DR1 The Back and Shoulder
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Questions and Answers

Which muscles attach the pectoral girdle to the trunk?

  • Trapezius
  • Levator scapulae
  • Latissimus dorsi (correct)
  • Rhomboids
  • Where do the upper fibres of the trapezius muscle originate from?

  • External occipital protuberance of the skull (correct)
  • Spinous processes of the cervical vertebrae
  • Spinous processes of the upper thoracic vertebrae
  • Spinous processes of the lower thoracic vertebrae
  • Which muscles lie below the trapezius muscle?

  • Trapezius
  • Levator scapulae
  • Rhomboids (correct)
  • Latissimus dorsi
  • What is the origin of the rhomboid muscles?

    <p>Spinous processes of the lower thoracic vertebrae</p> Signup and view all the answers

    Where does the latissimus dorsi muscle have its origin from?

    <p>Thoracolumbar fascia of the back</p> Signup and view all the answers

    Where does the trapezius muscle insert into?

    <p>Clavicle, acromion, and spine of the scapula</p> Signup and view all the answers

    Which fibres of the trapezius muscle originate from the spinous processes of the lower thoracic vertebrae?

    <p>Lower fibres</p> Signup and view all the answers

    Which muscle originates from a series of individual slips from the upper eight ribs and inserts along the medial border of the scapula?

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

    Which muscle group incorporates spinalis, longissimus, and iliocostalis?

    <p>Erector spinae</p> Signup and view all the answers

    Which muscle is located deep to the erector spinae muscle and runs superiorly from its origin on the transverse processes to its insertion on the spinous processes?

    <p>Multifidus</p> Signup and view all the answers

    Which bones articulate at the acromioclavicular joint?

    <p>Clavicle and scapula</p> Signup and view all the answers

    Which joint comprises a shallow articulation between the head of the humerus and the glenoid fossa of the scapula?

    <p>Glenohumeral joint</p> Signup and view all the answers

    Which muscle passes through a small space formed by the coracoacromial ligament and can be impinged during repetitive overhead activities?

    <p>Supraspinatus</p> Signup and view all the answers

    Which space is formed by teres minor, teres major, the shaft of the humerus, and the long head of triceps brachii?

    <p>Quadrangular space</p> Signup and view all the answers

    Which muscles form the walls of the axilla?

    <p>Pectoralis major, Serratus anterior, Pectoralis minor, Latissimus dorsi</p> Signup and view all the answers

    Which nerve supplies the serratus anterior muscle?

    <p>Long thoracic nerve</p> Signup and view all the answers

    Which artery is a continuation of the subclavian artery?

    <p>Axillary artery</p> Signup and view all the answers

    What divides the axillary artery into three parts?

    <p>Pectoralis minor muscle</p> Signup and view all the answers

    What is the terminal branch of the brachial plexus that supplies the deltoid muscle?

    <p>Musculocutaneous nerve</p> Signup and view all the answers

    What are the four rotator cuff muscles?

    <p>Supraspinatus, Infraspinatus, Teres minor, Subscapularis</p> Signup and view all the answers

    What is the origin of the infraspinatus muscle?

    <p>Infraspinous fossa</p> Signup and view all the answers

    Which muscle of the shoulder has an origin from the subscapular fossa and inserts onto the lesser tubercle of the humerus?

    <p>Subscapularis</p> Signup and view all the answers

    Which muscle gives the characteristic rounded shape to the shoulder?

    <p>Deltoid</p> Signup and view all the answers

    Which muscle has an origin from the inferior angle of the scapula and inserts onto the medial lip of the intertubercular sulcus of the humerus?

    <p>Teres major</p> Signup and view all the answers

    Which nerve passes through the quadrangular space?

    <p>Axillary nerve</p> Signup and view all the answers

    Which ligament forms an arch superiorly over the glenohumeral joint?

    <p>Coracoacromial ligament</p> Signup and view all the answers

    Which ligament helps stabilize the glenohumeral joint anteriorly?

    <p>Glenohumeral ligament</p> Signup and view all the answers

    Which structure deepens the shallow glenoid fossa?

    <p>Glenoid labrum</p> Signup and view all the answers

    Which muscle is NOT part of the rotator cuff?

