Module 4C: Appendicular upper Flashcards
What are the 3 different scapular movements?
- Elevation and depression
- Protraction and retraction
- adduction and abduction - Upward and Downward rotation
- upward counterclockwise
- downwards clockwise
What is the point of reference for rotation?
Glenoid cavity, pointing up = upwards, pointing down = downwards
How many muscles are in the shoulder girdle?
5
What are the 5 muscles in the shoulder girdle?
- Trapezius
- Levator Scapulae
- Rhomboid major and minor
- Serratus anterior
- Pectoralis minor
What is the Origin and Insertion of the Trapezius?
O: nuchal ligament, spines of the thoracic vertebrae, occipital bone
I: clavicle, acromion process, spine of scapula
upward rotation of the scapula, depression (shoulder shrugs)
What is the Origin and insertion of the Levator Scapulae?
O: C1-C4 transverse processes
I: superior angle of the scapula
*elevates medial border of the scapula- shoulder shrug with trapezius: downward rotation of the scapula
What is the Origin and insertion of the Rhomboid major and minor?
O: spinous processes of C7-T5
I: medial border of scapula
What is the order of the second two trunk muscles from superior to inferior?
SUPERIOR: levator scapula- Rhomboid minor- Rhomboid major
What is the Origin and insertion of the Serratus anterior?
O: lateral surface of ribs 1-9
I: medial border of scapula, anterior surface
What is another name for the serratus anterior muscle?
boxers muscle
What is the Origin and insertion of the Pectoralis minor?
O: outer surface of ribs 2-5
I: coracoid process of scapula
Action:
- weak shoulder protraction
Where is the serratus anterior found?
- just superficial to the ribs and intercostal muscles
- muscle starts depp and moves superficially
What is scapular winging?
a rare condition where there is insufficient serratus anterior strength, endurance or function causing pain, discomfort and a wing-like shape sticking out of the back
How many muscles are in the shoulder joint?
5
What are the 5 muscles of the shoulder joint?
- Deltoid Spinal (posterior head)
- Deltoid Acromial (lateral head)
- Deltoid Clavicular (anterior head)
- Pectoralis major
- Latissimus Dorsi
What is the OIA of the Deltoid Spinal?
O: spine of scapula
I: deltoid tuberosity of humerus
Action:
- extension of humerus
What is the OIA of the Deltoid Acromial?
O: acromion
I: deltoid tuberosity of humerus
Action:
- abduction of arm at shoulder
What is the OIA of the Deltoid Clavicular?
O: clavicle
I: deltoid tuberosity of humerus
Action:
- flexion of humerus
What is the OIA of the Pectoralis major?
O: medial clavicle, costal cartilage of ribs (1-6)
I: bicipital (intertubercular) groove of humerus
Action:
- flexion of arm at shoulder
- extension of a flexed arm
- horizontal flexion of arm
What is the OIA of the Latissium Dorsi?
O: posterior sacrum, lumbar vertebrae, lower thoracic vertebrae
I: bicipital (intertubercular) groove of humerus
Action:
- extension of arm at shoulder
How many muscles are a part of the rotator cuff?
4
What are the 4 rotator cuff muscles?
- Supraspinatus
- Infraspinatus
- Teres minor
- Subscapularis
What is the OIA of the Supraspinatus
O: supraspinous fossa of scapula
I: greater tubercle of the humerus
Action:
- provides strength and stability to the shoulder joint
- initiates arm abduction
What is the OIA of the Infraspinatus?
O: infraspinatus fossa of scapula
I: greater tubercle of the humerus
Action:
- provides strength to posterior component of the shoulder joint
What is the OIA of the Teres minor?
O: lateral border of scapula
I: greater tubercle of humerus, below infraspinatus
Action:
- provides posterior support to the shoulder joint
What is the OIA of the Subscapularis?
O: subscapular fossa of scapula
I: lesser tubercle of humerus
Action:
- provides posterior support to the shoulder capsule
How many muscles are there in the group of muscles that move the arm?
4
What are the 4 muscles in the group of muscles that move the arm?
- Teres major
- Bicep Brachii
- Triceps Brachii
- Coracobrachialis
What is the OIA of the Teres major?
O: lateral border of scapula
I: bicipital groove of humerus
Action:
- extension of arm
What is the OIA of the Bicep Brachii?
O:
- Long head: supraglenoid tubercle of scapula
- Short head: Coracoid process of scapula
I: radial tuberosity
Action:
- elbow supination
- flexion of the shoulder
What is the OIA of the Triceps Brachii?
O:
- Long: infraglenoid tubercle of scapula
- Medial: posterior/medial aspect of the humerus
- Lateral: posterior/lateral aspect of humerus
I: olecranon process of ulna
Action:
- extension of elbow
- extension of arm at shoulder (Long head only)
What is the OIA of the Coracobrachialis?
O: coracoid process of scapula
I: media side of the shaft of humerus
Action:
- flexion of arm at the shoulder