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pec major
o: clavicular and sternal head
i: lateral lip of the intertubercular tuberosity
function: gh flexion, medial rotation, adduction of the arm
artery: axillary artery
innervation: medial and lateral pectoral nerves
pec minor
o: ribs 3-5
i:coracoid process of the scapula
function: scapular depression
artery: axillary
innervation: medial pec nerve
subclavius
o: first rib costal cartilage
i: inferior surface of the clavicle
function: clavicle depression
artery:——
innervation: nerve to subclavius- off of superior trunk
serratus anterior
o: lateral borders of ribs 1-9
i: anteromedial border of the scapular
function: scapular protraction( abduction)
artery: lateral thoracic
innervation:long thoracic
deltoid
o: clavicle, acromion and spine of the scapula
i:deltoid tuberosity
function: GH anterior fibers- flexion, middle- abduction, posterior- extension and lateral rotation
artery: thoracic acromial trunk
innervation: axillary nerve
supraspinatus
o: supraspinous fossa
i: superior facet of the greater tubercle
function: initiates arm abduction at the first 30 deg
artery: suprascapular artery
innervation: suprascapular nerve
infraspinatus
o: infraspinous fossa
i: middle facet of the greater tubercle
function: lateral rotation of the arm
artery: suprascapular and circumflex scapular
innervation: suprascapular
teres minor
o: superior lateral boarder of the scapula
i: inferior facet of the greater tubercle
function: lateral rotation of the arm
artery: circumflex scapular artery
innervation: axilary
subscapularis
o: subscapular fossa
i: lesser tubricle of the humerous
function: medial rotation of the arm
artery: subscapular
innervation:upper and lower scapular nerves
trapezius
o: occipital bone, ligamentum nuchae and the sps of the c spine and t spine
i: lateral clavicle, acromion and spine of the scapula
function: Scapular elevation, retraction, depression, and upward rotation, adduction ( of scapular for everything)
artery: transverse cervical artery
innervation: spinal accessory nerve
lats
o: sp of lower t and l spine sacrum and iliac crest
i: floor of the intertubercular groove
function: gh extension, adduction and medial rotation
artery: thoracic dorsal
innervation: thoracic dorsal
rhomboid major——
o: sps lower c spine and upper t spine
i: medial boardder of the sccapula
function: scapular retraction
artery: dorsal scapular
innervation:dorsal scapular
serratus posterior superior
o: ligamentum nuchae and sp of c 7-t 4
i: first 4 ribs
function: elevation of the ribs - forced inspiration)
artery:
innervation: posterior rami
serratus posterior inferior
o: lspd of lower t
i: ribs 9-12
function: depression of the lower ribs ( forced expiration)
artery:
innervation:
erectore spines illiocostalis, longisimis, spinalis
o: ilium, sacrum , vertebral tps/sps
i: ribs tps sps and skill
function: bilateral spinal extension and unilateral flexion
artery: ——-
innervation: posterior rami of the spinal nerves
transversospinal groups semispinalis, multifidus and rotatores
o: transverse processes
i: spinous process and skull spmispinalis capitis
function: extensiona and contralateral rotation
artery:—-
innervation: posterior rami
minor deep muscle group, interspinales intertransversarii levator costarum
o and i: sps of vert, deep to supraspinous, tps, and or tps of ribs
lig: interspinales is deep to the supraspinous ligament
function: extension, ipsilateral lateral flexion and rib elevation
artery: ——
innervation:post rami
sternocleidomastoid
o: sternal and clavicular heads
i: mastoid process
function: bilateral extension/ flexion, unilateral flexion/ contralateral rotation
artery:
innervation: spinal accessory nerve
splenius capitis + splenius cervicis
o: midline nuchal ligament and sp
i: mastoid ( cap) , upper c spine tps ( cerv)
lig: nuchal lig
function: bilateral extension, unilateral lateral flexion and ipsilateral rotation
artery: —-
innervation: post rami of c spine
sub occipital
o and i : c1 c2 and occiput
