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Questions and Answers
What is the result of paralysis of the deltoid muscle?
What is the result of paralysis of the deltoid muscle?
Which structure is NOT lodged in the deltopectoral groove?
Which structure is NOT lodged in the deltopectoral groove?
What action does the supraspinatus perform?
What action does the supraspinatus perform?
Which of the following nerves supplies the infraspinatus muscle?
Which of the following nerves supplies the infraspinatus muscle?
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What is the point of insertion for the supraspinatus muscle?
What is the point of insertion for the supraspinatus muscle?
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Which structure originates from the medial two-thirds of the infraspinous fossa?
Which structure originates from the medial two-thirds of the infraspinous fossa?
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What is the primary action of the pectoralis major muscle as a whole?
What is the primary action of the pectoralis major muscle as a whole?
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Which muscle sends nerve supply from the medial pectoral nerve?
Which muscle sends nerve supply from the medial pectoral nerve?
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Where does the pectoralis minor muscle originate?
Where does the pectoralis minor muscle originate?
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What is the main function of the subclavius muscle?
What is the main function of the subclavius muscle?
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What is the point of insertion for the pectoralis major muscle?
What is the point of insertion for the pectoralis major muscle?
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Which head of the pectoralis major is responsible for flexing the arm?
Which head of the pectoralis major is responsible for flexing the arm?
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What part of the rib does the subclavius muscle originate from?
What part of the rib does the subclavius muscle originate from?
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Which action is NOT attributed to the pectoralis minor muscle?
Which action is NOT attributed to the pectoralis minor muscle?
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What additional role does the sternocostal head of the pectoralis major play during physical activities?
What additional role does the sternocostal head of the pectoralis major play during physical activities?
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Which muscles are classified as superficial layer muscles of the back?
Which muscles are classified as superficial layer muscles of the back?
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What is the origin point of the trapezius muscle?
What is the origin point of the trapezius muscle?
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Which of the following is NOT included in the deep layer of back muscles?
Which of the following is NOT included in the deep layer of back muscles?
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Which nerve supplies the muscles of the back?
Which nerve supplies the muscles of the back?
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What forms the boundaries of the lumbar triangle?
What forms the boundaries of the lumbar triangle?
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What muscle primarily functions to elevate the scapula?
What muscle primarily functions to elevate the scapula?
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Which of the following actions is associated with the latissimus dorsi?
Which of the following actions is associated with the latissimus dorsi?
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What is the correct order of the muscles from superficial to deep in the back?
What is the correct order of the muscles from superficial to deep in the back?
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What is the primary action of the levator scapulae muscle?
What is the primary action of the levator scapulae muscle?
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Which back muscle is specifically responsible for the retraction of the scapula?
Which back muscle is specifically responsible for the retraction of the scapula?
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Which vertebrae does the rhomboideus minor originate from?
Which vertebrae does the rhomboideus minor originate from?
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Which muscle is NOT considered to connect the upper limb with the vertebral column?
Which muscle is NOT considered to connect the upper limb with the vertebral column?
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What is the primary nerve supply to both the rhomboideus minor and major muscles?
What is the primary nerve supply to both the rhomboideus minor and major muscles?
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Which action is NOT associated with the rhomboideus major muscle?
Which action is NOT associated with the rhomboideus major muscle?
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In what anatomical region is the insertion of the levator scapulae located?
In what anatomical region is the insertion of the levator scapulae located?
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Which two muscles primarily work together to rotate the scapula so that the glenoid cavity faces downwards?
Which two muscles primarily work together to rotate the scapula so that the glenoid cavity faces downwards?
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Which muscles have their insertion along the medial border of the scapula?
Which muscles have their insertion along the medial border of the scapula?
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Which of the following actions is NOT performed by the levator scapulae?
Which of the following actions is NOT performed by the levator scapulae?
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What is the origin of the rhomboideus major muscle?
What is the origin of the rhomboideus major muscle?
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What is the primary action of the latissimus dorsi muscle?
What is the primary action of the latissimus dorsi muscle?
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Which nerve is responsible for the innervation of the latissimus dorsi?
Which nerve is responsible for the innervation of the latissimus dorsi?
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What structure serves as the insertion point for the latissimus dorsi?
What structure serves as the insertion point for the latissimus dorsi?
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In relation to the teres major, where does the latissimus dorsi lie at its insertion?
In relation to the teres major, where does the latissimus dorsi lie at its insertion?
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Which triangle is formed by the lateral border of the trapezius and the upper border of the latissimus dorsi?
Which triangle is formed by the lateral border of the trapezius and the upper border of the latissimus dorsi?
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What role does the latissimus dorsi play in violent expiration?
What role does the latissimus dorsi play in violent expiration?
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What muscles form the floor of the lumbar triangle?
What muscles form the floor of the lumbar triangle?
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Which of the following actions does the latissimus dorsi perform while climbing?
Which of the following actions does the latissimus dorsi perform while climbing?
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What is the anatomical position of the lumbar triangle's boundaries?
What is the anatomical position of the lumbar triangle's boundaries?
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What is one significant aspect of the triangle of auscultation?
What is one significant aspect of the triangle of auscultation?
