Shoulder and arm I Flashcards
What is raising your shoulders called?
Elevation
What is lowering your shoulders called?
Depression
What is bringing your shoulders forward called?
Protraction
What is bringing your shoulders back called?
Retraction
What is bringing you arms above your head called at your shoulders
Upward rotation
What is lowering your arms called at the shoulder?
Downwards rotation
What are the deep posterior axioappendicular muscles?
Levator scapulae
Rhomboid minor
Rhomboid major
What are the superficial posterior axioappendicular muscles?
Trapezius
Latissimus dorsi
Serratus anterior
What do deep posterior axio appendicular muscles do?
Elevate, retract, rotate scapula
What do superficial posterior axio appendicular muscles do?
Extend, adduct and medially rotate humerus
Describe levator scapulae
O: transverse processes of C1-C4 vertebrae
A: medial border of scapulae
I: dorsal scapular nerve
F: elevate, retract, rotate scapula
What is the origin of levator spinae
Transverse processes of C1-C4 vertebrae
What is the attachment of levator spinae
Medial border of the scapula
What is the innervation of levator spinae
Dorsal scapular nerve
What is the function of levator spinae
Elevation, retraction and rotation of scapula
Describe rhomboid major
O: spinous processes of T2-T5
A: medial border of scapula, below the spine of the scapula
I: dorsal scapular nerve
F: elevation, retraction and rotation of scapula
What is the origin of rhomboid major?
Spinous processes of T2-T5
What is the attachment of rhomboid major?
Medial border of scapula, below the spine of the scapula
What is the innervation of rhomboid major?
The dorsal scapular nerve
What is the function of rhomboid major?
Elevate, retract, rotate scapula
Describe rhomboid minor?
O: transverse processes of C7-T1 vertebrae
A: medial border of scapula
I: dorsal scapular nerve
F: Elevates, retracts, rotates scapula
What is the origin of rhomboid minor?
Transverse processes of C7-T1
What is the attachment of rhomboid minor?
Medial border of scapula
What is the innervation of rhomboid minor?
Dorsal scapular nerve
What is the function of rhomboid minor?
Elevate, retract, rotates scapula
What do the superficial axioappendicular muscles do?
Extend, adduct, medially rotate the humerus at the GH joint
What are the superficial axioappendicular muscles?
Latissimus dorsi
Trapezius
Serratus anterior
Describe latissimus dorsi
O: T6-T12 + iliac crest + thoracocolumnar fascia + inf 3 ribs
A: fibres converge to a tendon at the intertubercular sulcus of the humerus
I: thoracodorsal nerve
F: Extension, adduction, medial rotation
What is the origin of latissimus dorsi?
T6-T12, iliac crest, thoracocolumnar fascia + inf 3 ribs
What is the attachment of latissimus dorsi?
Fibres converge to a tendon at the intertubercular sulcus of the humerus
What is the innervation of latissimus dorsi?
Thoracodorsal nerve
Describe trapezius
O: Skull, C7-T12
A: Clavicle and acromion spine of scapula
I: Motor via accessory nerve and proprioception via C3,4
Fn: extension, adduction and medial rotation of humerus at GH joint
What is the origin of trapezius?
Skull, C7-T12
What is the attachment of trapezius?
Clavicle and the acromion of the scapula
What is the innervation of trapezius?
motor via accessory nerve (CXI)
proprioceptive via C3,4
What is the function of trapezius?
extension, adduction and lateral rotation of the humerus
Describe serratus anterior
O: lateral aspects of ribs 1-8
A: medial border of the scapula against the ribcage
I: long thoracic nerve
Fn: protracts and rotates scapula
What is the origin of serratus anterior?
Lateral aspects of ribs 1-8
What is the attachment of serratus anterior?
Medial border of the scapula against the rib cage
What is the innervation of serratus anterior?
Long dorsal nerve
What is the function of serratus anterior?
protraction and rotation of scapula
What are the anterior axioappendicular muscles?
Pec major, minor
subclavius
Describe pec major
O: ant surface of the medial clavicle, anterior surface of sternum, 6 costal cartilages and then aponeurosis of the ext oblique
A: intertubercular sulcus of the humerus
I: lateral and medial pectoral nerves
Fn: adduction, flexion, medial rotation of humerus
What is the origin of pec major
ant surface of the medial clavicle + ant surface of the sternum, 6 costal cartilages, aponeurosis of the external oblique
What is the attachment of pec major?
