Exam 1 - Pectoral, Shoulder and Axilla regions Flashcards
Using a model or picture - name the parts of the Clavicle. Identify right and left.
Sternal end, Shaft, Acromial end, Impression for Costoclavicular ligament, Subclavian groove, Conoid Tubercle and Acromial facet
Using a model or picture - name the parts of the Scapula. Identify right and left.
Acromion, Coracoid Process, Glenoid Cavity, Suprascapular notch, Infraspinous fossa, Spine
What are the major superficial muscles of the back?
Trapezius, Levator scapulae, Rhomboid minor, Rhomboid major, Deltoid, Teres major, Latissimus dorsi
What are the origins and insertions of the Trapezius?
Origins - Occipital protuberance, Nuchal ligament, C7-T12 Spinous processes
Insertions - lateral 1/3 of clavicle, Acromion, Scapular spine
What are the functions of the Trapezius?
Elevates and depresses the scapula (depending on which part of the muscle contracts); Rotates the scapula superiorly; retracts scapula
What innervates the Trapezius?
Accessory
What is the blood supply for the Trapezius?
Transverse Cervical artery
What are the origins of the Latissimus dorsi?
Vertebral spines from T7 to the Sacrum. Posterior 1/3 of Iliac Crest. Lower 3 or 4 ribs.
What are the insertions of the Latissimus dorsi?
Floor of the Intertubercular groove of the humerus
What are the functions of the Latissimus dorsi?
Extends the arm and rotates the arm medially
What innervates the Latissimus dorsi?
Thoracodorsal nerve from the posterior cord
What is the blood supply for the Latissimus dorsi?
Thoracodorsal artery
What are the origins of Teres major?
Dorsal surface of the inferior angle of the Scapula
What are the insertions of Teres major?
Crest of the lesser tubercle of the Humerus. Has a very close insertion point to the Latissimus dorsi at the Humerus.
What innervates the Teres major?
Lower Subscapular nerve from the Posterior cord
What are the functions of Teres major?
Adducts the arm. Medially rotates the arm. Assists in arm extension.
What is the blood supply for Teres major?
Circumflex scapular artery
What are the origins for Levator scapulae?
Transverse processes of C1-C4
What are the insertions for Levator scapulae?
Medial border of the Scapula from the Superior angle to the spine
What are the functions of Levator Scapulae?
Elevates the Scapula
What innervates the Levator Scapulae?
Dorsal scapular nerve
What supplies blood to the Levator Scapulae?
Dorsal scapular artery
What are the origins of Rhomboid minor?
Inferior end of the ligamentum nuchae. Spines of C7-T1
What are the insertions of Rhomboid minor?
Medial border of the Scapula at the root of the Spine of the Scapula
What are the functions of Rhomboid minor?
Retracts, elevates and rotates the Scapula inferiorly
What innervates the Rhomboid minor?
Dorsal scapular nerve
What supplies blood to the Rhomboid minor?
Dorsal scapular artery
What are the origins of the Rhomboid major?
Spines of T2-T5
What are the insertions of the Rhomboid Major?
Medial border of the Scapula at the root of the spine of the Scapula
What are the functions of the Rhomboid major?
Retracts, elevates and rotates the scapula inferiorly
What innervates the Rhomboid major?
Dorsal scapular nerve
What supplies blood to the Rhomboid major?
Dorsal Scapular artery
What are the origins of the Deltoid?
Lateral 1/3 of the Clavicle. Acromion. Lower lip of the Crest of the Spine of the Scapula
What are the insertions of the Deltoid?
Deltoid tuberosity of the Humerus
What are the functions of the Deltoid?
Abducts the arm; Anterior fibers flex and medially rotate the arm; Posterior fibers extend and laterally rotate the arm.
What innervates the Deltoid?
Axillary nerve from the Posterior cord
What supplies blood to the Deltoid?
Posterior Circumflex Humeral artery
What is the Deltoid poor at and needs help with?