    <p>Deltoid</p> Signup and view all the answers

    Which muscle has an origin from the lateral third of the clavicle, the acromion, and spine of the scapula?

    <p>Deltoid</p> Signup and view all the answers

    Study Notes

    Muscles Attaching Pectoral Girdle to Trunk

    • Muscles Involved: Trapezius, Rhomboid major/minor, Latissimus dorsi, Serratus anterior.

    Upper Fibres of the Trapezius Muscle

    • Origin: External occipital protuberance, nuchal ligament, spinous processes of cervical vertebrae.

    Muscles Below the Trapezius Muscle

    • Muscles Present: Latissimus dorsi, Rhomboids, Levator scapulae.

    Rhomboid Muscles Origin

    • Origin: Spinous processes of the upper thoracic vertebrae (T2-T5 for rhomboid major; C7-T1 for rhomboid minor).

    Latissimus Dorsi Muscle Origin

    • Origin: Spinous processes of lower thoracic vertebrae, lumbar vertebrae, sacrum, and iliac crest.

    Trapezius Muscle Insertion

    • Insertion: Lateral third of the clavicle, acromion, and spine of the scapula.

    Lower Thoracic Vertebrae Origin of Trapezius Fibres

    • Fibres: Lower fibres of trapezius muscle originate from spinous processes of lower thoracic vertebrae (T6-T12).

    Muscle from Upper Eight Ribs

    • Muscle: Serratus anterior; originates from upper eight ribs and inserts on medial border of the scapula.

    Muscle Group Involving Spinalis, Longissimus, Iliocostalis

    • Group: Erector spinae group, crucial for maintaining posture and spine extension.

    Muscle Deep to Erector Spinae

    • Muscle: Transversospinalis group runs from transverse to spinous processes.

    Bones at Acromioclavicular Joint

    • Bones: Acromion of scapula and clavicle.

    Glenohumeral Joint

    • Description: Shallow articulation between head of humerus and glenoid fossa of scapula.

    Muscle Impinged During Overhead Activities

    • Muscle: Supraspinatus can be impinged under the coracoacromial ligament.

    Space Formed by Teres Muscles and Humerus

    • Space: Quadrangular space, important for neurovascular structures.

    Muscles Forming Walls of Axilla

    • Muscles: Pectoralis major and minor; Latissimus dorsi; Scapula; Subscapularis.

    Nerve Suppling Serratus Anterior Muscle

    • Nerve: Long thoracic nerve.

    Subclavian Artery Continuation

    • Continuation: Becomes the axillary artery.

    Division of Axillary Artery

    • Division: Subclavian artery becomes the axillary artery and is divided by the pectoralis minor muscle into three parts.

    Terminal Branch of Brachial Plexus to Deltoid

    • Branch: Axillary nerve.

    Four Rotator Cuff Muscles

    • Muscles: Supraspinatus, Infraspinatus, Teres minor, Subscapularis.

    Infraspinatus Muscle Origin

    • Origin: Infraspinous fossa of scapula.

    Muscle from Subscapular Fossa

    • Muscle: Subscapularis which inserts onto the lesser tubercle of the humerus.

    Muscle Giving Rounded Shape to Shoulder

    • Muscle: Deltoid muscle.

    Muscle from Inferior Angle of Scapula

    • Muscle: Teres major inserts onto medial lip of intertubercular sulcus of the humerus.

    Nerve Passing Through Quadrangular Space

    • Nerve: Axillary nerve.

    Ligament Forming Arch Over Glenohumeral Joint

    • Ligament: Coracoacromial ligament.

    Ligament Stabilizing Glenohumeral Joint Anteriorly

    • Ligament: Glenohumeral ligaments.

    Structure Deepening Glenoid Fossa

    • Structure: Glenoid labrum enhances the stability of the shoulder joint.

    Non-Rotator Cuff Muscle

    • Muscle: Deltoid muscle not classified among the rotator cuff group.

    Origin of Deltoid Muscle

    • Origin: Lateral third of the clavicle, acromion, and spine of the scapula.

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    Description

    Test your knowledge of the axilla and its anatomical structures with this quiz. Learn about the apex, base, and four walls of the axilla, as well as the muscles that form its boundaries. Perfect for anatomy enthusiasts and medical students.

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