Muscles Of Shoulder And Pectoral Region Flashcards
Insertion of Superior fibres of Trapezius
Lateral 1/3rd of clavicle and acromion
Innervation of Superior fibres of Trapezius
Accessory Nerve (CN11)
Function of Superior fibres of Trapezius
Elevate Scapula
Origin of Middle fibres of Trapezius
Spinous processes of T1-T5
Insertion of Middle fibres of Trapezius
Superior border of spine of scapula (lateral 2/3rds)
Innervation of Middle fibres of Trapezius
Accessory Nerve (CN11)
Function of Middle fibres of Trapezius
Retract Scapula
Origin of lower fibres of Trapezius
Spinous processes of T6-T12
Insertion of lower fibres of Trapezius
Medial 1/3rds of spine of scapula
Innervation of lower fibres of Trapezius
Accessory Nerve (CN11)
Function of lower fibres of Trapezius
Depresses scapula
Origin of levator scapulae
Transverse processes of C1-C4
Insertion of levator scapulae
Medial border of scapula superior to root of spine
Innervation to levator scapulae
Dorsal scapula nerve (C5)
Function of levator scapulae
Elevate scapula Rotate medially (downwards)
Origin of Superior fibres of Trapezius
Superior Nuchal Line
External Occipital Protuberance
Ligamentum Nuchae
Spinous Process of C7
Origin of Rhomboid major
Spinous processes of T2-T5
Insertion of Rhomboid major
Medial border of scapula Inferior to level of spine
Innervation of Rhomboid major
Dorsal Scapular Nerve (C5)
Function of Rhomboid major
Retract scapula medially
Origin of Rhomboid minor
Spinous processes of C7-T1
Insertion of Rhomboid minor
Medial border of spine at level of scapula
Innervation of Rhomboid minor
Dorsal Scapular Nerve (C5)
Function of Rhomboid minor
Retract the scapula medially and superior
Origin of serratus anterior
Ribs 1-8
Insertion of serratus anterior
Medial border of scapula
Innervation of serratus anterior
Long Thoracic Nerve (C5-C7)
Function of serratus anterior
Protracts scapula
Rotates scapula inferiorly
What is winged scapula?
Damage to long thoracic nerve
Lies superior to serratus anterior
Medial and inferior border of scapula pull away
Origin of Pectoralis major
Sternal Head - anterior surface of sternum
- costal cartilages 1-7 - sternal end of 6th rib - aponeurosis of external oblique
Clavicular Head - anterior surface of medial half of clavicle
Insertion of Pectoralis major
Lateral lip of intertubecular groove of humerus
Innervation of Pectoralis major
Sternal Head - medial pectoral nerve (C8-T1)
Clavicular Head - lateral pectoral nerve (C5-C7)
Function of Pectoralis major
Flexion Adduction Medial rotation of arm Flexion of extended arm ( clavicular head) Extension of flexed arm ( sternal head )
Origin of Pectoralis minor
Anterior surfaces of sternal ends of ribs 3-5
Insertion of Pectoralis minor
Coracoid process of scapula
Innervation of Pectoralis minor
Medial pectoral nerve (C8-T1)
Function of Pectoralis minor
Draws scapula forward and downwards
Origin of subclavius
First rib at junction between rib and costal cartilage
Insertion of subclavius
Subclavian groove on inferior surface of clavicle
Innervation of subclavius
Subclavian nerve (C5-C6)
Function of subclavius
Pulls tip of shoulder down
Stabilises sternoclavicular joint
Origin of latissimus dorsi
Spinous processes of T7-L5 Iliac crest of sacrum Thoracolumbar fascia Inferior angle of scapula Lower 3-4 ribs
Insertion of latissimus dorsi
Floor of intertubecular groove of humerus
Innervation of latissimus dorsi
Thoracodorsal nerve (C6-C8)
Functions of latissimus dorsi
Adducts the arm
Medially rotates the arm
Extends the arm
Painful arc syndrome
Calcified bursitis
- typically develops in males >50
- pain during 50-130 degrees of abduction
- subacromial bursa in contact with acromion
Name the rotator cuff muscles
