Back, Shoulder and Humerus Flashcards
Label the structures in the image
- Clavicle
- Acromioclavicular Joint
- Glenohumeral Joint
- Scapula
- Rib
- Humerus
- Sternoclavicular Joint
- Sternum
Label the bones in the image
- Clavicle
- Scapula
- Rib
- Humerus
Identify the bones of the pectoral girdle
clavicle 1 and scapula 4
1
Suprascapular Notch
2
Superior Angle
3
Medial Border or vertebral border
4
Lateral Border or axillary border
5
Coracoid process
6
Acromion
7
Glenoid Cavity
8
Inferior angle
9
Subscapular fossa
10
Superior border
11
Spine
12
Infraspinous fossa
13
Lateral Angle
14
Supraspinous fossa
1
Conoid tubercle
2
Impression for the costoclavicular ligament
3
Acromial end
4
Sternal end
5
Trapezoid line
6
Subclavian groove
What is the pectoral girdle?
Group of muscles that ORIGINATE somewhere on the posterior AXIAL SKELETON and produce ACTIONS at the SCAPULA
Label the POSTERIOR and ANTERIOR muscles that make up the pectoral girdle
Posterior: trapezius, lavator scapulae, rhomboid major AND minor
Anterior: Subclavious, pectoralis MINOR, and serratus anterior
Label the POSTERIOR muscles that are part of the pectoral girdle
Trapezius 11, 2 & 3, levator scapula 7, rhomboid minor 8, rhomboid major 9
Label the anterior muscles of the pectoral girdle
- Subclavius
- Pectoralis minor
- Serratus anterior
(2. Pectoralis major was labeled only for orientation, it’s not an anterior pectoral girdle muscle bc it inserts on the humerus not scapula)
Label the posterior and anterior muscles of the pectoral girdle in the image. Which muscles cannot be seen?
- Lavator scapulae
- Descending superior trapezious
- Subclavius
- Teres minor
- Serratus anterior
*Can’t see rhomboid minor and major*
Origin, insertion, action and innervation of the trapezius
O - Superior nuchal line, external occiptal protuberance, ligamentum nuchae, spinous process C7 to T1-T12 vertebrae (varies per body)
I - Lateral 1/3rd of clavicle, acromion & spine of scapula
A - Elevates and retracts scapula (might also depress but it wasn’t in ppt)
Inn- Accessory n. (CN XI)*
*Only muscle innervated by a cranial nerve
Origin, insertion, action and innervation of the levator scapulae
O - Transverse process of C1-C4 vertebrae
I - Vertebral (medial) border of scapula near superior angle
A - Elevates scapula
Inn - Dorsal scapular n. (C4, C5)
Origin, insertion, action and innervation of the rhomboid minor
O - Spinous process C7 & T1 vertebrae
I - Vetebral (medial) border of scapula
A - Retracts scapula
Inn - Dorsal scapular n (C5)
Origin, insertion, action and innervation of the rhomboid major
O - Spinous process T2 - T5 vertebrae
I - Vertebral (medial) border of scapula (inferior to scap. spine)
A - Retracts scapula
Inn - Dorsal scapular n (C4, C5)
Origin, insertion, action and innervation of pectoralis minor
O - Anterior surface of ribs 3-5
I - Coracoid process of the scapula
A - Protracts scapula (punching) and elevates ribs to asssist in inhalation
Inn - Medial AND Lateral pectoral nerve
Origin, insertion, action and innervation of serratus anterior
O - Lateral surface of ribs 1-8
I - Anterior surface of medial border of the scapula
A - Holds scapula against thoracic wall and Protracts (punch) scapula
Inn - Long thoracic nerve
List the different movements of the scapula
- Elevation / Depression
- Protraction (Abduction) / Retraction (Adduction)
- Upward rotation / downward rotation
Demonstrate elevation / depression of the scapula
Gliding the shoulders up towards the ear and then back down
What muscles elevate and depress the scapula?
Elevate: descending superior trapezius (11) and levator scapulae (7)
Depression: ascending inferior trapezius (3) (not stated in ppt)
Demonstrate protraction / retraction of the scapula
Protraction: rounding the shoulder blades forward like
PUNCHING
retraction: pinching the shoulder blades towards each other
What muscles aid in protraction and retraction of the scapula?
Protraction: serratus anterior and pectoralis minor (not pictured)
Retraction: rhomboid major / minor, transverse middle trapezius
Demonstrate upward / downward rotation of the scapula
Upward: lift the arms up and scapula will follow
Downward: return arms downward to side
What muscles aid in upward and downward rotation of the scapula?
Upward: Trapezius (superior and inferior) and serratus anterior
Downward: rhomboid major and minor, lavator scapulae, pectoralis minor, and Latissimus dorsi (not pictured)
What 4* joints make up the shoulder joint?
- Sternoclavicular joint
- Acromioclavicular joint
- Glenohumeral joint
*4. Scapulothoracic joint
* not a true “anatomical” joint
In the upper body, what joint is the only articulation between the upper extremity and the axial skeleton?
Sternoclavicular joint (sternum and clavicle)
1
Articulate disk (capsule and ligaments removed anteriorly to expose joint)
2
Interclavicular ligament
3
Anterior Sternoclavicular ligament
4
Costoclavicular ligament
5
Clavicular notch
6
First costal cartilage
7
Manubrium of sternum
8
Attachment site for rib II
9
Sternal angle
Label the anterior ligaments of the Sternoclavicular joint
- Interclavicular ligament
- Anterior sternoclavicular ligaments
- Costoclavicular ligament
Label the posterior ligaments of the sternoclavicular joint
- Posterior Sternoclavicular ligaments
- Interclavicular ligament
- Costoclavicular ligament
What ligaments make up the acromioclavicular joint of the shoulder?
- Acromioclavicular ligament
- Coracoclavicular ligament (trapezoid ligament and the conoid ligament)
1
Acromioclavicular ligament