Lecture 16 - Muscles Of The Pectoral & Scapular Regions Flashcards
What are the 4 muscles of the anterior axio-appendicular region?
- pectoralis major/minor
- subclavius
- Serratus anterior
What are the 2 origins of the pectoralis major?
- Clavicular Head: Anterior surface of medial half of clavicle
- Sternocostal Head: Anterior surface of sternum, Costal cartilages 1-6 (or 1-7)
What is the insertion of the pectoralis major?
- Lateral lip of the bicipital groove on humerus (both heads)
- Attachments twist on one another so that the sternal head comes to be superior to the clavicular head on the bicipital groove
What is the innervation of the pectoralis major?
- Medial Pectoral Nerve
- Lateral Pectoral Nerve
What are the main actions of the pectoralis major?
- Shoulder adduction & medial rotation
- Clavicular head only: shoulder Flexion from an extended position
- Sternal head only: shoulder extension from a flexed position
What is the origin/insertion/innervation/main action of the pectoralis minor?
- O: Anterior and superior surfaces of ribs 3, 4, 5, just lateral to costal cartilages
- I: Coracoid process of scapula
- Inn: Medial Pectoral Nerve
- MA: Protraction of scapula
What is the origin/insertion/innervation/main action of the subclavius?
- O: Rib 1 at junction of rib & costal cartilage
- I: Groove on inferior surface of middle 1/3 clavicle
- Inn: Nerve to Subclavius
- MA: Anchors & depresses clavicle when upper limb is moving
What is the origin/insertion/innervation/main action of the Serratus anterior?
- O: External lateral surfaces of first 8 (or 9) ribs
- I: Anterior surface of medial border scapula
- Inn: Long Thoracic Nerve
- MA: Scapular protraction & upward rotation
What are the 5 muscles of the posterior axio-appendicular & scapulohumeral regions
- trapezius
- latissimus dorsi
- levator scapulae
- rhomboids major/minor
What are the origins of the trapezius?
- External occipital crest
- Ligamentum nuchae
- Spinous processes of C7-T12 (aponeurotic) & supraspinous ligament
What are the insertions of the trapezius?
- Upper fibers descend to the lateral 1/3 of posterior clavicle
- Middle fibers run horizontally along scapular spine to the acromion process of scapula
- Lower fibers ascend to the scapular spine
What is the innervation of the trapezius?
- CN XI (accessory nerve)
What are the main actions of the trapezius?
- Upper scapular elevation & upward rotation, neck extension & side flexion
- Middle scapular retraction
- Lower scapular depression & upward rotation
What is the origins of the latissimus dorsi?
- Spinous processes of inferior 6 thoracic vertebrae & interspinous ligaments
- Thoracolumbar fascia
- Posterior iliac crest lower 3 or 4 ribs
What is the insertion/innervation of the latissimus dorsi?
- I: Floor of bicipital groove
- Inn: Thoracodorsal nerve