Shoulder Flashcards

(58 cards)

1
Q

anterior axisappendicalar muscles

A

pectoralis major
Pectoralis minor
Subclavius
Serratus anterior

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2
Q

Pectoralis major origin

A

Clavicular head anterior surface of clavicle

Sternocostal head anterior surface of sternum,upper 6 costal cartilage,aponeurosis of external oblique

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3
Q

Pectoralis major insertions

A

Lateral lip of intertubercular of humerus

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4
Q

Nerve supply pec major

A

Lateral medial pec nerve

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5
Q

Pec major action

A

Adduct,medial rotate of humerus
Clav head:FLEXION of humerus
Ster head:ext to its normal position
Active in deep inspiration

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6
Q

Pec minor origin

A

345 rib near costal cartilage

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7
Q

Pec minor insertion

A

Medial border of corocoid process of scapula

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8
Q

Nerve supply of pec minor

A

Medial pec nerve

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9
Q

Pec minor action

A

Protraction:scapula forward with surratus ant

Depress the shoulder :rotate the scapula with levator scapulae and rhomboids

Active in forced respiration

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10
Q

Subclavius

A

Origin :junction of 1st rib and its costal cartilage
Insertion inferior surface of midday.e third of clavicle
Nerve subclavian
Action. anchor and depress

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11
Q

Clavipectoral fascia def structures piercing it

A

Deep fascinating btw pec minor and subclavius

Cephalic vein
Lateral pectoral nerve
Thoracoacromial artery
Lymphatic vessels

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12
Q

Serratus anterior origin

A

Upper 8 9 ribs

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13
Q

Serratus anterior insertion

A

Anterior( vent) medial surface of scapula

1superior scapula angle
Next 2 or 3 almost entire medial border of scapula
Lower 4 or 5 inferior angle: dorsal surface near its tip

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14
Q

Serratus anterior innervation

A

Long thoracic nerve

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15
Q

Serratus anterior action

A

Protract (forward) with pec minor
Abduct raise arm above head with trapezius
Active in forced respiration

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16
Q

What if serratus anterior is paralyzed

A

Winging of scapula
Discovered when pushing scapula wing

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17
Q

Superficial axioqppendicular muscles

A

Trapezius
Latissimus dorsi

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18
Q

Deep pos axioappendicular muscles

A

Levator scapulae
Rhomboids

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19
Q

Scapulohumeral miuscles

A

Deltoid
Teres major
Rotatur cuff:
Teres min
Supraspinatous
Infraspina
Subscapularis

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20
Q

Trapezius origin

A

Medial third of superior unchallenged line
External occipital protuberance
Ligaments nuchae
Spinous and it’s supraspinous c7 to t12

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21
Q

Trapezius insertion

A

Descending fibers. Lateral third of clavicle
Mid2dle
medial acromion
Superior lip of scapula crest

Ascending tuberculosis crest of scapula spine

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22
Q

Trapezius nerve

A

Spinal part of Accessory nerve

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23
Q

Trapezius action

A

Elevate scapula with levator scapulae
Fo2 w t7t. Rotate scapula forward with serratus anterior so that arm can be raised above head
Sup elevate
Middle retract scapula fix the shoulder
T7t depress shoulder

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24
Q

Latissimus dorsi origin

A

From this point of the lower six thoracic vertebrae anterior to trapezius

From post layer of thoraculumbar fascia
Outer lip of illicit crest
3 or 4 lower ribs
Outer inferior of Scapula

