Podcast
Questions and Answers
Which muscle is primarily responsible for initiating shoulder abduction, specifically in the 0-15 degree range?
Which muscle is primarily responsible for initiating shoulder abduction, specifically in the 0-15 degree range?
- Infraspinatus
- Subscapularis
- Teres minor
- Supraspinatus (correct)
Which of the following muscles inserts on the medial lip of the bicipital groove?
Which of the following muscles inserts on the medial lip of the bicipital groove?
- Supraspinatus
- Teres minor
- Teres major (correct)
- Infraspinatus
The upper triangular space is bordered by the teres minor, teres major, and which other structure?
The upper triangular space is bordered by the teres minor, teres major, and which other structure?
- Long head of biceps brachii
- Surgical neck of humerus
- Long head of triceps brachii (correct)
- Lateral border of scapula
Which nerve innervates both the teres minor and deltoid muscles?
Which nerve innervates both the teres minor and deltoid muscles?
What action is primarily associated with the posterior fibers of the deltoid muscle?
What action is primarily associated with the posterior fibers of the deltoid muscle?
A patient presents with weakness in lateral rotation of the arm. Which muscle is MOST likely affected?
A patient presents with weakness in lateral rotation of the arm. Which muscle is MOST likely affected?
Which structure passes through the quadrangular space?
Which structure passes through the quadrangular space?
Which combination of actions is performed by the subscapularis muscle?
Which combination of actions is performed by the subscapularis muscle?
What is a primary action of the teres minor muscle?
What is a primary action of the teres minor muscle?
The lower triangular space is bounded by the teres major, long head of triceps, and the:
The lower triangular space is bounded by the teres major, long head of triceps, and the:
Which structure travels through the lower triangular space?
Which structure travels through the lower triangular space?
Where does the supraspinatus muscle originate?
Where does the supraspinatus muscle originate?
Which of the following muscles inserts on the lesser tuberosity of the humerus?
Which of the following muscles inserts on the lesser tuberosity of the humerus?
What combination of muscles form the posterior wall of the axilla?
What combination of muscles form the posterior wall of the axilla?
Which rotator cuff muscle's rupture is most likely to severely limit shoulder abduction?
Which rotator cuff muscle's rupture is most likely to severely limit shoulder abduction?
Which nerve supplies the infraspinatus muscle?
Which nerve supplies the infraspinatus muscle?
Where does the teres major muscle originate?
Where does the teres major muscle originate?
What action is performed by the middle fibers of the deltoid muscle?
What action is performed by the middle fibers of the deltoid muscle?
Which muscle inserts on the highest impression of the greater tuberosity?
Which muscle inserts on the highest impression of the greater tuberosity?
What combination of muscles forms the posterior axillary fold?
What combination of muscles forms the posterior axillary fold?
After a shoulder injury, a patient exhibits an inability to initiate abduction of the arm. If imaging reveals no direct damage to the supraspinatus, which secondary impairment could MOST likely be contributing to this functional deficit?
After a shoulder injury, a patient exhibits an inability to initiate abduction of the arm. If imaging reveals no direct damage to the supraspinatus, which secondary impairment could MOST likely be contributing to this functional deficit?
A surgeon is repairing a complete tear of the infraspinatus tendon. Which anatomical landmark is MOST crucial to identify during the reattachment to ensure proper biomechanical function of the repaired muscle?
A surgeon is repairing a complete tear of the infraspinatus tendon. Which anatomical landmark is MOST crucial to identify during the reattachment to ensure proper biomechanical function of the repaired muscle?
During a surgical procedure involving the posterior aspect of the scapula, a surgeon must carefully dissect around the teres minor muscle. Damage to which nerve is the MOST immediate risk during this part of the surgery?
During a surgical procedure involving the posterior aspect of the scapula, a surgeon must carefully dissect around the teres minor muscle. Damage to which nerve is the MOST immediate risk during this part of the surgery?
A patient presents with weakness in both lateral rotation and adduction of the arm. Which of the following muscles is MOST likely affected, considering the overlapping functions?
A patient presents with weakness in both lateral rotation and adduction of the arm. Which of the following muscles is MOST likely affected, considering the overlapping functions?
