Unit II Flashcards
Trapezius Origins
EOP
superior nuchal line
ligamentous nuchae
spines of the thoracic vertebrae
Trapezius Insertions
Clavicle
acromion process
Trapezius actions
stabilizes scapula and holds it in anatomical postion
upper portion elevates scapula
lower and middle portions adduct the scapula
Trapezius nerve supply
CN X for motor
C4 and C5 for sensory
Weakness of the Trapezius is called
Trapezius palsy
What will Trapezius palsy look like?
deepening of shoulder and should drop on affected side
What is the clinical examination for Trapezius palsy?
have the patient shrug against resistance
Rhomboid Major origin
spines/upper thoracic vertebrae
Rhomboid Major insertion
vertebral border of scapula
Rhomboid Major Actions
elevates scapula
Stabilizes scapula
adducts scpula
Rhomboid Major nerve supply
dorsal scapular nerve (C5)
Rhomboid Minor Origin
spines/lower cervicals and first thoracic
Rhomboid Minor insertion
vertebral border/scapula
Rhomboid Minor actions
elevates scapula
Stabilizes scapula
adducts scpula
Rhomboid Minor nerve supply
dorsal scapular nerve (C5)
Levator scapula origin
transverse processes/upper cervicals
Levator scapula insertion
superior angle/scapula
Levator scapula nerve supply
dorsal scapular nerve (C5)
Describe damage to the dorsal scapular nerve
difficult complete adduction
and scapula will be farther away from mid-line on affected side
Latissimus dorsi origins
Spines/lower thoracics and lumber vertebrae
thoracodorsal fascia
crest/illium
lower ribs
Latissimus dorsi insertion
intertubercular groove/humerus
Latissimus dorsi actions
Extends, adducts, and medially rotates humerus
involved with forced expiration
Latissimus dorsi nerve supply
thoracodorsal (C6-8)
Describe what weakness of the Latissimus dorsi would look like
forward displacement of the shoulder
What is the lumbar triangle bounded by?
latissimus dorsi, crest/illium, and external oblique muscle
What is the clinical significance of the lumbar triangle?
a hernia of the posterior abdominal wall may develop here
What is the triangle of auscultation bounded by?
latissimus dorsi, trapezius, and vertebral border of the scapula
What is the clinical significance of the triangle of auscultation?
it allows lungs to be more easily listened to
How can the triangle of auscultation be enlarged?
by having the patient fold their arms across their chest (abduct their scapula)
serratus anterior origin
upper ribs
Serratus anterior insertion
vertebral border/scapula
Serratus anterior actions
abducts (protracts) scapula
stabilizes scapula (most important)
involved with forced inspiration only when humerus is abducted
Serratus anterior nerve supply
long thoracic (C5-C7)
Describe Winged scapula
patient cant keep vetebral border and inferior angle of scapula next to posterior thoracic wall when abducting against resistance
they may not be able to raise hand above head
some pain around shoulder
What may be some causes of winged scapula?
trauma to C5-C7
dislocation of the shoulder joint
being in the same position for a long time
Which muscles comprise the rotator cuff?
teres minor, infraspinatus, supraspinatus, and subscapularis
What are the criteria for muscles to be rotator cuff muscles?
tendon of insertion makes a cuff around head of humerus
they participate in either medial or later rotation of humerus
Deltoid origins
clavicle (anterior)
acromion process (middle)
spine of scapula (posterior)
Deltoid insertion
deltoid tuberosity
Deltoid Actions
anterior-flexes and medially rotates humerus
middle-abducts the humerus
posterior-extends and laterally rotates humerus
Deltoid nerve supply
axillary nerve (C5-C6)
Describe Crutch paralysis
shoulder has a flat appearance
loss of sensation of lateral aspect of arm
abduction of arm impaired
What could be causes of Crutch paralysis?
damage to the axillary nerve
fracture of surgical neck
dislocation of joint
pressure of a crutch on the axilla
Supraspinatus origin
supraspinatus fossa