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What initiates the first ~15° of abduction
(supraspinatus)
What initiates abduction after the first 15°?
Deltoid
What supplies the deltoid muscle (responsible for abduction) and provides sensory innervation to the lateral shoulder, including the "regimental badge area"
Axillary Nerve
What dermatome is at T10?
Belly button
The sensory cell bodies are at the
dorsal root ganglion
Midshaft humeral fractures commonly injure the
Radial Nerve
Trapezius dysfunction (spinal accessory nerve) causes
medial winging of the scapula. Shoulder drooping
The dorsal interossei muscles —> Function and Innervated by
Abduct; innervated by ulnar nerve.
What supplies elbow flexors (biceps) and lateral forearm sensation via lateral antebrachial cutaneous nerve;
Musculocutaneous nerve
Carpal tunnel syndrome is caused by pressure on the
median nerve
Associate median nerve with what fingers?
Lateral 3.5 digits and thenar muscles
Sickle cell disease — Why????
Single amino acid substitution (glutamate → valine) in β-globin; classic point mutation leading to abnormal hemoglobin polymerization.
The single amino acid substitution (glutamate → valine) can lead to
Sickle Cell Anemia
What is most commonly injured in rotator cuff pathology?
Supraspinatus
Positive Drop Arm Test:
A positive drop arm test is strongly suggestive of a rotator cuff tear, supraspinatus damage
Trapezius paralysis leads to
Shoulder droop
Ulnar nerve damage can be associated with
sensory loss over medial one-and-a-half digits.
Midshaft humeral fracture
Radial Neve!!!
Positive arm drop test suggests
Supraspinatus damage
What runs through the quadrilateral space?
The axillary nerve and the posterior circumflex humeral artery (PCHA) pass posteriorly
What supplies lateral forearm sensation.
musculocutaneous
Which ossification process forms most long bones (e.g., femur)?
Endochondral Ossification
Endochondral Ossification
The bones formed replace a hyaline cartilage template
Lateral cord gives
musculocutaneous and contributes lateral root to median.
In sickle cell anemia, which of the following amino acid substitutions occurs?
Glutamate —> Valine
Radial Nerve Innervates
Triceps Brachii Muscle
Latissimus Dorsi Muscle is innervated by the
thoracodorsal nerve
Lower subscapular nerve innervates the
Teres Major and subscapularis
Axillary nerve innervates the
Deltoid and Teres minor
The axillary nerve is derived from what nerve roots?
C5, C6
Teres Minor Function
A rotator cuff muscle that adducts and externally rotates the arm.
What does the deltoid muscle do?
abducts the arm at the shoulder at anges > 15 degrees.
What does the teres major muscle do?
Adduct, Internal rotation, and extension of the arm
Teres Major and subscapularis are innervated by the
lower subscapular nerve
Long Thoracic Nerve innervates
Serratus anterior muscle
Serratus anterior muscle is innervated by
Long thoracic nerve
The axillary nerve innervates the
teres minor and deltoid muscles.
Wrist drop occurs when what nerve is injured?
radial nerve
teres minor and deltoid muscles are innervated by
axillary nerve
An injury to the long thoracic nerve can lead to what…
Winged Scapula
½ loaf stands for what
Median nerve innervates the Lateral two (1&2) lumbricals, Opponens pollicis, Abductor pollicis brevis, and Flexor pollicis brevis (superficial head).
Ape hand
Loss of motor innervation to the thenar muscles (think median nerve)
Carpal Tunnel Syndrome Information
a condition that causes numbness, tingling, weakness, or pain in the wrist and hand due to compression of the median nerve in the carpal tunnel
Wrist Drop —> Nerve
Radial Nerve
FCU & FDP are innervated by
ulnar nerve
The flexor carpi ulnaris (FCU) muscle
serves as the major adductor of the wrist.
The flexor digitorum profundus (FDP) muscle plays a role
in flexion of the 4th and 5th digits.
What supplies sensory innervation to the lower shoulder and lateral arm
axillary nerve
The musculocutaneous nerve primarily provides motor innervation to the
anterior (front) compartment of the arm and sensation to the lateral forearm
A scaphoid fracture can be linked to what nerve?
