Module 4C: Upper Appendicular Muscles Flashcards
what are the appendicular muscles?
muscles that move and attach to the limb
if some appendicular muscles can attach to the axial skeleton, why are they called appendicular muscles?
because they have a direct impact on the appendicular skeletal movement
- so they are grouped with the appendicular muscles
why can the scapula move freely over the thoracis wall?
because there is no ligament attachment to the thorax
what are three movements of the scapula?
- elevation and depression (up and down)
- protraction(adduction) and retraction(abduction) (left and right)
- upward and downward rotation (moving arm up and down) (clockwise and counter-clockwise)
what is the point of reference for upward and downward rotation of the scapula?
the glenoid cavity
- if it points up, it is an upward rotation and if it points down, it is a downward rotation
what is the trapezius?
a shoulder girdle muscle
- looks like a diamond on the back
- has three fibers (superior, middle and inferior)
what is the origin of the trapezius?
- nuchal ligament (ligamentum nuchae)
- spines of thoracic vertebrae
- occipital bone
- ALL THREE, NOT JUST ONE
what is the insertion of the trapezius?
- clavicle (out front)
- acromion process (laterally)
- spine of scapula (back)
what is the action of the trapezius?
- elevate scapula
- adduction/retraction of scapula
- upward rotation of scapula, depression
- shoulder shrug (combination of elevation and adduction of the scapula)
where is the most action of the trapezius?
the scapula
which muscle primarily elevates the scapula?
the levator scapulae
what is the origin of the levator scapulae?
C1-C4 transverse processes
where does most of the back muscles attach to?
spinous processes
what is the insertion of the levator scapulae?
superior angle of scapula
- located superiorly to the spine of the scapula
what is the action of the levator scapulae?
- scapula elevation (if you pull up or contract this muscle, you will pull up on the scapula, causing elevation)
- on ONE side, it will do a clockwise rotation which depresses the glenoid fossa (if you pull up on this medial side, the lateral side will go down(occurs when lowering the arm)
-* elevates medial border of scapula - shoulder shrug with trapezius; downward rotation of scapula
the levator scapulae works with the trapezius muscle for which movement?
the shrug movement
- they both have elevation in common
is the rhomboid minor superior to the rhomboid major?
yes
what is the origin of the rhomboid minor and major?
the spinous processes of C7-T5
what is the insertion of the rhomboid minor and major?
medial border of scapula
- insert lower than the levator scapula
what is the actions of the rhomboid minor and major?
- retraction of scapula
- elevation of scapula
- downward rotation of scapula
what muscle is superficial to the ribs directly and to the intercostal muscles?
the serratus anterior
what is the origin of the serratus anterior?
the lateral surface of ribs 1-9
what is the insertion of the serratus anterior?
- the medial border of scapula, anterior surface
how does the serratus anterior start and then move?
starts deep and moves more superficially
why is the serratus anterior called serratus?
because the bumpy origin points look like a serrated knife
what are the actions of the serratus anterior?
- abduction/protraction of scapula
- upward rotation of scapula
why is the serratus anterior called the boxers muscle?
because of its function of scapular protraction at the abduction of the scapula
- boxers are able to get more reach with their fist due to the protraction of the scapula which allows the glenoid fossa to move to a point that is more forward
what is a cause of scapula winging?
an insufficient serratus anterior and strength endurance and/or function
- scapula winging can effect the ability to lift, pull and push heavy objects and consequently impacts the ability to carry out many activities of daily living
- may cause pain, limits shoulder elevation because you are limited in the upward rotation of the scapula
is the pectoralis minor generally deep or superficial?
deep
what is the origin of the pectoralis minor?
- outer surface of ribs 2-5
what is the insertion of the pectoralis minor?
coracoid process of scapula
what is the actions of the pectoralis minor?
weak shoulder protraction (serratus anterior is prime mover)
- pulls scapula forward
- synergist to serratus interior
how many heads does the deltoid have?
three
1. spinal (posterior) head
2. acromial (lateral) head
3. clavicular (anterior) head
what is the origin of the deltoid spinal (posterior) head?
the spine of scapula
what is the insertion of the deltoid spinal (posterior) head?
deltoid tuberosity of humerus
what are the actions of the deltoid spinal (posterior) head?
