Anatomy of the Pectoral Region
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Questions and Answers

Which of the following best describes the combined action of the pectoralis minor muscle?

  • Retracts and elevates the scapula.
  • Retracts and depresses the scapula.
  • Protracts and depresses the scapula. (correct)
  • Protracts the scapula, drawing it anteriorly, and elevates the scapula.

The subclavius muscle plays a role in stabilizing which joint?

  • Acromioclavicular joint
  • Sternoclavicular joint (correct)
  • Scapulothoracic joint
  • Glenohumeral joint

What is the origin and insertion of the subclavius muscle?

  • Originates from the clavicle and inserts on the first rib.
  • Originates from the sternum and inserts on the coracoid process of the scapula.
  • Originates from the second rib and inserts on the clavicle's inferior surface.
  • Originates from the first rib at the junction with its costal cartilage and inserts into the subclavius groove of the clavicle. (correct)

Which nerve directly innervates the pectoralis minor muscle?

<p>Medial pectoral nerve (B)</p> Signup and view all the answers

What is the main function of the pectoral fascia?

<p>To cover the surface of the pectoralis major muscle. (B)</p> Signup and view all the answers

Which muscle lies deep to the pectoralis major muscle?

<p>Subclavius (D)</p> Signup and view all the answers

What is the nerve supply for the subclavius muscle?

<p>Nerve to subclavius (B)</p> Signup and view all the answers

Which of the following is the correct action of the subclavius muscle on the clavicle?

<p>Depresses the clavicle (B)</p> Signup and view all the answers

Which layer of the pectoral region directly encloses the mammary glands?

<p>Superficial fascia (C)</p> Signup and view all the answers

A patient experiences paralysis of the ability to adduct and medially rotate the arm. Which muscle is MOST likely affected?

<p>Pectoralis major (C)</p> Signup and view all the answers

Which of the following muscles is NOT located in the pectoral region?

<p>Serratus anterior (C)</p> Signup and view all the answers

If a person has difficulty depressing their shoulder and moving it inferiorly and anteriorly, which muscle is MOST likely affected?

<p>Subclavius (A)</p> Signup and view all the answers

A weightlifter strains a muscle during a bench press. The injury impairs their ability to adduct their arm and rotate it medially. Which part of the pectoralis major is MOST likely affected?

<p>The entire pectoralis major, including both heads (C)</p> Signup and view all the answers

During a physical exam, a doctor palpates the anterior surface of the sternum and upper costal cartilages to assess the origin of which muscle?

<p>Sternocostal head of the pectoralis major (A)</p> Signup and view all the answers

A surgeon needs to access deeper structures in the pectoral region and cuts through the pectoralis major. Which muscle will they encounter immediately after?

<p>Pectoralis minor (A)</p> Signup and view all the answers

A person is involved in a car accident and sustains a clavicle fracture. Which muscle's origin could be directly affected by this fracture?

<p>Clavicular head of pectoralis major (A)</p> Signup and view all the answers

A patient reports difficulty adducting their arm. Which muscle is MOST likely affected?

<p>Pectoralis major (D)</p> Signup and view all the answers

During a physical exam, a doctor asks a patient to flex, adduct, and medially rotate their arm. Which muscle's function is the doctor MOST likely assessing?

<p>Pectoralis major (A)</p> Signup and view all the answers

If the medial pectoral nerve is damaged, which action would be the LEAST affected?

<p>Protraction of the scapula (B)</p> Signup and view all the answers

Which anatomical landmark serves as the insertion point for the pectoralis minor muscle?

<p>Coracoid process of the scapula (B)</p> Signup and view all the answers

What is the origin of the sternocostal head of the pectoralis major?

<p>Anterior surface of the sternum and upper seven costal cartilages (A)</p> Signup and view all the answers

A weightlifter strains a muscle, and an MRI reveals damage to the lateral lip of the bicipital groove of the humerus. Which muscle is MOST likely affected?

<p>Pectoralis major (B)</p> Signup and view all the answers

Which of the following is the origin of the pectoralis minor muscle?

<p>Ribs 3-5 (B)</p> Signup and view all the answers

If a patient has a condition that selectively impairs the function of the lateral pectoral nerve, what specific movement would be MOST affected, considering the combined actions of both heads of the pectoralis major?

<p>Adduction of the arm (B)</p> Signup and view all the answers

What is the primary role of the clavipectoral fascia in relation to the subclavius and pectoralis minor muscles?

<p>It encloses both the subclavius and pectoralis minor muscles and bridges the gap between them. (B)</p> Signup and view all the answers

The costo-coracoid ligament, a thickening of the clavipectoral fascia, connects which two structures?

<p>The first rib and the coracoid process. (D)</p> Signup and view all the answers

Which of the following structures does NOT typically pierce the clavipectoral fascia?

<p>The axillary artery. (D)</p> Signup and view all the answers

A surgeon is performing a procedure in the pectoral region and needs to ligate the thoracoacromial artery. Knowing the anatomy of the clavipectoral fascia, where would the surgeon expect to find this artery in relation to the fascia?

<p>Piercing through the clavipectoral fascia. (D)</p> Signup and view all the answers

What is the combined action of the two heads of the pectoralis major muscle?

<p>Flexion, adduction, and medial rotation of the arm at the shoulder joint. (B)</p> Signup and view all the answers

If the medial pectoral nerve is damaged, which of the following muscle actions would be MOST affected?

<p>Depression of the scapula. (D)</p> Signup and view all the answers

A patient presents with difficulty stabilizing their sternoclavicular joint. Which muscle is MOST likely affected?

