Shoulder Region II Flashcards
pectoralis major muscle move arm or scapula?
arm
pectoralis minor muscle move arm or scapula?
scapula
triceps (long head) muscle move arm or scapula?
arm
deltoid muscle move arm or scapula?
arm
levator scapulae muscle move arm or scapula?
scapula
teres minor muscle move arm or scapula?
arm
rhomboid major and minor muscle move arm or scapula?
scapula
subclavius muscle move arm or scapula?
scapula
serratus anterior muscle move arm or scapula?
both arm and scapula
supraspinatus muscle move arm or scapula?
arm
biceps muscle move arm or scapula?
arm
trapezius muscle move arm or scapula?
scapula
latissumus dorsi muscle move arm or scapula?
arm
coracobrachialis muscle move arm or scapula?
arm
subscapularis muscle move arm or scapula?
arm
teres major muscle move arm or scapula?
arm
infraspinatus muscle move arm or scapula?
arm
deltoid: location
lateral aspect
deltoid: origin
- inferior edge of spine of scapula,
- acromion
- anterior border of lateral third of clavicle
deltoid: insertion
deltoid tuberosity of humerus
deltoid: innervation
axillary nerve
deltoid: action
- abduction of arm
- flex, extend
- medial and lateral rotation at shoulder joint
trapezius: location
posterior aspect, superficial
trapezius: origin
- superior nuchal line
- ext. occipital protuberance
- ligamentum nuchae
- spinous processes of C7-T12
- supraspinous lig.
trapezius: insertion
- superior edge of spine of scapula
- acromion
- posterior border of lateral third of clavicle
trapezius: innervation
accessory nerve (CNXI) and C3-4
trapezius: action
- elevate,
- depress,
- retract and rotate scapula
how to test accessory nerve:
patient lifting shoulder under resistance
levator scapulae: location
posterior, deep to trapezius
levator scapulae: origin
tranverse processes of C1-4
levator scapulae: insertion
medial border of scapula from superior angle to root of spine
levator scapulae: innervation
dorsal scapular nerve, C3-4
levator scapulae: action
elevates scapula
rhomboid minor: location
posterior, deep to trapezius
rhomboid minor: origin
- ligamentum nuchae,
- spinous processes C7-T1
rhomboid minor: insertion
medial border at root of spine
rhomboid minor: innervation
dorsal scapular nerve
rhomboid minor: action
elevates and retracts scapula
rhomboid major: location
posterior, deep to trapezius
rhomboid minor: origin
spinous processes T2-5
rhomboid minor: insertion
medial border from spine root to inferior angle
rhomboid minor: innervation
dorsal scapular nerve
rhomboid minor: action
elevates and retracts scapula
latissimus dorsi: location
posterior, deep to trapezius
latissimus dorsi: origin
- spinous processes of lower 6 vertebrae and interspinous lig.
- thoracolumbar fascia
- to spinous processes of lumbar vertebrae and interspinous lig.
- iliac crest
- lower 3-4 ribs
latissimus dorsi: insertion
flood of intertubercular sulcus
latissimus dorsi: innervation
thoracodorsal nerve
latissimus dorsi: action
- adduction
- medial rotation
- extension of arm at the shoulder
supraspinatus: location
posterior deep, RCM
supraspinatus: origin
supraspinous fossa
supraspinatus: insertion
superior facet of greater tubercle of the humerus
supraspinatus: innervation
suprascapular nerve
supraspinatus: action
abduction of arm, rotator cuff muscle (RCM)
infraspinatus: location
posterior deep, RCM
infraspinatus: origin
infraspinous fossa
infraspinatus: insertion
middle facet of greater tubercle of humerus
infraspinatus: innervation
suprascapular nerve
infraspinatus: action
lateral rotation of arm, RCM
teres minor: location
posterior deep, RCM
teres minor: origin
upper 2/3 of lateral border of scapula
teres minor: insertion
inferior facet of greater tubercle of humerus
teres minor: innervation
axillary nerve
teres minor: action
lateral rotation of arm, RCM
teres major: location
posterior deep
teres major: origin
inferior angle of scapula
teres major: insertion
medial lip of intertubercular sulcus
teres major: innervation
inferior subscapular nerve
teres major: action
medial rotation and extension
subscapularis: location
anterior to scapula, RCM
subscapularis: origin
subscapular fossa
subscapularis: insertion
lesser tubercle of the humerus
subscapularis: innervation
upper and lower subscapular nerves
subscapularis: action
medial rotation of arm at shoulder joint, RCM
muscles which make up the rotator cuff
- supraspinatus
- infraspinatus,
- teres minor,
- subscapularis
SITS: and location
- Supraspinatus (index)
- Infraspinatus (rude)
- Teres minor (ring)
- Subscapularis (thumb)
only thumb is lesser tubercle, rest greater tubercle of humerus
pectoralis major: location and main parts
anterior superficial,
- clavicular head
- sternocostal part
pectoralis major: origin
- clavicular head: anterior surface of medial half of clavicle
- sternocostal head: anterior surface of sternum
- first 7 costal cartilages
- sternal end of 6th rib
- aponeurosis (flat tendon) of external oblique
pectoralis major: insertion
lateral lip of intertubercular sulcus of humerus
pectoralis major: innervation
lateral and medial pectoral nerve
pectoralis major: action
flexion, adduction, medial rotation of the arm
pectoralis minor: location
anterior deep
pectoralis minor: origin
anterior surface of ribs 3-5
pectoralis minor: insertion
coracoid process
pectoralis minor: innervation
medial pectoral nerve
pectoralis minor: action
stabilises and protracts scapula
subclavius: location
anterior deep
subclavius: origin
rib 1 at costochondral junction
subclavius: insertion
groove on inferior surface of middle 1/3 of clavicle
subclavius: innervation
subclavian nerve (?)
subclavius: action
pulls clavicle medially for stabilisation
what is the large fascia which is deep to pectoralis major called? and function/ features
clavipectoral fascia
- encloses subclavius and pectoralis minor
- connects clavicle to floor of axilla