Median Nerve
The musculocutaneous nerve innervates the
biceps brachii, brachialis, and coracobrachialis muscles
The musculocutaneous nerve is primarily responsible for
flexing the elbow and contributes to shoulder flexion.
What innervates all three heads of the triceps?
Radial Nerve
What innervates the muscles of the anterior compartment of the arm?
Musculocutaneous nerve (only motor innervation)
What is the brachial plexus comprised of?
Ventral rami of spinal nerve C5-T1
Upper subscapular nerve innervates the
subscapularis
What is the Mnemonic SALT?
Serratus Interior is innervates by the Long Thoracic Nerve
The thoracodorsal nerve innervates the
latissimus dorsi muscle
The latissimus dorsi muscle is innervated by the
thoracodorsal nerve
The inability to extend the wrist can be linked to
Radial nerve injury (Wrist Drop)
The suprascapular nerve innervates the
Supraspinatus and Infraspinatus muscles
The Supraspinatus and Infraspinatus muscles are innervated by the
Suprascapular Nerve
The quadrangular space transmits
the axillary nerve and the posterior circumflex humeral artery
The primary nerve associated with the rotator cuff is the
suprascapular nerve
what is the rotator cuff comprised of?
the supraspinatus, infraspinatus, teres minor, and subscapularis
The musculocutaneous nerve innervates what compartment of the body?
anterior compartment of the arm, specifically the muscles involved in elbow flexion
The rhomboid muscles (major and minor) are innervated by the
dorsal scapular nerve
The dorsal scapular nerve innervates the
levator scapulae, rhomboid major, and rhomboid minor
The levator scapulae, rhomboid major, and rhomboid minor are innervated by the
dorsal scapular nerve
The median nerve passes through which structure at the wrist?
Carpal tunnel
The supraspinatus muscle is responsible for
shoulder abduction
The infraspinatus is responsible for
externally rotating the shoulders
The palmar interossei muscles are innervated by what?
Ulnar nerve
The palmar interossei muscles function to
adduct
The dorsal interossei muscles are innervated by the
ulnar nerve
The teres minor muscle is innervated by the
axillary nerve
The teres major muscle is innervated by the
lower subscapular nerve
The subscapularis muscle is innervated by the
Lower and upper subscapular nerve
What innervates the levator scapulae muscles?
Dorsal Scapular Nerve
What do the rhomboid minor and major both do?
Elevates, Retracts, and assists in downward rotation of scapula.
What does the teres major do?
Adducts, internally rotates, and extends arm.
What is responsible for externally rotating the shoulders
Infraspinatus
What does the Nerve 2 Subclavius innervate?
Subclavius muscle
What innervates the subclavius muscle?
Nerve to subclavius
The subscapularis muscle primarily functions in
internal rotation of the arm and adduction of the humerus
PS. subscapularis muscle is key in rotator cuff
Which muscle inserts on the lesser tubercle of the humerus?
Subscapularis
Where does the subscapularis muscle insert?
Lesser tubercle of the humerus.
What muscle functions in shoulder abduction?
Supraspinatus muscle
The subscapularis muscle, a key component of the rotator cuff, primarily functions in
internal rotation of the arm and adduction of the humerus
What are the different roles of the muscles in the rotator cuff?
Infraspinatus: External rotator of shoulder
Supraspinatus: Shoulder Abduction
Subscapularis Muscle: Internal rotation of the arm
Which artery is most at risk in a midshaft humerus fracture?
Deep brachial artery
The “drop arm” test is used to assess
Supraspinatus damage
Surgical neck fracture can be linked to what?
Axillary nerve and posterior circumflex humeral artery
The carpal tunnel contains the
median nerve and the flexor pollicis longus tendon
Median nerve controls muscles function and in control over
forearm pronation, wrist flexion (bending the wrist), and flexion of the thumb and first three fingers
Somatic dysfunctions are named for their
freedom of motion, not restriction.
Think about for side bend and rotation.
The ventral root is part of the
efferent motor pathway
The dorsal root is part of the
afferent sensory pathway that leads to the spinal cord
For protonation of the forearm to occur,
The radius must rotate against the humerus