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shoulder and arm
shoulder and arm trail guide
Question | Answer |
---|---|
three bones that make up the shoulder complex are the | clavicle, scapula, humerus |
the acromioclavicular and sternoclavicular are what types of joints | synovial |
3. the single attachment between the axial and upper appendicular skeletons is the ___ joint | sternoclavicular |
4. the humerus and scapula form the ___ joint | glenohumeral |
5. a great base camp for location other bony landmarks of the shoulder is the ____. | spine of the scapula |
6. with your partner prone, how can you best position your partner's hand to locate the inferior angle of the scapula? | in the small of the back |
7. a "winged scapula" often indicates weakness in which muscle? | serratus anterior |
8. the superior angle of the scapula serves as an attachment site for the ___ muscle and is deep to the ____ muscle. | levator scapula, trapezius |
9. when accessing the lateral border of the scapula, through which two muscles bellies will you have to palpate? | teres major and minor |
10. accessing the infraglenoid tubercle can elicit tenderness. how can you palpate this landmark without causing pain? | use your broad thumbpad |
1. the three scapular fossae contain which three muscles? | infraspinatus, supraspinatus, subscapularis |
2. the infraspinous fossa can be isolated by setting your fingers on which two bony landmarks? | spine of the scapula, medial border, lateral border |
3. palpating literally along the supraspinous fossa, your fingers will bump into which two bony structures? | acromion, clavicle |
4. to locate the subscapular fossa in a side lying position, you slowly sink your thumb onto the fossa's surface. What can your other hand do to help access the fossa? | maneuver partner's arm and scapula in a way in which allows thumb to sink in further |
5. to access the medial portion of the subscapular fossa, how would you position your partner? | side lying with your partner's arm lying against his side |
6. the acromion serves as an attachment site for which two muscles | trapezius, deltoid |
7. when palpating the clavicle, the ____ end rises superiorly while the ___ end curves inferiorly | acromial, sternal |
8. to feel the acromioclavicular joint space widen slightly and then diminish, you can ask your partner to do which two movements of the scapula? | elevation, depression |
9. the coracoid process is often located in the ___ groove. | deltopectoral |
10. sculpting a circle around the edges of the coracoid process can help you get a better understanding of its ___ and ____. | shape, size |
11. what are the three muscles that attach to the greater tubercle of the humerus? | supraspinatus, infraspinatus, and teres minor |
12. within the intertubercular groove lies the tendon of which muscle? | long head of the biceps brachii |
1. the origin of the deltoid is identical to the insertion of which muscle? | trapezius |
2. what action can you ask your partner to perform in order to contract all fibers of the deltoid | abduct the shoulder |
3. the actions of the deltoid's anterior and posterior fibers make it an ___ to itself | antagonist |
4. the upper fibers of the trapezius elevate the scapula, so the lower fibers must ___ the scapula. | depress |
5. bilateral contraction of the upper fibers of the trapezius will create what movement of the head and neck? | extension |
6. to feel the middle fibers of the trapezius contract, you could ask your partner to perform which action? | addiction (retraction) of the scapula or "bring your shoulder up off the table" |
7. which portion of the latissimus dorsi is easy to grasp? | middle portion |
8. when palpating the latissimus dorsi, how can you discern the muscle tissue from the superficial skin? | grasp tissue and let it slip through your fingers: feel for the muscle's fibrous texture |
9. one palpatory distinction between the teres major and latissimus dorsi is that the teres attaches to the ____ of the scapula | lateral border |
10. passive abduction of the scapula would ____ the middle fibers of the trapezius | lengthen |
11. passive elevation of the scapula would ___ the trapezius's upper fiber and ___ its lower fibers | shorten, lengthen |
12. passive rotation of the head and neck to the left would ___ the left trapezius's upper fibers | lengthen |
13. passive flexion of the shoulder would ___ the anterior fibers of the deltoid | shorten |
14. passive lateral rotation of the shoulder would ____ the deltoid's posterior fibers | shorten |
15. passive flexion of the shoulder would __ the latissimus dorsi | lengthen |
17. passive medial rotation of the shoulder would ___ the latissimus dorsi and teres major | shorten |
16. passive medial rotation of the shoulder would ____ the latissimus dorsi and teres major | shorten |
infraspinatus orgin is | infraspinous fossa of the scapuka |
infraspinatus insertion is | greater tubercle of the humerus (3) |
subscapularis origin is | subscapular fossa of the scapula |
subscapularis insertion is | lesser tubercle of the humerus |
supraspinatus orgin is | supraspinous fossa of the scapula |
supraspinatus insertion is | greater tubercle of the humerus (3) |
teres minor orgin is | upper two-thirds of lateral border of the scapula |
teres minor insertion is | greater tubercle of the humerus (3) |
7. passive medial rotation of the shoulder would ___ the infraspinatus | lengthen |
8. passive abduction of the shoulder would ___ the supraspinatus | shorten |
9. passive abduction of the shoulder would ____ the teres minor | lengthen |
