Quiz 1 Flashcards
What are the three parts of the trapezius muscle ?
Descending, middle, ascending
Origin of Trapezius
External occipital protuberance, superior nuchal line of occipital bone, nuchal ligament, spinous process of C7
Insertion of Trapezius (decending)
Lateral 1/3 of clavicle and acromion
Insertion of Trapezius (transverse)
Medial half of spine of scapula and acromion
Insertion of Trapezius (ascending)
Medial half of the spine of the scapula
Innervation of trapezius
Spinal accessory nerve and C3. C4 spinal nerves
Action of Trapezius (descending)
Elevates scapula, extends, and laterally flexes
Action of Trapezius (transverse)
Retract scapula
Action of Trapezius (ascending)
Depress scapula
Origin of Latissimus Dorsi
L1-L5 lumbar vertebrae via thoracolumbar fascia, spinous processes of T6-T12, sacrum, 9-12 ribs and iliac crest
Insertion of Latissimus Dorsi
Floor of intertubercular groove of humerus
Innervation of Latissimus Dorsi
Thoracodorsal nerve (C6, C7)
Action of Latissimus Dorsi
Adduction, extension and medial rotation of the humerus
Origin of Rhomboid Major
Spinous processes of T2-T5 thoracic vertebrae
Insertion of Rhomboid Major
Medial border of scapula between the spine and inferior angle
Innervation of Rhomboid Major
Dorsal scapular nerve (C5)
Action of Rhomboid Major
Retraction of scapula and elevation of medial border of scapula
Origin of Rhomboid Minor
Spinous processes of C7-T1
Insertion of Rhomboid Minor
Scapular spine and superior angle of scapula, above rhomboid major
Innervation of Rhomboid Minor
Dorsal scapular nerve (C5)
Action of Rhomboid Minor
Retraction of scapula, elevation os medial border of scapula
Origin Levator Scapulae
Posterior tubercles of transverse processes for C1-C3
Insertion for Levator Scapulae
Superior angle of the scapula
Innervation of Levator Scapulae
Dorsal scapular nerve (C5) and interior rami of C3, C4
Actions of Levator Scapulae
Downward rotation of glenoid cavity, elevates and retracts scapula in combo with the trapezius, laterally flexes neck if scapula is fixed
Origin of Subscapularis
Subscapular fossa of scapula
Insertion of Subscapularis
Lesser tubercle of humerus
innervation of Subscapularis
Upper and lower subscapular nerves (C6)
Action of Subscapularis
Medial rotation of humerus
Origin of Superspinatus
Superspinatus fossa of scapula
Insertion of Superspinatus
Superior facet of greater tubercle
innervation of Supraspinatus
Suprascapular nerve (C5)
Action of Supraspinatus
Abducts and stablizes the arm
Origin of Infraspinatus
Infraspinatus fossa of scapula
Insertion of Infraspinatus
Middle facet of greater tubercle of humerus
Innervation of Infraspinatus
Suprascapular nerve (C5)
Action of Infraspinatus
Lateral rotation of humerus
Origin of Teres Minor
Middle part of lateral border of scapula
Insertion of Teres Minor
Inferior facet of greater tubercle of humerus
Innervation of Teres Minor
Axillary nerve
Action of Teres Minor
Lateral rotation of the humerus
What are the Rotator Cuff Muscles?
(SITS) Superspinatus, infraspinatus, teres minor, and subscapularis
Origin or Teres Major Muscle
Lower lateral border and inferior angle of scapula
Insertion of Teres Major Muscle
Medial lip of the inter-tubercular groove
Innervation of the Teres Major Muscle
Lower subscapular nerve (C6)
Action of Teres Major Muscle
Adducts and medially rotates humerus
Origin of Deltoid (Anterior)
Lateral 1/3 of clavicle
Origin of Deltoid (Medial)
Acromion
Origin of Deltoid (Posterior)
Spine of scapular, deltoid tubercle
Insertion of Deltoid Muscle
All deltoid tuberosity of humerus
Innervation of Delotid
Axillary nerve (C5)
Action of Deltoid (Anterior)
Flexes and medially rotates the humerus
Action of Deltoid (Medial)
Abduction of humerus after 15°
Action of Deltoid (Posterior)
Extends and laterally rotates humerus
Origin of Serratus Anterior
External surfaces of ribs
Insertion of Serratus Anterior
Medial border of the scapula
Innervation of Serratus Anterior
Long thoracic nerve (C5-C7)
Actions of Serratus Anterior
Protraction and upwards rotation of scapula
Origin of Subclavis
First rib
Insertion of Subclavius Muscle
Inferior surface of middle third of clavicle
Actions of Subclavius Muscle
Stabilizes the clavicle
Innervation of Subclavius
Nerve to subclavius muscle (C5, C6)
What Muscles Make up the Triangular Space
Long head of triceps brachii, teres minor and teres major
What Blood Vessel Runs Through the Triangular Space
Circumflex scapular artery
What Makes up the Quandrangular Space?
