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112 Cards in this Set

  • Front
  • Back
Movement at Glenohumeral Joint - Adduction
Pectoralis major, latissimus dorsi
Movement at Glenohumeral Joint - Abduction
Deltoid, supraspinatus
Movement at Glenohumeral Joint - Flexion
Pectoralis major (clavicular part), deltoid (anterior part), coracobrachialis, biceps brachii
Movement at Glenohumeral Joint - Extension
Latissimus dorsi, deltoid (posterior part)
Movement at Glenohumeral Joint - Medial Rotation
Subscapularis, pectoralis major, deltoid (anterior), latissimus dorsi, teres major
Movement at Glenohumeral Joint - Lateral Rotation
Infraspinatus, teres minor, deltoid (posterior)
What are the rotator cuff muscles of the shoulder?
Supraspinatus, Infraspinatus, Teres minor, Subscapularis
Origin of Supraspinatus
Supraspinous fossa of scapula
Insertion of Supraspinatus
Superior facet of great tubercle of humerus
What nerve innervates the supraspinatus?
Suprascapular nerve
What is the action of the supraspinatus?
Abducts arm
Origin of Infraspinatus
Infraspinous fossa
Insertion of Infraspinatus
Middle facet of greater tubercle of humerus
What nerve innervates the infraspinatus?
Suprascapular nerve
What is the action of the infraspinatus?
Rotates arm laterally
Origin of Teres Minor
Upper portion of lateral border of scapula
Insertion of Teres Minor
Lower facet of greater tubercle of humerus
What nerve innervates teres minor?
Axillary nerve
What is the action of teres minor?
Rotates arm laterally
Origin of Subscapularis
Subscapular fossa
Insertion of Subscapularis
Lesser tubercle of humerus
What nerves innervate the subscapularis?
Upper and lower subscapular nerves
What is the action of the subscapularis?
Adducts and rotates arm medially
Origin of Deltoid
Lateral third of clavicle, acromion, and spine of scapula
Insertion of Deltoid
Deltoid tuberosity of humerus
What nerve innervates the deltoid?
Axillary
What is the action of the deltoid?
Abducts, flexes, extends, and rotates the arm medially and laterally
Origin of Teres Major
Dorsal surface of inferior angle of scapula
Insertion of Teres Major
Medial lip of intertubercular groove of humerus
What nerve innervates the teres major?
Lower subscapular nerve
What is the action of the teres major?
Adducts and rotates arm medially
Origin of Latissimus Dorsi
Spines of T7-T12, thoracolumbar fascia, iliac crest, ribs 9-12
Insertion of Latissimus Dorsi
Floor of biciptal groove of humerus
What nerve innervates the latissimus dorsi?
Thoracodorsal
What is the action of the latissimus dorsi?
Adducts, extends, and rotates arms medially
Origin of Serratus Anterior
External surfaces of lateral parts of 1st-8th ribs
Insertion of Serratus Anterior
Inserts into anterior surface of medial border of scapula
Action of Serratus Anterior
Stabilizes scapula, laterally rotates scapula, protracts scapula
What nerve innervates serratus anterior?
Long thoracic nerve (C5, C6, C7)
Superior transverse scapular ligament
spans roof of suprascapular notch forming a foramen
Suprascapular nerve
passes through suprascapular notch foramen and innervates supra and infraspinatus muscles
Boundaries of Quadrangular Space
1. Teres major
2. Teres minor
3. Long head of triceps
4. Surgical neck of humerus
Quandrangular space contains what nerves?
Axillary nerve, posterior circumflex humeral artery
Boundaries of Triangular Space
1. Teres major
2. Teres minor
3. Long head of triceps
Triangular space contains what artery?
Circumflex scapular artery (branch of subscapular artery)
C5 dermatome
tip of shoulder
C6 dermatome
thumb
C7 dermatome
index finger
C8 dermatome
little finger
T1 dermatome
medial arm
Most commonly injured tendon of rotator cuff
supraspinatus
Fractures of surgical neck of humerus damage what nerve?
Axillary...resulting in deltoid paralysis/weakness
Sternoclavicular joint is what type of joint?