Supraspinatus
Infraspinatus
Teres minor
Subscapularis
Origin of supraspinatus
Supraspinous fossa of scapula
Insertion of supraspinatus
Superior facet of greater tubercle of humerus
Innervation of supraspinatus
Suprascapular nerve (C5-C6)
Function of supraspinatus
Initiates abduction of arm (first 15 degrees)
Stabilises glenohumeral joint
Origin of Infraspinatus
Infraspinous fossa of scapula
Insertion of Infraspinatus
Middle facet of greater tubercle of humerus
Innervation of infraspinatus
Suprascapular Nerve (C5-C6)
Function of infraspinatus
Lateral Rotator of humerus
Stabilises glenohumeral joint
Origin of Teres Minor
Middle part of lateral border of scapula
Insertion of Teres Minor
Inferior facet of greater tubercle of humerus
Innervation of Teres Minor
Axillary Nerve
Function of Teres Minor
Laterally rotates and adducts humerus
Stabilises glenohumeral joint
Origin of subscapularis
Subscapular Fossa
Insertion of subscapularis
Lesser tubercle of humerus
Innervation of subscapularis
Upper and lower subscapular nerves (C5-C6)
Function of subscapularis
Medial rotator and adductor of humerus
Origin of Teres Major
Inferior angle of scapula
Insertion of Teres Major
Medial Lip of intertubecular groove
Innervation of Teres Major
Lower subscapular nerve (C5-C6)
Function of Teres Major
Adducts and medially rotates humerus
What vessels wrap around the surgical neck of the humerus?
Axillary nerve
Posterior Circumflex humeral artery
Origin of Anterior fibres of Deltoid
Anterior surface of lateral clavicle
Insertion of Anterior fiberes of Deltoid
Deltoid Tuberosity
Innervation of Anterior fibres of Deltoid
Axillary Nerve (C5-C6)
Function of Anterior fibres of Deltoid
Flexes arm at shoulder
Medially rotates arm
Origin of Middle Fibres of Deltoid
Acromion process
Spine of scapula
Insertion of Middle fibres of Deltoid
Deltoid Tuberosity
Innervation of Middle fibres of Deltoid
Axillary Nerve (C5-C6)
Function of Middle fibres of Deltoid
Abducts the arm at the shoulder joint
Origin of Posterior fibres of Deltoid
Spine of scapula (medial to middle fibres)
Insertion of Posterior fibres of Deltoid
Deltoid Tuberosity of humerus
Innervation of Posterior fibres of Deltoid
Axillary Nerve (C5-C6)
Function of Posterior fibres of Deltoid
Laterally Rotates arm
Extends Arm
Describe abduction at shoulder joint..
Supraspinatus initiates abduction (first 10-15 degrees)
Deltoids then take over
Boundaries of Quadrangular Space
Lateral - Surgical Neck of Humerus
Medial - Triceps Brachii
Inferior - Teres Major
Superior - Teres Minor
Contents of Quadrangular Space
Axillary Nerve
Posterior Circumflex Humeral Artery and Vein
Muscles responsible for Elevation of Pectoral Girdle
Trapezius (superior fibres)
Levator Scapulae
Rhomboid (major and minor)
Muscles responsible for Depression of Pectoral Girdle
Gravity Pectoralis Minor Trapezius (inferior) Latissimus Dorsi Pectoralis Major Serratus Anterior
Muscles responsible for Protraction of Pectoral Girdle
Pectoralis minor
Serratus Anterior
Pectoralis Major
Muscles responsible for Retraction of Pectoral Girdle
Rhomboid (major and minor)
Latissimus Dorsi
Trapezius (middle)
Muscles responsible for Upward (lateral) Rotation of Pectoral Girdle
Trapezius (superior)
Trapezius (inferior)
Serratus Anterior
Muscles responsible for Downward (medial) Rotation of Pectoral Girdle
Levator Scapulae Rhomboid (major and minor) Pectoralis major Latissimus Dorsi Pectoralis Minor
Origin of Coracobrachialis
Coracoid Process of scapula
Insertion of Coracobrachialis
Mid-medial surface of humerus
Innervation of Coracobrachialis
Musculocutaneous nerve (C5-7)
Action of Coracobrachialis
Flexes at shoulder joint
Adducts the arm at shoulder joint