Shoulder and arm Flashcards
Trapezius - attachments
Proximal: external occipital protuberance, occipital bone, ligamentum nuchae, spinous processes of cervical and thoracic vertebrae
Distal: Posterior border of lateral third of clavicle, medial margin of acromion, posterior border of scapular spine
Trapezius - innervation
Motor supply - accessory nerve (CNXI)
Proprioceptive fibres - C3, C4
Trapezius - action
Elevation, depression and retraction of scapula
Latissimus dorsi - attachments
Proximal: Aponeurosis of posterior layer of thoracocolumnar fascia, spinous processes of lower 6 thoracic vertebrae, most inferior 3/4 ribs (may also attach to iliac crest)
Distal: intertubercular groove of humerus in between insertion points of pec major and teres major.
Latissimus dorsi - innervation
Thoracodorsal nerve (C6-C8)
Latissimus dorsi - action
Extends, adducts and medially rotates the humerus
Levator scapulae - attachments
Proximal: Transverse processes of C1-C4
Distal: Superior portion of medial border of scapula
Levator scapulae - innervation
C3 and C4 - cervical plexus
Branch of dorsal scapular nerve (C5) (lower fibres)
Levator scapulae - action
Elevates the scapula
Deltoid - attachments
Proximal: Lateral third of clavicle, superior surface of acromion, spine of scapula
Distal: Fibres converge into tendon which is attached to deltoid tuberosity (lateral aspect of shaft of humerus)
Deltoid - innervation
Axillary nerve (C5, C6)
Deltoid - action
Abduction, flexion and extension of the humerus
Supraspinatus - attachments
Proximal: Medial 2/3 of supraspinatus fossa from supraspinatus fascia
Distal: Fibres converge to form tendon which inserts into greater tubercle of humerus
Supraspinatus - innervation
Suprascapular nerve (C5, C6)
Supraspinatus - action
Abduction of arm and stabilises humerus (works with deltoid)
Infraspinatus - innervation
Suprascapular nerve (C5, C6)
Infraspinatus - action and attachments
Lateral rotation of humerus and braces head of humerus in glenoid fossa
Proximal: Medial 2/3 of infraspinatus fossa from infraspinatus fascia
Distal: Fibres converge to form tendon which inserts into greater tubercle of humerus