Shoulder and Arm Flashcards
Deltoid: Insertion?
Deltoid tuberosity of humerus
Deltoid: Nerve?
Axillary nerve (C5, C6)
Deltoid: Bony Landmarks & Ligaments?
Clavicle, acromion, spine of scapula & Deltoid tuberosity of humerus
Deltoid: Functional Movement?
Abduction of the arm (raising it to the side), flexion, and extension
Deltoid: Resisting the muscle?
Stand beside the patient. Place one hand on their arm just above the elbow and ask them to lift their arm to the side against your resistance. Apply gentle pressure to resist the upward movement.
`Deltoid: Origin?
Lateral ⅓ of clavicle, acromion, spine of scapula
Pectoralis Major: Origin?
Clavicle, sternum, cartilage of ribs 1-6
Pectoralis Major: Insertion?
Greater tubercle of humerus
Pectoralis Major: Nerve?
Medial and lateral pectoral nerves (C5-T1)
Pectoralis Major: Bony Landmarks & Ligaments?
Clavicle, sternum, ribs & Greater tubercle of humerus
Pectoralis Major: Functional Movement?
Flexion, adduction, and medial rotation of the arm
Pectoralis Major: Resisting the muscle?
Stand in front of the patient. Place one hand on their forearm and ask them to push their arm inward (towards the body) against your resistance. Apply gentle pressure to resist the inward movement.
Pectoralis Minor: Origin?
Third to fifth ribs near their costal cartilages
Pectoralis Minor: Insertion?
Coracoid process of scapula
Pectoralis Minor: Nerve?
Medial pectoral nerve (C8, T1)
Pectoralis Minor: Bony Landmarks & Ligaments?
Third to fifth ribs near their costal cartilages & Coracoid process of scapula
Pectoralis Minor: Functional Movement?
Stabilisation of scapula, assists in depression and downward rotation of scapula
Pectoralis Minor: Resisting the muscle?
Ask the patient to sit or stand with their arms relaxed by their sides. Place one hand on their shoulder blade and ask them to push their shoulder blade forward against your resistance. Apply gentle pressure to resist the forward movement.
Latissimus Dorsi: Origin?
Spinous processes of thoracic and lumbar vertebrae, iliac crest, lower ribs
Latissimus Dorsi: Insertion?
Floor of intertubercular groove of humerus
Latissimus Dorsi: Nerve?
Thoracodorsal nerve (C6, C7, C8)
Latissimus Dorsi: Bony Landmarks & Ligaments?
Thoracic and lumbar vertebrae, iliac crest, ribs & Intertubercular groove of humerus
Latissimus Dorsi: Functional Movement?
Extension, adduction, and medial rotation of the arm
Latissimus Dorsi: Resisting the muscle?
Stand behind the patient. Place one hand on their forearm and ask them to pull their arm backward against your resistance. Apply gentle pressure to resist the backward movement.
Teres Major: Origin?
Inferior angle and lower part of lateral border of scapula
Teres Major: Insertion?
Intertubercular groove of humerus
Teres Major: Nerve?
Lower subscapular nerve (C5, C6)
Teres Major: Bony Landmarks & Ligaments?
Inferior angle and lateral border of scapula & Intertubercular groove of humerus
Teres Major: Functional Movement?
Extension, adduction, and medial rotation of the arm
Teres Major: Resisting the muscle?
Stand behind the patient. Place one hand on their forearm and ask them to pull their arm backward against your resistance. Apply gentle pressure to resist the backward movement.
Teres Minor: Origin?
Upper two-thirds of lateral border of scapula
Teres Minor: Insertion?
Greater tubercle of humerus
Teres Minor: Nerve?
Axillary nerve (C5, C6)
Teres Minor: Bony Landmarks & Ligaments?
Lateral border of scapula & Greater tubercle of humerus
Teres Minor: Functional Movement?
Lateral rotation and adduction of the arm
Teres Minor: Resisting the muscle?
Stand beside the patient. Place one hand on their arm just above the elbow and ask them to rotate their arm outward against your resistance. Apply gentle pressure to resist the outward rotation
Supraspinatus: Origin?
Supraspinous fossa of scapula
Supraspinatus: Insertion?
Greater tubercle of humerus
Supraspinatus: Nerve?
Suprascapular nerve (C5, C6)
Supraspinatus: Bony Landmarks & Ligaments?
Supraspinous fossa of scapula & Greater tubercle of humerus
Supraspinatus: Functional Movement?
Initiation of abduction of the arm (first 15 degrees)
Supraspinatus: Resisting the muscle?
Stand beside the patient. Place one hand on their arm just above the elbow and ask them to lift their arm to the side against your resistance. Apply gentle pressure to resist the upward movement.
Infraspinatus: Origin?
Infraspinous fossa of scapula
Infraspinatus: Insertion?
Greater tubercle of humerus
Infraspinatus: Nerve?
Suprascapular nerve (C5, C6)
Infraspinatus: Bony Landmarks & Ligaments?
Infraspinous fossa of scapula & Greater tubercle of humerus
Infraspinatus: Functional Movement?
Lateral rotation of the arm
Infraspinatus: Resisting the muscle?
Stand beside the patient. Place one hand on their arm just above the elbow and ask them to rotate their arm outward against your resistance. Apply gentle pressure to resist the outward rotation.
Subscapularis: Origin?
Supraspinous fossa of scapula
Subscapularis: Insertion?
Greater tubercle of humerus
Subscapularis: Nerve?
Suprascapular nerve (C5, C6)
Subscapularis: Bony Landmarks & Ligaments?
