E1A Flashcards
Axioappendicular Scapulohumeral Muscles
posterior axioappendicular muscles
trapezius
latissimus dorsi
levator scapulae
rhomboids major/minor
anterior axioappendicular muscles
pectoralis major/minor
subclavius
serratus anterior
pectorals major origin
clavicular: medial half clavicle
sternocostal: sternum, upper 6 costal cartilages
abdominal: aponeurosis of EO muscle
pectoralis major insertion
intertubercular groove (lateral) of humerus (greater tubercle)
pectoralis major innervation
medial and lateral pectoral nerves
pectoralis major action
flexion, adduction, medial rotation of arm
assists in forced inspiration
pectoralis minor origin
ribs 3, 4, 5
pectoralis minor insertion
coracoid process
pectoralis minor innervation
medial pectoral nerve
pectoralis minor action
protraction, inferior rotation of scapula
assists in forced inspiration
subclavius origin
1st rib/costal cartilage
subclavius insertion
inferior surface of middle third of clavicle
subclavius innervation
nerve to subclavius
subclavius action
depresses clavicle
braces clavicle against sternum
serratus anterior origin
external surface of upper 8-9 ribs
serratus anterior insertion
anterior surface of medial border/inferior angle of scapula
serratus anterior innervation
long thoracic nerve
serratus anterior action
protracts scapula, holds against thoracic wall
rotates scapula superiorly (full abduction of arm)
serratus anterior paralysis
winged scapula
medial border and inferior angle protrude posteriorly
scapulohumeral (intrinsic) muscles
deltoid supraspinatus infraspinatus teres major/minor subscapularis
deltoid origin
clavicular: lateral 1/3 of clavicle
acromial: acromion
spinal: spine of scapula
deltoid insertion
deltoid tuberosity (lateral surface of shaft)
deltoid innervation
axillary nerve
deltoid action
abduction of arm medial rotation (anterior fibers) lateral rotation (posterior fibers)
supraspinatus origin
supraspinatus fossa of scapula
supraspinatus insertion
greater tubercle of humerus (upper facet)
supraspinatus innervation
suprascapular nerve
supraspinatus action
stabilize shoulder joint
initiates/assists deltoid in abduction
infraspinatus origin
infraspinatus fossa of scapula
infraspinatus insertion
greater tubercle of humerus (middle facet)
infraspinatus innervation
suprascapular nerve
infraspinatus action
stabilize shoulder joint
lateral rotation of arm
teres minor origin
middle lateral border scapula
teres minor insertion
greater tubercle of humerus (lower facet)
teres minor innervation
axillary nerve
teres minor action
stabilize shoulder joint
lateral rotation of arm
teres major origin
lower lateral border, posterior inferior angle of scapula
teres major insertion
intertubercular groove (medial lip) of humerus (lesser tubercle)
teres major innervation
lower subscapular nerve
teres major action
medial rotation, extension, adduction of arm
subscapularis origin
subscapular fossa
subscapularis insertion
lesser tubercle of humerus
subscapularis action
stabilize shoulder joint
medial rotation of arm
rotator cuff
supraspinatus (superiorly)
infraspinatus (posteriorly)
teres minor (posteriorly)
subscapularis (anteriorly)
quadrangular space
communicates axilla with posterior aspect of shoulder
quadrangular space boundaries
superior: teres minor
inferior: teres major
medial: LH biceps
lateral: humerus
quadrangular space function
transmits axillary nerve and posterior circumflex humeral vessels
triangular space
upper triangular
smaller space located medial to quadrangular space
triangular space boundaries
superior: teres minor
inferior: teres major
lateral: LH biceps
triangular space function
transmits circumflex scapular vessels
triangular interval boundaries
lower triangular space
superior: teres major
medial: LH triceps
lateral: shaft of humerus
triangular interval function
transmit radial nerve and profunda brachii vessels to reach posterior compartment of arm
axillary nerve
originates from posterior cord of brachial plexus in axilla
ventral rami of C56
passes posteriorly through quadrangular space inferior to shoulder joint
axillary nerve branches
muscular: deltoid, teres minor
articular: shoulder joint
cutaneous: upper lateral cutaneous nerve