<p>Subclavius. (B)</p> Signup and view all the answers

A weightlifter strains their pectoral region during a bench press. They experience pain and weakness when adducting and medially rotating their arm. Which muscle is MOST likely injured?

<p>Pectoralis major. (A)</p> Signup and view all the answers

Flashcards

Pectoral Region

The front of the upper part of the chest.

Layers of Pectoral Region

Skin, superficial fascia (containing mammary glands, cutaneous vessels, and nerves), and deep fascia & muscles.

Muscles of Pectoral Region

Pectoralis major, pectoralis minor, and subclavius.

Pectoralis Major

The largest and most superficial muscle in the pectoral region.

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Pectoralis Major Origin (Clavicular Head)

Anterior surface of the medial half of the clavicle.

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Pectoralis Major Origin (Sternocostal Head)

Anterior surface of the sternum and upper seven costal cartilages.

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Muscle Origin Definition

Origin refers to the attachment point of a muscle that remains relatively fixed during contraction.

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Muscle Insertion Definition

Insertion refers to the attachment point of a muscle that moves during contraction.

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Pectoralis Major Insertion

Lateral lip of the bicipital groove (intertubercular sulcus) of the humerus.

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Pectoralis Major Origin

Anterior surface of medial half of clavicle. Anterior surface of sternum. Upper seven costal cartilages.

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Pectoralis Major Nerve Supply

Lateral pectoral and medial pectoral nerves.

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Pectoralis Major Action

Flexion, adduction, and medial rotation of the arm at the shoulder joint.

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Pectoralis Minor Muscle

Small triangular muscle that lies deep to the pectoralis major.

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Pectoralis Minor Insertion

Coracoid process of scapula (medial border and upper surface).

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Pectoralis Minor Origin

Ribs from 3 to 5 (anterior surfaces and superior borders).

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Pectoralis Minor Action

Draws the scapula forward and downward, protraction, assists in upward rotation, elevates ribs during inspiration

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Subclavius Muscle

A small muscle deep to pectoralis major; it connects the first rib to the clavicle.

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Subclavius Origin & Insertion

Originates from the first rib and inserts into the subclavius groove of the clavicle.

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Subclavius Nerve Supply

Supplied by the nerve to subclavius.

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Subclavius Action

Stabilizes the sternoclavicular joint and depresses the clavicle.

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Pectoral Fascia

Thin connective tissue covering the pectoralis major muscle.

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Clavipectoral Fascia

A thick sheet of connective tissue associated with the pectoral region.

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Costo-coracoid ligament

A thickening of the clavipectoral fascia forming a ligament from the first rib to the coracoid process.

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Structures piercing the Clavipectoral fascia

Cephalic vein, thoraco-acromial artery, lateral pectoral nerve, and lymphatics.

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Study Notes

  • The pectoral region forms the front of the upper chest and is part of the upper limb.
  • The lecture aims to explain the anatomy of the pectoral region, covering the fascia and muscles.
  • Contents will cover definition of the pectoral region, contents, superficial and deep fascia, and muscles.
  • The muscles include the pectoralis major, pectoralis minor, and subclavius, with focus on their origin, insertion, nerve supply, and action.

Contents/Layers of the Pectoral Region

  • Skin.
  • Superficial fascia: encloses the mammary glands, cutaneous vessels, and nerves.
  • Deep fascia and Muscles.

Muscles of the Pectoral Region

  • The muscles are pectoralis major, pectoralis minor, and subclavius.
  • Nerve supply to the upper limb muscles provided by the Brachial plexuses.

Pectoralis Major

  • It is the largest and the most superficial muscle in the pectoral region.
  • Clavicular head origin: anterior surface of the medial half of the clavicle.
  • Sternocostal head origin: anterior surface of the sternum and the upper seven costal cartilages.
  • Insertion: lateral lip of the bicipital groove (intertubercular sulcus) of the humerus.
  • Nerve supply: lateral and medial pectoral nerves.
  • Muscle action when both heads act together is to flex, adduct, and medially rotate the arm at the shoulder joint.

Pectoralis Minor Muscle

  • Characteristics include that it's a small triangular muscle and lies deep to the pectoralis major.
  • Insertion: coracoid process of the scapula (medial border and upper surface).
  • Origin: ribs 3 to 5 by anterior surfaces and superior borders.
  • Nerve supply: medial pectoral nerve.
  • Action: protracts and depresses the scapula (drawing it anteriorly and inferiorly at the tip of the shoulder).

Subclavius Muscle

  • Characteristics include that it is a small muscle and lies deep to the pectoralis major muscle.
  • Insertion: subclavius groove.
  • Origin: the first rib, specifically at the junction between the rib and its costal cartilage.
  • Nerve supply: nerve to subclavius.
  • Action: stabilizes the sternoclavicular joint and depresses the clavicle.

Deep Fascia

  • Pectoral fascia: thin lamina of connective tissue covering the surface of the pectoralis major muscle.
  • Clavipectoral fascia: thick sheet of connective tissue that connects the clavicle to the floor of the axilla, acting as the suspensory ligament of the axilla.
  • The clavipectoral fascia encloses the subclavius and pectoralis minor muscles, covering the gap between them.
  • The clavipectoral fascia is thickened at its upper border to form the costo-coracoid ligament, which spans from the first rib to the coracoid process.
  • Structures piercing the clavipectoral fascia include the cephalic vein, thoraco-acromial artery, lateral pectoral nerve, and lymphatics,.

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Description

Explore the anatomy of the pectoral region, including its layers, fascia, and muscles such as the pectoralis major, pectoralis minor, and subclavius. This lesson covers their origins, insertions, nerve supply, and actions. Focus is given on key areas like the clavicular and sternocostal heads.

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