Starting to Abduct the arm. The Supraspinatus helps with the first 15 degrees of abduction.
What are the origins of the Supraspinatus?
Supraspinatous fossa
What are the insertions of the Supraspinatus?
Greater tubercle of the Humerus
What are the functions of the Supraspinatus?
Does the first 15 degrees of abduction of the arm
What innervates the Supraspinatus?
Suprascapular nerve
What supplies blood to the Supraspinatus?
Suprascapular artery
What are the origins of the Infraspinatus?
Infraspinatus fossa
What are the insertions of the Infraspinatus?
Greater tubercle of the humerus
What are the functions of the Infraspinatus?
Laterally rotates the arm
What innervates the Infraspinatus?
Suprascapular nerve
What supplies blood to the Infraspinatus?
Suprascapular artery
What are the origins of Teres minor?
Upper 2/3 of the lateral border of the Scapula
What are the insertions of Teres minor?
Greater tubercle of the Humerus.
What are the functions of Teres minor?
Laterally rotates the arm
What innervates Teres minor?
Axillary nerve
What supplies blood to Teres minor?
Circumflex scapular artery
What are the origins of the Subscapularis?
Medial 2/3 of the costal surface of the Scapula
What are the insertions of the Subscapularis?
Lesser tubercle of the Humerus
What are the functions of the Subscapularis?
Medially rotates the arm; Assists extension of the arm
What innervates the Subscapularis?
Upper and lower subscapular nerves
What supplies blood to the Subscapularis?
Subscapular artery
What muscles make up the rotator cuff?
Supraspinatus, Infraspinatus, Subscapularis and Teres minor
What are the origins of Pectoralis major?
medial 1/2 of the clavicle; manubrium and body of sternum; costal cartilages of ribs 2-6
What are the insertions of Pectoralis major?
Crest of the greater tubercle of the humerus
What are the functions of Pectoralis major?
Flexes and adducts the arm; Medially rotates the arm
What innervates Pectoralis major?
Medial and lateral pectoral nerves
What supplies blood to Pectoralis major?
Pectoral branch of the Thoracoacromial trunk
What are the origins of Pectoralis minor?
ribs 3-5
What are the insertions of Pectoralis minor?
coracoid process of the Scapula
What are the functions of Pectoralis minor?
Draws the Scapula forward, medialward and downward
What innervates Pectoralis minor?
Medial pectoral nerve
What supplies blood to Pectoralis minor?
Pectoral branch of the Thoracoacromial trunk
What are the origins of Subclavius?
First rib and its cartilage
What are the insertions of Subclavius?
Inferior surface of the Clavicle
What are the functions of Subclavius?
Draws the clavicle (and hence the shoulder) down and forward
What innervates Subclavius?
Nerve to Subclavius.
What supplies blood to Subclavius?
Clavicular branch of the Thoracoacromial trunk
What are the origins of Serratus Anterior?
Ribs 1-8 or 9
What are the insertions of Serratus Anterior?
Medial border of the Scapula on its costal (deep) surface
What are the functions of Serratus Anterior?
It draws the scapula forward; The inferior fibers rotate the Scapula superiorly
What innervates Serratus Anterior?
Long Thoracic nerve
What supplies blood to Serratus Anterior?
Lateral Thoracic artery
What makes up the boundaries of the Axilla.
Apex – Also known as the axillary inlet, this is formed by lateral border of the first rib, superior border of scapula, and the posterior border of the clavicle.
Lateral wall - Formed by intertubecular groove of the humerus.
Medial wall - Consists of the serratus anterior and the thoracic wall (ribs and intercostal muscles).
Anterior wall - Contains the pectoralis major and the underlying pectoralis minor and the subclavius muscles.
Posterior wall - Formed by the subscapularis, teres major and latissimus dorsi.
What is the nickname for Serratus Anterior?
Boxers muscle
What are the boundaries for the Axillary artery?
Starts at the Subclavian as it passes the first rib then ends at the inferior border of Teres major as it turns into the Brachial artery.