Supraspinous fossa of scapula & Greater tubercle of humerus
Subscapularis: Functional Movement?
Initiation of abduction of the arm (first 15 degrees)
Subscapularis: Resisting the muscle?
Stand beside the patient. Place one hand on their arm just above the elbow and ask them to lift their arm to the side against your resistance. Apply gentle pressure to resist the upward movement.
Infraspinatus: Origin?
Infraspinous fossa of scapula
Infraspinatus: Insertion?
Greater tubercle of humerus
Infraspinatus: Nerve?
Suprascapular nerve (C5, C6)
Infraspinatus: Bony Landmarks & Ligaments?
Infraspinous fossa of scapula & Greater tubercle of humerus
Infraspinatus: Functional Movement?
Lateral rotation of the arm
Infraspinatus: Resisting the muscle?
Stand beside the patient. Place one hand on their arm just above the elbow and ask them to rotate their arm outward against your resistance. Apply gentle pressure to resist the outward rotation.
Subscapularis: Origin?
Subscapular fossa of scapula
Subscapularis: Insertion?
Lesser tubercle of humerus
Subscapularis: Nerve?
Upper and lower subscapular nerves (C5, C6, C7)
Subscapularis: Bony Landmarks & Ligaments?
Subscapular fossa of scapula & Lesser tubercle of humerus
Subscapularis: Functional Movement?
Medial rotation of the arm
Subscapularis: Resisting the muscle?
Stand beside the patient. Place one hand on their arm just above the elbow and ask them to rotate their arm inward against your resistance. Apply gentle pressure to resist the inward rotation.
Coracobrachialis: Origin?
Coracoid process of scapula
Coracobrachialis: Insertion?
Middle third of medial surface of humerus
Coracobrachialis: Nerve?
Musculocutaneous nerve (C5, C6, C7)
Coracobrachialis: Bony Landmarks & Ligaments?
Coracoid process of scapula & Middle third of medial surface of humerus
Coracobrachialis: Functional Movement?
Flexion and adduction of the arm
Coracobrachialis: Resisting the muscle?
Stand in front of the patient. Place one hand on their forearm and ask them to push their arm inward (towards the body) against your resistance. Apply gentle pressure to resist the inward movement.
Biceps Brachii: Origin?
Long head: Supraglenoid tubercle of scapula
Short head: Coracoid process of scapula
Biceps Brachii: Insertion?
Radial tuberosity, bicipital aponeurosis
Biceps Brachii: Nerve?
Musculocutaneous nerve (C5, C6, C7)
Biceps Brachii: Bony Landmarks & Ligaments?
Supraglenoid tubercle of scapula, coracoid process of scapula & Radial tuberosity, bicipital aponeurosis
Biceps Brachii: Functional Movement?
Flexion of the elbow joint, supination of the forearm
Biceps Brachii: Resisting the muscle?
Stand in front of the patient. Place one hand on their forearm and ask them to bend their elbow against your resistance. Apply gentle pressure to resist the flexion movement.
Triceps Brachii: Origin?
Long head: Infraglenoid tubercle of scapula
Lateral head: Posterior shaft of humerus
Medial head: Posterior shaft of humerus below radial groove
Triceps Brachii: Insertion?
Olecranon process of ulna
Triceps Brachii: Nerve?
Radial nerve (C6, C7, C8)
Triceps Brachii: Bony Landmarks & Ligaments?
Infraglenoid tubercle of scapula, posterior shaft of humerus & Olecranon process of ulna
Triceps Brachii: Functional Movement?
Extension of the elbow joint
Triceps Brachii: Resisting the muscle?
Stand behind the patient. Place one hand on their forearm and ask them to straighten their elbow against your resistance. Apply gentle pressure to resist the extension movement.
Brachialis: Insertion?
Coronoid process of ulna
Brachialis: Nerve?
Musculocutaneous nerve (C5, C6)
Brachialis: Bony Landmarks & Ligaments?
Anterior surface of humerus & Coronoid process of ulna
Brachialis: Functional Movement?
Flexion of the elbow joint
Brachialis: Resisting the muscle?
Stand in front of the patient. Place one hand on their forearm and ask them to bend their elbow against your resistance. Apply gentle pressure to resist the flexion movement.
Brachialis: Origin?
Anterior surface of humerus
Brachioradialis: Origin?
Lateral supracondylar ridge of humerus
Brachioradialis: Insertion?
Styloid process of radius
Brachioradialis: Nerve?
Radial nerve (C5, C6, C7)
Brachioradialis: Bony Landmarks & Ligaments?
Lateral supracondylar ridge of humerus & Styloid process of radius
Brachioradialis: Functional Movement?
Flexion and pronation of the forearm
Brachioradialis: Resisting the muscle?
Stand beside the patient. Place one hand on their forearm and ask them to bend their elbow and turn their palm facing downward against your resistance. Apply gentle pressure to resist the movement.
Supinator: Origin?
Lateral epicondyle of humerus, radial collateral and annular ligaments
Supinator: Insertion?
Lateral proximal radius
Supinator: Nerve?
Radial nerve (C6, C7, C8)
Supinator: Bony Landmarks & Ligaments?
Lateral epicondyle of humerus, radial collateral and anular ligaments & Lateral proximal radius
Supinator: Functional Movement?
Supination of the forearm
Supinator: Resisting the muscle?
Stand beside the patient. Place one hand on their forearm and ask them to turn their palm facing upward against your resistance. Apply gentle pressure to resist the movement.