Muscles Of The Shoulder Girdle Flashcards
The only bony articulation between the upper limb and axial skeleton?
Sternoclavicular joint
Bones of the shoulder girdle
1) Scapula
2) Clavicle
Anatomical joints of the shoulder girdle
1) Glenohumeral joint
2) Sternoclavicular joint
3) Acromioclavicular joint
Physiological joints of the shoulder girdle
Scapulothoracic joint
What joint in the upper limb is supported by muscles
Scapulothoracic joint
Which of these is not an extrinsic muscle:
a) Serratus anterior
b) Teres minor
c) Levator scapulae
d) Pectoralis minor
Teres minor
Extrinsic muscle
Suspends scapula from the trunk. Stabilizes and/or actively moves the scapula
Examples of extrinsic muscle
Serratus anterior
Levator scapulae
Trapezius
Pectoralis minor
Rhomboid major
Rhomboid minor
Intrinsic muscles
Attach the scapula to the humerus
Examples of intrinsic muscles
Deltoid
Teres major
Rotator cuff muscles (supraspinatus, infraspinatus, teres minor, subscapularis).
Muscles that attach trunk to the humerus
Latissimus dorsi
Pectoralis major
Anterior axioappendicular muscles
Serratus anterior
Pectoralis minor
Pectoralis major
Subclavius
Posterior axioappendicular muscles
Trapezius
Latissimus dorsi
Rhomboid minor
Rhomboid major
Levator scapulae
Deltoid
Teres major
Rotator cuff muscles
Trapezius:
Origin
Insertion
Innervation
a) Medial third of the nuchal line, external occipital protuberance, ligamentum nuchae, spinous process of C7-T12
b) Superior fiber - Lateral third of clavicle
Middle fiber - acromion process of scapula
Inferior fiber - Spine of scapula
c) Accessory nerve (CN XI) (motor fibers) & C3, C4 spinal nerve (pain & proprioceptive fibers)
Action of trapezius
Superior fiber - Elevates scapula
Middle fiber - Retracts scapula
Inferior fiber - Depresses scapula
(Superior & inferior fibers act together to rotate glenoid cavity superiorly).
Strap-like muscle in the upper limb?
Levator scapulae
Levator scapulae:
Origin
Insertion
Innervation
a) Posterior tubercules of transverse process of C1-C4
b) Medial border of scapula superior to the root of the spine of the scapula
c) Dorsal scapula (C5), cervical nerves (C3 & C4)
The inferior third of levator scapulae is deep to what muscle?
Trapezius
Superior third of levator scapulae is deep to what muscle?
Sternocleidomastoid
The rhomboid muscles have a rectangular shape
False.
Rhomboid appearance
________ forms broad parallel bands that pass inefriolaterally from the vertebrae to the medial boarder of the scapula
The Rhomboid muscles
The rhomboid muscles pass superiolaterally from the vertebrae to the medial boarder of the scapula?
True
False
False.
Inferiolaterally.
Rhomboid major is ____ & _____ times wider than rhomboid minor
Thin
2
Rhomboid minor is the thinner muscle of the two rhomboid muscles
False.
Thicker than rhomboid major but not as wide
Which of the two rhomboid muscles is the superior one?
Rhomboid minor
Rhomboid minor
Origin
Insertion
Innervation
1) Nuchal ligament, spinous process of C7 - T1 vertebrae
2) Smooth triangular area at the end of the spine of the scapula
3) Dorsal scapula (C4, C5)
Rhomboid major
Origin
Insertion
Innervation
1) Spinous process of T2 - T5
2) Medial boarder of scapula from level of spine to inferior angle
3) Dorsal scapula (C4, C5)
Action of rhomboid minor
Retracts scapula (adducts scapula)
Fixes scapula to thoracic wall
Rotates scapula to depress its glenoid cavity
Action of rhomboid major
Retracts scapula (adducts scapula)
Fixes scapula to the thoracic wall
Rotates scapula to depress its glenoid cavity
What makes the medial wall of the axilla?
Serratus anterior
Serratus anterior overlies the medial boarder of the thorax
False.
It lies on the lateral part of the thorax
Serratus anterior
Origin
Insertion
Innervatiom
1) External surface of the lateral portion of the 1st - 8th ribs
2) Anterior portion of the medial boarder of the scapula
3) Long thoracic nerve (C5, C6 & C7)
Action of serratus anterior
Protracts scapula (abduction)
Holds scapula against thoracic wall
Rotates scapula at the inferior angle
What clinical ailment is the medial end of the scapula away from the thorax?
Winged scapula
What leads to winged scapula?
Insufficiency of the serratus anterior
Damage/lesions to the long thoracic nerve
Pectoralis minor and ____ form a bridge under which nerves and vessels must pass to the arm
Coracoid process of the scapula
Pectoralis minor is a fan-shaped muscle
False.
Triangular muscle.
The bulk of muscles on the shoulder is the _____?
Deltoid
Deltoid:
Origin
Insertion
Nerve supply
1) Lateral third of clavicle, acromion process of scapula & spine of scapula
2) Deltoid tuberosity on the humerus
3) Axillary nerve (C5 & C6)
Action of deltoid muscle
Anterior fiber: Flexion and medial rotation of the humerus
Middle fiber: Elevation (abduction)
Posterior fiber: Extension and lateral rotation of the arm
Teres major:
Origin
Insertion
Nerve supply
1) Posterior surface of inferior angle of scapula
2) medial lip of intertubercular sulcus
3) Lower subscapular nerve (C5 & C6)
Structures found around the suprascapular notch
Superior transverse suprascapular ligament
Suprascapular nerve which runs through the ligament
Suprascapular vein and artery which run above the ligament
Ligaments around the shoulder joint
Inferior transverse suprascapular ligament
Coracoacromial ligament
Superior scapulohumeral ligament
Middle scapulohumeral ligament
Inferior scapulohumeral
Conoid ligament
Acromioclavicular ligament
Trapezius ligament
Transverse humeral ligament