Scapula Flashcards
Humeral Head faces what way
Posteriorly
Medially
Superiorly
PMS
Glenoid head faces what way
Superiorly
Anteriorly
Laterally
What is more superior Rhomboid major or minor?
Rhomboid Minor
Trapezius
Origin External Occipital Protuberance Superior Nuchal Line Ligamentum Nuchia Insertion: Spine of the Scapula Acromion Process Lateral 1/3 of the clavicle Innervated: Spinal Accessory Nerve Function: upper- elevates lower- depresses middle- retracts As a whole trapezius does upward scapula rotation
Latissimus Dorsi
Origin:
Illiac Crest
Thoracolumbar Fascia
All lumbar and sacral processes
T7-T12
Inferior Angle of the scapula
Insertion:
Intertubercular groove of the humerus
Innervated: thoracodorsal nerve (middle subscapular nerve)
Function: Shoulder extension, shoulder adduction, shoulder internal rotation - can somewhat depress the scapula
Rhomboid Major and Rhomboid Minor
Origin: C7-T5
Insertion: Medial border of the scapula (aka vertibral border)
Innervated: Dorsal Scapular Nerve
Function: Scapular Retraction, elevate the scapula, scapular downward rotation
(antagonistic to trapezius for scapular rotation)
Levator Scapulae
Origin: Transverse Processes C1-C4
Insertion: Superior angle of the scapular
Innervated: Dorsal Scapular Nerve
Function: Scapular elevation, scapular downward rotation
Rotator Cuff Muscles
SITS Supraspinatus Infraspinatus Teres Teres Minor Subscapularis
Supraspinatus
Origin: Supraspinous Fossa
Insertion: Greater Tubercle of the humerus
Innervated: Suprascapular Nerve
Function: Shoulder abduction
Starts in the supraspinous fossa and travels under the coracoacromial hood to insert onto the humerus at the greater tubercle
90% of all rotator cuff tears- suprascapular nerve entrapment is when it gets impinged between the scapular and ligament above it
Infraspinatus Muscle
Origin: Infraspinous fossa
Insertion: Greater Tubercle of the humerus
Innervated: Suprascapular Nerve
Function: External Rotation
Teres Minor
Origin: Lateral Scapular Border
Insertion: Greater Tubercle of the Humerus
Innervated: Axillary Nerve
Function: External Rotation
Subscapularis
Origin: Subscapular Fossa
Insertion: Lesser tubercle of the humerus
Innervated: Upper and Lower Subscapular Nerves
Function: Internal Rotation
Deltoid
Origin: Spine of the scapula, acromion process, and lateral 1/3 of the clavicle
Insertion: Deltoid Tuberosity
Innervated Axillary Nerve
Function: As a whole deltoid abducts
Anterior Deltoid: Flexion and internal rotation
Posterior Deltoid: Extension and External Rotation
Teres Major
Origin: Inferior Angle of the Scapula
Insertion: Intertubercle Groove of the Humerus
Innervated: Lower Subscapular Nerve
Function: Should extension, shoulder internal rotation, shoulder adduction
Quadranglular Space
Superior: Subscapularis and Terres Minor
Inferior: Teres Major
Medial: Long head of the triceps brachi
Lateral: Surgical neck of the humerus
Contains Axillary Nerve
Pectoralis Major
Origin:
Clavicular Head = clavicle
Sternocostal Head: first 6, maybe 7 costal cartilages
Abdominal Head: Interdigitates with Obliques
Insertion: Intertubercular Groove
Innervated: Lateral and Medial Pectoral Nerve
Function: Shoulder internal rotation, shoulder flexion, horizontal adduction
What runs through the deltopectoral groove?
Cephaic Vein
Serratus Anterior
Origin: Ribs 1-8
Insertion: Medial border of scapula (crosses over supraspinatus muscle)
Innervated: Long Thoracic Nerve
Function: Scapular protraction and upward rotation
Scapular winging is caused by damage to the long thoracic nerve or lack of strength in the serratus anterior
Pectoralis Minor
Underneath Pectoral Major Origin: ribs 3,4,5 Insertion: coracoid process Innervated: medial pectroal nerve No one really knows what this does but we think it assists with protraction and downward scapular rottation
If this muscle gets tight te scapular tips forward anteriorly - this produces poor posture
(this can cause pain from increasing pressure on the ribs, increase winging, changes to the length-tension relationship of a muscle - scapular pointing further may further impinge the supraspinatus muscle
Subclavius
Under the clavicle Origin: Inferior side of the clavicle Insertion: rib one Innervated: nerve to subclavius No one knows what it does but we think it stabilizes clavicle and first rib
Axilla
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