BMS 202: Pectoral Region and Scapula
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Questions and Answers

What is the definition of the pectoral region?

  • Region of the back of the chest
  • Region of the sides of the chest
  • Region of the upper back
  • Region of the front of the chest (correct)
  • What is the origin of the clavicular head of the pectoralis major muscle?

  • Posterior surface of the medial ½ of the clavicle
  • Posterior surface of the medial ½ of the scapula
  • Anterior surface of the medial ½ of the scapula
  • Anterior surface of the medial ½ of the clavicle (correct)
  • What is the insertion point of the pectoralis major muscle?

  • Lateral lip of the bicipital groove (correct)
  • Medial head of the humerus
  • Medial lip of the bicipital groove
  • Lateral head of the humerus
  • What is the nerve supply of the pectoralis major muscle?

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

    How many angles does the scapula have?

    <p>3 angles</p> Signup and view all the answers

    What is the origin of the clavicular head of the pectoralis major muscle?

    <p>Anterior surface of the medial half of the clavicle</p> Signup and view all the answers

    What is the function of the subclavius muscle?

    <p>Steadying the clavicle by preventing excessive movement at the shoulder girdle</p> Signup and view all the answers

    Which nerve supplies the pectoralis minor muscle?

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

    What is the result of paralysis of the serratus anterior muscle due to injury of the long thoracic nerve?

    <p>Winging of the scapula</p> Signup and view all the answers

    What is the function of the serratus anterior muscle?

    <p>Protraction and upward rotation of the scapula</p> Signup and view all the answers

    Study Notes

    Scapula

    • Has 3 angles: lateral, superior, and inferior
    • Has 3 borders: superior, medial, and lateral
    • Has 2 surfaces: anterior (ventral) and posterior (dorsal)
    • Features: Acromion process, Coracoid process, and Glenoid cavity (fossa)

    Surfaces of Scapula

    • Ventral surface: smooth (subscapular fossa)
    • Dorsal surface: shows the spine with supraspinous fossa above and infraspinous fossa below

    Humerus

    • Upper end: has 3 parts - Head, Greater tuberosity, and Lesser tuberosity (appears from anterior only)
    • Just below the head is the anatomical neck
    • Between the upper end and the shaft is the surgical neck
    • Extending to the shaft between the two tuberosities is the bicipital groove

    Pectoral Region

    • Definition: region of the front of the chest
    • Layers: Skin, Superficial fascia containing Mammary gland, Deep fascia (pectoral fascia), and Pectoral muscles

    Pectoralis Major

    • Origin: Clavicular head (ant surface of med ½ of clavicle) and Sternocostal head (front of sternum & Upper 6 costal cartilages)
    • Insertion: lateral lip of bicipital groove
    • Nerve supply: Medial and lateral pectoral nerves
    • Action: Flexion, Adduction, and Medial rotation of arm

    Pectoralis Minor

    • Origin: Outer surface of 3,4,5 ribs
    • Insertion: Coracoid process
    • Nerve supply: Medial pectoral nerves
    • Action: Protraction and Depression of scapula

    Subclavius

    • Origin: Upper surface of 1st rib at costochondral junction
    • Insertion: Groove at lower surface of middle 1/3 of clavicle
    • Nerve supply: Nerve to subclavius
    • Action: Steady the clavicle by preventing excessive movement at shoulder girdle

    Clavipectoral Fascia

    • Part of pectoral fascia deep to pectoralis major
    • Between subclavius and pectoralis minor
    • Attachments: Above (split to enclose subclavius), Med (1st and 2nd costal cartilages), Lat (coracoid process), and Below (split to enclose pectoralis minor and continues as suspensory ligament of axilla)

    Structures Piercing Clavipectoral Fascia

    • Thoraco-acromial artery
    • Lateral pectoral nerve
    • Cephalic vein
    • Infralavicular lymph vessels

    Serratus Anterior

    • Origin: Outer surface of the upper 8 ribs
    • Insertion: Front of medial border of scapula
    • Nerve supply: Long thoracic nerve
    • Action: 1. Protraction of scapula, 2. Upward rotation of scapula (Move arm above head) (abduction > 90º) together with trapezius
    • Paralysis of serratus ant due to injury of long thoracic nerve (during mastectomy) leads to Winging of Scapula

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    Description

    Identify and describe the pectoral region, muscles, and scapula structure, including attachments, nerve supply, and actions. Learn about the parts of the scapula, including its angles and borders.

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