Teres minor, teres major, long head triceps brachii, lateral head of tricep brachii
What Vessels Runs Through the Quadrangular Space?
Axillary nerve and posterior humeral circumflex
What Makes of the Triangular Interval?
Teres major, long head of triceps brachii, lateal head of triceps brachii
What Vessels Run Through the Triangle Interval?
Radial nerves and profunda brachii artery
What Kind of Joint is the Sternoclavicular Joint?
Synovial, saddle, acts like ball and socket. Biaxial
What Kind of Joint is the Costoclavicular Ligament?
Structured for non-synovial and functionally - (slightly moveable joint)
What Kind of Joint is the Acromioclavicular Joint?
Synovial, plane, uniaxial
What Kind of Joint in the Coracoclavicular Ligament?
Synovial, uniaxial
What Kind of Joint is the Glenohumeral Joint?
Synovial, ball and socket
What is the Function of the Glenoid Labrum?
Increases surface area and cushioning
Origin of Triceps (Long Head)
Infraglenoid tubercle of scapula
Origin of Triceps (Lateral Head)
Posterior surface of humerus, superior to radial groove
Origin of Triceps (Medial)
Posterior surface of humerus, inferior to radial groove
Insertion of Triceps
All olecranon of ulna and adjacent to antebrachial fascia
Innervation of Triceps
Radial nerve (C6) long head (C7)
Action Triceps Brachii
All extend forearm at elbow joint
Origin Biceps Brachii (Long Head)
Supraglenoid tubercle of scapula
Origin of Biceps Brachii (Short Head)
Apex of coracoid process of scapula
Insertion of Biceps Brachii
Radial tuberosity and antebrachial fascia
Innervation of Biceps Brachii
Musculocutaneous nerve (C5-C6)
Action of Biceps Brachii
Supinates forearm; flexes forearm at elbow joint
Origin of Brachialis
Anterior aspect of distal half of humerus
Insertion of Brachialis
Coronoid process and tuberosity of ulna
Action of Brachialis
Flexes forearm at elbow joint
Innervation of Brachialis
Musculocutaneous nerve (C5,C6) and radial (C7) nerves
Origin of Coracobrachialis
Coracoid process of the scapula
Insertion of Coracobrachialis
Midde third of medial aspect of humerus
Action of Coracobrachialis
Adducts and flexes arm at glenohumeral joint
Innervation of Coracobrachialis
Musculotaneous nerve (C5-C7)
Origin of Pectoralis Major
Clavicular Head: anterior aspects of medial half of clavicle
Sternocostal Head: Manubrium, sternal body, the true ribs and their costal cartilages
Insertion of Pectoralis Major
Crest of greater tubercle of humerus
Action of Pectoralis Major
Adducts, medially rotates and transversely adducts arm at the glenohumeral joint. Depresses pectoral girdle at acromioclavicular and steroclavicular joints
Innervation of Pectoralis Major
Medial and lateral pectoral nerves (C5-T1)
Origin of Pectoralis Minor
Anterior ends of third to fifth ribs
Insertion of Pectoralis Minor
Coracoid process of scapula
Action of Pectoralis Minor
Protracts and downwardly rotates the shoulder at acrominoclavicualr and sternoclavicular joints
Innervation of Pectoralis Minor
Medial and lateral pectoral nerves (C5-T1)
Foerster Dermatomes
Based on clinical findings - wider areas
Keegan and Garret Dermatomes
Based on limb development, narrow and straight areas
How Does the Brachial Plexus Split?
Ventral rami, trunks, divisions, cords, nerves
What are the 3 Trunks of the Brachial Plxeus?
Superior, middle, and inferior
What Roots Make the Superior Trunk?
C5, C6
What Roots Make the Middle Trunk?
C7
What Roots Make the Inferior Trunk
C8, T1
Divisions of the Brachial Plexus
Each of the three trunks divides into an anterior and posterior division. Making six total divisions
What are the Three Cords of the Brachial Plexus?
Lateral, posterior, and medial cord
How does the Posterior Cord Form?
All three posterior divisions unite to form the posterior cord
How does the Lateral Cord Form?
The anterior divisions of the superior and middle trunks unite to form the lateral cord
What Does the Medial Cord Form?
Formed by a continuation of the anterior divisions of the inferior trunk
What cord does the Musculocutaneous Nerve come from ?
Lateral cord
What cord does the Median Nerve come from?
The lateral and medial cord
What cord does the Ulnar nerve come from?
Medial cord
What cord does the Radial nerve come from?
Posterior cord
What cord does the Axillary nerve come from?
Posterior cord
What makes up the Delto-pectoral triangle
The superior border of the clavicle, the lateral border of the pectoralis major and the medial border of the deltoid
What is the Delto-pectoral Groove?
A triangular notch in the muscular structures between the deltoid and pectoralis major. The cephalic vein passes through here.