MSK_MT1_TBL7 (Shoulder Axilla & Arm) Flashcards
Subclavis Origin
1st rib and 1st costal cartilage
Subclavius Insertion
Subclavius Actions
- Stabilizes clavicle
- Depresses clavicle
Subclavius Innervation
subclavian nerve
(C5-C6)
Deltoid Origin
- Lateral 1/3 of clavicle
- Acromion of scapula
- Spine of scapula
Deltoid Insertion
Deltoid tuberosity of humerus
Deltoid Action
- Abducts the arm
- Flexes the arm
- Extends the arm
- Laterally rotations
- Medially rotations the arm
Deltoid Innervation
Axillary nerve
(C5-C6)
Supraspinatus Origin
Supraspinous fossa of scapula
Supraspinatus Insertion
Greater tubercle of humerus
*Stabilizes shoulder muscle - rotator cuff muscle
Supraspinatus Action
*Stabilizes shoulder muscle - rotator cuff muscle
Initation abduction of arm (15%)
Supraspinatus Innervation
Suprascapular nerve
(C5, C6)
Infraspinatus Origin
Infraspinous fossa of scapula
Infraspinatus Insertion
Greater tubercle of humerus
Infraspinatus Action
*Stabilizes shoulder muscle - rotator cuff muscle
lateral rotation of arm
Infraspinatus Innervation
Suprascapular nerve
(C5, C6)
Subscapularis Origin
Subscapular fossa of scapula
Subscapularis Insertion
Lesser tubercle of humerus
Subscapularis Action
*Stabilizes shoulder muscle - rotator cuff muscle
medial rotation of arm
Subscapularis Innervation
Subscapular nerve
(C5, C6, C7)
Teres major Origin
Quadrangular Space
axillary space in the arm: helps the axillia “communicate” with the posterior side
important things in the space: posterior humeral circumflex artery + axiallary nerve

Quadrangular Space Boarders
Superior: Teres MINOR
Inferior: Teres major
Medial: Triceps (long head)
Lateral: Humorous Bone (surgical neck)
Trauma = axillary nerve weakness = weakness of the deltoid muscle

Triangular Space
the circumflex scapular artery passes through it
located medial to the quadrangular space
trauma = shoulder dysfunction, particularly with arm abduction and external rotation,

Triangular Space Borders
Superior: Teres Minor
Inferior: Teres Major
Lateral: Tricep (long head)
structures: circumflex scapular artery

Trinangular Interval
important sturctures: radial nerve & profunda brachii artery
located inferior to the quadrangular space
trauma = trouble with abduction and external rotation and radial finger numbness

Triangular Interval Boarders
superior: teres major
Lateral: lateral head of the triceps or the humerus
Medial: long head of the triceps

scapular anastomosis
connects subclavian artery to corresponding axillary artery
= circulatory** **anastomosis around the scapula. (allows blood to flow past the joint in case of occlusion, damage, or pinching )
Cubital fossa
triangle located at elbow joint (anterior side)
contains Median cubital vein ( helps facilitate drainage between the basilic and cephalic veins)

Cubital fossa Boarders
Medially: pronator teres
Laterally: brachioradialis
Top: line connecting medial and lateral epicondyles of humerus

Pneumonic for contents of Cubital Fossa
Really Need (radial nerve)
Beer To (biceps tendon)
Be At (brachial artery)
My Nicest (median nerve).

Musles that help with lateral rotation of arm
- Deltoid
- Infraspinatus (Rotator Cuff Muscle) of scapula
- Teres Minor (Rotator Cuff Muscle) of scapula
Musles that help with medial rotation of arm
- SUBscapularis (Rotator Cuff Muscle) of ANTERIOR scapula
- Teres Major
- Deltoid
Musles that help with abduction of arm
- deltoid
- Supraspinatus ((Rotator Cuff Muscle) of scapula (first 15%)
Supraspinatus Tendon Rupture
- During abduction, supraspinatus tendon friction with acromion
- normally friction is reduced by subacromial bursa
In Supraspinatus tendinitis = tendon rupture or calcification = NO ABDUCTION
the deltoid muscle compensates
Adhesive Capsulitis
frozen shoulder: 50-60 y.o women most likely, Type 1 diabetics too
- severe shoulder pain and increasing stiffness.
- loss of shoulder motion, BUT less pain
- recovery phase that takes from 5 to 24 months.
Musculotaneous Nerve Supplies
anterior compartment of the upper arm + LATERAL SENSATION
- Bicheps Brachii
- Brachialis
- Coracobrachialis

Radial Nerve Supplies
Triceps (posterior part of arm), brachioradialis, extensor carpi radialis longus
in trauma, extension of the wrist and arm will be effected, supination effected
“drop wrist”

Musles that help with aDDuction of arm
- Teres Major
- Coracobrachialis (shoulder)