muscles of the rotator cuff?
supraspinatus
infraspinatus
teres minor
subscapularis
What are the 3 facets of the greater tubercle of proximal humerus?
superior/ middle/ inferior
What is the origin of supraspinatus?
supraspinous fossa of scapula
Where is insertion of supraspinatus?
greater tubercle of humerus
- superior facet
What is the action of supraspinatus?
stabilize shoulder joint
abduct humerus
What is the innervation of supraspinatus?
suprascapular nerve
What is the origin of infraspinatus?
infraspinous fossa of scapula
Where is the insertion of infraspinatus?
greater tubercle of humerus
- middle facet
What is the action of infraspinatus?
stabilize shoulder joint
laterally rotate humerus
What is the innervation of infraspinatus?
suprascapular nerve
What muscles contribute to the lateral rotation of the scapula?
infraspinatus (lateral) / latissimus (medial)
What is the origin of teres minor?
lateral border of scapula
Where is insertion of teres minor?
greater tubercle of humerus
- inferior facet
What is action of teres minor?
laterally rotate humerus
stabilize shoulder joint
What is the innervation of teres minor?
axillary nerve
What is the origin of subscapularis? (anterior)
subscapular fossa of scapula
Where is insertion of subscapularis?
lesser tubercle of humerus
What is the action of subscapularis?
medially rotate humerus
stabilize shoulder joint
What is the innervation of subscapularis?
upper/ lower subscapular nerve
From an anterior view what muscles of the rotator cuff do you see?
subscapularis
From a posterior view what muscles of the rotator cuff do you see?
supraspinatus
infraspinatus
teres minor
Where does the deltoid originate from?
lateral 1/3 of clavicle
acromion of spine
spine of scapula
Where does deltoid insert?
deltoid tuberosity of humerus
What is the function of deltoid (anterior/ middle/ posterior)?
everything humerus related
What is the innervation of deltoid?
axillary nerve
What is the “little brother” of latissimus dorsi?
teres major
What is the origin of teres major?
lateral border of scapula- inferior aspect
What is the insertion of teres major?
intertubercular groove of humerus
- medial lip