Following a shoulder dislocation, a patient exhibits impaired medial rotation and adduction. Which muscle is MOST likely affected?
Following a shoulder dislocation, a patient exhibits impaired medial rotation and adduction. Which muscle is MOST likely affected?
A patient is diagnosed with a lesion affecting the lower subscapular nerve. Which combination of shoulder movements would be MOST affected by this injury?
A patient is diagnosed with a lesion affecting the lower subscapular nerve. Which combination of shoulder movements would be MOST affected by this injury?
During a physical exam, a patient is asked to abduct their arm. The examiner notes the patient can only achieve abduction beyond 15 degrees with significant hiking of the shoulder. Which muscle is MOST likely dysfunctional?
During a physical exam, a patient is asked to abduct their arm. The examiner notes the patient can only achieve abduction beyond 15 degrees with significant hiking of the shoulder. Which muscle is MOST likely dysfunctional?
Damage to the axillary nerve can result in paralysis of the deltoid muscle. Which subsequent biomechanical change would MOST likely occur at the shoulder joint?
Damage to the axillary nerve can result in paralysis of the deltoid muscle. Which subsequent biomechanical change would MOST likely occur at the shoulder joint?
A weightlifter strains their shoulder, and an MRI reveals inflammation around the musculotendinous junction of a muscle inserting on the lesser tuberosity of the humerus. Which action would MOST likely cause pain during resisted testing?
A weightlifter strains their shoulder, and an MRI reveals inflammation around the musculotendinous junction of a muscle inserting on the lesser tuberosity of the humerus. Which action would MOST likely cause pain during resisted testing?
A patient has limited shoulder abduction and also demonstrates a positive 'lift-off' test. Which combination of muscle deficits is MOST likely?
A patient has limited shoulder abduction and also demonstrates a positive 'lift-off' test. Which combination of muscle deficits is MOST likely?
A patient reports difficulty reaching behind their back. Weakness during resisted internal rotation is also noted. Which muscle is MOST likely injured?
A patient reports difficulty reaching behind their back. Weakness during resisted internal rotation is also noted. Which muscle is MOST likely injured?
During a surgical approach to the axilla, which anatomical structure MUST be carefully protected to prevent iatrogenic injury leading to weakness in shoulder abduction and external rotation?
During a surgical approach to the axilla, which anatomical structure MUST be carefully protected to prevent iatrogenic injury leading to weakness in shoulder abduction and external rotation?
Which of the following scenarios would MOST likely result in a shoulder dislocation?
Which of the following scenarios would MOST likely result in a shoulder dislocation?
The posterior wall of the axilla is formed by which combination of muscles?
The posterior wall of the axilla is formed by which combination of muscles?
A patient presents with a winged scapula after a surgical procedure. This is due to injury of what nerve?
A patient presents with a winged scapula after a surgical procedure. This is due to injury of what nerve?
Which of the following muscles is primarily responsible for abduction of the arm between 15 and 90 degrees?
Which of the following muscles is primarily responsible for abduction of the arm between 15 and 90 degrees?
Which structure is located in the upper triangular space?
Which structure is located in the upper triangular space?
A patient is experiencing pain and limited range of motion with a suspected rotator cuff tear. Assuming a full thickness tear of the MOST commonly affected muscle, which specific movement would be MOST noticeably weak and painful?
A patient is experiencing pain and limited range of motion with a suspected rotator cuff tear. Assuming a full thickness tear of the MOST commonly affected muscle, which specific movement would be MOST noticeably weak and painful?
Following a shoulder injury, a patient is unable to extend, laterally rotate, and adduct their arm. Which portion of the deltoid is likely impacted, and what other muscle shares the same nerve innervation that may also be affected?
Following a shoulder injury, a patient is unable to extend, laterally rotate, and adduct their arm. Which portion of the deltoid is likely impacted, and what other muscle shares the same nerve innervation that may also be affected?
Flashcards
Supra-spinatus
Supra-spinatus
Located in the Supra-spinous fossa, it inserts on the highest impression of the greater tuberosity and abducts the arm from 0-15 degrees.
