the shoulder and proximal upper extremity Flashcards
what are the muscles that compose the anterior part of the shoulder?
- Pectoralis Major
- Deltoid
- Subscapularis
- subclavius
- pectoralis minor
- serratus anterior
Pectoralis Major
origin
insertion
action?
origin: medial clavicule and sternal head
insertion: lateral lip of the intertubercular groove of the humerus
action: GH flexion, Adduction and internal rotation
Deltoid
origin
insertion
action?
origin: lateral third of the clavicle, acromion and spine of the scapula
insertion: deltoid tuberosity of the humerus
action:
1) anterior fibers: GH flexion and medial rotation
2) middle fibers: GH abduction
3) posterior fibers: GH extension and lateral rotation
Subscapularis
origin
insertion
action?
origin: subscapular fossa
insertion: lesser tubercule of the humerus
action: internal rotation of the GH joint
subclavius
origin
insertion
action?
origin: costal cartilage of rib I
insertion: inferior surface of clavicle
action: depression of the clavicle
pectoralis minor
origin
insertion
action?
origin: ribs 3-5
insertion: coracoid process of the scapula
action: depression of the scapula
serratus anterior
origin
insertion
action?
origin: Lateral border of ribs I-VIII
insertion: anteromedial border of the scapula
action: protraction (abduction) and depression of the scapula
what anterior shoulder muscles act on the GH joint?
- deltoid
- pectoralis major
- subscapularis
what anterior shoulder muscles act on the “scapulothoracic joint”?
- pectoralis minor
- subclavius
- serratus anterior
what muscles make up the rotator cuff? do they belong to the anterior or posterior side of the shoulder?
- subscapularis (anterior)
- supraspinatus (posterior)
- infraspinatus (posterior)
- teres minor (posterior)
what is the acronym to recall the rotator cuff muscles?
SItS muscles
what is the common function shared by the muscles of the rotator cuff?
they create a cuff around the GH joint and stabilize it.
what are some joint components found around the subscapularis muscle?
we have 2 different bursaes to relieve frictions
- subtendinous bursa of subscapularis
- subcoracoid bursa to reduce friction between the muscle and the coracoid process which sits rights above
Supraspinatis
origin
insertion
action?
origin: supraspinous fossa of the scapula
insertion: greater tubercule of the humerus (superior facet)
action: initiates arm abduction at the GH joint for the first 30 degrees of motion
what is the name of the bursa found next to the supraspinatus muscle? why?
-the subacromial bursa prevents the belly of the muscle from being caught in the acromion
there is also lateral to it the subdeltoid bursa.