HS1-8 Pectoral Girdle Flashcards
What two bones form the pectoral girdle?
clavicle and scapula
The two halves of the pectoral girdle attach at
the manubrium of the sternum
(T/F) The scapula is directly attached to the vertebral column.
False. The scapula has no direct connection to the vertebral column, and it is connected to the trunk via muscles.
Contrast the pectoral and pelvic girdles.
pectoral girdle = appendicular skeleton but pelvic girdle = integrated into axial skeleton; pectoral girdle = allows for great mobility but pelvic girdle = limits mobility
What is the function of the scapula’s glenoid cavity?
articulation with head of humerus
What are the structures located immediately above and below the glenoid cavity, and what is their significance?
supraglenoid and infraglenoid tubercles give rise to the origins of the long head of the biceps brachii and triceps brachii, respectively
Movements of the pectoral girdle or shoulder involve what joints?
3 joints —sternoclavicular, acromioclavicular, glenohumeral
What is the scapulothoracic joint?
a fourth, hypothetical joint in the pectoral girdle that connects the scapula to the axial skeleton
When fully elevating the arm, for every 3° of elevation, how much elevation occurs at the glenohumeral and scapulothoracic joints?
for every 3° of elevation, 2° of elevation occurs at glenohumeral joint and 1° of elevation occurs at scapulothoracic joint
The sternoclavicular joint is what kind of joint?
saddle-type joint that functions as ball-and-socket joint
The sternoclavicular joint allows movement in which planes?
allows movement in all 3 planes
What ligaments hold the sternoclavicular joint together?
anterior sternoclavicular ligament
posterior sternoclavicular ligament
interclavicular ligament
costoclavicular ligament
The acromioclavicular joint is what kind of joint?
plane-type joint
The acromioclavicular joint allows movement in which planes?
allows movement in 2 planes
What actually causes the acromioclavicular joint to move?
the thoracoappendicular muscles that attach to and move the scapula cause the acromion to move on the clavicle
What structure strengthens the acromioclavicular joint?
the acromioclavicular ligament
What structure maintains the integrity of the acromioclavicular joint?
the coracoclavicular ligament
The coracoclavicular ligament is further divided into what structures?
conoid and trapezoid ligaments
Which ligaments stabilize the acromioclavicular joint?
acromioclavicular ligament (strengthens) and coracoclavicular ligament (conoid and trapezoid, maintains integrity of)
What is the coraco-acrominal joint?
ligament that connects two processes of the scapula but does NOT strengthen or cross the acromioclavicular joint
What is the function of the coraco-acrominal joint?
prevents superior dislocation of the head of the humerus from the glenoid cavity of the scapula
What are the six primary movements of the pectoral girdle?
elevation/depression; protraction/retraction; superior/inferior rotation
**List the muscles (along with their sources of innervation) associated with elevation of the pectoral girdle. Identify the prime mover.
prime mover: trapezius
**List the muscles (along with their sources of innervation) associated with depression of the pectoral girdle. Identify the prime mover.
“Sad People Pray To Laugh”
prime mover: gravity
**List the muscles (along with their sources of innervation) associated with superior rotation of the pectoral girdle. Identify the prime mover.
prime mover: both muscles
**List the muscles (along with their sources of innervation) associated with inferior rotation of the pectoral girdle. Identify the prime mover.
prime mover: latissimus dorsi
**List the muscles (along with their sources of innervation) associated with protraction of the pectoral girdle. Identify the prime mover.
prime mover: serratus anterior
**List the muscles (along with their sources of innervation) associated with retraction of the pectoral girdle. Identify the prime mover.
“Retract from a Long Term Relationship”
prime mover: trapezius
What is the functional structure of the glenohumeral joint?
provides for articulation between the head of the humerus and the glenoid cavity of the scapula
What is the most mobile joint in the body?
glenohumeral joint
What is the most frequently dislocated joint in the body?
glenohumeral joint
How many axes of movement does the glenohumeral joint allow for?
3
What is the glenoid labrum?
a fibrous ring that deepens the glenohumeral joint and adds limited stability
Which ligaments strengthen the glenohumeral joint?
glenohumeral and coracohumeral ligaments
What ligament supports the weight of the glenohumeral joint?
coracohumeral ligament
What is the function of the coracohumeral ligament?
strengthen glenohumeral joint and support weight of the joint
What is the functional structure of the coraco-acrominal ligament?
connects acromion and coracoid process
What is the function of the coraco-acrominal ligament?
prevents superior displacement of the humeral head
How do dislocations of the glenohumeral joint typically occur?
dislocations usually occur antero-inferiorly, particularly when the shoulder is abducted, because there are no strong supporting structures inferior to the glenohumeral joint
Which muscles make up the rotator cuff muscle group? List their sources of innervation, as well.
supraspinatus (suprascapular nerve); infraspinatus (suprascapular nerve); teres minor (axillary nerve); subscapularis (upper and lower subscapular nerves) - SITS - SSAUL
Clinically, what is the anatomical basis of a shoulder separation?
