Shoulder and breast

Question 1

Where do deltiods and trapezius attach?

Answer 1

Acromium

Question 2

Pectoralis minor attachment

Answer 2

Coracoid process

Question 3

What cant you raise arm about head without?

Answer 3

Deltiod

Question 4

Where does deltoid connect?

Answer 4

Halfway down humerus at deltoid tuberosity

Question 5

What does first 10 - 15% of lifting before deltoid works?

Answer 5

Supraspinatus

Question 6

Rotator Cuff

Answer 6

SItS
Supraspinatus
Infraspinatus
teres minor
Subscapularis

Question 7

What is usually torn in rotator cuff injuries?

Answer 7

Supraspinatus

Question 8

Where does the transverse cervical artery run?

Answer 8

Over top of levator scapulae

Question 9

Subclavian artery path?

Answer 9

Turns into axillary artery @ border of first rib. Turns into brachial artery at Teres major

Question 10

Suprascapular Notch

Answer 10

Army over Navy under

Suprascapular artery and nerve go through: ligament that is found here

Question 11

Quadrangular Space

Answer 11

Teres minor superiorly, teres major inferiorly, long head of triceps medially, humerus laterally
Axillary nerve and posterior circumflex humeral artery
Axillary Nerve - deltoid and teres minor

Question 12

Triangular interval

Answer 12

Teres major, long head of triceps, lateral head of triceps

Radial nerve and Brachial artery

Question 13

Triangular Space

Answer 13

Teres Minor (S), Teres major (I), long head of triceps (L)
Circumflex scapular artery

Question 14

Parts of axillary artery?

Answer 14

First part:
Superior Thoracic
Second part:
Thoracoacromial trunk
Lateral thoracic arteries
Third part:
Subscapular 
Anterior circumflex humeral artery - Circumflex scapular & Thoracodorsal
Posterior circumflex humeral artery

Question 15

What are breasts?

Answer 15

Mammary glands are modified specialized type of sweat glands

Question 16

What ribs to breasts cover?

Answer 16

Second to sixth rib

Question 17

How much of breast rests on fascia?

Answer 17

⅔ rests on deep pectoral fascia

⅓ rests on fascia covering serratus anterior

Question 18

What is most of the breast?

Answer 18

Tubuloalveolar glands for milk production and fat

Question 19

How many glands and lobes in breast?

Answer 19

15-20 glands with each forming a lobe

1 lactiferous duct per lobe

Question 20

% of tumors originating in ducts?

Answer 20

80%

Question 21

Breast Lymph Nodes

Answer 21

“CLASP”

Central, Lateral, apical, Subscapular, pectoral

Question 22

Which portion of breast do most tumors start in?

Answer 22

50% of all tumors originate in the superior lateral portion of breast

Question 23

Impingement Syndrome

Answer 23

Rubbing and clicking of shoulder on overhead motion.
Ball of shoulder rubs against ledge (Acromium) over shoulder. Associated with tendinitis and rotator cuff problems.
i. Treatment
Anti-inflammatory medicine, Cortisone Injection, Surgery to shave Acromium

Question 24

Dislocation

Answer 24

Ball of shoulder pops out of socket.
Treatment
Reduction - Anesthesia is frequently required, Sling for 3-4 weeks, Exercises, Surgery to repair shoulder after 2nd or 3rd dislocation

Question 25

Shoulder Separation

Answer 25

Injury to A-C joint; collarbone is displaced from top of
shoulder.
Treatment
Rest and sling, X-rays, Surgery may be necessary if severe

Question 26

Rotator Cuff Tear

Answer 26

Injury to muscle and tendon that covers and raises shoulder. Symptoms include shoulder pain and inability to raise shoulder
Treatment
1. Rest, Medicine, MRI if no better, Surgery to repair large tear