Infa-spinatus
Infa-spinatus
Originates in the Infra-spinous fossa, inserts on the middle impression of the greater tuberosity, and adducts and laterally rotates the arm.
Teres minor
Teres minor
It originates from upper 2/3 of the lateral border of the scapula, inserts on the lower impression of the greater tuberosity, and adducts and laterally rotates the arm.
Teres major
Teres major
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Subscapularis
Subscapularis
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Deltoid
Deltoid
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Quadrangular space
Quadrangular space
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Upper triangular space
Upper triangular space
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Lower triangular space
Lower triangular space
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Rotator cuff muscles
Rotator cuff muscles
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Supraspinatus action
Supraspinatus action
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Infraspinatus origin
Infraspinatus origin
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Nerve supply to Supraspinatus and Infraspinatus
Nerve supply to Supraspinatus and Infraspinatus
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Teres Minor Nerve Supply
Teres Minor Nerve Supply
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Shoulder dislocation direction
Shoulder dislocation direction
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Rotator Cuff Rupture
Rotator Cuff Rupture
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Posterior wall of axilla muscles
Posterior wall of axilla muscles
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Posterior axillary fold
Posterior axillary fold
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Anterior Deltoid Origin
Anterior Deltoid Origin
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Middle Deltoid Origin
Middle Deltoid Origin
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Posterior Deltoid Origin
Posterior Deltoid Origin
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Deltoid Nerve Supply
Deltoid Nerve Supply
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Anterior Deltoid Action
Anterior Deltoid Action
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Middle Deltoid Action Range
Middle Deltoid Action Range
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Posterior Deltoid Action
Posterior Deltoid Action
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Study Notes
Supra-Spinatus
- Originates in the supra-spinous fossa
- Inserts at the highest impression of the greater tuberosity
- Innervated by the supra-scapular nerve
- Abduction of the arm (0°-15°)
Infa-Spinatus
- Originates in the infra-spinous fossa
- Inserts at the middle impression of the greater tuberosity
- Innervated by the supra-scapular nerve
- Action is adduction and main lateral rotation of the arm
Teres Minor
- Originates in the upper 2/3 of the back of the lateral border of the scapula
- Inserts at the lower impression of the greater tuberosity
- Nervated by the axillary nerve
- Action is adduction and lateral rotation of the arm
Teres Major
- Originates in the lower 1/3 of the back of the lateral border of the scapula
- Inserts at the medial lip of the bicipital groove
- Innervated by the lower subscapular nerve
- Action includes adduction and medial rotation of the arm
Subscapularis
- Originates in the subscapular fossa
- Inserts at the lesser tuberosity of the humerus
- Innervated by the upper and lower subscapular nerves
- Action is adduction and medial rotation of the arm
Rotator Cuff Muscles
- Supraspinatus, infraspinatus, teres minor, and subscapularis make up the rotator cuff muscles
- Shoulder dislocation mainly occurs inferiorly
- Rupture of rotator cuff muscles mainly affects the supraspinatus, causing severe limitation of shoulder abduction
- Subscapularis, teres major, and latissimus dorsi form the posterior wall of the axilla
- Teres major and latissimus dorsi form the posterior axillary fold
Deltoid
- Originates from the front of the lateral 1/3 of the clavicle (anterior fibers), the lateral border of the acromion (middle fibers), and the lower border of the spine of the scapula (posterior fibers)
- Inserts at the deltoid tuberosity
- Innervated by the axillary nerve
- Anterior fibers cause flexion and medial rotation of the arm
- Middle fibers cause abduction (15°-90°) of the arm
- Posterior fibers cause extension and lateral rotation of the arm
Quadrangular Space
- Superior border is the teres minor
- Inferior border is the teres major
- Medial border is the long head of the triceps
- Lateral border is the surgical neck of the humerus
- Contents include the axillary nerve and the posterior circumflex humeral artery
Upper Triangular Space
- Superior border is the teres minor
- Inferior border is the teres major
- Lateral border is the long head of the triceps
- Contains the circumflex scapular artery
Lower Triangular Space
- Superior border is the teres major
- Medial border is the long head of the triceps
- Lateral border is the shaft of the humerus
- Contains the radial nerve and the profunda brachii artery
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