Section 1: Upper Extremities Flashcards

1
Q

Skip

A

Cards 94-103

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Muscles that control the GH joint

A
  1. Deltoid
  2. Pectoralis Major
  3. Biceps brachii
  4. Latissimus dorsi
  5. Teres Major
  6. Triceps brachii
  7. Rotator Cuff Muscles
    a. Supraspinatus
    b. Infraspinatus
    c. teres minor
    d. subscapularis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Deltoid

A

Or: Lateral third of clavicle, acromion, and spine of scapula

Ins: Deltoid tuberosity of humerus

Inv: Axillary Nerve

BS: thoracoacromial artery, posterior humeral circumflex artery

Action: Clavicular (anterior) part: Flexes and medially rotates arm
Acromial (middle) part: Abducts arm
Spinal (posterior) part: extends and laterally rotates arm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Pectoralis Major

A

Or: Clavicular head: anterior surface of medial half of clavicle
Sternocostal head: anterior sufrace of sternum, superior six costal cartilages, aponeurosis of external oblique muscle

Ins: Lateral lip of intertubercular sulcus of humerus

Inv: Lateral and medial pectoral nerve (C5, C6), sternocostal head (C7, C8*, T1)

BS: Pectoral branch of the thoracoacromial trunk

Action: Adducts and medially rotates humerus; draws scapula anteriorly and inferiorly.
Acting alone, clavicular head flexes humerus and sternocostal head extends it from the flexed position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Short head of the Biceps brachii

A

Or: tip of coracoid process of scapula

Ins: Tuberosity of radius and fascia of forearm via bicipital aponeurosis

Inv: Musculocutaneous nerve (C5, C6*, C7)

BS: Brachial artery

Action: Supinates forearm and when it is supine, flexes forearm; short head resists dislocation of shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Latissimus dorsi

A

Or: Spinous processes of inferior 6 thoracic vertebrae, thoracolumbar fascia, iliac crest, and inferior 3 or 4 ribs

Ins: floor of intertubercular sulcus of humerus

Inv: thoracodorsal nerve (C6, C7, C8)

BS: thoracodorsal artery

Action: Extends, adducts, and medially rotates humerus; raises body toward arms during climbing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Teres Major

A

Or: Posterior surface of inferior angle of scapula

Ins: Medial lip of intertubercular sulcus of humerus

Inv: Lower subscapular nerve (C5, C6*)

BS: Subscapular artery and circumflex scapular artery

Action: Adducts and medially rotates arm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Triceps brachii Long head

A

Or: infraglenoid tubercle of scapula

Ins: Proximal end of olecranon of ulna and facia of forearm

Inv: Radial nerve (C6, C7, C8)

BS: Deep brachial artery

Action: Chief extensor of forearm; Long head resists dislocation of humerus especially important during adduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Supraspinatus

A

Or: Supraspinous fossa of scapula

Ins: Superior facet of greater tubercle of humerus

Inv: Suprascapular nerve (C4, C5*, C6)

BS: Suprascapular artery

Action: Initiates and assists deltoid in abduction of arm and acts with rotator cuff muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Infraspinatus

A

Or: Infraspinous fossa of scapula

Ins: Middle facet of greater tubercle of humerus

Inv: Suprascapular nerve (C5*, C6)

BS: Suprascapular Artery and circumflex artery

Action: Laterally rotates arm; and acts with Rotator cuff muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Teres Minor

A

Or: Middle part of lateral border of scapula

Ins: Inferior facet of greater tubercle of humerus

Inv: Axillary nerve (C5*, C6)

BS: Posterior humeral circumflex artery and circumflex scapular artery

Action: Adducts and medially rotates arm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Subscapularis

A

Or: Subscapular fossa (most of anterior surface of scapula)

Ins: Lesser tubercle of humerus

Inv: Upper and lower subscapular nerves (C5, C6*, C7)

BS: Subscapular artery

Action: Medially rotates arm, as part of the rotator cuff muscles, helps hold head of humerus in glenoid cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pectoralis Minor

A

Or: 3rd-5th rib near their costal cartilages

Ins: Medial border and superior surface of coracoid process of scapula

Inv: Medial pectoral nerve (C8, T1)

Action: Stabilizes scapula by drawing it inferiorly and anteriorly against thoracic wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Long head of the biceps brachii

A

Or: supraglenoid tubercle of scapula

Ins: Tuberosity of radius and fascia of forearm via bicipital aponeurosis

Inv: Musculocutaneous nerve (C5, C6*, C7)

BS: Brachial artery

Action: Supinates forearm and when it is supine, flexes forearm; short head resists dislocation of shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Triceps brachii Lateral Head

A

Or: Posterior surface of humerus, superior to radial groove

Ins: Proximal end of olecranon of ulna and facia of forearm

Inv: Radial nerve (C6, C7, C8)

BS: Deep brachial artery

Action: Chief extensor of forearm; Long head resists dislocation of humerus especially important during adduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Triceps Brachii medial head

A

Or: Posterior surface of humerus, inferior to radial groove

Ins: Proximal end of olecranon of ulna and facia of forearm

Inv: Radial nerve (C6, C7, C8)

BS: Deep brachial artery

Action: Chief extensor of forearm; Long head resists dislocation of humerus especially important during adduction

17
Q

Humeroscapular movement

A

Involves simultaneous movement at both the GH and scapulothoracic (SH) joints. For every 15d. of HS movement, 10d. occurs at the GH joint and 5d. at the SH joint

18
Q

Serratus Anterior

A

Or: upper ribs 8 and 9

Ins: costal aspect of medial margin of scapula

Inv: Long thoracic nerve (C5, C6, C7)

BS: Lateral thoracic artery (upper) and thoracodorsal artery (lower)

19
Q

Bones of the shoulder girdle

A
  1. Clavicle
  2. Scapula
  3. Proximal humerus
20
Q

Ligaments of the shoulder

A
  1. Coracoclavicular ligament: strong; suspends scapula and upper limb to clavicle, provides principle integrity and stability to AC joint may be torn in shoulder separation
  2. Acromioclavicular ligament: weak, reinforces AC joint capsule
  3. Coracoacromial ligament: (coracoacromial arch complex) resists upward displacement of humerus from glenoid cavity. chronic, repetitive upward displacement of humerus may lead to impingement injury of rotator cuff and shoulder pain
21
Q

Joints of upper Limb

A
  1. Sternoclavicular joint
  2. acromioclavicular joint
  3. glenohumeral (shoulder) joint
  4. Scapulothoracic joint
22
Q

Flexion of shoulder joint

A
  1. Anterior deltoid
  2. P. major (clav. head)
  3. Biceps brachii
  4. coracobrachialis
23
Q

Extension of shoulder joint

A
  1. Posterior deltoid
  2. Lat. dorsi
  3. teres major
  4. triceps brachii
  5. P. major (SC head)
24
Q

Medial Rotation of shoulder joint

A
  1. P. major
  2. Lat. dorsi
  3. Teres Major
  4. Subscapularis
25
Q

Lateral Rotation of Shoulder Joint

A
  1. Infraspinatus

2. teres minor

26
Q

Abduction of shoulder joint

A
  1. Supraspinatus (1st 15 d.)

2. Deltoid (central part) to 90d.

27
Q

Adduction of shoulder

A
  1. P. Major
  2. Lat. Dorsi
  3. Teres Major
28
Q

Circumduction of shoulder

A

Combination of muscles