Pectoral region and shoulder Flashcards
What does the pectoral fascia overly?
Pec major and the serratus anterior
What is the retromammary space?
Loose connective tissue between the breast and the pectoral fascia. It allows the breast some degree of movement.
What is the axillary process or tail (of Spence)?
An extension of the mammary gland extending toward the axillary fossa
What attaches the mammary gland to the dermis?
Suspensory ligaments (of Cooper). They help support the mammary gland lobules.
What is the scapulothoracic (ST) articulation?
Not a true joint… ventral surface of the scapula and the posterior thoracic wall
What is the GH joint?
Glenohumeral. Joint between the head of the humerus and the scapula
What is the SC joint?
Sternoclavicular. Manubrium of sternum and clavicle
What is the AC joint?
Acromioclavicular. Scapula (acromion) and clavicle
What is scapulohumeral rhythm?
The functional relationship between the GH and ST joints to create motion in the shoulder.
What does the 3:2:1 ratio of the shoulder mean?
For every 3 degrees of elevation, 2 degrees occurs at the GH joint and 1 degree at the ST joint
What are extrinsic muscles and what are they also called?
Axioappendicular. Muscles that originate in the axial skeleton and insert on the pectoral girdle.
What are the posterior extrinsic muscles?
Trapezius
Latissimus dorsi
Levator scapulae
Rhomboid major/minor
What are the anterior extrinsic muscles?
Pectoralis major and minor
Subclavius
Serratus anterior
What is the coracobrachialis muscle?
z
What are the intrinsic muscles of the shoulder?
Deltoid Teres major Teres minor Supraspinatus Infraspinatus Subscapularis
What muscles make up the rotator cuff?
SITS
Supraspinatus
Infraspinatus
Teres minor
Subscapularis
What do ITS of “SITS” muscles do?
Provide downward force on the gelnoid to prevent upward translation during abduction
What muscle(s) are injured due to repetitive use such as throwing and swimming?
Inflammation of the supraspinatus tendon among others
What are the fibrous joints?
Suture, Syndemosis, Gomphosis
What are the cartilaginous or fibrocartilaginous joints?
Synchrondosis, Symphysis
What makes a joint biaxial?
Can conduct motion in 2 planes
The Atlanto-Occipital joint is the ____ joint.
Yes
The Atlanto-Axial joint is the ____ joint.
No
What are the attachments of the pectoralis major muscle?
Claviuclar head (medial half) Sternocostal head (upper 6 costal cartilages) Intertubercular groove of humerus
What is the action of pec major?
Adducts and medially rotates humerus
What is the innervation of pec major?
Lateral and medial pectoralis nerves
What are the attachments of pec minor?
Ribs 3-5 and corocoid process of scapula
What is the innervation of pec minor?
Medial pectoral nerve?
What is the action of pec minor?
Stabilize scapula
What are the attachments of the serratus anterior?
Lateral parts of ribs 1-8
Medial border of scapula
What is the innervation of the serratus anterior?
Long thoracic nerve
What is the action of the serratus anterior?
Protract ands upwardly rotates the scapula
holds the scapula against the thoracic wall thus damage to this muscle or long thoracic nerve will cause scapular winging
What is the attachment of the subclavius?
Junction of the first rib and costal cartilage
Inferior surface of clavicle
What is the action of the subclavius?
Anchors and depresses clavicle
What is the innervation of the subclavius?
Nerve to subclavius
What is the attachment of the coracobrachialis?
Tip of coracoid process on scapula
Medial, mid-shaft of humerus
What is the action of the coracobrachialis?
Flex and adduct the shoulder
What is the innervation of the coracobrachialis?
musculocutaneous nerve
What is the innervation of the deltoid muscle?
Axillary nerve
What are the attachments of the deltoid?
Spine of scapula
Acromion
Lateral 1/3 of clavicle
Deltoid tuberosity of humerus
What are the THREE actions of the deltoid?
- Anterior: shoulder flexion
- Middle: shoulder abduction
- Posterior: shoulder extension
What is the attachment of the teres major?
Inferior lateral aspect of scapula
Intertubercular groove of humerus
What is the action of the teres major?
Shoulder medial/internal rotation
What is the innervation of the teres major?
Lower subscapular nerve
What are the attachment of the supraspinatus?
Supraspintus fossa Greater tubercle (posterior of humeral head)
What are the attachments of the infraspinatus?
Infraspinous fossa Greater tubercle (posterior of humeral head)
Which of the SITS muscles attach the greater tubercle?
SIT
What are the attachments of the teres minor?
Middle part of the lateral border of the scapula Greater tubercle (posterior of humeral head)
What are the attachments of the subscapularis?
Subscapularis fossa (anterior surface of scapula) Lesser tubercle (anterior humeral head)
What is the action of the suprasinatus?
Abduction of humerus (first 15 degrees before deltoid takes over)
What is the innervation of the supraspinatus?
Suprascapular nerve
What is the inntervation of the infraspinatus?
Suprascapular nerve
What is the action of the infrasinatus?
Lateral rotation
What is the action of the teres minor?
Shoulder lateral rotation