Lecture 2 - Muscles Of The Pec/Shoulder Flashcards
What are the movements of the scapula?
- Elevation/depression
- Retraction/protraction
- Upward/downward rotation
What are the movements of the shoulder (GH joint)?
- it is a Multi-axial/ball & socket joint
- Flexion/Extension
- Abduction/adduction
- Internal (medial)/external (lateral) rotation
What are the muscles of the anterior axio-appendicular ?
- Pectoralis major/minor
- subclavius
- Serratus anterior
What is the origin of the Pectoralis major ?
- clavicular head; anterior surface of medial half of clavicle
- sternocostal head; anterior surface of sternum & costal cartilages (1-6)
What is the insertion/Innervation of the Pectoralis major?
- Insertion; Lateral hip of the bicipital groove on humerus (both heads)
- Innervation; Medial Pectoral Nerve & Lateral Pectoral Nerve
What is the main action of the Pectoralis major?
- Shoulder adduction & medial rotation
- Clavicular head only; shoulder flexion from an extended position
- Sternal head only; shoulder extension from flexed position
What is the origin/insertion/Innervation/main action of the Pectoralis minor?
- O: Anterior & 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 & Scapular upward rotation
What are the muscles of the posterior axio-appendicular?
- trapezius
- latissimuss dorsi
- levator scapulae
- rhomboid major/minor
What is the origin 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 the posterior clavicle
- Middle fibers run horizontally along scapular spine to the acromion press 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 origin of the latissimus dorsi?
- Spinous processes of inferior 6 thoracic vertebrae & interspinous ligaments
- Thoracolumbar fascia
- Posterior iliac crest
- Lower 3 or 4 ribs