Lecture 10: Upper Extremity Myology Flashcards
What are the 4 Thoracoappendicular Muscles?
- Pectoralis Major M.
- Pectoralis Minor M.
- Subclavius M.
- Serratus Anterior M.
Pectoralis Major M. action
- ADduct/medially rotate Humerus
- protract/depress Scapula
- flex humerus
Pectoralis Minor M. action
- protract/depress Scapula (stabilize)
Subclavius M. action
positions/depresses clavicle
Serratus Anterior M. action
- protracts scapula
- rotates Glenoid Cavity superiorly
What is “Winging of the Scapula” and what are its symptoms?
- Paralysis of Serratus Anterior from Long Thoracic N. injury
- abducting upper limb beyond horizontal position difficult
What are the 4 Rotator Cuff muscles and what is their common function?
- Supraspinatous M.
- Infraspinatous M.
- Subscapularis M.
- Teres Minor M.
- hold humeral head in Glenoid Cavity
Deltoid M. actions (Anteior, Middle, Posterior)
Anterior –> flex/medially rotate humerus
Middle –> ABduct humerus
Posterior –> extend/laterally rotate humerus
Subscapularis M. action
- medially rotate, ADduct humerus
Supraspinatous M. action
- ABduct humerus
Infaspinatous M. action
- laterally rotates humerus
Teres Minor M. action
- laterally rotates humerus
Teres Major M. action
- ADduct/medially rotate humerus
Which Rotator Cuff Muscle is the most commonly torn and what does damage to the Rotator Cuff lead to?
- Supraspinatous muscle
- injure or tear leads to instability to Glenohumeral Joint
Biceps Brachii M action
- flex humerus, supine forearm
- supinates forearm
Short Head resists dislocation
Bicipital Myotactic Reflex
- strike Bicipital Tendon w/reflex hammer = reflex
- no reflex = damaged to Musculocutaneous N. or C5/C6 Anterior Rami
Biceps Tendinitis and “Popeye Deformity”
- repetitive movement of Biceps Long Head through Intertuburcular Groove can cause inflammation
- Long Head separates from groove = muscle balling up in the mid arm
Coracobrachialis M. action
- flex/ADduct humerus
Brachioradialis M. action
- flex forearm
Triceps Brachii M. action
- extend forearm
Long Head resists dislocation
Anconeus M. action
- stabilizes elbow joint
- w/Triceps = extend forearm
What are the 4 superficial flexor muscles?
- Pronator Teres M.
- Flexor Carpi Radialis M.
- Palmaris Longus M.
- Flexor Carpi Ulnaris M.
Pronator Teres M. action
- pronate/flex forearm