Pectoral girdle and shoulder 2: rotator cuff Flashcards

1
Q

what is the rotator cuff

A

group of 4 muscles that help keep head of humerus in the glenoid cavity of scapula

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2
Q

the rotator cuff surrounds the joint capsule except where

A

at most inferior aspect where a small gap remains

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3
Q

what is the most common direction to dislocate the shoulder

A

towards gap in an antero-inferior direction

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4
Q

what are the 4 muscles of the rotator cuff

A

subscapularis
supraspinatus
infraspinatus
teres minor

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5
Q

which of the rotator cuff muscles is considered the odd one out

A

subscapularis

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6
Q

what are the attachments of subscapularis

A

subscapular fossa on anterior surface of scapula to lesser tubercle of humerus

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7
Q

what is the innervation of subscapularis

A

upper and lower subscapular nerves (C5,6,7) from posterior cord of brachial plexus

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8
Q

what does subscapularis do

A

medially rotates arm and reinforces anterior surface of capsule

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9
Q

why is subscapularis the odd one out

A
  • lies on anterior surface (others are posterior)
  • attaches to the lesser tubercle (others are greater)
  • medially rotates the arm (2 of the others laterally rotate)
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10
Q

what are the attachments of supraspinatus

A

supraspinous fossa of scapula (posterior) to greater tubercle of humerus (upper facet)

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11
Q

supraspinatus passes over the ____ surface of the joint

A

lateral

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12
Q

action of supraspinatus

A

abducts arm first 10-15 degrees

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13
Q

what is the innervation of supraspinatus

A

suprascapular nerve (C5,6) from superior trunk of brachial plexus

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14
Q

what can happen if the tendon of supraspinatus becomes inflamed

A

it can become entrapped in small space near humerus that is passes through

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15
Q

what are the attachments of infraspinatus

A

infraspinous fossa of scapula (posterior) to greater tubercle of humerus (middle facet)

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16
Q

what is the action of infraspinatus

A

lateral rotation of arm

17
Q

what is the innervation of infraspinatus

A

suprascapular nerve (C5,6) from superior trunk of brachial plexus

18
Q

the suprascapular nerve (C5,6) innervates what muscles of the rotator cuff

A

infraspinatus
supraspinatus

19
Q

what muscle attaches to the upper facet of the greater tubercle of the humerus

A

supraspinatus

20
Q

what muscle attaches to the middle facet of the greater tubercle of humerus

A

infraspinatus

21
Q

what muscle attaches to the lower facet of the greater tubercle of humerus

A

teres minor

22
Q

what are the attachments of teres minor

A

upper 2/3 lateral border of scapula to greater tubercle of humerus (lower faet)

23
Q

what is the innervation of teres minor

A

axillary nerve (C5,6) branch of posterior cord of brachial plexus

24
Q

what is the function of teres minor

A

lateral rotation of arm

25
Q

teres minor attaches to the lateral border of the scapula between what 2 muscles

A

long head triceps and teres major

26
Q

what 2 muscles of the rotator cuff are lateral rotators of the arm

A

teres minor and infraspinatus

27
Q

what is the innervation of the rotator cuff

A

subscapularis - subscapular nerve
supraspinatus - suprascapular nerve
infraspinatus - suprascapular nerve
teres minor - axillary nerve