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PRACTICAL #1 Plus Palpation
Dr. Hoover
25
Anatomy
Graduate
10/14/2013

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Cards

Term
Action of the Upper Fibers of the Trapezius
Definition
Bilaterally: extend the head and neck

Unilaterally:
Laterally flex the head and neck to he same side
Rotate the head and neck to the opposite side
Elevate the scapula (scapulothoracic joint)
Term
Action of the Middle Fibers of the Trapezius
Definition
Adduct the scapula (S/T joint)

Stabilize the scapula (S/T joint)
Term
Action of the Lower Fibers of the Trapezius
Definition
Depress the scapula (S/T joint)

Upwardly rotate the scapula (S/T joint)
Term
Origin of the Trapezius Muscle
Definition
External occipital protuberance, medial portion of the superior nuchal line of the occiput, ligamentum nuchae and spinous processes of the C7 - T12
Term
Insertion of the Trapezius Muscle
Definition
Lateral 1/3 of clavicle, acromion and spine of the scapula
Term
Nerve Innervation of the Trapezius Muscle
Definition
Spinal portion of the cranial nerve XI (accessory) and ventral ramus C2, 3, 4
Term
Palpation of the Upper Fibers of the Trapezius
Definition
Laying prone ask patient to lift head off the mat or to shrug shoulders
Term
Palpation of the Middle Fibers of the Trapezius
Definition
Laying prone, ask patient to bring shoulders off the table
Term
Action of the Latissimus Dorsi
Definition
Extend the shoulder (glenohumeral joint)

Adduct the shoulder

Medially rotate the shoulder
Term
Origin of the Latissimus Dorsi
Definition
Inferior angle of scapula, spinous processes of the last 6 thoracic vertebrae, last three or four ribs, thoracolumbar aponeurosis and posterior ilac crest.
Term
Insertion of the Latissimus Dorsi
Definition
Intertubercular groove of the humerus
Term
Nerve Innervation of the Latissimus Dorsi
Definition
Thoracodorsal C6, 7, 8
Term
Action of the Rhomboid Major & Minor
Definition
Adduct the scapula (S/T joint)

Elevate the scapula

Downwardly rotate the scapula
Term
S/T joint
Definition
Scapulothoracic joint
Term
Origin of the Rhomboid Major
Definition
Spinous process of the T2 to T5
Term
Origin of the Rhomboid Minor
Definition
Spinous process of the C7 to T1
Term
Insertion of the Rhomboid Major
Definition
Medial Border of the scapula between the spine of the scapula and interior angle
Term
Insertion of the Rhomboid Minor
Definition
Spinous processes of the C7 to T1
Term
Nerve Innervation of the Rhomboids (both)
Definition
Dorsal scapular C4 & C5
Term
Palpation of the Rhomboids
Definition
Laying prone, locate medial border of the scapula. Have patient bring back arm behind back and raise elbow.
Term
Action of the Serratus Anterior
Definition
w/ Origin FIXED
Abduct the scapula (S/T joint)

Upwardly rotate the scapula

Depress the scapula

Hold the medial border of the scapula against the rib cage


w/ Scapula FIXED
May act to elevate the thorax during forced inhalation.
Term
Origin of the Serratus Anterior
Definition
External surfaces of the upper 8 or 9 ribs
Term
Insertion of the Serratus Anterior
Definition
Anterior surface of the medial border of the scapula
Term
Nerve Innervation of the Serratus Anterior
Definition
Long thoracic C5, 6, 7, 8
Term
Palpation of the Serratus Anterior
Definition
Laying supine, place fingers between lats and pec major.
Patient will reach toward the sky and put pressure on closed fist.
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