Scapula and Upper Extremity Flashcards
Deltoid origin (proximal)
Lateral 1/3 of clavicle, lateral acromion, inferior edge spine of scapula
Deltoid insertion (distal)
Deltoid tuberosity of humerus
Deltoid innervation
Axillary nerve (originates from brachial plexus - C5/C6)
Deltoid action
Clavicular: flexes and medially rotates arm
Acromial: abducts beyond 15 degrees
Spinal: extends and laterally rotates arm
Deltoid blood supply
Posterior circumflex humeral artery, deltoid branch of thoraco-acromial artery
Supraspinatus origin (proximal)
Supraspinatus fossa of scapula
Supraspinatus insertion (distal)
Inferior facet of greater tubercle of humerus
Supraspinatus innervation
Suprascapular nerve (brachial plexus - C5/C6)
Supraspinatus action
Initiates arm abduction up to 15 degrees (rotator cuff)
Supraspinatus blood supply
Suprascapular artery
Infraspinatus origin (proximal)
Infraspinatus fossa of scapula
Infraspinatus insertion (distal)
Middle facet of greater tubercle of humerus
Infraspinatus innervation
Suprascapular nerve
Infraspinatus blood supply
Suprascapular artery
Infraspinatus action
Lateral rotation of arm (rotator cuff)
Teres major origin
Posterior surface of inferior angle of scapula
Teres major insertion
Medial lip of intertubercular sulcus of humerus
Teres major innervation
Lower subscapular nerve (brachial plexus C5/C6)
Teres major action
Adducts and medially rotates arm
Teres major blood supply
Circumflex scapular artery
Teres minor origin
Upper 2/3 of posterior surface of lateral border of scapula
Teres minor insertion
Inferior facet of greater tubercle of humerus
Teres minor innervation
Axillary nerve (brachial plexus C5/C6)
Teres minor action
Laterally rotates arm (rotator cuff)
Teres minor blood supply
Circumflex scapular artery
Subscapularis origin
Subscapular fossa (anterior portion of scapula)
Subscapularis insertion
Lesser tubercle of humerus
Subscapularis innervation
Upper and lower subscapular nerves (brachial plexus C5/C6)
Subscapularis action
Medially rotates and adducts arm at shoulder, holds humeral head in glenoid cavity
Subscapularis blood supply
Subscapular artery, lateral thoracic artery
Pectoralis major origin
Medial clavicle and anterior surface of sternum
Pectoralis major insertion
Lateral lip of intertubercular sulcus
Pectoralis major innervation
Lateral pectoral nerve (C5-T1) and medial pectoral nerve (C8-T1)
Pectoralis major action
Adducts and medially rotates shoulder joint
Pectoralis major blood supply
Pectoral branch of thoraco-acromial artery
Pectoralis minor origin
Ribs 3-5 near costal cartilage
Pectoralis minor insertion
Superomedial border of coracoid process
Pectoralis minor innervation
Medial pectoral nerve (C8-T1)
Pectoralis minor action
Stabilizes scapula
Pectoralis minor blood supply
Pectoral branch of thoraco-acromial artery
Serratus anterior origin
Lateral parts of ribs 1-8
Serratus anterior insertion
Anterior surface medial border of scapula
Serratus anterior innervation
Long thoracic nerve (C5-C7)
Serratus anterior action
Holds scapula against thoracic wall
Serratus anterior blood supply
Superior and lateral thoracic artery
Biceps brachii long head origin
Supraglenoid tubercle of scapula
Biceps brachii long head insertion
Radial head tuberosity
Biceps brachii innervation
Musculocutaneous nerve (C5-C7)
Biceps brachii action
Supinates forearm, flexion at shoulder joint, flexes elbow joint
Biceps brachii blood supply
Muscular branches brachial artery
Brachialsis origin
Distal half anterior surface of humerus
Brachialis insertion
Coronoid process and ulnar tuberosity
Brachialis innervation
Musculocutaneous nerve (C5-C7)
Brachialis action
Flexes elbow joint/forearm
Brachialis blood supply
Radial recurrent artery, muscular branches of brachial artery
Coracobrachialis origin
Coracoid process of scapula
Coracobrachialis insertion
Middle portion of medial humerus
Coracobrachialis innervation
Musculocutaneous nerve (C5-C7)
Coracobrachialis action
Flexion and adduction shoulder
Coracobrachialis blood supply
Muscular branches brachial artery
Triceps brachii long head (LH) origin
(located medial to short head) originates on infraglenoid tubercle of scapula
Triceps brachii long head insertion
Olecranon process of ulna
Triceps brachii LH innervation
Radial Nerve
Triceps brachii LH action
extension and adduction of shoulder, extension of shoulder joint
Triceps brachii LH blood supply
deep brachial artery
Triceps brachii short head (SH) origin
posterolateral humerus proximal to radial groove
Triceps brachii SH insertion
olecranon process of ulna
Triceps brachii SH innervation
Radial nerve
Triceps brachii action
extension of elbow joint/forearm
Triceps brachii blood supply
deep brachial artery
Triceps brachii medial head (MH) origin
posteromedial surface of humerus
Triceps brachii MH insertion
Olecranon process of ulna
Triceps brachii MH innervation
Radial nerve
Triceps brachii MH action
extension of elbow/forearm
Triceps brachii MH blood supply
deep brachial artery