'saddle type' synovial joint
SC joint capsule reinforced by...
anterior and posterior SC ligaments, interclavicular ligament
Costoclavicular ligament
anchors sternal end of clavicle to 1st rib
Acromioclavicular joint is what type of joint?
plane type synovial joint between acromion and clavicle
Acromioclavicular ligament
provides superior strength to the joint capsule
Coracoclavicular 'extrinsic' ligaments
strong pair of bands that unite coracoid process and clavicle (trapezoid & conoid ligaments)
Muscles that elevate scapula
trapezius (upper part), levator scapulae
Muscles that depress scapula
trapezius (lower part), serratus anterior, pectoralis minor
Pectoralis Major - 2 heads of origin
clavicular and sternocostal
Insertion of Pectoralis major
lateral lip of bicipital groove (intertubercular sulcus of humerus)
Action of Pectoralis major
adductor of arm, medial rotator of arm, flexes arm at shoulder joint
What nerves innervate pectoralis major?
medial & lateral pectoral nerves
Origin of Pectoralis minor
Anterior surface of 3rd-5th ribs
Insertion of Pectoralis minor
Coracoid process of scapula
Action of Pectoralis minor
stabilizes scapula against thoracic wall; also small respiratory action
What nerves innervate pectoralis minor?
medial pectoral nerve
Branch of 1st part of axillary artery
superior thoracic artery
2 branches of 2nd part of axillary artery
thoracoacromial trunk, lateral thoracic artery
3 branches of 3rd part of axillary artery
subscapular, anterior humeral circumflex, posterior humeral circumflex
Subscapular artery
largest branch supplies muscles and anastomoses around the scapula, gives rise to the thoracodorsal artery and the scapular circumflex
Anterior & Posterior Humeral Circumflex
help vascularize humerus and surrounding muscles
Musculocutaneous nerve innervates...
flexors of arm
Ulnar nerve innervates...
intrinsic muscles of the hand and some forearm flexors
Axillary nerve innervates...
deltoid & teres minor
Radial nerve innervates...
extensors of arm & forearm
Median nerve innervates...
most forearm flexors and thenar muscles
Pre-fixed brachial plexus
when plexus has large contribution from C4 but lacks T1 (essentially arises from C4-C8)
Post-fixed brachial plexus
plexus lacks C5 but has large T2 contribution(essentially arises from C6-T2)
Intercostobrachial Nerve
lateral cutaneous branch of T2 intercostal nerve that supplies a very small region of skin sensation along medial aspect of arm
- only nerve to upper limb that does not originate from plexus
Cephalic Vein
ascends anterior lateral aspect of arm - courses through deltopectoral triangle where it joins axillary vein
Deltopectoral Triangle
boundaries are clavicle, pectoralis major, deltoid
Basilic Vein
ascends anterior medial aspect of arm - pierces brachial fascia in the middle of the arm to join the brachial vein
Median cubital vein
anterior to elbow, connects basilic and cephalic veins
Anterior compartment of the arm innervated by....
musculocutaneous nerve!
Short head of biceps brachii originates from..
coracoid process of scapula
Long head of biceps brachii originates from...
supraglenoid tubercle of scapula
transverse humeral ligament
holds tendon of long head into intertubucular sulcus
Insertion of Biceps brachii
Proximal radius (radial tuberosity) and antebrachial fascia via bicipital aponeurosis
Action of biceps brachii
flexes shoulder joint, supinator of forearm, flexor of forearm
What nerve innervates biceps brachii?
musculocutaneous nerve!
Origin of coracobrachialis
coracoid process
Insertion of coracobrachialis
middle 1/3 of humerus
Action of coracobrachialis
Flexor, adductor of arm
What nerve innervates coracobrachialis?
Musculocutaneous nerve - pierces the coracobrachialis
Origin of brachialis
Distal 1/2 of humerus
Insertion of brachialis
Proximal ulna (tuberosity of ulna)
Action of brachialis
flexor of forearm (elbow)
What nerve innervates brachialis?
musculocutaneous nerve (C5, C6)
Musculocutaneous nerve courses into the forearm as....
lateral cutaneous nerve of the forearm, which is sensory nerve to lateral aspect of forearm
Brachial artery
- main arterial supply to arm
- continuation of axillary artery
- accompanies median nerve throughout its course
- provides arterial supply to muscles of arm and humerus
- divides into radial and ulnar branches beneath bicipital aponeurosis
Branches of brachial artery
1. deep brachial artery - largest branch and accompanies the radial nerve through radial groove; continues as radial and middle collateral arteries
2. superior ulnar collateral artery - accompanies ulnar nerve posterior to medial epicondyle
3. Inferior ulnar collateral artery -
Terminal brances = radial and ulnar arteries
Posterior compartment of arm innervated by...
radial nerve
Long head of triceps originates from..
infraglenoid tubercle of scapula
Origin of lateral head of triceps
posterior surface of humerus superior to radial groove
Origin of medial head of triceps
posterior surface of humerus inferior to radial groove
Insertion of all heads of triceps brachii
Olecranon process of ulna
Action of triceps brachii
Prime extensor of forearm
What nerve innervates triceps brachii?
Radial nerve (C6, C7, C8)
Medial group of lymphatic vessels accompany...
basilic vein
Lateral group of lymphatic vessels accompany...
cephalic vein