upper limb muscles 1 Flashcards
What are examples of large superficial muscles in the anterior and lateral shoulder region?
Deltoid and pectoralis major.
What is the trapezius muscle?
A large, superficial muscle in the posterior neck and back.
What actions are performed by the upper fibers of the trapezius?
Elevation and upward rotation of the scapula.
What actions are performed by the lower fibers of the trapezius?
Depression of the scapula.
What actions are performed by the medial fibers of the trapezius?
Retraction, pulling the scapula towards the midline of the back.
What is the primary purpose of the muscles that move the pectoral girdle?
To stabilize the scapula against the thorax.
What does stabilizing the scapula allow for?
It allows the scapula to act as a steady anchor for the muscles that move the shoulder.
How does movement of the scapula contribute to the overall range of motion of the shoulder?
Movement of the scapula (and clavicle) tends to follow that of the humerus, increasing the overall range of motion of the shoulder.
What do all the muscles that move the pectoral girdle have attachments on, and what is their primary function?
All of these muscles have attachments on the scapula and axial skeleton and act to move and stabilize the scapula during movements of the upper limb.
What is highlighted about the function of the pectoral girdle muscles?
None of these muscles move the shoulder because they do not cross the shoulder joint.
what is scapulo-humeral rhythm?
A phenomenon: Movement of the scapula is important in increasing the overall effective range of motion of the shoulder.
provide an example of scapular movement and its significance.
the scapula undergoes upward rotation when the shoulder is abducted to allow for a greater and effective range of motion.
origin and insertion of the pectoralis minor:
O: Anterior ends of the ribs 3-5
I: Coracoid process
actions of the pectoralis minor:
A:
Protracts scapula
Downward rotates scapula
Elevates ribs (forced inspiration)
nerve innervation of pectoralis minor:
I: Medial pectoral nerve
What happens if the ribs are stationary and the pectoralis minor contracts?
Contractions of the pectoralis minor cause protraction and downward rotation of the scapula.
Origin and insertion of Serratus anterior:
O: Lateral surfaces of ribs 1-8
I: Anterior surface of the medial border of the scapula
actions of the serratus anterior:
A:
Protracts scapula
Upward rotates scapula
Elevates ribs (forced inspiration
What muscle is attached to ribs 1-8 and the anterior surface of the medial border of the scapula, deep to the pectoralis major?
Serratus anterior.
What happens if the ribs are held stationary and the serratus anterior contracts?
Contractions of the serratus anterior cause protraction and upward rotation of the scapula.
What happens if the scapula is held stationary and the serratus anterior contracts?
Contractions cause elevation of the ribs during forced inspiration.
Why is the serratus anterior clinically important?
The serratus anterior is important because it prevents the medial border of the scapula from flaring out, a condition known as scapular winging.
origin and insertion of the trapezius
O: Superior nuchal lines and the spinous processes of C2-T12
I: Acromial end of the clavicle, acromion process, and spine of the scapula
actions of the trapezius
A:
Superior: Elevates scapula, upward rotates scapula
Middle: Retracts scapula
Inferior: Depresses scapula, upward rotates scapula
nerve innervations of the trapezius
I: Accessory nerve (CN XI)
origin and insertion of the levator scapulae
O: Transverse processes of C1-C4
I: Superior portion of the posterior surface of the medial border of the scapula
actions of the levator scapulae
A:
Elevates scapula
Downward rotates scapula
Remember: its actions are similar to an elevator which sounds similar to levator.
nerve innervation of the levator scapulae
dorsal scapular nerve
what muscles sits deep to the trapezius?
levator scapulae
origin and insertion of the Rhomboid minor and Rhomboid major
O: Spinous processes of C7-T1 (minor) and T2-T5 (major)
I: Inferior portion of the posterior surface of the medial border of the scapula
actions of the Rhomboid minor
Rhomboid major
A:
Elevates scapula
Retracts scapula
Downward rotates scapula
nerve innervation of the
I: Dorsal scapular nerve
Why are the muscles that cross the shoulder joint extremely important?
Due to the inherent instability of the shoulder joint, these muscles are crucial for its stability.
What are the four muscles that make up the rotator cuff?
Supraspinatus, infraspinatus, teres minor, subscapularis.
Remember: SITS
origin and insertion of the deltoid
O:
Anterior: Acromial end of the clavicle
Lateral: Acromion process
Posterior: Spine of the scapula
I: Deltoid tuberosity
actions of the deltoid
A:
Anterior: Flexes shoulder, medially rotates shoulder
Lateral: Abducts shoulder
Posterior: Extends shoulder, laterally rotates shoulder