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Study Notes
Pectoral Region Muscles
-
Pectoralis Major:
- Superficial muscle of the pectoral region
- Forms the anterior wall of the axilla
-
Origin:
- Clavicular Head: Anterior surface of the medial 1/2 of the clavicle
-
Sternocostal Head:
- Anterior surface of the sternum
- Front of the upper 6 costal cartilages
- Aponeurosis of external abdominal oblique muscle
- Insertion: Lateral lip of the intertubercular (bicipital) groove
- Nerve Supply: Lateral and medial pectoral nerves
-
Action:
- Adducts and medially rotates the arm
- Clavicular head flexes the arm
- Sternocostal head extends the flexed arm
- Used in swimming, rowing, and climbing
-
Pectoralis Minor:
- Deep to the middle part of the pectoralis major
- Origin: Outer surfaces of the 3rd, 4th, and 5th ribs near their costal cartilages
- Insertion: Medial border and upper surface of the coracoid process
- Nerve Supply: Medial pectoral nerve
-
Action:
- Protracts the shoulder girdle
- Depresses the shoulder
- With fixed scapula, raises the ribs during forced inspiration
-
Subclavius:
- Slender muscle located just below the clavicle
- Origin: Upper surface of the 1st costo-chondral junction
- Insertion: Groove on the lower surface of the middle third of the clavicle
- Nerve Supply: Nerve to subclavius (C5,6)
- Action: Steadies the clavicle, preventing excessive movements of the shoulder girdle
Muscles of the Back
-
Muscles Connecting the Upper Limb with Vertebral Column
-
Superficial Layer:
-
Trapezius:
- Large triangular muscle covering the upper half of the back
-
Origin:
- Back of the skull: External occipital protuberance and medial third of the superior nuchal line
- Spines of the lower 6 thoracic vertebrae
- Thoraco-lumbar fascia
- Outer surface of lower 4 ribs
- Inferior angle of scapula
- Insertion: Floor of the bicipital groove
- Nerve Supply: Thoraco-dorsal nerve (nerve to latissimus dorsi)
-
Action:
- Extends, medially rotates, and adducts the arm (rowing and swimming)
- Pulls the trunk upwards during climbing
- Assists in violent expiration (coughing)
-
Latissimus Dorsi:
-
Origin:
- Posterior third of the outer lip of the iliac crest
- Spines of the lower 6 thoracic vertebrae
- Thoraco-lumbar fascia
- Outer surface of lower 4 ribs
- Insertion: Floor of the bicipital groove
- Nerve Supply: Thoraco-dorsal nerve (nerve to latissimus dorsi)
-
Action:
- Extends, medially rotates, and adducts the arm (rowing and swimming)
- Adducts and internally rotates the arm; pulls the shoulder downward and backward (climbing)
-
Origin:
-
Trapezius:
-
Deep Layer:
-
Levator Scapulae:
- Origin: Transverse processes of upper 4 cervical vertebrae
- Insertion: Dorsal surface of medial border of scapula above the root of the spine
- Nerve Supply: Nerve to rhomboids (dorsal scapular nerve, C5)
-
Action:
- Elevates shoulder girdle
- Rotates the scapula so that the glenoid cavity looks downwards
- Retracts the scapula
-
Rhomboideus Minor:
- Origin: Lower part of ligamentum nuchae, spines of the 7th cervical and 1st thoracic vertebrae
- Insertion: Dorsal surface of the medial border of the scapula opposite the root of the spine
- Nerve Supply: Nerve to rhomboids (dorsal scapular nerve, C5)
-
Action:
- Rotates the scapula so that the glenoid cavity looks downwards
- Retracts the scapula
-
Rhomboideus Major:
- Origin: Spines of the 2nd, 3rd, 4th, and 5th thoracic vertebrae and their supraspinous ligaments
- Insertion: Dorsal surface of the medial border of the scapula from the root of the spine to the inferior angle
- Nerve Supply: Nerve to rhomboids (dorsal scapular nerve, C5)
- Action: Same as the rhomboideus minor
-
Levator Scapulae:
-
Superficial Layer:
Clinical Importance
-
Lumbar Triangle:
- Situated just above the iliac crest
-
Boundaries:
- Below: Iliac crest
- Medially: Lateral border of latissimus dorsi
- Laterally: Vertical posterior border of external abdominal oblique muscle
- Floor: Internal abdominal oblique and transversus abdominis muscles
- Potential site for lumbar hernia
-
Triangle of Auscultation:
- Located medial to the lower part of the scapula
-
Boundaries:
- Above: Lateral border of the trapezius
- Below: Upper border of the latissimus dorsi
- Laterally: Lower part of the medial border of the scapula
- Floor: Rhomboideus major, 6th and 7th ribs, and the space in between
- Provides clear auscultation of breath sounds
-
Paralysis of Deltoid:
- Results in flattening of the shoulder and loss of abduction between 15° and 90°
- Deltoid: Abducts the arm from 15° to 90°
Shoulder Region Muscles
-
Supraspinatus:
- Origin: Medial two-thirds of the supraspinous fossa
- Insertion: Highest impression on the greater tuberosity
- Nerve Supply: Suprascapular nerve (C5,6)
-
Action:
- Helps steady the head of the humerus in the glenoid cavity
- Abducts the arm from 0 to 15° (initiates abduction)
-
Infraspinatus:
- Origin: Medial two-thirds of the infraspinous fossa
- Insertion: Middle impression on the back of the greater tuberosity
- Nerve Supply: Suprascapular nerve (C5,6)
-
Action:
- Helps steady the head of the humerus
- Laterally rotates the arm
-
Teres Minor:
- Origin: Lateral border of the scapula
- Insertion: Lower impression on the greater tuberosity
- Nerve Supply: Axillary nerve (C5,6)
-
Action:
- Laterally rotates the arm
- Adducts the arm
- Helps to keep the humerus close to the glenoid cavity
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Description
This quiz covers the anatomy of the pectoral region muscles, primarily focusing on the pectoralis major and minor. You'll learn about their origins, insertions, nerve supplies, and actions. Test your knowledge on how these muscles contribute to movements such as swimming, rowing, and climbing.