Intertubercular sulcus of humerus
What is the innervation of pec major?
Lateral and medial pectoral nerves
What is the function of pec major?
Adduction, medial rotation, flexion of the humerus
Describe pec minor
O: ribs 3-5
A: coracoid process of scapula
I: medial pectoral nerve
Fn: depression and protraction of scapula
What is the origin of pec minor?
Ribs 3-5
What is the attachment of pec minor?
Coracoid process of scapula
What is the innervation of pec minor?
Medical pectoral nerve
What is the function of pec minor?
Protraction and depression
Describe subclavius
O: junction of first rib and costal cartilage
A: inf surface of the middle 1/3 of clavicle
I: nerve to subclavius
Fn: depresses clavicle
What is the scapulo-humeral rhythm?
When there is 180 degree abduction of the arm; 120 comes from GH joint and 60 from rotation of scapula
What is the function of the articular capsule of the GH joint?
Allows for complete abduction of the arm
What type of joint is the glenohumeral joint?
Synovial, ball + socket
What are the ligaments of the glenohumeral joint?
Coracohumeral
glenohumeral (sup, mid, inf)
acromioclavicular
trapezoid + conoid = coracoclavicular lig
Describe the deltoid muscle
O: scapula and clavicle A: deltoid tuberosity on lateral surface of humerus I: axillary nerve Fn: depends on fibre. ant - flexion and medial rotation post - extension and lateral rotation middle - abductor of arm >15*
What is the origin of the deltoid muscle
Scapula and clavicle
What is the attachment of the deltoid
deltoid tuberosity of humerus
What is the innervation of deltoid
axillary nerve
What are the functions of deltoid?
Ant: flexion and medial rotation
Post: extension and lateral rotation
Middle: abductor >15*
What are the muscles on the posterior of the scapula?
TITS Teres major infraspinatus teres minor supraspinatus
Describe teres major
O: post surface of inf angle of scapula
A: intertubercular groove of humerus
I: lower subscapular nerve
Fn: adduction + medial rotation
What is the origin of teres major?
The post surface of int angle of scapula
What is the attachment of teres major?
Intertubercular sulcus of humerus
What is the innervation of teres major?
Lower subscapular nerve
What is the function of teres major?
Adduction and medial rotation of arm
Describe infraspinatous
O: infraspinous fossa of the scapula
A: greater tubercle of humerus
I: suprascapular nerve
Fn: lateral rotation of the arm
What is the attachment of infraspinatous?
Greater tubercle of the humerus
What is the origin of infraspinatous?
Infraspinous fossa of the scapula
What is the innervation of infraspinatous?
Suprascapular nerve
What is the function of infraspinatous?
Lateral rotation of the arm
Describe teres minor
O: posterior surface of the scapula
A: greater tubercle of the humerus
I: axillary nerve
Fn: laterally rotates arm
What is the origin of teres minor?
posterior surface of the scapula
What is the attachment of teres minor?
greater tubercle of the humerus
What is the innervation of teres minor?
The axillary nerve
What is the function of teres minor?
Lateral rotation of the arm
Describe supraspinatus
O: supraspinous fossa of the scapula
A: greater tubercle of the humerus
I: suprascapular nerve
Fn: starts abduction of the arm <15*
What is the origin of supraspinatus
Supraspinous foss of scapula
What is the attachment of supraspinatus
greater tubercle of the humerus
What is the innervation of supraspinatus
Suprascapular nerve
What is the function of supraspinatous
Starts abduction of the arm <15*
How do you remember the attachment of the TITS muscles?
ITS attaches to the greater tubercle of the humerus except
Teres major attaches to the intertubercular sulcus of the humerus
Describe subscapularis
O: subscapular fossa of scapula
A: lesser tubercle of the humerus
I: upper + lower subscapular nerve
Fn: medial rotation of the arm
Is the greater tubercle medial or lateral to the lesser tubercle on the humerus
lateral
What is the origin of susbapularis?
Subscapular fossa of the scapula
What is the attachment of subscapularis?
Lesser tubercle of the humerus
What is the innervation of subscapularis?
upper and lower subscapular nerve
What is the function of subscapularis?
Medial rotation of the arm
What are the muscles that make up the rotator cuff?
SITS Subscapularis Infraspinous Teres minor Supraspinous