Back Axilla & Upper Limb Flashcards
What are the components of the axial skeleton?
Skull
Vertebral column
Sternum
Ribs
What are the components of the appendicular skeleton?
Pectoral girdle
- clavicle
- scapula
Upper limbs
Pelvis
Lower limbs
What are the components of the shoulder girdle?
Bones: scapula and clavicle
Acromioclavicular, sternoclavicular, physiological scapulothoracic joint: allows movement of the scapula on the posterior thoracic wall
What are the components of the shoulder joint?
Bones: glanoid fossa of scapula, head of humerus, clavicle
Allows movement of the humerus and thus the upper limb
What are axioms?
Every muscle that crosses a joint will act on that joint
-a direction of movement may be the function of more than one muscle, although only one muscle may be the primary mover
What is Hilton’s law?
Nerves that supply a joint will also supply the muscles that move the joint, and the skin over the joint
- Generally, each muscle is innervated by a single spinal nerve, and injury to that nerve will affect only that muscle
Each muscle has a major arterial supply but could also receive blood supply from other arteries (collateral blood supply). Thus, blockage of the major artery to a muscle may NOT adversely effect the muscle because of collateral blood supply
What are the two types of superficial back muscular groups?
a) superficial appendicular /extrinsic group
b) superficial respiratory or intermediate extrinsic group
Both groups of extrinsic muscles are innervated by “named” branches of ventral rami of spinal nerves via the brachial plexus and receive their blood supply from branches of major arteries
Explain superficial appendicular/extrinsic group as back muscles
Superficial axial skeleton to appendicular skeleton
- Connect Axial skeleton to appendicular skeleton
- Functions primarily in movement of the upper limbs- move the SCAPULA or the HUMERUS
-Arranged in two layers-
1st layer- trapezius, latssimus dorsi
2nd layer- levator scapulae, rhomboid major and minor
Explain superficial respiratory or intermediate extrinsic group
These serve more likely a proprioceptive role than motor function
Consists of a thin layer of muscles made up of:
- Serratus posterior superior
- Serratus posterior inferior
What is the function of the Trapezius muscle?
Assists in rotating the scapula during abduction of humerus above horizontal; upper fibers elevate, middle fibers adduct, and lower fibers depress the scapula
What is the innervation of the trapezius muscle?
Accessory nerve (motor) cervical spinal nerves C3 and C4 (proprioception)
What is the blood supply of the trapezius muscle?
Superficial branch of transverse cervical artery
What is the function of the latissimus dorsi?
Extends, adducts and medically rotates humerus
What is the innervation of the latissimus dorsi?
Thoracodorsal nerve (C6-C8)
What is the blood supply of the latissimus dorsi?
Thoracodorsal artery
What is the function of the levator scapula?
Elevates scapula
What is the innervation of the levator scapulae?
C3 to C4 and dorsal scapular nerve
What is the blood supply of the levator scapulae?
Transverse and ascending cervical arteries
What is the function of the rhomboid major?
Retracts (adducts) and elevates scapula
What is the innervation of the rhomboid major?
Dorsal scapular nerve (C4-C5)
What is the blood supply of the rhomboid major?
Deep branch of transverse cervical artery/ or dorsal scapular artery
What is the blood supply of the rhomboid minor?
Deep branch of transverse cervical artery/ or dorsal scapular artery