10. passive lateral rotation of the shoulder would ___ the subscapularis | lengthen |
1. the rhomboids are deep to the ___ muscle and superficial to the ___ muscles | trapezius, erector spinae muscles |
2. can you name two actions in which the rhomboids and trapezius are synergists and one action in which they are antagonists? | adduct and elevate the scapula |
3. the levator scapula is situated between which two muscles on the lateral side of the neck? | splenius capitis, posteropr scalene |
4. an action to ask your partner to perform to feel the levator scapula contract is? | elevation of the scapula |
5. when accessing the levator scapula in a supine position, the benefits of rotating the head 45 degree away from the side you are palpating include ____. _____. _____ | shifts the cervical TVPs further anterior, gives the levator more palpable tension, and shortens and softens the overlying |
6. the serratus anterior abducts the scapula, making it a direct antagonist to the | rhomboids |
7. most of the serratus anterior is deep to the scapula and which two muscles? | latissimus dorse and pectoralis |
8. accessing the medial portion of the serratus anterior by curling your fingers around the medial border of the scapula, your fingers will inherently have to work through the bellies of which two muscles? | trapezius and rhomboids |
9. the pectoralis major is divided into three segments: | clavicular, sternal, and costal |
10. can you name an everyday action in which you use your pectoralis major | ex: giving a hug, doing a push up |
11. the most important aspect when palpating near breast tissue is | communicating your intentions to your partner |
12. if you follow the fibers of the pectoralis major laterally, they blend with the fibers of which muscle | deltoid |
13. flexing the shoulder and pulling it anteriorly while you palpate the pectoralis major in a side lying position has which two benefits? | brings the pectoralis major off the chest wall, allows breast tissue to fall away |
14. the pectoralis minor has the potential to create neurovascular compression on which three vessels | brachial plexus, axillary artery, and axillary vein |
The _____ joint is the small articulation between the acromion of the scapula and the acromial end of the clavicle. | Acromioclavicular (a/c) joint |
The ____ is the articulation between the sternly end of the clavicle and the sternum | Sternoclavicular (s/c) joint |
The ____ is located inferior and lateral to the acromion. It is shaped more like a low mound than a pointy hill | Greater tubercle |
the ___ is smaller than the greater tubercle and is an attachment site for the fourth rotator cuff muscle.--- subscapularis | lesser tubercle |
the ___ is an attachment site for three of the 4 rotator cuff muscles | greater tubercle |
the ____ is situated between the greater and lesser tubercles and is roughly a pencil's width in diameter. | intertubercular groove |
the origin for levator scapula is? | transverse processes of first through fourth cervical vertebrae |
the insertion for the levator scapula is? | medial border of scapula between superior angle and superior portion of spine of scapula |
the origin for the pectoralis major is? | medial half of clavicle, sternum, and cartilage of first though sixth ribs |
the insertion for the pectoralis major is? | crest of greater tubercle of humerus |
the origin for the pectoralis minor is? | third, fourth, and fifth ribs |
the insertion for the pectoralis minor is? | medial surface of coracoid process of the scapula |
the origin for the rhomboid major is? | Spinous processes of t-2 to t-5 |
the insertion for the rhomboid major is? | Medial border of scapula between the spine of the scapula and inferior angle |
the origin for the rhomboid minor is? | Spinous processes of c-7 and t-1 |
the insertion for the rhomboid minor is? | Upper portion of medial border of the scapula, across from spine of the scapula. |
the origin for the serratus anterior is? | External surfaces of upper eight or nine ribs |
the insertion for the serratus anterior is? | Anterior surface of medial border of the scapula |
the origin for the subclavius is? | First rib and cartilage |
the insertion for the subclavis is? | Inferior surface of middle one-third of clavicle |
which of the biceps brachii passes through the intertubercular grove? | Long head |
2. can you name an everyday action in which the biceps brachii ability to supinate the forearm would come in handy? | Turning a door know, tightening your gasoline cap, |
3. As you follow the biceps brachii belly proximally, it becomes deep to which muscle? | Deltoid (anterior fibers) |
4. the thin sheet of fascia extending from the distal biceps brachii tendon is called the? | Bicipital aponeurosis |
5. the long head of the triceps brachii weaves between which two muscles before attaching at the infraglenoid tubercle? | Teres major and minor |
6. to outline the distal tendon of the triceps brachii, which bony landmark do you want to locate? | Olecranon process |
7. what action could you ask your partner to perform to feel the contraction of the long head of the triceps brachii? | Extend his elbow (against your resistance) |
8. in anatomical position, the coracobrachialis is deep to which two muscles? | Pectoralis major and anterior deltoid |
9. how can you position the shoulder to bring the belly of the coracobrachialis to a superficial position? | Laterally rotate and abduct the shoulder to 45 degree |
10. to locate the belly of the coracobrachialis, from which muscle would you slide off and into the axilla? | Pectoralis major |
