Pectoral girdle and shoulder 2: rotator cuff Flashcards
what is the rotator cuff
group of 4 muscles that help keep head of humerus in the glenoid cavity of scapula
the rotator cuff surrounds the joint capsule except where
at most inferior aspect where a small gap remains
what is the most common direction to dislocate the shoulder
towards gap in an antero-inferior direction
what are the 4 muscles of the rotator cuff
subscapularis
supraspinatus
infraspinatus
teres minor
which of the rotator cuff muscles is considered the odd one out
subscapularis
what are the attachments of subscapularis
subscapular fossa on anterior surface of scapula to lesser tubercle of humerus
what is the innervation of subscapularis
upper and lower subscapular nerves (C5,6,7) from posterior cord of brachial plexus
what does subscapularis do
medially rotates arm and reinforces anterior surface of capsule
why is subscapularis the odd one out
- 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)
what are the attachments of supraspinatus
supraspinous fossa of scapula (posterior) to greater tubercle of humerus (upper facet)
supraspinatus passes over the ____ surface of the joint
lateral
action of supraspinatus
abducts arm first 10-15 degrees
what is the innervation of supraspinatus
suprascapular nerve (C5,6) from superior trunk of brachial plexus
what can happen if the tendon of supraspinatus becomes inflamed
it can become entrapped in small space near humerus that is passes through
what are the attachments of infraspinatus
infraspinous fossa of scapula (posterior) to greater tubercle of humerus (middle facet)