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Anatomy Chest and Upper Back Muscles
Anterior and Posteiror Axioappendicular and Scapulorhumeral Muscles Origin, Insertion, Innervation, Action, Blood Supply
23
Anatomy
Graduate
11/17/2012

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Term
Pectoralis Major Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Anterior sternum, upper 6 costal cartilages, medial 1⁄2 clavicle.

I: Lateral lip of intertubercular groove of humerus

N: Lateral and Medial Pectoral Nerves

A: Adducts and Medial Rotates Humerus

B: pectoral branch of the thoracoacromial trunk
Term
Pectoralis Minor Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: 3rd-5th ribs near their costal cartilages

I: Coracoid process of scapula

N: Medial Pectoral Nerve

A: Stabilizes scapula by drawing it inferiorly and anteriorly against thoracic wall

B: pectoral branch of the thoracoacromial trunk
Term
Subclavius Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Junction of 1st rib and its costal cartilage

I: Inferior Surface of Clavicle

N: Nerve to Subclavius

A: Anchors and Depresses Clavicle

B: clavicular branch of thoracoacromial trunk
Term
Serratus Anterior Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: External surfaces of lateral parts of 1st-8th ribs

I: Medial border of scapula

N: Long Thoracic Nerve

A: Protracts scapula and holds it against thoracic wall

B: lateral thoracic artery (upper part), thoracodorsal artery (lower part)
Term
Trapezius Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Medial 1/3 of superior nuchal line, external occipital protuberance, nuchal ligament,
spinous processes of C7-T12 vertebrae

I: Lateral 1/3 of clavicle, acromion and spine of scapula

N: Accessory nerve, C3-4 spinal nerve

A: Superior part: elevates scapula
Middle part: retracts scapula
Inferior part: depresses scapula

B: Variation 1- superficial branch of transverse cervical artery
Variation 2 - superficial cervical artery
Term
Latissimus Dorsi Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Spinous processes of inferior 6 thoracic
vertebrae, thoracolumbar fascia, iliac crest

I: Intertubercular groove of humerus

N: Thoracodorsal nerve

A: Extends, adducts, and medially rotates humerus

B: thoracodorsal branch of the subscapular artery
Term
Levator Scapulae Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Posterior tubercles of transverse processes of C1-4 vertebrae

I: Medial border of scapula superior to root of spine

N: Dorsal scapular and cervical nerves

A: Elevates scapula, inferiorly rotates glenoid cavity

B: dorsal scapular artery
Term
Rhomboid Minor Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Nuchal ligament, spinous processes of C7-T1 vertebrae

I: Medial border of scapula near root of spine

N: Dorsal scapular nerve

A: Retract scapula and rotate it to depress glenoid cavity

B: dorsal scapular artery
Term
Rhomboid Major Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Spinous processes of T2-5 vertebrae

I: Medial border of scapula from spine to inferior angle

N: Dorsal scapular nerve

A: retract scapula and rotate it to depress glenoid cavity

B: dorsal scapular artery
Term
Deltoid Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Lateral 1/3 of clavicle, acrominion, and spine of scapula

I: Deltoid tuberosity of humerus

N: Axillary nerve

A:
Anterior portion: flexes and medially rotates arm
Middle portion: abducts arm
Posterior portion: extends and laterally rotates arm

B: primarily posterior circumflex humeral artery
Term
Supraspinatus Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Supraspinous fossa of scapula

I: Greater tubercle of humerus

N: Suprascapular nerve

A: Abducts arm; acts with rotator cuff muscles

B: suprascapular artery
Term
Infraspinatus Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Infraspinous fossa of scapula

I: Greater tubercle of humerus

N: suprascapular nerve

A: Laterally rotates arm

B: suprascapular and circumflex scapular arteries
Term
Teres Minor Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Middle of lateral border of scapula

I: Inferior Facet of Greater tubercle of humerus (siT)

N: Axillary nerve

A: Laterally rotates arm; adducts arm

B: posterior circumflex humeral artery and the circumflex scapular artery
Term
Teres Major Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Posterior surface of inferior angle of scapula

I: medial lip of intertubercular groove of humerus

N: lower subscapular nerve

A: Medially rotates arm; adducts arm

B: Subscapular artery, circumflex scapular artery
Term
Subscapularis Origin, Insertion, Invervation, Action, Blood Supply
Definition
O: Subscapular fossa of scapula

I: lesser tubercle of humerus

N: upper and lower subscapular nerves

A: Medially rotates arm; adducts arm

B: transverse cervical artery, subscapular artery
Term
Muscles That Make Up The Rotator Cuff (4)
Definition
Supraspinatus, Infraspinatus, Teres Minor, and Subscapularis
Term
The dorsal scapular nerve innervates
Definition
The deep posterior shoulder muscles (levator scapulae (also innervated by cervical nerves), and rhomboid minor and major
Term
Normally, which bursa communicates with the joint cavity of the glenohumeral joint?
Definition
The subscapular bursa usually communicates with the joint cavity
Term
What structures form the pectoral girdle? (2)
Definition
The left and right clavicles, and left and right scapulae
Term
A lesion of which spinal roots or trunk of the brachial plexus results in Klumpke paralysis?
Definition
C8 and T1 or the Inferior Root
Term
What is the function/movement of the acromioclavicular joint?
Definition
The AC joint allows the ability to raise the arm above the head. This joint functions as a pivot point (although technically it is a gliding synovial joint)
Term
For which nerve and artery is the army/navy reference and to what ligament?
Definition
The suprascapular nerve and artery goes over and under the the superior transverse scapular ligament
Term
Where are the radial and ulnar collateral ligaments located (at wrist and elbow)?
Definition
Ulnar Collateral Wrist- From the styloid process to the medial side of the triquetral bone, and the pisiform and flexor retinaculum.

Radial Collateral Wrist- Tip of the styloid process to the radial side of the scaphoid

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Ulnar Collateral Elbow (UCL) (medial collateral ligament)- Medial epicondyle to the medial margin of the coronoid process of the ulna and the medial margin of the olecranon

Radial Collateral Elbow (RCL)- From the lateral epicondyle to the annular ligament deep to the common extensor tendon (considered part of this ligament--is in some, isn't in others) the lateral ulnar collateral ligament (LUCL), from the lateral epicondyle to the supinator crest on the ulna
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