Shoulder Flashcards

1
Q

Compartments

A

Extrinsic - superficial + deep
Intrinsic - rotator cuff + other

Extrinsic = originate from torso and attach to bones of the shoulder
Intrinsic = originate from scapula/clavicle and attach to humerus
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2
Q

Extrinsic superficial muscles

A

Trapezius

Latissimus dorsi

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3
Q

Trapezius

Origin

A

Skull, nuchal ligament + spinal processes of C3-4

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4
Q

Trapezius

Insertion

A

Clavicle, acromion and scapula spine

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5
Q

Trapezius

Innervation

A
Motor = accessory nerve
Sensory = C3/4 spinal nerves
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6
Q

Trapezius

Function

A

Upper fibres = elevate/rotate scapula during abduction
Middle fibres = retract scapula
Lower fibres = pull scapula inferiorally

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7
Q

Latissimus dorsi

Origin

A

Spinous processes T6-12 and inferior 3 ribs

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8
Q

Latissimus dorsi

Insertion

A

Intertubercular sulcus of humerus

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9
Q

Latissimus dorsi

Innervation

A

Thoracodorsal nerve

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10
Q

Latissimus dorsi

Function

A

Extends, adducts and medially rotates upper limb

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11
Q

Extrinsic deep muscles

A

Levator scapulae
Rhomboid major
Rhomboid minor

All innervates by dorsal scapular nerve
All insert on the medial border of the scapula

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12
Q

Levator scapulae

Origin

A

Transverse processes of C1-4 vertebrae

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13
Q

Levator scapulae

Insertion

A

Medial border of scapula

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14
Q

Levator scapulae

Innervation

A

Dorsal scapular nerve

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15
Q

Levator scapulae

Function

A

Elevates scapula

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16
Q

Rhomboid major

Origin

A

Spinous processes of T2-5

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17
Q

Rhomboid major

Insertion

A

Medial border of scapula

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18
Q

Rhomboid major

Innervation

A

Dorsal scapular nerve

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19
Q

Rhomboid major

Function

A

Retracts and rotates the scapula

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20
Q

Rhomboid minor

Origin

A

Spinous processes of C7-T1 vertebrae

21
Q

Rhomboid minor

Insertion

A

Medial border of scapula

22
Q

Rhomboid minor

Innervation

A

Dorsal scapular nerve

23
Q

Rhomboid minor

Function

A

Retracts and rotates scapula

24
Q

Intrinsic muscles (non-rotator cuff)

A

Deltoid

Teres major

25
Deltoid | Origin
Scapula + clavicle
26
Deltoid | Insertion
Deltoid tuberosity on lateral surface of humerus
27
Deltoid | Innervation
Axillary nerve
28
Deltoid | Function
``` Anterior = flex Middle = abductor (0-15 degrees) Posterior = extend ```
29
Teres major | Origin
Posterior surface of inferior angle of scapula
30
Teres major | Insertion
Intertubercular groove of humerus
31
Teres major | Innervation
Lower subscapular nerve
32
Teres major | Function
Adducts | Medially rotates
33
Intrinsic rotator cuff muscles
Supraspinatus Infraspinatus Subscapularis Teres minor Originate from the scapula and attach to humeral head Act to pull the humeral head into the glenoid fossa
34
Supraspinatus | Origin
Supraspinous fossa of the scapula
35
Supraspinatus | Insertion
Greater tubercle of the humerus
36
Supraspinatus | Innervation
Suprascapular nerve
37
Supraspinatus | Function
Abducts the arm 0-15 degrees
38
Infraspinatus | Origin
Infraspinatous fossa of scapula
39
Infraspinatus | Insertion
Less tubercule of the humerus
40
Infraspinatus | Innervation
Suprascapular nerve
41
Infraspinatus | Function
Laterally rotates
42
Subscapularis | Origin
Subscapular fossa of scapula
43
Subscapularis | Insertion
Greater tubercle of the humerus
44
Subscapularis | Innervation
Upper/lower subscapular nerves
45
Subscapularis | Function
Medially rotates
46
Teres minor | Origin
Posterior surface of scapula
47
Teres minor | Insertion
Greater tubercle of the humerus
48
Teres minor | Innervation
Axillary nerve
49
Teres minor | Function
Laterally rotates