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109 Cards in this Set
- Front
- Back
How many vertebrae are in the spine?
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33 vertebrae
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types of vertebra, and how many are in each
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Cervical-7
thoracic-12 lumbar-5 Sacral-5 |
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what is the composition of the vertebra
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body,
2 pedicles, 2 laminae, vertebral foramen, vertebral canal, 2 transverse processes, spinous process |
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what are the articular proceses of the vertebra
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The superior articular facet
inferior articular facet |
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where are spinal taps performed and why is that spot preferable?
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in the Lumbar laminae, there is more space.
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what are the ligaments that run along the length of the spine?
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anterior longitudinal ligament, posterior longitudinal ligament,
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These ligaments prevent excessive flexion and act as buffers in the extremes of extension.
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ligamenta flava
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what other ligaments resist flexion in the spine
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supraspinous and interspinous ligaments
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which ligaments are alx and permit gliding motions?
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capsular ligaments
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what are the two parts of the body of the vertebra
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annulus fibrosus, and nucleus pulposus
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Erector Spinae: what does it comprise of?
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iliocostalis, longissimus, spinalis.
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Erector Spinae: origins
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posterior aspects of iliac crest and sacrum, sacral and inferior lumbar spinous process, supraspinous ligament
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Erector Spinae: insertion
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iliocostais: angles of lower ribs and cervical transverse process
longissimus: ribs between the tubercles and angles, transverse processes in thoracic and cervical regions, and to mastoid process of temporal bone spinalis: spinous process in upper thoracic region, midcervical region, and to the skull |
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Erector Spinae: action
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extend vertebral column and head. bend vertebral column laterally
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Erector Spinae: innervation
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dorsal rami of respective spinal nerve in each region
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Surface anatomy: most prominent spine at base of neck
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C7
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Surface anatomy: The medial end of the spine of the scapula corresponds to
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T3
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Surface anatomy: the inferior angle of the scapula is lateral to the spinous process of
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T7
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Surface anatomy:A line connecting the highest levels of the iliac crests crosses the spinous process and body of
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L4
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Surface anatomy:The dimples about five centimeters lateral to the midline in the sacral region denote the posterior superior iliac spines and are at the level of the spinous process of
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S2
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The inferior opening of the vertebral canal used for administering anesthesia duing childbirth
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the sacral hiatus
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what are the 3 membranes surrounding the spinal cord in order?
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from superficial to
deep they are the dura mater, arachnoid and pia mater |
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Where is the cerebrospinal fluid located?
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subarachnoid space
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Where does the Spinal Cord extend to, and what is the end called?
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L1-L2, Conus Medullaris
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what are the nerve roots collectiveliy called below L1?
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Cauda Equina
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How many spinal nerves are there in each region
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Cervical-8
Thoracic-12 lumbar-5 sacral-5 coccygeal-1 |
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where can a spinal tap (lumbar puncture) be taken?
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must be accomplished at vertebral levels where there is a subarachnoid space (above S1-2 vertebral level) and is most safely performed below the conus medullaris (L1-2 vertebral level).
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what happens when a disc is slipped?
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A "slipped" or "ruptured" disc occurs either when the nucleus pulposus has partially escaped (herniated) through a break (rupture) in the annulus or when the annulus itself bulges (protrudes) at a weakened area
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why do disk ruptures happen in one region more than the other?
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the annulus pulposus is generally thinner in its radial dimension posteriorly than anteriorly
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What forms the Superior Trunk of the Brachial Plexus
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The ventral rami of C5 and 6 fuse to form the superior trunk
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What forms the middle trunk?
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the ventral ramus of C7 continues on as the middle trunk
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what forms the inferior trunk?
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the ventral rami of C8 and T1 fuse to form the inferior trunk
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How does each trunk divide?
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Each trunk divides into an anterior and posterior division
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What do the anterior divisions innervate?
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The anterior divisions will innervate the anterior or flexor muscles
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What do the posterior divisions innervate
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the posterior divisions will innervate the posterior or extensor muscles of the upper limb
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what comes together to form the lateral cord?
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The anterior divisions of the superior and middle trunks join to become the lateral cord
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what comes together to form the medial cord?
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the anterior division of the inferior trunk becomes the medial cord
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what will the lateral and medial cords inervate?
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Since the lateral and medial cords are the anterior division cords, their branches will innervate anterior limb or flexor muscles
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what comes together to form the posterior cord?
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The posterior divisions of all three trunks unite to form the posterior cord
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How do the cords end?
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by dividing into five terminal nerves branches
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what does the lateral cord terminate with?
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The lateral cord gives off the lateral root of the median nerve and then continues as the musculocutaneous nerve
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what does the medial cord terminate with?
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The medial cord gives off the medial root of the median nerve and then continues as the ulnar nerve.
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What does the posterior cord terminate with?
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The posterior cord terminates by dividing into the axillary and radial nerves.
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How are nerves named?
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IN GENERAL, NERVES ARE NOT NAMED FOR THEIR ORIGIN BUT RATHER FOR THEIR PERIPHERAL DISTRIBUTION. THAT IS, NERVES ARE NAMED ACCORDING TO WHERE THEY GO ---
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What does the C4 Dermatone innervate?
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Shoulder pad area
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What does the C5 Dermatone innervate?
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Lateral aspect of arm and elbow
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What does the C6 Dermatone innervate?
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Lateral aspect of forearm and hand, and the radial two digits
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What does the C6 Dermatone innervate?
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Middle finger and middle of hand
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What does the C8 Dermatone innervate?
