Test 2- Part 3: The Shoulder Flashcards
Resists excessive depression or downward glide of the clavicle
Interclavicular joint
Resists clavicular elevation and superior glide of the clavicle
Costoclavicular
Resists anterior movement of the head of the clavicle
Anterior Sternoclavicular
Resists posterior movement of the head of the clavicle
Posterior Sternoclavicular
Most important ligament in stabilizing AC joint for normal daily activities
Acromioclavicular
The most important ligament for support of the joint against significant
injuries and superior displacement
Coracoclavicular
Roll, glide, & pivot
GH Joint
Stabilize the shoulder in adduction
• Helps to prevent posterior and inferior instability
Superior GH Ligament
Limits external rotation at 45 deg of abduction
• Helps to prevent posterior and inferior instability
Middle GH ligament
Primary restraint to anterior and anteroinferior instability
• Limits external rotation at 45 to 90 deg of abduction
Inferior GH ligament
• Posterior capsule and the teres minor restrain internal rotation
Posterior GH ligament
Origin of the trapezius upper fibers
External occipital protuberance (muscle in back of neck) ,medial portion of superior nuchal line, (mustache coming off of skull) ligamentum nuchae and spinous process C1-C6 (dinosaur spikes)
Insertion of the trapezius upper fibers
Lateral 1/3 of the clavicle (end of clavicle)
Action of trapezius upper fibers
- Laterally flex the head and neck to same side
- Rotate the head and neck to opposite side
- Elevate the scapula
- Upwardly rotate the scapula
Origin of trapezius middle fibers
Spinous processes of C7-T3 (
Insertion
Acromion process and
superior scapular spine
Action of trapezius middle fibers
Adduct the scapula (squeezing shoulder blades)
Stabilize the scapula (main role)
Origin of trapezius lower fibers
Spinous porcesses of T4-12
Insertion of trapezius lower fibers
Inferior, medial scapular spine (lower edge/medial edge of scapular spine)
Actions of trapezius lower fibers
Depress the scapula (pushing yourself off a chair)
Upwardly rotate the
scapula
Origin of levator scapulae
Transverse process of 1st -4th cervical vertebrae
Insertion of levator scapulae
Medial border of scapula, between superior angle and superior portion of spine of scapula
Action of levator scapulae
- Elevate the scapula
- Downwardly rotate the scapula
- Laterally flex the head and neck (to the ipilateral side) turning head to side
- Rotate the head and neck to same side (ipsiilateral)
- Extend the head and neck (used bilaterally)
Origin of rhomboid major
Spinous processes of t2-t5
Insertion of rhomboid major
Medial border of the scapula
between the spine of the
scapula and the inferior angle
Action of rhomboid major
Adduct the scapula
Elevate the scapula
Downwardly rotate the scapula
STABILIZE
Origin of rhomboid minor
Spinous processes c7-t1
Insertion of rhomboid minor
• Upper portion of medial border of the scapula, across
from spine of the scapula
Action of rhomboid minor
Adduct the scapula
• Elevate the scapula
• Downwardly rotate thescapula
Origin of seratus anterior
• External surfaces of upper eight or 9 ribs
Insertion of serratus anterior
Anterior surface of medial border of the scapula
Action of serratus anterior
Abduct the scapula (push-up plus, punches toward wall w/ weight)
• Upwardly rotate the scapula
• Depress the scapula
• Hold the medial border of the scapula against the rib cage (stability)
• May act to elevate the thorax during forced inhalation
(scapula fixed)
Origin of pectoralis minor
3rd, 4th, & 5th ribs
Insertion of pectoraiis major
Medial surface of coracoid
process of the scapula
Action
• Depress the scapula • Abduct the scapula • Downwardly rotate the scapula • Assist to elevate the thorax during forced inhalation (scapula fixed)
Origin of deltoid
Anterior fibers: • Lateral ⅓ of clavicle • Middle fibers: • Lateral aspect of acromion • Posterior fibers: • Inferior edge of spine of scapula
Insertion of deltoid
Deltoid tuberosity
Action of deltoid
Anterior fibers: • Flex the shoulder • Medially rotate the shoulder • Horizontally adduct the shoulder • Middle fibers: • Abduct the shoulder • Posterior fibers: • Extend the shoulder • Laterally rotate the shoulder • Horizontally abduct the shoulder
Origin of pectoralis major
Upper Fibers
• Medial ½ of clavicle
• Lower Fibers
• Sternum and cartilage of 1st – 6th ribs
Insertion of pectoralis major
Crest of greater tubercle of
humerus
Action of pectoralis major
All Fibers • Adduct the shoulder • Medially rotate the shoulder • Assist to elevate the thorax during forced inhalation (arm fixed) • Upper fibers: • Flex the shoulder • Horizontally adduct the shoulder • Lower fibers: • Extend the shoulder
Origin of latissimus dorsi
• Inferior angle of scapula • Spinous process of last six thoracic vertebrae • Last three or four ribs • Thoracolumbar aponeurosis and posterior iliac crest
Insertion of latissimus dorsi
Intertubercular groove of the humerus
Action of latissimus dorsi
- Extend the shoulder
- Adduct the shoulder
- Medially rotate the shoulder
Origin of latissimus dorsi:
Inferior angle of scapula • Spinous process of last six thoracic vertebrae • Last three or four ribs • Thoracolumbar aponeurosis and posterior iliac crest