Princibles of TX Flashcards
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Trapezius
- O: Upper: EOP, medial 1/3 of superior nuchal line, nuchal ligament
- Middle: spinous process of C7 - T5
- Lower: SPs T5 - T12
- I: lateral 1/3 of the clavical, acromion process & spine of the scapula
- A:Elevation & retraction (adduction) of scapula, upward rotation of scapula;
- unilateral lateral flexion of head
- bilateral extention of head
Stabilization of scapula for arm movements
- Spinal Accessory (CN XI) Ventral rami of C2- C4
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Levator Scapulae
- O: TP’s of C1 - C4
- I: medial border of the scapula (superior part)
- A: elevation of scapula; extension & lateral flexion of neck
- N: Dorsal scapular nerve (C3, C4, C5)
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Sternocleidomastoid
- O: Sternal head: manubrium of sternum
- Clavicular head: medial 1/3 of clavicle
- I: mastoid process of temporal bone
- A: rotation of head to contralateral side, lateral flexion to ipsilateral side
- Bilateral action: neck flexion & capital (C0-C1) extension
- N: Motor: spinal accessory nerve (CN IX)
- Sensory: ventral rami of C2, C3
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Latissimus Dorsi
- O: SP’s T7 L5; thoracolumbar fascia, illiac crest, posterior sacrum; ribs 9-12; inferior angle of scapula
- I: Medial lip of bicipital groove of humerous
- A: adduction, medial rotation & extension of shoulder; anertior pelvic tilt; downward rotation of scapula
- N: thoracodorsal nerve (C6,C7,C8)
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Deltoid
- O: Lateral 1/3 of clav, acromion process & spine of scap
- I: deltoid tuberocity of humerus
- A: Abduction of shoulder( middle fibers)
- flexion, horizontal adduction & medial rotation of shoulder (anterior fibers)
- extension, horizontal abduction & lateral rotation of shoulder (posterior fibers)
- N: axillary nerve (C5, C6)
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Supraspinatus
- O: medial 2/3 of the supraspinatus fossa of scap
- I: superior faccet of the greater tubricle of humerous
- A: abduction of shoulder, stabilizes GH joint
- N: suprascapular nerve (C5, C6)
8
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Infraspinatus
- O: medial 2/3 of the infraspinatus fossa & inferior portion of spine of scap
- I: middle facet of the greater tubercle of the humerus & shoulder joint capsule
- A: lateral rotation of shoulder, stabilizes GH joint
- N: suprascapular nerve C5, C6
9
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Teres Minor
- O: superior lateral border of scap
- I: inferior facet of greater tubercle of humerus & shoulder joint capsule
- A: lateral rotaion of shoulder, stabilizes GH joint, adduction of shoulder (weak action)
- N: axillary nerve C5, C6
10
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subscapularis
- O: subscapular fossa of scap
- I: lesser tubercle of humerus & shoulder joint capsule
- A: medial rotation of joint & stabilizes GH joint
- N: upper and lower subscapular nerves C5, C6
11
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Teres Major
- O: dorsal surfaces of the inferior angle and lower 1/3 of the lateral border of the scapula
- I: medial lip of bicipital groove of humerus (just medial to insertion of latissimus dorsi)
- A: medial rotation, adduction, extension of the shoulder from a flexed position, upward scapular rotaion (closed chain action)
- N: lower subscapular nerve C5, C6, C7
12
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Pectoralis Major
- O: Clavicular fibers - medial 1/2 of the clavicle
- sternal fibers - anterior surface of sternum
- costal fibers - costal cartilage of ribs 1-6
- I: crest of the greater tubercle of humerus (lateral lip of bicipital groove)
- A: adduction and medial rotation of shoulder; horizantal adduction of shoulder, flexion of shoulder (clavicular portion)
- N: medial and lateral pectoral nerve C8, T1
13
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Pectoralis Minor
- O: superior margins of ribs 3-5 (anterior lateral portion), facia over corresponding intercostal muscles
- I: coracoid process of scapula (medial aspect)
- A: stabilizes scapula for arm movements; depresses and downwardly rotates scapula; assits in scapular protraction from retracted position; elevates ribs 3-5 (forced expiration)
- N: medial pectoral nerve C8, T1
14
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Rhomboid Major
- SP’s T2-T5, supraspinous ligament
- I: medial border of scapula ( scapular spine to inferior angle)
- A: retraction of scapula; elevation & downward rotation of scap
- N: dorsal scapular nerve (C4, C5)
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Rhomboid minor
- O: SP’s C7/T1, supraspinatus ligament
- I: medial border at root of spine of the scapula
- A: retraction of scapula, elevation& downward rotation of scap
- N: dorsal scapular nerve (C4, C5)