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Upper Limb 1: Posterior Shoulder - UNC MS1 Anatomy
Upper Limb 1: Posterior Shoulder
34
Anatomy
Graduate
10/24/2011

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Term
deltoid tuberosity (location and what inserts here)
Definition
located mid-shaft of the humerus
marks distal attachment of the deltoid muscle
Term
greater and lesser tubercles
Definition
at lateral and anterior head of the humerus, respectively
Term
intertubercular groove (for what?)
AKA?
Definition
for passage of the long head of biceps tendon
AKA bicipital groove
Term
surgical neck (location)?
Definition
just distal to the tubercles of humerus
Term
axilla
Definition
area for neurovascular passage from neck to arm
Term
cubital fossa
Definition
triangular elbow depression at elbow for brachial artery and median nerve passage
Term
carpal tunnel
Definition
gateway to palm for 9 long flexor tendons and median nerve
Term
how do you laterally rotate the scapula?
Definition
with the serratus anterior
Term
serratus anterior muscle
Definition
laterally rotates and protracts scapula
innervated by long thoracic nerve (C5,6,7)
"reach my arm to heaven"
Term
what causes winged scapula?
Definition
long thoracic nerve trauma --> serratus anterior is paralyzed
OR trap weakness or trauma to the spinal accessory nerve (CN XI)
unable to abduct arm above head because cannot laterally rotate
Term
what causes winged scapula?
Definition
long thoracic nerve trauma --> serratus anterior is paralyzed
OR trap weakness or trauma to the spinal accessory nerve (CN XI)
unable to abduct arm above head because cannot laterally rotate
Term
trapezius
Definition
shrugs shoulders
innervated by spinal accessory nerve CN XI
Term
lattissimus
Definition
adducts arm
innervated by thoracodorsal nerve - C6,7,8
Term
three deep posterior shoulder muscles?
Definition
levator scapula, minor/major rhomboid
Term
levator scapula
Definition
elevates and medially rotates scapula - glenoid cavity tilts inferior
innervated by dorsal scapular (mainly C5, little C4)
Term
rhomboid major/minor
Definition
retractss and medially rotates scapula - glenoid cavity tilts inferior
innervated by dorsal scapular (mainly C5, little C4)
Term
deltoid
Definition
abductor of arm (humerus)
innervated by axillary nerve (C5,6)
Term
teres major
Definition
adducts and medially rotates arm
innervated by lower subscapular nerve (C5,6)
Term
4 muscles of the rotator cuff
Definition
supraspinatus, infraspinatus, subscapularis, and teres minor (SITS)
These connect to shoulder by tendons, creating a musculotendinous cuff
Term
what gives first 15 degrees of abduction?
what innervates this muscle?
Definition
supraspinatus
innervated by suprascapular nerve (C5,6)
Term
infraspinatus muscle
Definition
laterally (externally) rotates arm
innervated by suprascapular nerve (C5,6)
Term
teres minor
Definition
laterally rotates arm
innervated by axillary nerve
Term
what 3 shoulder muscles insert into the greater tubercle of the humerus?
Definition
supraspinatus, infraspinatus, and teres minor
Term
subscapularis
Definition
adducts and medially rotates arm
innervated by upper and lower subscapular nerves (C5,6)
Term
subacromial bursa
Definition
separates deltoid and supraspinatus from the acromion
Term
most common cause of rotator cuff tendonitis?
Definition
inflammation of the supraspinatus tendon
Term
4 boundaries of the quadrangular space
Definition
teres major, teres minor, surgical neck of the humerus, long head of the triceps
Term
what passing through the quandrangular space?
Definition
axillary nerve and the posterior circumflex humeral artery
Term
3 boundaries of the triangular space
Definition
teres major, teres minor, long head of the triceps
Term
3 boundaries of the triangular space
Definition
teres major, teres minor, long head of the triceps
Term
what does the triangular space contain?
Definition
circumflex scapular artery
Term
dermatome
Definition
area of skin innervated by a single spinal nerve/spinal cord level
Term
herpes zoster (chicken pox) can remain dormant in what?
zoster rash is due to what?
Definition
DRG
"active" virus traveling from DRG to the skin area/dermatome
Term
fractures of the proximal humerus (surgical neck) can damage what nerve?
Definition
axillary nerve --> deltoid weakness
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