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Anatomy Block III- Shoulder, Axilla, Arm, Cubital Fossa

front 1

what are the upper arm regions

back 1

shoulder
axilla
arm
cubital fossa

front 2

what surface of the elbow is the cubital fossa

back 2

anterior

front 3

where does the pectoral girdle wrap around

back 3

axial skeleton

front 4

what does the pectoral girdle articulate with

back 4

humerus

front 5

what consists the bony architecture of the deltoid region

back 5

pectoral girdle
humerus

front 6

what bones are part of the pectoral girdle

back 6

clavicle
scapula

front 7

what does the spine of the scapula end in

back 7

acromion proces

front 8

where is the acromion process

back 8

seen most laterally

front 9

where is the coracoid process

back 9

seen most anteriorly, serves as attachment point for some muscles

front 10

where is the greater tubercle on the humerus

back 10

more lateral

front 11

where is the lesser tubercle on the humberus

back 11

more medial

front 12

what is between the greater and lesser tubercles

back 12

intratrabecular groove/sulcus

front 13

what are the anterior axioappendicular muscles

back 13

pec major
pec minor
subclavius
serratus anterior

front 14

back 14

a. subclavius
b. pec major
c. serratus anterior

front 15

back 15

a. serratus anterior

front 16

back 16

a. descending part of trapezius
b. middle part of trapezius
c. deltoid
d. teres major
e. ascending part of trapezius
f. latissimus dorsi
g. teres major
h. rhomboid major
i. rhomboid minor
j. levator scapulae
k. teres minor

front 17

what is the action of the anterior axioappendicular msucles

back 17

move pectoral girdle

front 18

where does pec major insert

back 18

anterior humerus

front 19

what are the actions of pec marjo

back 19

adduction and flexion of arm

depress scapula also

front 20

back 20

a. sternocostal head of pec major
b. clavicular head of pec major

front 21

what levels does the pec major clavicular head use

back 21

C5-C6 (lateral pectoral , but not C7)

front 22

what levels does the sternocostal pec major head use

back 22

C7-T1 (C7 lateral and medial pectoral n)

front 23

where does teh clavicular head of pec major come off of

back 23

clavicle

front 24

where does the sternocostal head of the pec major come off

back 24

sternum and ribs

front 25

what is the action of pec minor

back 25

stabilizes scapula

front 26

what does pec minor attach to

back 26

ribs 3, 4, 5 to coracoid process

front 27

what innervates pec minor

back 27

medial pectoral nerve

front 28

what levels make up the medial pectoral nerve

back 28

C8-T1

front 29

where is the subclavius

back 29

small muscle under clavicle

front 30

what does the subclavius do

back 30

holds clavicle down

front 31

what nerve innervates subclavius and what are its levels

back 31

nerve to subclavius (C5-C6)

front 32

what is the action of serratus anterior

back 32

draws scapula anteriorly along thoracic cage and hold it against thoracic wall (winged scapula when long thoracic nerve injured)

front 33

where does the serratus anterior come off

back 33

medial border of scapula then forward to attach to the ribs

front 34

what are the superficial posterior axioappendicular muscles (extrinsic shoulder)

back 34

trapezius and latissimus dorsi

front 35

where do superficial posterior axioappendicular msucles originate from

back 35

axial skeleton

front 36

what is the role of the trapezius

back 36

elevate, depress, retract scapula

front 37

what innervates the trapezius

back 37

spinal accessry nerve

front 38

what supplies the sensory to the trapezius

back 38

C3 and C4

front 39

what is the role of the latissimus dorsi

back 39

extend, adducts arm

front 40

where does the lat attach

back 40

to humerus distal to shoulder joint

front 41

what innervates the lat and what are its levels

back 41

thoracodorsal nerve C6-C8

front 42

what are teh deep posterior axioappendicular msucles

back 42

levator scapulae
rhomboid major
rhomboid minor

front 43

what do the deep posteiror axioappendicular msucles do

back 43

help rotate scapula

front 44

what does tehe levator scapula do

back 44

elevate scapula and rotate scapula

front 45

what does the rhomboid major do

back 45

retract scapula and rotate scapula

front 46

what does the rhomboid minor do

back 46

retract scapula and rotate scapula

front 47

what innervates the deep posterior axioappendicular muscles

back 47

dorsal scapular nerve C5

front 48

where do the scapulohumeral muscles originate

back 48

pectoral girdle

front 49

what do the scapulohumeral muscles act on

back 49

shoulder region

front 50

what are the actions of the deltoid

back 50

abducts, flexes, extends arm

front 51

why is the deltoid so powerful

back 51

multipennate structure with several central tendons with lots of fibers angled into it

front 52

which part of the delt flexes the arm

back 52

frontal

front 53

which part of the delt extends the arm

back 53

rear

front 54

what innervates the delt and what levels

back 54

axillary nerve C5-C6

front 55

where is teres major

back 55

above latissimus dorsi

front 56

what innervates teres major (nerve and levels)

back 56

C5-C6 lower subscapular nerve

front 57

what is the actino of teres major

back 57

helps adduct the arm and does some rotation?

