Dorsal Scapular POINA Flashcards
Deltoid Purposeful Action
-Yoga with arms overhead (all)
-Reaching for seatbelt (anterior fibers)
-Putting on seatbelt (posterior)
Deltoid Main Action
-Clavicular (anterior): flex and IR arm
-Acromial (middle): abduct arm
-Spinal (posterior): extend and ER arm
Deltoid Proximal Attachment
Clavicle, acromion, spine of scap (where trap ends)
Deltoid Distal Attachment
Deltoid tuberoisty
Deltoid Innervation
Axillary nerve (C5 main, C6)
Pectoralis Major Purposeful Action
Reaching across body into overhead cabinet, putting on seatbelt
Pectoralis Major Main Action
Arm: adduction, IR, horizontal adduction
Scapula: Protraction
Acting alone
Clavicular head: flex arm
Sternocostal head: extend humerus from flexed
Pectoralis Major Proximal Insertion
Clavicle, sternum, superior 6 costal cartilages, external oblique
Pectoralis Major Distal Attachment
Lateral lip of intertubercular groove of humerus
Pectoralis Major Innervation
Lateral and medial pectoral nerves
-Clavicular head: C5, C6 (main)
-Sternocostal head: (C7-8 main, T1)
Pectoralis Minor Purposeful Action
Taking a deep breath, walking with crutches
Pectoralis Minor Main Action
-Stabilize scapula (protraction)
-Assist to elevate thorax during forced inhalation (scap fixed)
Pectoralis Minor Proximal Attachment
3-5th rib near costal cartilage
Pectoralis Minor Distal Attachment
Coracoid process
Pectoralis Minor Innervation
Median pectoral nerve (C8, T1), lateral pectoral nerve (variable)
Infraspinatus Purposeful Action
Racket sports, table tennis
Infraspinatus Main Action
External rotation of shoulder, stabilize head of humerus in glenoid cavity
Infraspinatus Proximal Attachment
Infraspinous fossa
Infraspinatus Distal Attachment
Greater tubercle
Infraspinatus Innervation
Suprascapular nerve (C5 main, C6)
Teres Major Purposeful Action
Toileting and perineal care
Teres Major Main Action
Adduction, IR
Teres Major Proximal Attachment
Posterior angle of inferior border of scapula
Teres Major Distal Attachment
Medial lip of intertubercular sulcus of humerus
Teres Major Innervation
Lower subscapular (C5 and 6 main)
Supraspinatus Purposeful Action
Painting overhead or washing hair
Supraspinatus Main Action
Abduction (with deltoid), stabilize head of humerus in glenoid cavity (with SITS muscles)
Supraspinatus Proximal Attachment
Supraspinous fossa
Supraspinatus Distal Attachment
Greater tubercle of humerus
Supraspinatus Innervation
Suprascapular nerve (C4, 5 main, 6)
Teres Minor Purposeful Action
Washing back of head and neck
Teres Minor Main Action
ER, stabilize head of humerus in glenoid cavity
Teres Minor Proximal Attachment
Lateral border of scapula
Teres Minor Distal Attachment
Greater tubercle of humerus
Teres Minor Innervation
Axillary nerve (C5 main, C6)
Subscapularis Purposeful Action
Toileting, donning a bra, throwing a baseball
Subscapularis Main Action
IR, stabilize head of humerus in glenoid cavity
Subscapularis Proximal Attachment
Subscapular fossa (anterior)
Subscapularis Distal Attachment
Lesser tuberosity of humerus
Subscapularis Innervation
Upper and lower subscapular (C5, C6 main, C7)
Serratus Anterior Purposeful Action
Pushing open a heavy door
Serratus Anterior Main Action
PUH
-Protraction
-Upward rotation (with upper/lower trap)
-Holds scapula against thoracic wall
Serratus Anterior Proximal Attachment
Lateral part of upper 8-9 ribs
Serratus Anterior Distal Attachment
Medial border of scapula
Serratus Anterior Innervation
Long thoracic nerve (C5-7, 6 and 7 are main)
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