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14 Cards in this Set

  • Front
  • Back
Lattisimus Dorsi
Innerv: Thoracodorsal

A: Extends, adducts, and medially rotates the humerus at the shoulder joint

Other: There is a twisting of the fibers as they converge toward their insertion on the humerus
Trapezius
Innerv: Accessory nerve (CN XI) and C3 & C4 (spinal nerves)

A: Upper fibers: Elevate scapula
Middle fibers: Retract scapula
Lower fibers: Depress scapula

Other: Helps the serratus anterior in making possible abduction of the humerus of more than 90°. Paralysis of the trapezius muscle results in a 'droopy' shoulder.
Levator scapulae
Innerv: Dorsal scapular nerve

A: Elevates and fixes the scapula
Rhomboidei (major & minor)
Innerv: Dorsal scapular nerve

A: Retracts and elevates the scapula
Serratus anterior
Innerve: Long thoracic nerve

A: Protracts the scapula and holds it against the thoracic wall. Positions the glenoid cavity.

Other: Paralysis = "winged scapula"
Deltoid
Innerv: Axillary nerve

A: Anterior fibers: Flex and medially rotate the humerus
Middle fibers: Chief abductor of the humerus
Posterior fibers: Extend and laterally rotate the humerus
Teres major
Innerv: Lower subscapular nerve

A: Adducts and medially rotates the humerus
Supraspinatus
Innerv: Suprascapular nerve

A: Abducts the humerus
Infraspinatus
Innerv: Suprascapular nerve

A: Laterally rotates the humerus
Teres minor
Innerv: Axillary nerve

A: Laterally rotates the humerus
Subscapularis
Innerv: Upper and lower subscapular nerves

A: Medially rotates the humerus
Omohyoid muscle
Innerv: Cervical nerves 1,2 and 3

A: Depresses, retracts and steadies the hyoid bone

Other: 2 parts - The inferior attachment of this muscle is the superior border of the scapula near the suprascapular notch. The superior attachment is to the hyoid bone on which this muscle acts.
Triangle of Auscultation
The triangle of auscultation is located at the superior horizontal border of the latissimus dorsi, the medial border of the scapula, and the inferolateral border of the trapezius. Respiratory sounds can be clearly auscultated in the triangle (over 6th intercostal space) if the scapula is moved anteriorly by folding the upper limbs across the chest and the trunk flexed.
Upper Limb / Shoulder Blood Supply
The arterial route for supply of the upper limb usually develops between branches of the subclavian artery and the third part of the axillary artery. The vessels involved include:

1. Transverse cervical artery (deep branch) or the dorsal scapular artery, and the suprascapular artery – these arteries are usually branches of the thyrocervical trunk that arise from the first part of the subclavian artery – many arterial variations exist in this region

2. Circumflex scapular artery - a branch of the subscapular artery that arises from the third part of the axillary artery