Scapular Muscles Review Flashcards

1
Q

Name the bony landmarks on the skull

A

EOP (external occupital protuberance)
SNL (superior nuchal line)

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2
Q

Define the superior nuchal line

A

Ridge of bone that extends to the right & left on either side of EOP

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3
Q

Describe the location of the nuchal ligament

A
  • part of origin for trapezius, specifically for upper trap
  • starts at EOP, runs vertically down the midline of the spine touching each of the spinous processes in the cervical spine, finishing down @C7
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4
Q

Describe the unique structure and features of the nuchal ligament

A
  • more weblic and broad than most ligaments we see
  • more elastin: when in stretched position it can recoil back to resting position more easily
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5
Q

What motions pull the nuchal ligament apart?

A
  • flexion of cervical spine
  • elastin will help bring back into upright position
    *Becomes continuous with another ligament that touches along the spinous processes (supraspinous ligament)
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6
Q

Describe the trapezius

A
  • large muscle on posterior side of the body
  • trapezoid shape (made by muscle fibers finding way over the shoulder girdle)
  • origin quite lengthy, begins on skull along posterior aspect of occipital bone
  • starts up at the skull along superior nuchal line>EDP>nuchal ligament
  • from there we’ll touch down at each of the spinous processes from t1 to T12
  • large muscle, some fibers travelling in opposite directions & broken into 3 groups
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7
Q

Describe the upper trapezius

A
  • Upper fibres of the trapezius descending
  • descending into lateral 3rs of clavicle (superior aspect), stops ~ at point where we hit the AC joint
  • lifts lateral end of clavicle= ELEVATION OF SHOULDER
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8
Q

Describe the middle trapezius

A
  • middle fibers run horizontally or straight across
  • blending into acromion process (superior/medial side)
  • more fibres on superior spine of scapula (remember! Acromion process > scapular spine
  • bring scapula towards midline>retraction of shoulder girdle
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9
Q

Describe the lower trapezius

A
  • lower fibres ascend to reach attachment
  • SUPERIOR ROTATION of scapula (counterclockwise), glenoid fossa goes up
  • does this by pulling medial side down
  • if arm is way up over head, DEPRESS shoulder girdle from elevated position (draw scapula down along superior wall of the rib cage - posterior tilt)
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10
Q

Describe the levator scapula

A
  • originates in cervical spine (transverse processes C1-C4)
  • lands on superior angle of scapula, catches a little bit of medial border of scapula above the level of the spine
    ***Doesn’t elevate entire scapula! Lifts up the superior angle = INFERIOR ROTATION of scapula
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11
Q

Describe the rhomboid minor

A
  • originates from spinous processes of c7 and t1
  • travels anteriorly and laterally to land on medial border of scapula
  • ends at root (spine level)

RETRACTS shoulder girdle
Helps levator in INFERIOR ROTATION of scapula

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12
Q

Describe the rhomboid major

A
  • T2-T5
  • travel anteriorly and laterally to land on medial border of scapula (distal to spine of scapula)

RETRACTS shoulder girdle
INFERIOR ROTATION of scapula

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13
Q

Describe the serratus anterior

A
  • serrated appearance
  • finger-like projections/origins
  • origins along lateral aspects of each of the upper 8 ribs
  • fibers run back all together as 1 muscle belly that fills the length of the medial border of the scapula
  • diff actions from different parts because of it’s size

SANDWICH MUSCLE: sandwiched between scapula & ribcage, deep to scapula and superficial to ribs

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14
Q

Describe the function of the serratus anterior

A

“boxer’s muscle: punching motions
- upper fibers have horizontal line of pull
- if fibers grab medial border of scapula, scapula draws forward into PROTRACTION

  • lower fibers are more oblique, come from ribs 8,7,6 & come up to hit medial border of scapula
    = SCAPULAR ROTATION
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15
Q

Describe the structure and location of the pectoralis minor

A
  • small triangle
  • base @ rib attachments
  • apex @ coracoid process
  • base has serrated appearance (common feature of rib origination)
  • comes from anterior aspect of ribs (3,4,5)
  • comes up as 1 muscle belly into coracoid process (medial side)
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16
Q

Describe the actions of the pectoralis minor

A
  • thick line of pull
  • travels inferiorly and anteriorly
  • if we pull on scapula anteriorly = PROTRACTION
  • if we pull on scapula inferiorly = DEPRESSION
  • these also contribute to anterior tilt of scapula & sometimes to pathological extent
  • not desirable but possible: ANTERIOR TILT
  • think of it as teeter totter! As we move it, inferior angle of scapula could go up and pop up off of ribcage
17
Q

Which muscles manage the wing?

A

Muscles that attached to medial border of scapula
- serratus anterior
- rhomboid major
- rhomboid minor
*levator scapula also but more on the top end, less impactful

18
Q

What muscle is a partner to pectoralis minor?

A

Lower trapezius
- should balance against pec to make sure our inferior angle doesn’t pop off