Muscles that Act on the shoulder Flashcards

1
Q

What three bones is the pectoral girdle made of?

A

Clavicle, scapula, humerus

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2
Q

What is the role of the pectoral girdle?

A

Connects axial to appendicular skeleton, full range of motion in upper limb.

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3
Q

What are the joints and articulations of the pectoral girdle?

A

Sternocostal, sternoclavicular, acromioclavicular, glenohumeral, costovertebral, scapulothoracic, interclavicular

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4
Q

How does the glenohumeral joint stay in place?

A

Muscles, joint capsule, ligaments

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5
Q

What is the glenoid labrum?

A

Fibrocartilage, deepends glenoid fossa by 5-9 mm, creates a wall that creates for articular space for humeral head.

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6
Q

What are the ranges of motion for the glenohumeral joint?

A

Flexion/extension, adduction and abduction, internal and external rotation, circumduction

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7
Q

Coracohumeral ligament

A

Resists inferior and posterior translation, connects at coracoid process and greater tubercle of humerus

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8
Q

Glenohumeral ligament

A

Resists anterior displacement of the humeral head. Connects anatomical neck of humerus and scapula. Tightens with external rotation

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9
Q

What muscles flex the shoulder?

A

Deltoid, pectoralis major, biceps brachii, coracobrachialis

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10
Q

What muscles extend the shoulder?

A

Deltoid, latissimus dorsi, teres major, pec major, triceps brachii

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11
Q

Deltoid muscle:

A

Origin: Anterior border and upper surface of the lateral 1/3 of the clavicle, acromion and the spine of the scapula.
Insertion: Deltoid tuberosity of the humerus
Action: Abduction, flexion, extension of the shoulder
Innervation: Axillary nerve

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12
Q

Pectoralis Major

A

Origin: Sternocostal head: superior costal 6 cartilages, ant surface sternum
Clavicular head: ant surface medial half clavicle
Insertion: lateral lip of the bicipital groove of humerus
Action: adducts, medially rotates humerus, flexion
Innervation: Lateral and medical pectoral nerves

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13
Q

Coracobrachialis

A

Origin: Coracoid process of scapula
Insertion: middle 1/3 medial surface of humerus
Action: flexion and adduction of shoulder
Innervation: musculocutaneous nerve

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14
Q

Latissimus Dorsi

A

Origin: spinous processes of 6 thoracic vertebrae, iliac crest, thoracolumbar fascia, inferior ribs 3-5
Insertion: Floor of the intertubercular groove
Action: extends, adducts, and medially rotates the humerus. Tilts pelvis anteriorly and laterally, bilaterally acts in hyperextending the spine depending on the orientation of the pelvis
Innervation: Thoracodorsal nerve

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15
Q

Teres major

A

Origin: Posterior aspect of the inferior angle of the scapula
Insertion: medial lip of the bicipital groove of the humerus
Action: adduction, medial rotation, extension
Innervation: Lower subscapular

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16
Q

What muscles ABduct the shoulder?

A

Deltoid, supraspinatus

17
Q

What muscles ADDuct the shoulder?

A

Coracobrachialis, pec major, latissimus dorsi, teres major

18
Q

What muscles medial rotate the shoulder?

A

Pec major, latissiumus dorsi, teres major, subscapularis

19
Q

What muscles laterally rotate the shoulder?

A

Infraspinatus, teres minor

20
Q

Infraspinatus

A

Origin: infraspinous fossa of the scapula
Insertion: middle facet of greater tubercle
Action: laterally rotates
Innervation: Subscapular nerve

21
Q

Teres minor

A

Origin: Middle part of the lateral border of the scapula
Insertion: Inferior facet of greater tubercle
Action: laterally rotates
Innervation: Axillary nerve

22
Q

Subscapularis

A

Origin: Subscapular fossa of the scapula
Insertion: Lesser tubercle of the humerus
Action: Medially rotates

23
Q

Supraspinatus

A

Origin: Supraspinous fossa of the scapula
Insertion: Superior facet of the greater tubercle of the humerus
Action: Abduction

24
Q

Where is the medial wall of the Axilla?

A

Serratus anterior/thoracic wall

25
Q

Lateral wall of the axilla?

A

Bicipital groove

26
Q

Anterior wall of axilla?

A

Pec major and minor

27
Q

The posterior wall of axilla?

A

Subscapularis, latissimus dorsi, teres major

28
Q

What are the contents of the axilla?

A

Axillary artery, axillary vein, brachial plexus, lymph nodes