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Ulnar two digits and medial aspect of hand and wrist
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What does the T1 Dermatone innervate?
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Medial aspect of forearm, elbow and lower arm
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What does the T2 Dermatone innervate?
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Medial aspect of upper arm
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how is scalene interval syndrome tested?
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Adson test
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how is costoclavicular syndrome tested?
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by loading the extremity
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how is coracopectoral syndrome tested?
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raising the arm overhead
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what is included in the Pectoral Girdle?
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Scapula and Clavicle
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What does the Clavicle artivulate with?
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It articulates medially with the manubrium of the sternum and laterally with the acromion process of the scapula
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what muscels are in the rotator cuff, and what is their location in the joint?
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subscapularis anteriorly,
supraspinatus superiorly infraspinatus and teres minor posteriorly. |
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Trapezius: Origin
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upper: occipital region of the skull and posterior cervical spine ligaments.
Middle:lower cervical and upper thoracic spinous processes Lower: lower thoracic spinous processes |
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Trapezius: Insertion
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upper: lateral clavicle and acromion
middle: length of the scapular spine. lower: medial end of the scapular spine |
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Trapezius: action
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Upper: supports the weight of the arm
middle: retracts the scapulae; lower: medially rotates and depresses the scapulae. |
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Trapezius: Innervation
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Spinal accessory Nerve (CN XI)
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Levator Scapulae: Origin
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descends from cervical transverse processes
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Levator Scapulae: insertion
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superior angle of the scapula
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Levator Scapulae: action
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functions mostly as an accessory scapular elevator.
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Levator Scapulae: Innervation
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dorsal scapular nerve and a branch from C4.
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rhomboid muscles: origin
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posterior cervical spine ligaments and lower cervical and upper thoracic spinous processes
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rhomboid muscles: Insertion
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medial (dorsal) border of the scapula
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Rhomboid Muscles: action
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scapular adductors
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Rhomboid Muscles: innervation
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Dorsal Scapular Nerve (C4-5)
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latissimus dorsi: Origin
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below from the lower ribs, iliac crest and lower vertebral spinous processes through a fusion of its aponeurosis with the thoracolumbar fascia
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latissimus dorsi: insertion
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intertubercular sulcus on the anterior aspect of the upper humerus
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latissimus dorsi: action
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extension, adduction and internal rotation at the shoulder
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latissimus dorsi: innervation
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Thoracodorsal Nerve (C6-8)
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serratus anterior: Origin
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anterolateral aspect of the upper 8-9 ribs
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serratus anterior: insertion
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scapula's medial border.
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serratus anterior: action
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prevents both scapular adduction and displacement of the medial border of the scapula from the chest wall when the upper limb is used to push a load
(aka, prevents scapular winging) |
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serratus anterior: Innervation
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long thoracic nerve (C5-7)
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pectoralis major: origin
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upper:clavicle
intermediate: sternum and adjacent costal cartilages lower: anterior aspect of the lower ribs |
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pectoralis major: insertion
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crest of the greater tubercle of the humerus
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pectoralis major: action
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Adducts and medially rotates humerus, draws scapula anteriorly and inferiorly. Clavicular head flexes humerus and sternocostal head extends it from a flexed position
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pectoralis major: innervation
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Lateral and medial pectoral nerves(C5,C6, C7, C8, T1)
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Pectoralis Minor: Origin
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anterior aspect of about the second to fifth ribs
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Pectoralis Minor: insertion
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coracoid process.
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Pectoralis Minor: action
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minor adductor and downward rotator of the glenoid.
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Pectoralis Minor: innervation
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Medial Pectoral Nerve
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Deltoid: Origin
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Lateral 1/3 of clavicle, superior surface of acromion, spine of scapula
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Deltoid: insertion
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lateral aspect of the midshaft of the humerus (deltoid tuberosity)
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Deltoid: action
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Anterior part flexes and medially rotates arm, middle part abducts arm, and posterior part extends and laterally rotates arm
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Deltoid: Innervation
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Axillary Nerve (C5-6)
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teres minor: Origin
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Lateral border of scapula
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teres minor: insertion
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Inferior facet of greater tubercle of humerus
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teres minor: action
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Rotates the arm laterally. adducts the arm at the shoulder. extends arm from flexed position, adducts and medially rotates arm at shoulder
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teres minor: Innervation
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Axillary nerve (C5-C6)
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infraspinatus muscle: Origin
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nfraspinous fossa of the scapula
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infraspinatus muscle: insertion
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posterior aspect of the greater tubercle just above the teres minor
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infraspinatus muscle: action
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external rotator of the shoulder
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infraspinatus muscle: innervation
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Suprascapular Nerve (C5-6)
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supraspinatus muscle: Origin
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supraspinous fossa of the scapula
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supraspinatus muscle: insertion
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superior aspect of the greater tubercle
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supraspinatus muscle: action
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Initiates and assists deltoid in abduction of arm and acts with rotator cuff muscles
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supraspinatus muscle: innervation
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Suprascapular nerve (C4, C5, C6)
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subscapularis: origin
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subscapular fossa of the scapula
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subscapularis: insertion
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lesser tubercle of the humerus
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subscapularis: action
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internal rotator of the shoulder when no resistance is offered
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subscapularis: innervation
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upper and lower subscapular nerves (C5-7)
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Teres Major: Origin
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Inferior angle of scapula
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Teres Major: insertion
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Medial lip of intertubercular groove of humerus
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Teres Major: Action
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Adducts and medially rotates arm
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Teres Major: Innervation
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Lower subscapular nerve (C5, C6)
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