Shoulder, Arm, Axilla and Brachial Plexus Flashcards
Upper limb is divided into:
Shoulder
Arm
Forearm
Hand
The bones of the shoulder include:
Scapula
Clavicle
Proximal end of the humerus
These two bones for the pectoral girdle
Clavicle
Scapula
Shoulder joints
Acromioclavicular joint
Sternoclavicular joint
Glenohumeral Joint
Which shoulder joint is known as the “real” shoulder joint?
Glenohumeral Joint
Acromioclavicular joint
Is given stability by coracoclavicular ligament and acromioclavicular ligament
Sternoclavicular joint
Is given stability by costoclavicular ligament
Glenohumeral Joint
Synovial Ball and Socket
Round 1/3 of the head of the humerus is in direct contact with the glenoid cavity. By this, it is permitted free movement of the joint.
Glenohumeral Joint
Is given stability by glenoid labrum and Joint capsule
Glenoid labrum
Gives stability to the glenohumeral joint
Joint capsule
Gives flexibility to the glenohumeral joint
Anterior Extrinsic muscles of the Shoulder
Pectoralis major
Pectoralis minor
Subclavius
Serratus Anterior
Pectoralis major
It has three heads:
Clavicular
Sternocostal
Abdominal
Intervated:
Lateral and medial pectoral nerves
Function:
Adduction and medial rotation of the arm when acting together
Clavicular head is innervated by…
C5,C6
Sternocostal head is innervated by…
C7, C8, T1
The function of the clavicular head is…
Flex the humerus
The function of the sternocostal head is…
Extend it back from the flexed position
Pectoralis minor
Attached to the anterior ends of the 3rd-5th ribs near their costal cartilages
Innervated by Medial Pectoral Nerve
Function:
Stabilizes the scapela
Used when stretching the upper limb forward to touch an object that is just out of reach
Subclavius
Protects the subclavian vessels and brachial plexus
Innervated by:
Nerve to the subclavius
Function:
Supports and maintain the sternal end of the clavicle in its place while we move the shoulder
Serratus Anterior
Innervated by:
Long thoracic nerve
Function:
Protracts the scapula and hold it against the thoracic wall
Inferior part of the serrates
Anterior rotates the scapula, elevating its glenoid cavity so the arm can be raised above the shoulder
Participates in the abduction of the shoulder after 90 degrees
Posterior Extrinsic Muscles
Trapezius
Lattisimus dorsi
Rhomboid Major and Minor
Levator Scapulae
Trapezius
Provides a direct attachment of the pectoral girdle to the trunk
Contains Ascending, Middle and Descending part
Trapezius Descending Part function is
Elevate the tip of the shoulder (scapula)
Trapezius middle part function
retract the scapula