when the acromioclavicular joint and the coracoclavicular ligament tear, “separating” the shoulder from the clavicle
What are the six primary movements of the glenohumeral joint?
flexion/extension; abduction/adduction; medial and lateral rotation
**List the muscles (along with their sources of innervation) associated with flexion of the glenohumeral joint.
BCAP
**List the muscles (along with their sources of innervation) associated with extension of the glenohumeral joint.
PTLTP (palindrome)
**List the muscles (along with their sources of innervation) associated with abduction of the glenohumeral joint.
The muscles that contribute to flexion of the glenohumeral joint are generally innervated by
anterior primary ramus of C5 spinal nerve
The muscles that contribute to extension of the glenohumeral joint are generally innervated by
anterior primary rami of C6-C8 spinal nerves
The muscles that contribute to abduction of the glenohumeral joint are generally innervated by
anterior primary ramus of C5 spinal nerve
**List the muscles (along with their sources of innervation) associated with adduction of the glenohumeral joint.
Tiny Little Penguins
The muscles that contribute to adduction of the glenohumeral joint are generally innervated by
anterior primary rami of C6-C8 spinal nerves
**List the muscles (along with their sources of innervation) associated with lateral/external rotation of the glenohumeral joint.
TIP - (like asking for a tip)
The muscles that contribute to lateral/external rotation of the glenohumeral joint are generally innervated by
anterior primary ramus of C5 spinal nerve
**List the muscles (along with their sources of innervation) associated with medial/internal rotation of the glenohumeral joint.
SPLAT
The muscles that contribute to medial/internal rotation of the glenohumeral joint are generally innervated by
anterior primary rami of C6-C8 spinal nerves
What are the two sources of cutaneous innervation to the shoulder region?
supraclavicular nerves; superior lateral cutaneous nerve of arm
What is the source of the supraclavicular nerve?
cervical plexus, C3-C4
What is the source of the superior lateral cutaneous nerve of arm?
comes from axillary nerve of brachial plexus (C5-C6)
What is an alternative name for the superior lateral cutaneous nerve of arm?
superior lateral brachial cutaneous nerve
What innervates the diaphragm?
phrenic nerve - C3/C4/C5
**List the muscles (along with their sources of innervation) associated with flexion of the elbow.
**List the muscles (along with their sources of innervation) associated with extension of the elbow.
**List the muscles (along with their sources of innervation) associated with radio-ulnar supination.
**List the muscles (along with their sources of innervation) associated with radio-ulnar pronation.
**List the muscles (along with their sources of innervation) associated with flexion of the wrist.
**List the muscles (along with their sources of innervation) associated with extension of the wrist.
**List the muscles (along with their sources of innervation) associated with abduction/radial deviation of the wrist.
**List the muscles (along with their sources of innervation) associated with adduction/ulnar deviation of the wrist.
**List the muscles (along with their sources of innervation) associated with flexion of the thumb.
**List the muscles (along with their sources of innervation) associated with extension of the thumb.
**List the muscles (along with their sources of innervation) associated with abduction of the thumb.
**List the muscles (along with their sources of innervation) associated with adduction of the thumb.
**List the muscles (along with their sources of innervation) associated with opposition of the thumb.
**List the muscles (along with their sources of innervation) associated with reposition of the thumb.
**List the muscles (along with their sources of innervation) associated with flexion of the metacarpophalangeal (MP) joint.
**List the muscles (along with their sources of innervation) associated with extension of the metacarpophalangeal (MP) joint.
**List the muscles (along with their sources of innervation) associated with abduction of the metacarpophalangeal (MP) joint.
**List the muscles (along with their sources of innervation) associated with adduction of the metacarpophalangeal (MP) joint.
**List the muscles (along with their sources of innervation) associated with flexion of the proximal interphalangeal (PIP) joint.
**List the muscles (along with their sources of innervation) associated with extension of the proximal interphalangeal (PIP) joint.
**List the muscles (along with their sources of innervation) associated with flexion of the distal interphalangeal (DIP) joint.
**List the muscles (along with their sources of innervation) associated with extension of the distal interphalangeal (DIP) joint.
What muscles are associated with table topping?
lumbricals; palmar interossei; dorsal interossei
What is the proximal attachment of the clavicular part of the pectoralis major?
medial half of clavicle
What innervates the pectoralis major?
lateral and medial pectoral nerve
What innervates the pectoralis minor?
medial pectoral nerve
What is the proximal attachment of the serratus anterior?
lateral parts of ribs 1-9
What is the distal attachment of the serratus anterior?
scapula
What nerve innervates the serratus anterior?
long thoracic nerve
What nerve innervates the trapezius?
CN-XI
What nerve innervates the latissimus dorsi?
thoracodorsal
What nerve innervates the levator scapulae?
dorsal scapular nerve
What nerve innervates the rhomboid minor?
dorsal scapular nerve
What nerve innervates the rhomboid major?
dorsal scapular
What is the proximal attachment of the anterior part of the deltoid?
lateral third of clavicle
What is the proximal attachment of the middle part of the deltoid?
acromion of scapula