Lecture 2 - Abdominal, Back & Shoulder Region Flashcards
What are the 2 main groups comprising the abdominal muscles?
- Anterior Abdominal wall
2. Posterior abdominal
What are the 3 muscles that comprise the anterior abdominal muscles?
- External oblique
- Internal oblique
- Transverse abdominus
What function do the anterior abdominal muscles serve?
- protection
- movement of the trunk
- changes in size of cavity
What muscles innervate the anterior abdominal muscles?
intercostal nerves - segmentally
External Oblique
outermost muscle fibbers that run from back to front in a downward (hands in pocket) direction
Internal Oblique
Deep to external oblique; fibbers are perpendicular to external obliques (hands on hips) up and medially
Transversus abdominus
deepest and parallel to the floor. Runs from ribs and pelvis to centre
rectus abdominus
Most superficial. Run on either side of linea alba
Tendinous intersections (inscriptions)
connective tissue divisions of the rectus abdomens. Divides muscle into 4 sections
The muscles of the back are important in
posture
What 2 groups are the back muscles divided into?
- Deep
2. Superficial - Erector Spinae Group
Where is the erector spinae group located? What 3 muscles comprise it?
- It is located on either side of the vertebral column
2. It is comprised of 3 muscles: iliocostalis, longissimus, spinalis
What are the 3 main deep back muscles?
- Quadratus Lumborum
- Psoas Major
- Iliacus
* 2 and 3 share a common tendon and are together called the iliopsoas muscle
What does the Quadratus Lumborum do ?
- powers lateral flexion of the lumbar spine
2. stabilizes the 12th rib against the action of the diaphragm during inspiration
What does the iliopsoas do?
powers hip flexion
What nerve innervates the iliopsoas ?
femoral nerve
What are the 3 bones that make up the shoulder girdle?
- Clavicle
- Scapula
- Humerus
what function does the clavicle serve?
force absorption, dissipation of force, and rotation of the scapula in abduction.
Which two parts of the humerus allow for muscles to attach?
- Greater tuberosity
2. lesser tuberosity
What type of joint is the sternoclavicular joint (S-C joint)? What plane does movement occur in?
Saddle type synovial joint. Multi axial plane
What two bones articulate in the Acromioclavicular joint (A-C joint)?
- lateral clavicle
2. acromion process
What type of joint is the acromioclavicular joint?
Plane type synovial joint
What two bones articulate in the shoulder (gleno-humeral) joint?
head of humerus and glenoid of the scapula
What type of joint is the shoulder joint?
Multi-axial, ball & socket type synovial joint
Describe scapulothoracic articulation
Not a true joint because the scapula is not attached by ligaments to the thoracic cage but is free floating within a complex of muscle attachments
Describe the movements of the shoulder girdle (4)
- Elevation/depression
- protraction/retraction
- Cross flexion/extension
- circumduction
What 2 muscles connect the thorax to the humerus?
- Latissimus Dorsi
2. Pectoralis Major
What are the 2 heads of the pectorals major and where do they attach?
- Clavicular head - attaches to medial, anterior clavicle
2. sternal head - attaches to sternum and costal cartilages of first 6 ribs
What are the movements that the pectoralis major functions in?
- shoulder flexion
- adduction
- medial rotation
What nerves innervate the pectorals major?
lateral and medial pectoral nerves
What is the origin and insertion of the latissimus dorsi?
arises from thoracolumbar fascia or low back and inserts on the proximal part of the humerus
What innervates the latissimus dorsi?
thoracodorsal nerve
How is the latissimus dorsi able to move ? What are some composite actions?
- shoulder extension; medial rotation
2. swimming; paddling
What muscles connect the thorax to the scapula/clavicle (5) ?
- Trapezius
- rhomboid major & minor
- serratus anterior
- pectoralis minor
- sternocleidomastoid
Are the Latissimus dorsi and the pectorals major superficial or deep muscles?
superficial
What bone does the trapezius act on?
scapula
What nerve is the trapezius innervated by?
Accessory nerve (CN XI)
What does the upper part of the trapezius function in (2) ?
- Scapular elevation/rotation (shrug)
2. Neck side flexion (unilateral) or Extension (bilateral)
What does the middle part of the trapezius function in?
Scapular retraction
What does the lower part of the trapezius function in?
- pull medial end of scapular spine down (depression of the shoulder blade)
- rotates glenoid fossa upward
- important to facilitate raising the arm over head
Where do the Rhomboid Major and Minor originate and insert?
from vertebral column to scapula. runs obliquely down and laterally
What do the rhomboid major & minor function in?
functions to retract scapula
What nerve innervates the rhomboid major & minor?
dorsal scapular nerve
Where does the serratus anterior originate and insert?
from the chest to vertebral border of scapula, running between thorax & scapula
What is the function of the serratus anterior?
- Protracts scapula
2. stabilizes scapula to posterior wall of thorax
The serratus anterior is innervated by what nerve?
Long Thoracic Nerve
Which muscle is superficial to the pectoralis minor ?
pectoralis major
What nerve innervates the pectoralis minor?
medial pectoral nerve
How does the pectoralis minor function ?
actively protracts scapula (powers reach beyond reach)
What are the functions of the sternocleidomastoid?
- head and neck flexion
2. tilts chin up and tortes to the opposite side
What nerve innervates the sternocleidomastoid?
Accessory Nerve (CNXI)
What muscles connect the scapula/clavicle to the humerus
- Deltoid
2. Rotator cuff (SITS) muscles
What are the rotator cuff muscles? (4)
- supraspinatus
- infraspinatus
- teres minor
- subscapularis
Where is the deltoid located?
It is a round muscle that is found on the top of the shoulder and provides the bulk of the shoulder
What are the 3 distinct heads of the deltoid? What movement does each facilitate?
- Anterior - shoulder abduction
- middle - shoulder flexion
- Posterior - shoulder extension
What nerve innervates the deltoid
axillary nerve
What movement does that supraspinatus facilitate?
abduction of the shoulder
What movement does the infraspinatus facilitate ?
lateral rotation of shoulder
What movement does the trees minor facilitate ?
lateral rotation of shoulder
What movement does the sub scapular facilitate?
medial rotation of shoulder