Muscles of the Shoulder Flashcards

1
Q

What are the superficial extrinsic shoulder muscles?

A

Latissimus Dorsi

Trapezius

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2
Q

What nerve causes motor innervation of the Trapezius muscle?

A

The accessory nerve

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3
Q

What causes sensory innervation of the Trapezius muscle?

A

C3 and C4 spinal roots

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4
Q

What is the main action of the upper fibres of the Trapezius?

A

Elevate the scapula and rotate it during abduction of the shoulder

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5
Q

What is the main action of the middle fibres of the Trapezius?

A

Retract the Scapula

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6
Q

What is the main action of the lower fibres of the Trapezius?

A

Pull the Scapula inferiorly

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7
Q

How can you test the function of the accessory nerve?

A

See how the Trapezius muscle functions by asking the patient to elevate the shoulder against resistance.

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8
Q

What nerve innervates Latissimus Dorsi?

A

The thoracodorsal nerve

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9
Q

What are the main actions of Latissimus Dorsi?

A

Extension of the arm at the shoulder
Adduction at the shoulder
Medial rotation of the arm

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10
Q

What are the deep extrinsic muscles of the shoulder?

A

Levator scapulae

Rhomboids

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11
Q

What nerve innervates the Levator scapulae?

A

The Dorsal scapular nerve

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12
Q

What are the main actions of the Levator scapulae?

A

Elevates scapula

Rotates scapula to tilt the Glenohumeral joint inferiorly

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13
Q

What are the two Rhomboid muscles?

A

Rhomboid major

Rhomboid minor

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14
Q

What innervates the Rhomboid muscles?

A

The Dorsal scapular nerve

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15
Q

What are the actions of the Rhomboid muscles?

A

Retracts the scapula
Fix scapula to thoracic wall
Rotates scapula to tilt the Glenohumeral joint inferiorly

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16
Q

What are the Scapulohumeral muscles?

A

Deltoid

Teres major

17
Q

What innervates the Deltoid?

A

The axillary nerve

18
Q

What is the main action of the anterior fibres of the Deltoid?

A

Flex the arm at the shoulder

19
Q

What is the main action of the posterior fibres of the Deltoid?

A

Extend the arm at the shoulder

20
Q

What is the main function of the middle fibres of the Deltoid?

A

Major abductors of the arm, from 15 degrees onwards

21
Q

What innervates Teres major?

A

The lower subscapular nerve

22
Q

What are the main actions of the Teres major?

A

Adductors the shoulder

Medially rotates the arm

23
Q

What are the 4 rotator cuff muscles?

A

Supraspinatus
Infraspinatus
Teres minor
Subscapularis

24
Q

What is main function of the rotator cuff muscles?

A

Add stability to the glenohumeral joint

25
What innervates the Supraspinatus muscles?
Suprascapular nerve
26
What is the main action of the Supraspinatus muscle?
First 15 degrees abduction of the arm | Aids the Deltoid for the rest
27
What innervates the Infraspinous muscle?
Suprascapular nerve
28
What is the main action of the Infraspinous muscle?
Lateral rotation of the arm
29
What innervates the Subscapularis muscle?
Upper and lower Subscapular nerve
30
What is the main action of the Subscapularis muscle?
Medially rotates the arm
31
What innervates Teres minor?
The axillary nerve
32
What is the main action of Teres minor?
Lateral rotation of the arm
33
What is a sign of rotator cuff tendonitis?
Painful arc syndrome
34
What is painful arc syndrome?
Pain in the middle of abduction of the arm due to the affected area coming into contact with the acromion
35
What is the pathology of rotator cuff tendonitis?
Degenerative changes in the subacromial bursa and supraspinatus tendon due to repetitive use.