front 58

what are the rotator cuff muscles

back 58

supraspinatus
infraspinatus
teres major
subscapularis

front 59

back 59

a. supraspinatus
b. subscapularis

(anterior view)

front 60

back 60

a. infraspinatus
b. teres minor
c. supraspinatus

front 61

where is the supraspinatus

back 61

superior to spine of scapula

front 62

does the supraspinatus rotate

back 62

no

front 63

what does supraspinatus do

back 63

helps initiate abduction until in a more advantageous position so deltoid can help

front 64

what usually gets hurt in rotator cuff injuries

back 64

supraspinatus

front 65

where is infraspinatus

back 65

below spine of scapula

front 66

what is the action of infraspinatus

back 66

lateral rotator of arm

front 67

where is teres major

back 67

inferior border of scapula

front 68

what does teres minor do

back 68

lateral rotator

front 69

what innervates teres minor

back 69

axillary nerve C5-C6

front 70

where is subscapularis

back 70

in subscapular fossa between scapula and thoracic cage

front 71

what does subscapularis do

back 71

provides medial rotation

helps decelerate arm after a throw (eccentric contractions help slow arm down)

front 72

what innervates the subscapularis

back 72

upper and lower subscapular nerve C5-C7

front 73

what is the axilla

back 73

pyramidal space just inferior to glenohumeral joint

front 74

back 74

a. pec minor
b. coracobrachialis
c. short head of biceps brachii
d. long head of biceps brachii
e. deltoid
f. infraspinatus bursa
g. infraspinatus
h. subscapularis
i. serratus anterior
j. long thoracic nerve
k. pectoralis major muscle

front 75

what is the apex of the axilla

back 75

open space between axilla and posterior triangle of neck

front 76

what bones are in the apex of the axilla

back 76

scapula
clavicle
first rib

front 77

what makes up the base of the axilla

back 77

skin and fascia: concave, forming axillary fossa

front 78

what makes up the anterior wall of the axilla

back 78

pec major
pec minor
anterior axillary fold is the most inferior part

front 79

what makes up the posterior wall of the axilla

back 79

scapula
subscapularis
teres major
latissimus dorsi
posterior axillary fold is most inferior part

front 80

what makes up the medial wall of the axilla

back 80

thoracic wall and serratus anterior

front 81

what makes up the lateral wall of the axilla

back 81

intertubecular sulcus on humerus where muscles insert around on medial side of humerus

front 82

wht are the neurovascular contents of the axilla

back 82

axillary vein
brachial plexus
axillary artery

front 83

where is the first part of the axillary artery

back 83

between first rib and medial border of pec minor

front 84

what artery comes off the first part of the axillary artery

back 84

superior thoracic artery

front 85

back 85

no data

front 86

back 86

no data

front 87

back 87

no data

front 88

where is the 2nd part of the axillary artery

back 88

deep to pec minor

front 89

what are the branches off the 2nd part of the axillary artery

back 89

thoracoacromial artery
lateral thoracic artery

front 90

where does the thoracoacromial artery come off the 2nd part of the axillary artery

back 90

just medial to pec minor

front 91

what re teh branches off the thoracoacromial artery

back 91

pectoral
deltoid
acromial
clavicular

front 92

where does the lateral thoracic artery extend

back 92

down thoracic cage on lateral border if not deep to pec minor

front 93

where is the third part of the axillary artery

back 93

between pec minor and teres major

front 94

what are teh branches off the 3rd part of teh axillary artery

back 94

subscapular artery
anterior circumflex artery
posterior circumflex artery

front 95

back 95

no data

front 96

what does the subscapular artery soon become

back 96

circumflex scapular artery
thoracodorsal artery

front 97

where does the circumflex scapular artery go and what does it anastomose with

back 97

curls around and anastomosse with suprascapular artery in back part of shoulder

front 98

where does the thoracodorsal artery go

back 98

cursl around inferior border of scapula and anastomoses with intercostal arteries