25
Latissimus dorsi insertion
Floor of intertuberculur surface of humerus
26
Lat dorsi innervation
Thoracodorsal nerve
27
Action of latissimus
Addiction Extension Medial rotation Pull trunk upward and forward Deep inspiration
28
Lumbar triangle
Lateral external oblique Base Iliad crest Medial latissimus
29
Triangle of ascultation
Above trapezius Below latissimus Lateral scapula Floor 6 7 intercostal spaces and rhomboid major Rhomboid major is exposed in triangle
30
Levator scapulae origin
Post tranv3rse process of c1 to c4
31
Levator insertion
Btwn superior angle and medial end of scapula spine
32
Levator nerve
Branches of 3 and 4cervical spinal nerve and 5 through dorsal scapular nerve
33
Levator action
Elevate scapula with trapezius
34
Rhomboid minor origin and insertion
Ligamentun and spines of C7 and t1 vertebrae Medial end of spine of scapula
35
Rhomboid major origin and insertion
2 to 5 thoracic ligaments and spines Root of spine and inferior angle of scapula
36
Nerve and action of rhomboids
Dorsal scapular nerve Retract --> squaring of shoulders
37
Deltoid origin
Ant sup of lateral third of clavicle Lateral superior surface of acromion Lower edge of scapular spine
38
Deltoid insertion
Deltoid tuberusity at Lateral middle of humerus shaft
39
Deltoid innervation and action
Axillary nerve Ant fibers flexion and medial rotation Of arm. With pec major Middle fibers abduct arm Pos fibers extension and lateral rotation of arm with latissimus and tere major
40
Deltopectoral groove
Btwn deltoid and pec major Contains Cephalic vein Deltoid branch of thoracoacromial artery Deltopectoral lymph nodes
41
Supraspinatous origin
from medial twothirdof supra spinous fossa & fascia
42
supraspinatus insertion
under acromion into tendonabove shoulder joint f at highest facet ofgreater tubercleof humerus tendon blend into articular capsule
43
supraspinatus nerve & action
supra scapular nerve The conventional view is that supraspinatus initiates abduction of the shoulder (from 0 to 18 degrees) and assists deltoid in abduction thereafter. However, there is evidence that both supraspinatus and deltoid are involved throughout the range of abduction, including initiation of the movement. • As part of the rotator cuff, supraspinatus helps to stabilize the head of the humerus in the glenoid fossa during movements of the glenohumeral joint.
44
The tendon of supraspinatus is separated from the coracoacromial ligament, acronion & deltoid
by subacromial bursa if inflamed abduction of shoulderpainful
45
infraspinatus origin
Origin: from the medial twothirds of the infraspinous fossa, and from the deep surface of the infraspinous fascia.
46
infraspinatus insertion
Its fibres converge to a tendon which glides under the lateral border of the spine of the scapula, and then passes across the posterior aspect of the capsule of the shoulder joint to be attached to the middle facet on the greater tubercle of the humerus.  The tendon is sometimes separated from the capsule by a bursa, which may communicate with the joint cavity.
47
infraspinatus nerve & action
Innervation: by the suprascapular nerve, C5 and 6.  Action: Infraspinatus is a lateral rotator of the humerus. Together with supraspinatus, subscapularis and teres minor, it helps to stabilize the head of the humerus in the glenoid fossa during shoulder movements.
48
sub scapularis origin
Origin: from the medial two-thirds of the subscapular fossa. Other fibres arise from tendinous intramuscular septa, which are attached to ridges on the bone, and from the aponeurosis which covers the muscle.
49
Subscapularis insertion
Insertion: The fibres converge laterally into a broad tendon which is attached to the lesser tubercle of the humerus and the front of the articular capsule.  The tendon is separated from the neck of the scapula by the large subscapular bursa, which communicates with the shoulder joint.
50
. innervation & action of subscapularis
Innervation: by the upper and lower subscapular nerves, C5, 6.  Action: Subscapularis is a medial rotator of the humerus. Together with supraspinatus, infraspinatus and teres minor, it helps to stabilize the head of the humerus in the glenoid fossa during shoulder movements.
51
Teresmajor origin. insertion
 Origin: from the oval area on the dorsal surface of the inferior scapular angle.  Insertion: to the medial lip of the intertubercular sulcus (bicipital groove) of the humerus.
52
nerve &actionTeres major
Innervation: by the lower subscapular nerve, C5, 6 and 7. • Action: Teres major draws the humerus backwards and rotates it medially. (Moore: Adducts and medially rotates arm).  Teres major can be palpated posterior to the posterior axillary fold during adduction of the humerus against resistance.
53
Teres minor Origin & insertion
Origin: from the upper twothirds of a flattened strip on the dorsal surface of the scapula adjoining its lateral border.  Insertion: It runs upwards and laterally. The upper fibres end in a tendon attached to the lowest facet on the greater tubercle of the humerus. The lower fibres are attached directly into the humerus distal to this facet and above the origin of the lateral head of triceps.  The tendon passes across, and blends with, the lower posterior surface of the capsule of the shoulder joint.
54
nerve & action of Teres minor .
Innervation: by the axillary nerve, C5 and 6.  Action: Teres minor acts as a lateral rotator and weak adductor of the humerus. Together with supraspinatus, infraspinatus and subscapularis, it helps stabilize the head of the humerus in the glenoid fossa during shoulder movements.
55
action of rotator cuff
during movementof the glenohumeral (shoulder) joint is to hold the humeral head in the glenoid cavity of the scapula
56
quadrangular space boundaries
Above: by subscapularis, the capsule of the shoulder joint and teres minor. • Below: teres major. • Medially: the long head of triceps. • Laterally: the surgical neck of the humerus. • The axillary nerve and the posterior circumflex artery and vein pass through this space.
57
The upper triangular space is bounded:
Above by subscapularis anteriorly, teres minor posteriorly, • Below: teres major. • Laterally: the long head of triceps.  The circumflex scapular artery passes through this space.
58
 The lower triangular space is bounded:
Above by the teres major. • Medially: the long head of triceps. • Laterally: the humerus.  The radial nerve and the profunda brachii vessels pass through this space.