Muscles and Joints of the Shoulder Region Flashcards
Anterior shoulder muscles
Pectoralis Major
Pectoralis Minor
Subclavius
Serratus anterior
Superficial extrinsic shoulder muscles
Trapezius
Latissimus Dorsi
Deep Extrinsic Shoulder Muscles
Levator Scapulae
Rhomboids
Intrinsic Shoulder Muscles
Deltoid
Teres Major
Rotator cuff muscles (Supraspinatus, Infraspinatus, Teres Minor, Subscapularis)
Large, fan-shaped muscle that covers the superior part of the thorax
Pectoralis Major
2 heads of pectoralis major
clavicular
sternocostal
Deltopectoral/Clavipectoral Triangle
Pectoralis major
Deltoid muscles
Clavicle
a superficial vein in the arm that empties
into the axillary vein
Cephalic vein
Where can the cephalic vein be found?
Deltopectoral/Clavipectoral Triangle
Lies in the anterior wall of the axilla; Almost completely covered by pectoralis major
Pectoralis minor
Proximal attachment of pectoralis minor
3rd-5th ribs
Distal attachment of pectoralis minor
Coracoid process of scapula
Functions of Pectoralis minor
Stabilizes the scapula
Stretching the upper limb forward
Deep inspiration
Lies almost horizontally if arm is placed in anatomical position; Small, round muscle located inferior to the clavicle
Subclavius
Functions of subclavius
Protection
Stabilization
Resistance to dislocation
Most powerful muscles of the pectoral girdle
Serratus anterior
Overlies the lateral part of the thorax and forms the medial wall of the axilla; strong protractor of the scapula
Serratus anterior
Another name for serratus anterior
Boxer’s muscle/Swimmer’s muscle
Large, triangular muscle which covers the posterior aspect of the next and the superior half of the trunk; Provides a direct attachment of the pectoral girdle to the trunk
Trapezius
Attaches the pectoral girdle to the cranium and vertebral column and assists in suspending the upper limb
Trapezius
Large, fan-shaped muscle that passes from the trunk to the humerus; Extends, retracts, and rotates the humerus medially
Latissimus dorsi
Used for activities such as climbing, chopping wood, paddling a canoe, and swimming
Latissimus dorsi
Powerful adductor of the humerus
Latissimus dorsi + Pectoralis major
Situated to the back and side of the neck
● With trapezius: Elevate scapula, or fix it; Extends the neck
● With rhomboids and pectoralis minor: Rotate the scapula
Levator scapulae
Retract and rotate the scapula, depressing its glenoid cavity
● Assist the serratus anterior in holding the scapula against the
thoracic wall and fixing the scapula
● Used when forcibly lowering the raised upper limbs
Rhomboids
Thick, powerful, coarse-textured muscle covering the shoulder; Resembles an inverted delta (Δ)
Deltoid
● Passing laterally from the inferolateral third of the scapula
● Adducts and medially rotates the arm
● Help extend arm from the flexed position
● Stabilizer of the humeral head in the glenoid cavity
Teres major
Rotator cuff muscles
Supraspinatus
Infraspinatus
Teres Minor
Subscapularis
Protect the joint capsule of the glenohumeral joint and gives it stability; Holds the head of the humerus; Dynamic stabilizer of the shoulder joint
Rotator cuff muscles
Occupies the supraspinous fossa of the scapula
Supraspinatus
Occupies the medial three quarters of the infraspinous fossa, covered by deltoid and trapezius
Infraspinatus
Narrow, elongate muscle that is completely hidden by the deltoid; Most clearly distinguished from the infraspinatus by its nerve supply
Teres minor
Thick, triangular muscle that lies on the costal surface of the
scapula
Subscapularis
Important spaces in the shoulder bordered by the triceps
Quadrangular space
Triangular space
Triangular interval
Borders of triangular space
Lateral: Long head of triceps
Superior: Lower border of teres minor
Inferior: Teres major
Borders of quadrangular space
Medial: Long head of triceps
Lateral: Humeral shaft
Superior: Teres minor
Inferior: Teres major
Contents of triangular space
Scapular circumflex artery
Contents of quadrangular space
Axillary nerve; Posterior humeral circumflex artery
Borders of Triangular interval
Medial: Long head of the triceps
Lateral: Some references say lateral head of the triceps, while others say lateral border of the humerus
Superior: Teres major
Contents of Triangular Interval
Profunda brachii artery
Radial nerve
Near the inferior angle of the scapula is a small triangular gap in the musculature
Triangle of Auscultation
Borders of Triangle of auscultation
○ Superior horizontal border of the latissimus dorsi
○ Medial border of the scapula
○ Inferolateral border of the trapezius