Muscles - Scapula, Upper limb Flashcards
Trapezius action:
Rotates, elevates, retracts, and depresses scapula
Trapezius:
O: Superior nuchal line, external occipital protuberance, ligamentum nuchae, spinous process of C7-T12
I: lateral 1/3 of clavicle, acromion, spine of scapula
N: CN 11 (Accessory n)
Latissimus dorsi:
O: Spinous processes T6-L5, sacrum, iliac crest, and ribs 10-12
I: Intertubercular groove of humerus
N: Thoracodorsal n.
Latissimus dorsi action:
Extends, adducts, and medially rotates humerus
Levator scapulae:
O: Transverse processes of C1-C4
I: Superior angle of scapula
N: Dorsal scapular n
Levator scapulae action:
Elevates and rotates scapula
Rhomboid major and minor:
O: Spinous processes of C7-T5
I: Medial border of scapula
N: Dorsal scapular n
Rhomboids action:
Retracts, elevates, and rotates scapula
Deltoid:
O: Spine of scapula, acromion, lateral 1/3 of clavicle
I: Deltoid tuberosity
N: Axillary n.
Deltoid action:
Abduct, flex, and extend arm, medial and lateral rotation
Supraspinatus:
O: Supraspinous fossa
I: Superior fact of greater tubercle
N: Suprascapular n.
Supraspinatus action:
Arm abduction
Infraspinatous:
O: Infraspinous fossa
I: Middle facet of greater tubercle
N: Suprascapular n
Infraspinatus action:
Lateral rotation of arm
Teres major:
O: Lateral scapular border superior to inferior angle
I: Medial lip of intertubecular sulcus
N: Lower subscapular n
Teres major action:
Medial rotation and adduction of arm, extends a flexed arm
Teres minor:
O: Lateral scapular border superior to teres major
I: Inferior facet of greater tubercle
N: Axillary n.
Teres minor action:
Lateral rotation of the arm
Greater tubercle - superior facet:
Supraspinatus muscle
Greater tubercle - middle facet:
Infraspinatus muscle
Greater tubercle - inferior facet:
Teres minor muscle
Lesser tubercle attachment:
Subscapularis muscle
Subscapularis:
O: Subscapular fossa
I: Lesser tubercle of the humerus
N: Upper AND lower subscapularis n
Subscapularis action:
Medial rotation of the arm
Quadrangular Space:
Axillary nerve
Posterior circumflex humeral artery and vein
Triangular space:
Circumflex scapular artery
Triangle interval:
Radial n.
Profunda brachii artery
Pectoralis major:
O: Medial 1/2 of clavicle and anterior surface of sternum
I: Lateral lip of intertubercular sulcus
N: Medial and lateral pectoral nn.
Pec major actions:
Flexion, adduction, and medial rotation of the arm
Pectoralis minor:
Origin: Ribs 3-5
Insertion: Coracoid process
N: Medial pectoral n
Pec minor actions:
Pulls tip of shoulder down and protracts scapula
Subclavius:
O: First rib
I: Inferior surface of clavicle
N: Nerve to subclavius
Subclavius actions:
Pulls tip of shoulder down, pulls clavicle medially to stabilize sternoclavicular joint
Serratus anterior:
O: Anterior surface of upper 8-9 ribs
I: Costal surface of medial scapular border
N: Long thoracic n.
Serratus anterior actions:
Protraction, rotation, and depression of the scapula
Axilla:
Region between the upper thorax and the proximal humerus - contains a neurovascular bundle composed of the axillary artery and veins (and their branches), the brachial plexus, lymph nodes and fat
Axillary inlet or apex:
Bounded by the first rib, coracoid process, and adjacent area of the anterior surface of the scapula, and posterior edge of clavicle. Brachial plexus and axillary vessels enter the axilla thru the apex
Anterior wall of axilla:
Pec major and minor, subclavius, clavipectoral fascia