Exam 2 Review Flashcards
What motion does the serratus anterior perform?
adduction and lateral rotation
What motion does the upper trapezius perform?
elevation
What motion does the middle trapezius perform?
scapular adduction
What motion does the lower trapezius perform?
depression and upward rotation
What motion do the rhomboids (major & minor) perform?
scapular adduction and medial rotation
What motion does the levator scapulae perform?
elevation
What motion does the pectoralis minor perform?
What is the serratus anterior origin, insertion, action, and nerve?
Origin: Lateral surface of the upper eight ribs.
Insertion: Vertebral border of the anterior surface of the scapula
Nerve: Long Thoracic Nerve
What is the upper trapezius origin, insertion, action, and nerve?
Origin: Occipital bone
Insertion: Outer third of the clavicle
Nerve: Spinal Accessory Nerve
What is the middle trapezius origin, insertion, action, and nerve?
Origin: Spinous processes of C7 – T3
Insertion: Scapular spine
Nerve: Spinal Accessory Nerve
What is the lower trapezius origin, insertion, action, and nerve?
Origin: Spinous processes of middle and lower thoracic vertebrae
Insertion: Base of the scapular spine
Nerve: Spinal Accessory Nerve
What is the levator scapulae origin, insertion, action, and nerve?
Origin: Transverse processes of the first four cervical vertebrae
Insertion: Vertebral border of the scapula between the superior angle and spine
Nerve: Third and fourth cervical nerves and the Dorsal Scapular nerve
What is the rhomboids origin, insertion, action, and nerve?
Origin: Spinous processes of C7 – T5
Insertion: Vertebral border of the scapula between the spine and inferior angle.
Nerve: Dorsal Scapular Nerve
Scapulo-humeral Rhythm:
– 2:1 ratio between glenohumeral movement and scapular movement for abduction and flexion AFTER 1St 30 degrees abd or flexion
– All joints need to move in order to get good sh. rhythm
– If the clavicle doesn’t rotate (at the SC joint), then abduction is limited to 110 degrees
What muscles are involved in shoulder impingement?
supraspinatus
deltoid?
when the top outer edge of your shoulder blade (scapula) pinches your rotator cuff causing pain
shoulder impingement
How do you measure shoulder subluxation?
using the palpate gap between the inferior aspect of the acromion and the superior aspect of the humeral head
Scapula Fractures:
Most scapula fractures can be treated with closed treatment.
- More than 90% of scapula fractures have minimal displacement, primarily because of the thick, strong support provided by the surrounding soft tissues.
- Treatment is symptomatic. Short-term immobilization in a sling and swathe bandage is provided for comfort.
Clavicle Fractures:
- Usually treated non-operatively without restrictions.
- Can have ORIF for non-unions
a contraction that occurs when there is joint movement, the muscles shorten and move toward each other (ex. Flexion)
Concentric contraction
a contraction occurs when there is joint motion but the muscle appears to lengthen (ex. Extension)
Eccentric contraction
a contraction that occurs when a muscle contracts, producing force without changing the muscle length (ex. a plank)
Isometric contraction
a contraction that occurs when a muscle contracts and the muscle length and. joint angle change (ex. biceps curls, pushups)
Isotonic contraction
Shoulder Pathologies:
- Age related changes
- Peripheral nerve injury
- Fractures
- Tendonitis
- Capsulitis
a fracture that punctures the skin
opened fracture
a fracture that does not puncture skin
closed fracture