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Orthopedics- Shoulder (Pierce)
Muscles, arthroscopy
29
Medical
Professional
08/02/2012

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Cards

Term
supraspinatus
Definition
  • origin- supraspinatus fossa
  • insertion- greater tuberosity (superior)
  • innervation- suprascapular N.
  • action- abduct arm
Term
infraspinatus
Definition
  • origin- infraspinatus fossa of scapula
  • insertion- greater tuberosity
  • innervation- suprascapular N.
  • action- ER arm
Term
teres minor
Definition
  • origin- lat. scapula
  • insertion- greater tuberosity
  • innervation- axillary N.
  • action- ER arm
Term
subscapularis
Definition
  • origin- subscapular fossa
  • insertion- lesser tuber
  • innervation- upper and lower subscapular N.
  • action- IR, adduct arm
Term
deltoid
Definition
  • origin- clavicle, acromion spine of scapula
  • insertion- deltoid tuberosity
  • innerv- axillary N.
  • action- abduct arm
Term
teres major
Definition
  • origin- inf. angle of scapula
  • insertion- intertubercular grove of humerus
  • innerv- low subscapular N.
  • action- IR, adduct arm

protects radial N. in post. approach

Term
trapezius
Definition
  • origin- C7-T12 spinous process
  • insertion- clavicle, acromion spine of scapula
  • innervation- CN XI
  • action- elevate, rotate scapula
Term
latissimus dorsi
Definition
  • origin- T7-T12, iliac crest
  • insertion- intertubercular grove
  • innervation- thoracodorsal N.
  • action- adduct, extend, IR arm at shoulder joint
Term
Muscles that connect UE's to spine
Definition
  • levator scapulae
  • rhomboid major
  • rhomboid minor
Term
levator scapulae
Definition
  • origin- C1-C4 transverse process
  • insertion- sup. med. scapula
  • innervation- dorsal scapular N., C3,C4
  • action- elevate scapula

 

Term
rhomboid minor
Definition
  • origin- C7-T1 spinous processes
  • insertion- med. scapula at spine
  • innervation- dorsal scapular N.
  • action- adduct scapula

 

Term
rhomboid major
Definition
  • origin- T2-T5 spinous process
  • insertion- med. scapula
  • innerv- dorsal scapular
  • action- adduct scapula
Term
blood suply to humeral head
Definition
ant. circumflex humeral A. (esp. arcuate A. branch)
Term
Branches of axillary A.
Definition
  1. sup. thoracic A.
  2. thoracoacromial trunk (clavicular, acromial, deltoid, pectoral branches)
  3. lateral thoracic (runs w/long thoracic N.)
  4. subscapular
    1. circumflex scapular A.
    2. thoracodorsal A. (runs w/thoracodorsal N.)
  5. ant. circumflex humeral
  6. post. circumflex humeral
Term
pectoralis major
Definition
  • origin
    • clavicle
    • sternum
  • insertion- intertubercular groove of humerus
  • innervation- lat. and med. pectoral N.
  • action- adduct, IR, flex at shoulder joint 
Term
serratus anterior
Definition
  • origin- ribs 1-8 laterally
  • insertion- ant. med. border of scapula
  • innervation- long thoracic N.
  • action- holds scapula to chest wall 
Term
pectoralis minor
Definition
  • origion- ribs 3-5
  • insertion- coracoid process of scapula
  • innerv- med pectoral N.
  • action- stablize scapula 
Term
triangular space- borders, structures
Definition
  • borders
    • teres minor
    • teres major
    • long head of triceps brachi
  • structures- circumflex scapular A.

 

Term
quadrangular space
Definition
  • borders
    • teres minor
    • teres major
    • long head of triceps brachi
    • med. border of humerus
  •  structures
    • axillary N.
    • post. circumflex humeral A.
Term
triangular interval
Definition
  • borders
    • teres major
    • long head of triceps brachii
    • lat. head of triceps brachii
  • structures
    • radial N.
    • deep artery of arm 
Term
subclavius
Definition
  • origin- rib one and costal cartilage
  • insertion- inf. border of middle 1/3 of clavicle
  • innervation- N. to sublavius
  • action- depress clavicle 
Term
blood supply to serratus anterior and pectoralis muscles
Definition
superior thoracic A.
Term
glenohumeral ligaments
Definition
  • superior
  • middle
  • inferior
    • ant. band
    • post. band 
Term
SGHL: attachments, function
Definition
  • attachment- ant. sup. glenoid rim/labrum to prox. lesser tuberosity
  • function
    • resist inf. translation and ER in shoulder ADDUCTION 
    • resist post. translation in 90 degrees of forward flexion
Term
MGHL- attachments, function
Definition
  • attachment- ant. sup. glenoid rim/labrum to just med. to lesser tuberosity 
  • function
    • resist ant. post. translation in 45 degrees of abduction
    • secondary restraint to translation and ER in adduction
Term
Buford complex
Definition
thickened MGHL in the absence of ant/sup. labrum
Term
IGHL- attachment, function
Definition
  • anterior band
    • attachments- ant. glenoid/labrum (3 o clock) to inf. humeral neck
    • function- resist ant. and inf. translation in abduction and ER
  • post band
    • attachment- post glenoid/labrum (9 o clock) to inf. humeral neck
    • function- resist post. transation in IR and 90 degrees flexion
Term
All structures that attach to corocoid
Definition
  • coracoacromial ligament
  • coracoclavicular ligaments (trapezoid, conoid)
  • conjoined tendon (coracobrachialis and short head of biceps)
  • pectoralis minor
Term
AC and CC ligaments functions
Definition
  • AC- prevent AP displacement
  • CC- prevent superior displacement of distal clavicle
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