front 99

why is there anastomosing around scapula

back 99

because it moves so much

front 100

where do the anterior and posteiror circumflex humeral arteries go

back 100

wrap around head of humerus

front 101

what do humeral fractures cause problems with arterially

back 101

anterior and posterior circumflex humeral arteries, can lead to avascular necrosis

front 102

wht type of fascia is in the arm

back 102

superficial fascia
deep fascia

front 103

what is within the superficial fascia

back 103

cutaneous nerves and superficial veins and lymphatics

front 104

what is the deep/brachial fascia continuation of

back 104

pectoral fascia, becomes deep fascia of forearm

front 105

what does the deep fascia of the arm do

back 105

divides into compartments of arm

front 106

what is the bone of the arm

back 106

humerus

front 107

what is the shared action of the anterior compartment of the arm

back 107

elbow flexion

front 108

back 108

no data

front 109

what are the muscles of the anterior compartment of the arm

back 109

biceps brachii
coracobrachialis
brachialis

front 110

what is the action of biceps brachii

back 110

elbow flexion
helps flex shoulder too

front 111

where does the short head of biceps brachii insert

back 111

coracoid process

front 112

where does long head of biceps brachii insert

back 112

travels in intertrabecular groove/sulcus and attaches to superior portion of glenoid, part of scapula

front 113

does biceps brachii have an insertion on the humerus

back 113

no

front 114

what does coracobrachialis do

back 114

shoulder flexor

front 115

whwere does coracobrachialis insert

back 115

mid distal humerus

front 116

where does brachialis attach to the humerus

back 116

lower half

front 117

where does brachialis attach other than to humerus

back 117

ulna

front 118

what is the major action of the brachialis

back 118

major forearm flexor

front 119

what artery and vein supply the anteiror compartment

back 119

brachial artery and vein

front 120

what nerves run in the anterior compartment of the arm

back 120

proximal 1/2 of ulnar nerve

median nerve

musculocutaneous nerve

front 121

what doe the musculocutaneous nerve give off

back 121

lateral cutaneous nerve of forearm

front 122

what is the shared action of the posterior arm compartmetn

back 122

elbow extension

front 123

back 123

no data

front 124

what are the trhee heads of the triceps brachii

back 124

long head
lateral head
medial head

front 125

where does the long head of the triceps brachii run

back 125

crosses shoulder joint and attaches to scapula

front 126

what does teh triceps brachii do

back 126

elbow extension, shoulder extension with long head

front 127

where does the lateral head of the triceps brachii attach

back 127

proximal humerus

front 128

what does the anconeus look like

back 128

triangle

front 129

where does the anconeus originate and insert

back 129

lateral epicondyle of humerus to ulna

front 130

what does the anconeus do

back 130

some elbow extension

front 131

what artery gives blood to the posterior compartment of the arm

back 131

deep brachial artery, which runs on the posterior side of the humerus

front 132

what nerve innervates the posterior compartment of the arm

back 132

radial nerve

front 133

where is teh distal 1/2 of teh ulnar nerve

back 133

very superficial, hitting elbow hits ulnar nerve

front 134

what supplies cutaneous innervation to the upper shoulder

back 134

supraclavicular nerves

front 135

back 135

no data

front 136

back 136

no data

front 137

back 137

no data

front 138

what supplies cutaneous innervation to the upper lateral arm

back 138

cutaneous branches of axillary nerve

front 139

what supplies cutaneous innervation to medial arm

back 139

intercostobrachial nerve

front 140

what supplies cutaneous innervation to medial and anterior arm

back 140

medial brachial cutaneous nerve

front 141

what supplies cutaneous innervation to posterior and lower lateral arm

back 141

cutaneous branches of radial nerve

front 142

back 142

no data

front 143

what is the cubital fossa

back 143

triangular region on anterior side of elbow joint

front 144

what is the superior border of the cubital fossa

back 144

line connecting epicondyles of humerus

front 145

what is the lateral border of the cubital fossa

back 145

brachioradialis; helps hold elbow flexion

front 146

what is the medial border of the cubital fossa

back 146

pronator teres

front 147

what is the bicipital aponeurosis

back 147

continuation of biceps brachii tendon onto the forearm fascia

front 148

what provides the arterial supply to the cubital fossa

back 148

brachial artery, divides into radial and ulnar

front 149

wht provides the venous drainage to the cubital fossa

back 149

brachial veins, typically paired

front 150

what nerves run in the cubital fossa

back 150

median nerve
radial nerve