- extension of humerus
- lateral rotation of humerus
- abduction of humerus
what is the origin of the deltoid acromial (lateral) head?
acromion of the scapula
what is the insertion of the deltoid acromial (lateral) head?
the deltoid tuberosity of humerus
what is the action of the deltoid acromial (lateral) head?
abduction of arm at shoulder
what is the origin of the deltoid clavicular (anterior) head?
clavicle
what is the insertion of the deltoid clavicular (anterior) head?
deltoid tuberosity of humerus
what is the actions of the deltoid clavicular (anterior) head?
- flexion of humerus
- medial rotation of humerus
- abduction of humerus
what is the most superficial muscle of the anterior thorax?
the pectoralis major
what is the origin of the pectoralis major?
- medial clavicle
- costal cartilage of ribs 1-6
what is the insertion of the pectoralis major?
bicipital (intertubercular) groove of humerus
what is the actions of the pectoralis major?
- flexion of arm at shoulder
- extension of flexed arm
- medial rotation of humerus
- adduction of humerus
- horizontal flexion of arm
- movement of humerus because of where it inserts
which view can we see the latissimus dorsi?
the posterior view
what is the origin of the latissimus dorsi?
- posterior sacrum
- lumbar vertebrae
- lower thoracic vertebrae
what is the insertion of the latissimus dorsi?
- bicipital (intertubercular) groove of humerus
what are the actions of the latissimus dorsi?
- extension of arm at shoulder
- medial rotation of humerus
- adduction of humerus
how many muscles are in the rotator cuff?
four
what muscles of the rotator cuff can be seen anteriorly?
- supraspinatus
- subscapularis
what muscles of the rotator cuff can be seen posteriorly?
- supraspinatus
- infraspinatus
- teres minor
what does all the rotator cuff muscles connect the scapula to? what do they function to do?
the humerus
- all function to stabilize the shoulder joint during movement of the joint in addition to their individual actions
what is the origin of the supraspinatus?
supraspinous fossa of scapula
what is the insertion of the supraspinatus?
greater tubercle of humerus
what is the action of the supraspinatus?
- provide strength and stability to shoulder joint
- initiates arm abduction (then deltoid takes over)
what runs underneath the spine of the scapula and the acromion process?
the supraspinous fossa of the scapula
when there is damage to the rotator cuff, typically which muscle is the first that is damaged and/or torn?
supraspinatus muscle
what is the origin of the infraspinatus muscle?
infraspinous fossa of scapula
what is the insertion of the infraspinatus muscle?
greater tubercle of humerus
what is the action of the infraspinatus muscle?
- provides strength to posterior component of shoulder joint
- lateral rotation of humerus
what is the origin of the teres minor?
lateral border of scapula
what is the insertion of the teres minor?
greater tubercle of humerus, below infraspinatus
what are the actions of the teres minor?
- provides posterior support to shoulder joint
- lateral rotation of humerus
- adduction of humerus
what view is the subscapularis seen in?
the anterior deep view
what is the origin of the subscapularis muscle?
subscapular fossa of scapula
what is the insertion of the subscapularis muscle?
lesser tubercle of humerus
what are the actions of the subscapularis muscle?
- provides strength to shoulder joint capsule
- medial rotation of humerus (because of its anterior position)
- adduction of humerus
which is the largest rotator cuff muscle?
subscapularis
is the teres major a rotator cuff muscle?
no
where does the teres major run from?
the lateral border by the inferior angle of the scapula to to up under the arm through the armpit to the front to attach to the bicipital (intertubercular) groove of humerus
what muscle is teres major a synergist to?
the latissimus dorsi
what is the origin of the teres major?
- lateral border of scapula
what is the distal attachment of the teres major?
- bicipital groove of humerus
what are the actions of the teres major?
- medial rotation of arm
- extension of arm
is the teres major capable of stabilizing the shoulder joint
no, it is incapable
what does brachii mean?
arm
what does biceps mean?
two heads