Upper Limb Flashcards
Pectoralis major attachments
Clavicular head- anterior medial clavicle
Sternocostal head- anterior sternum, superior 6 costal cartilages
Intertubercular sulcus humerus
Pectoralis major function
Adduction and medial rotation arm
Clavicular head flexes arm
Pectoralis major innervation
Lateral and medial Pectoralis nerves
Pectoralis minor attachments
3-5th anterior ribs
Coracoid process scapula
Pectoralis minor function
Stabilises scapula (pulls anteroinferiorly)
Pectoralis minor innervation
Medial pectoral nerve
Serratus anterior attachments
Lateral aspects rib 1-8
Costal surface medial scapula
Serratus anterior function
Rotates scapula during arm flexion, holds scapula against ribcage
Serratus anterior innervation
Long thoracic nerve
Long thoracic nerve injury
Serratus anterior no longer holds scapula against rib cage causing winged scapula
Trapezius attachments
Skull, nuchal ligament and spinous processes C7-T12
Clavicle, acromion, scapula spine
Trapezius function
Upper fibres elevate and rotate scapula during arm abduction
Middle fibres retract scapula
Lower fibres pull scapula inferiorly
Trapezius innervation
Motor from accessory nerve
Proprioception from C3/ C4
How to test accessory nerve
Usually damaged iatrogenically, if damaged cannot shrug shoulders
Latissimus dorsi attachments
Spinous process T7-T12, iliac crest, thoracolumbar fascia and inferior 3 ribs
Intertubercular sulcus of humerus
Latissimus dorsi function
Extends, adducts and medially rotates arm
Latissimus dorsi innervation
Thoracodorsal nerve
Levator scapulae attachments
Transverse processe C1-C4
Medial border scapula
Levator scapulae function
Elevates scapula
Levator scapulae innervation
Dorsal scapula nerve
Rhomboid major attachments
Spinous processes T2-T5
Medial border scapula
Rhomboid major function
Retracts and rotates scapula
Rhomboid major innervation
Dorsal scapula nerve
Rhomboid minor attachments
Spinous processes C7-T1
Medial scapula
Rhomboid minor function
Retracts and rotates scapula
Rhomboid minor innervation
Dorsal scapula nerve
Deltoid attachments
Lateral third clavicle, acromion, spine of scapula
Deltoid tuberosity on lateral aspect humerus
Deltoid function
Anterior fibres- flexion and medial rotation
Middle fibres- abduction arm (not first 15 degrees)
Posterior fibres- extension and lateral rotation
Deltoid innervation
Axillary nerve
Teres major attachments
Posterior surface inferior angle of scapula
Medial lip of Intertubercular groove humerus
Teres major function
Adduction and extensions shoulder and medial rotation arm
Teres major innervation
Lower subscapular nerve
Name the rotator cuff muscles
Supraspinatus
Infraspinatus
Subscapularis
Teres minor
Supraspinatus attachments
Supraspinous fossa scapula
Greater tubercle humerus
Supraspinatus function
First 15 degree arm abduction
Supraspinatus innervations
Suprascapular nerve
Infraspinatus attachments
Infraspinous fossa scapula
Greater tubercle humerus
Infraspinatus function
Lateral rotation arm
Infraspinatus innervation
Suprascapular nerve
Subscapularis attachments
Subscapular fossa (costal surface)
Lesser tubercle humerus
Subscapularis function
Medially rotates arm
Subscapularis innervation
Upper and lower subscapular nerves
Teres minor attachments
Posterior surface scapula next to lateral border
Greater tubercle humerus
Teres minor function
Lateral rotation arm
Teres minor innervation
Axillary nerve
Biceps brachii attachments
Long head- supraglenoid tubercle scapula
Short head- coracoid process scapula
Radial tuberosity and fascia of forearm
Biceps brachii function
Supination forearm, elbow flexion and shoulder flexion
Biceps brachii innervation
Musculocutaneous nerve
Coracobrachialis attachments
Coracoid process
Medial numeral shaft
Coracobrachialis function
Shoulder flexion and some Adduction
Coracobrachialis innervation
Musculocutaneous nerve
Brachialis attachments
Medial and lateral humerus shaft
Ulnar tuberosity