11. passive abduction of the shoulder would ____ the coracobrachialis | Lengthen |
12. passive extension of the shoulder would ___ the biceps brachii | Lengthen |
13. passive flexion of the shoulder would ___ the triceps brachii | Lengthen |
14. passive pronation of the forearm would __ the biceps brachii | Lengthen |
biceps brachii origin is? | coracoid process of scapula, supraglenoid tubercle of scapula |
biceps brachii insertion is? | tuberosity of the radius and aponeurosis of the biceps brachii |
coracobrachialis origin is? | coracoid process of the scapula |
coracobrachialis insertion is? | medial surface of mid-humeral shaft |
triceps brachii origin is? | infraglenoid tubercle of the scapula, posterior surface of proximal half of the humerus, and posterior surface of distal half of the humerus |
triceps brachii insertion is? | tuberosity of the radius and aponeurosis of the biceps brachii |
what should you do if your partner feels a sharp, shooting sensation down her arm while you are palpating in the axilla? | immediately release and adjust your position posteriorly |
between which two bony landmarks can the coracoclavicular ligament be located? | clavicle, coracoid process |
the ligamentous arch that protects the rotator cuff tendons and subacromial bursa from direct trauma is formed by the ____ ligament? | coracoacromial |
14. to bring the coracoacromial ligament closer to the surface __ the arm | extend |
15. how can you position the arm to bring the subacromial bursa forward? | extend the shoulder |
16. the brachial artery can be located on the medial side of the arm between which two muscles? | biceps brachii and triceps brachii |
the triangle shaped ____ is located on the cap of the shoulder | deltoid |
the ____ lies superficially along the upper back and neck. | trapezius |
the trapezius can be divided into 3 groups | upper (descending), middles fibers, and lower (ascending) fibers. |
the ____ is the broadest muscle of the back. | latissimus dorsi |
the ___ is called "lats little helper" because it is a complete synergist with the latissimus dorsi | teres major |
the chunky ___ is located in the supraspinous fossa, deep to the trapezius's upper fibers | supraspinatus |
the supraspinatus assists the ___ with abduction of the shoulder and is the only muscle of the group not involved in shoulder rotation | deltoid |
the flat, convergent belly of the ___ is located in the infraspinous fossa. | infraspinatus |
the ___ is a small muscle squeezed between the infraspinatus and teres major. | teres minor |
the deep ___ located on the scapula's anterior surface, is sandwiched between the subscapular fossa and serratus anterior muscle. | subscapularis |
the ____ muscles are located between the scapula and vertebral column. | rhomboid |
the ____ is located along the lateral and posterior sides of the neck | levator scapula |
the ___ attaches to the transverse processes of the cervical vertebra located on the lateral side of the neck. | levatoe scapula |
the ___ is a large group of nerves which innervates the arm, exits from the transverse processes of the cervical vertebra | brachial plexus |
this is always well developed on super heros? | serratus anterior |
the ____ lies along the posterior and lateral rib cage. | serratus anterior |
the ___ extend from the ribs underneath the scapula and attach to its medial border. | oblique fibers |
most of the serratus anterior is deep to the ___, ___, or ___ however the serratus anterior is below the ___ is superficial and easily accessible | scapula, latissimus dorsi, or pectoralis major. axilla (armpit) |
___ is present in roughly 5% of the population, it is thin, superficial muscle lying on the sternum. the function is unknown | sternalis |
the ___ is a broad, powerful muscle located on the chest. | pectoralis major |
the pectoralis major is broken up into 3 segments which are ___, ___, ___. | clavicular, sternal, costal fibers. |
the ___ lies next to the rib cage deep to the pectoralis major. | pectoralis minor |
the pectoralis minor helps elevate the rib cage for ____. | inhalation |
the ___ is located underneath the clavicle. | subclavius |
the ___ is situated in the inter tubercular groove of the humerus and runs parallel to the superficial deltoid fibers. it can be difficult to isolate | biceps tendon |
the ___ is the only muscle located on the posterior arm. | triceps brachii |
the triceps brachii has three heads | long, lateral, and medial |
the ____ is a small, tubular muscle located in the axilla. sometimes is known as the armpit muscle. | coracobrachialis |
the __ is the cone shaped area commonly called the armpit. | axilla |
the axilla is formed by four walls | lateral, posterior, anterior, and medial |
the ____ is composed of two smaller ligaments . | coracoclavicular ligament |
the coracoclavicular ligament is made of 2 smaller ligaments which are | trapezoid and conoid |
the trapezoid and conoid ligaments stretch from the __ of the scapula to the inferior surface of the ___. together they provide stability for the ____ joint and form a strong bridge between the scapula and clavicle. | coracoid process, clavicle, acromioclavicular |
also known as the ___ this sizeable fluid sac has two major sections. it is located between the deltoid and the subscapularis. | subacromial bursa |
the axillary ___ are located in the axilla. | lymph nodes |
the ___ is a continuation of the axillary artery and runs between the biceps and triceps brachii. its pulse can be felt between the muscles on the medial side of the arm. before the brachial artery branches off to the radial and ulnar arteries. | brachial artery |