Shoulder/Arm Flashcards
Levator Scapula attachments
TPs C1-4 and medial, superior angle of scapula.
What movements does Levator Scapula control
Cspine - extension, side bending
Shoulder - elevation
What nerve supplies Levator Scapula
Cervical nerve (C3-C4) and dorsal scapular nerve (C5).
Levator Scapula
Supine - Pt rotates head slightly towards side your testing. Resist side bending, back of hand above ear, other hand resists shoulder elevation.
Infraspinatus attachments
Infraspinatus fossa of scapula and greater tubercle of humerus.
What movements does Infraspinatus control
Shoulder - External rotation
What nerve supplies Infraspinatus
Suprascapular nerve - C5-C6
Infraspinatus
Supine - Elbow bent 90deg. Humerus abducted 90deg. Resist lateral rotation while stabilising opposite side of elbow.
Supraspinatus attachments
Supraspinous fossa of scapula and greater tubercle of humerus.
What movements does Supraspinatus control
Shoulder - 0-15 abduction
and assists deltoids in 0-90deg abduction
What nerve supplies Supraspinatus
Suprascapular nerve - C5-C6
Supraspinatus
Supine - Humerus abducted 10-15deg and shifted slightly off the table. Resist abduction superior to the wrist.
Prone - arm at the side, elbow locked and fully on couch. Resist first 15deg of abduction.
Subscapularis attachments
Subscapular fossa of scapula and lesser tubercle of humerus.
What movements does the Subscapularis control
Shoulder - internal rotation
What nerve supplies the Subscapularis
Upper and lower subscapular nerves - C5,C6
Subscapularis
Humerus is abducted between 45-90deg. Resist medial rotation, while stabilising opposite side of elbow.
Biceps, Long Head attachments
Supraglenoid tubercle of scapula and tuberosity of radius.
What movements does Biceps, Long Head control
Elbow - flexion
What nerve supplies Biceps, Long Head
Musculocutaneous nerve - C5,C7
Biceps, Long Head
Supine - Humerus abducted 45deg. Resist elbow flexion.
Prone - Elbow bent 90deg. Grasp forearm superior to the elbow. Resist movement of the hand to the shoulder.