function: fine movements in extension and ipsilateral rotation
artery:—-
innervation: suboccipital nerve
biceps brachii
o: supraglenoid tubercle ( long) and coracoid process short
i:radial tuberosity
function: elbow flexion, accessory arm flexion and supination
artery: brachial artery
innervation: musculocutaneous nerve
coracobrachialis
o: coracoid process
i: anterior shaft of the humerus
function: gh flexion
artery: brachial artery
innervation: musculocutaneous nerve
brachialis
o: anterior shaft of the humerous
i: ulner tuberosity
function: primary elbow flexion
artery: brachial artery
innervation: musculocutaneous nerve
triceps brachii
o: infraglenoid tubercle ( long) posterior humerus ( lateral and medial heads)
i: olecranon of the ulna
function: elbow extension
artery: deep brachial artery
innervation: radial nerve
quadrandular space
superior border is theres minor
inferior boarder is teres major
medial order is long head of biceps brachii
lateral border it he humorous ( surgical neck)
contents: axilary nerve, posterior humeral circulmflex arter
cervical and lumbar spine has what shape
secondary concave, lordotic
thoracic and sacral spine curve is
primary concave, kyphotic
thoracic vertebral landmarks
vertebral body
vertebral foramen
superior articular process
pedicle
transverse process
lamina
spinous process
vertebral arch
where do nerve in the spine pass thorugh to leave spinal cord
intervertebral foramen
cervical vertebral landmarks
bifid spinous process
triangular vertebral foramen
transverse foramina
uncinate process
features of atlas
posterior arch
lateal masses
uperior articulat faccets
transverse formaina
circular vertebral foramen
features of axis
seimous process
dens
joints of the vertebral column
atlanto occipital
atlas and skull
atlanto axial
atlas and axis
uncovertebral joint
between uncinate process
intervertebral joint
vertebral bodies
zygapophyseal joint
superior and inferior facets
what ligaments are found at the atlanto axial joint
alar
transverse
cruciform
zygapophyseal joint arrangements throughout the spine
cervical - transverse/ horizontal ( raise the roof)
thoracic - coronal/frontal ( chest pump)
lumbar- sagittal ( clapping)
sacrum landmarks
lateral crest
medial sacral crest
coocyc
base - apex
articular surface
ant view - sacral ala
sacral foramina
sacral hiatus on post
sacral canal
what is at the end of the spinal cord
conus medullaris
cauda equina
levator scapulae
o: upper cervical spine c1-c4
i: superomedial border of the scapula
f: movement of scapula , lateral flexion of the head and neck
A: dorsal scapular a.
I: dorsal scapular root
what are the vertebral level of attachments for the intrinsic transversospinal deep muscles
rotatores, longus and brevis are 1-2 levels
semispinalis is 4-6 levels
multifidus 2-4 levels
for contralateral rotations
what are the deep muscles of the neck
rectus capitis posterior major
rectus capitus postrior minor
obliques cap sup and in
innervations are the suboccipital n
anterior deep muscles
scalenes
longus capitis
longus coli
clavicle land marks
medial is shaped for costal
coracoid tubricle is the postrioror/ inferior
what classification is the joints at the pectoral girdle
sternoclavicular, saddle
acromioclavicular, plane
glenohumeral ball and socket
the branches of the subclaian artery
vertebral
internal thoracic
thyrocervical
costocervical
dorsal scapular
what does the superior thoracic supply
what does the thoraccocromial trunk supply
cpad, clavicular, acromial deltoid pectoral
what does the alteral thoraccic a. supply
what does the subscapular a.
it breaks into circumflex scapular and thoracodorsal
what does long thoracic n. innervate
serratus ant
what does dorsal scapular nerve
levator, rhomboids
suprascapular n.
supraspin infraspin
lateral cord- pec n
pec maj
posterior cord n.
upper scapular, subscapularis
lower scapular , subscapularis teres maj
thoracodorsal, lats
medial cord n.
medial petoral , pec maj and min
musculocutanous n.
coracobracialis, biceps
axillary n.
deptoids teres min
radial n.
tricepcs brachia