Peripheral Nerves, Muscles, & Brachial Plexus 2 Flashcards
The part of the humerus that separates the humeral head from the rest of the humerus
Anatomical Neck
Most frequently where humeral fractures occur
Surgical Neck
A ridge/valley created by the Greater and Lesser Tubercles.
-Lateral Lip: Pectoralis Major m.
-Within the Groove: Latissimus Dorsi m.
-Medial Lip: Teres Major m.
Intertubercular Groove (Bicipital Groove)
What are the 4 muscles of the Rotator Cuff?
-Subscapularis m.
-Supraspinatus m.
-Infraspinatus m.
-Teres Minor m.
These muscles work synergistically - acting like belts to hold the head of the humerus firmly in place within the glenoid fossa.
Muscle that sits in the subscapular fossa
-Inserts on the Lesser Tubercle of the Humerus.
-Innervated by the Upper and Lower Subscapular nerves (posterior cord)
-Function: Internal Rotation and Adduction of the GH joint
Subscapularis Muscle
Muscle that sits within the supraspinous fossa.
-Innervation: Suprascapular Nerve (upper trunk)
-Function: Abduction of the GH Joint
-Inserts on the Greater Tubercle
Supraspinatus Muscle
Muscle that sits within the Infraspinous Fossa.
-Innervation: Suprascapular Nerve (upper trunk)
-Function: External rotation of the GH joint
-Inserts on the Greater Tubercle
Infraspinatus Muscle
Muscle found on the lateral edge of the scapula.
-Innervation: Axillary Nerve
-Function: External Rotation of the GH Joint
-Inserts on the Greater Tubercle
Teres Minor Muscle
Which is the most common rotator cuff muscle to tear?
Supraspinatus Muscle
Ligament that runs from the Coracoid Process to the Acromion Process. Creates a space underneath in (tunnel).
Coracoacromial Ligament
A space created by the Coracoacromial Ligament.
-Has the tendon of the Supraspinatus Muscle running through it on its way to attach to the humerus.
-Develops wear/tera over time, causing tendons to rub back/forth on bone
-Can irritate Supraspinatus tendon over time
Supraspinatus Tunnel (Acromial Passage)
Also found in the Supraspinatus Tunnel, running with the Supraspinatus muscle
-A fluid filled sac that provides cushion
-Can be irritated/injured - bursitis
-Can be felt when the arm is in hyperextension and you push at the junction between the humeral head and the glenoid fossa.
-If this is gone, there is nothing there to protect the tendon of the Supraspinatus muscle, so it will become injured.
Subacromial Subdeltoid Bursa
Located in the top portion of the scapula. Contains the Transverse Scapular Ligament
-Can see the Suprascapular Artery running OVER and the Suprascapular Nerve running UNDER this and through the ligament.
Suprascapular Notch
Innervation for the Deltoid and Teres Minor muscles
Axillary Nerve
A surgical landmark. A passageway for the Axillary nerve and the Posterior Circumflex Humoral Artery (branch off of Axillary Artery) to travel from Anterior to Posterior.
-Artery is supplying blood flow to the joint capsule of the GH joint
Quadrangular Space
What are the boundaries of the Quadrangular Space?
-Teres Minor m.
-Teres Major m.
-Long head of the Triceps Brachii m.
-Surgical Neck of the Humerus
Innervated by the Lower Subscapular Nerve
-Runs with the Latissimus Dorsi m.
-Inserts on the Medial Lip of the Humerus
Teres Major m.
Innervated by the Radial Nerve
Triceps Brachii m.
Formed by the Triceps Brachii, Teres Major, and Teres Minor muscles.
-Not important
Triangular Space
Muscle with two origins:
-Clavicular Head
-Sternal Head
-Heads blend together to form an apex of a triangle that inserts into the Lateral Lip of the Bicipital Groove (underneath the Greater tubercle)
-Innervated by the Medial and Lateral Pectoral nerves.
Pectoralis Major m.