Where are the three parts of the Axillary artery?
1st part - First rib to Pectoralis minor.
2nd part - Posterior to pectoralis minor
3rd part - Lateral border of Pectoralis minor to inferior border of Teres major
What artery comes off of the first part of the Axillary artery?
Superior Thoracic artery
What arteries come off of the second part of the Axillary artery?
Thoracoacromial and Lateral Thoracic arteries
What arteries come off of the third part of the Axillary artery?
Subscapular (thoracodorsal and circumflex scapular), Anterior humeral circumflex and Posterior humeral circumflex arteries
What are the names of the 5 parts of the Brachial Plexus?
Roots, Trunks, Divisions, Cords, Branches
What is the root of the Brachial Plexus?
Anterior Primary Ramus C5-T1
What are the Trunks of the Brachial Plexus?
Superior, Middle, Inferior
What are the Divisions of the Brachial Plexus?
Anterior and Posterior
What are the Cords of the Brachial Plexus?
Medial, Lateral and Posterior
What are the Terminal Branches of the Brachial Plexus?
Musculocutaneous nerve, Median nerve, Ulnar nerve, Axillary nerve, and Radial nerve
Where does the Dorsal Scapular nerve come off in the Brachial Plexus?
C5 root
Where does the Long Thoracic nerve come off in the Brachial Plexus?
The Long Thoracic is a combination of C5, C6 and C7 roots
Where does the Subclavian nerve come off in the Brachial Plexus?
The Superior trunk
Where does the Suprascapular nerve come off in the Brachial Plexus?
The Anterior Division of the Superior Trunk
Where does the Lateral Pectoral nerve come off in the Brachial Plexus?
The Lateral cord
Where does the Upper and Lower Subscapular nerves come off in the Brachial Plexus?
The Posterior cord
Where does the Thoracodorsal nerve come off in the Brachial Plexus?
The Posterior cord
Where does the Medial Pectoral nerve come off in the Brachial Plexus?
The Medial cord
Where does the Medial Cutaneous nerve of arm come off in the Brachial Plexus?
The Medial cord
Where does the Medial Cutanesous nerve of forearm come off in the Brachial Plexus?
The Medial cord
What two cords make up the Median nerve?
The Lateral and Medial cords
What cord does the Musculocutaneous nerve come off of?
The Lateral cord
What cord does the Axillary nerve come off of?
The Posterior cord
What cord does the Radial nerve come off of?
The Posterior cord
What cord does the Ulnar nerve come off of?
The Medial cord
What nerve innervates the anterior compartment of arm
Musculocutaneous
What muscles do the Musculocutaneous nerve innervate?
Coracobrachialis, Biceps brachii and Brachialis.
What muscles do the Median nerve innervate?
Pronator teres, Flexor carpi radialis, Palmaris longus, Flexor pollicis longus, Flexor digitorum superficialis, Pronator quadratus, Flexor digitorum profundus (lateral 1/2 to digits 2-3), Thenar muscles and Lumbricals to digits 2-3
What nerve innervates the anterior compartment of the forearm
Median nerve and Ulnar nerve
What nerve innervates the Posterior compartment of arm?
Radial nerve
What nerve innervates the Posterior compartment of forearm?
Radial nerve
What muscles do the Radial nerve innervate?
Triceps brachii (long, lateral and short head), Brachioradialis, Extensor carpi radialis longus, Extensor carpi radialis brevis, Anconeus, Supinator, Posterior interosseous, Abductor pollicis longus, Extensor carpi ulnaris, Extensor pollicis brevis, Extensor digiti minimi, Extensor pollicis longus, Extensor indicis, Extensor digitorum
What muscles do the Ulnar nerve innervate?
Flexor carpi ulnaris and Flexor digitorum profundus (medial 1/2 to digits 4,5), Palmar interossei, Adductor pollicis, Palmaris brevis, Hypothenar muscles, Lumbricals to digits 4,5, and Dorsal interossei