Trunk-Upper Limb Anatomy
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Questions and Answers

What is the primary anatomical significance of the region where the trunk meets the upper limb?

  • It represents a crucial transition zone where neural and vascular structures converge and diverge, connecting the trunk and upper limb. (correct)
  • It mainly facilitates muscle attachment, providing mechanical support between the trunk and upper limb.
  • It serves as the primary site for nutrient exchange between the upper limb and the rest of the body.
  • It solely functions in distributing sensory information from the upper limb to the brain.

Which of the following best describes the structural organization of the region linking the trunk and upper limb?

  • It is characterized by a simple arrangement of bones, muscles, and nerves without specific compartments.
  • It consists of a single, undifferentiated mass of tissue.
  • It is defined by a random distribution of vessels and nerves within a uniform muscular matrix.
  • It is highly organized into distinct compartments and layers, each containing specific neurovascular structures and muscular attachments. (correct)

Why is understanding the detailed anatomy of the connection between the trunk and the upper limb clinically important?

  • Because it enables precise surgical approaches, accurate diagnoses of nerve or vascular injuries, and effective management of conditions affecting the upper limb. (correct)
  • Because it primarily helps in diagnosing diseases of the lower limb.
  • Because it only enhances the understanding of dermatological conditions in that area.
  • Because it allows for more accurate cosmetic surgeries.

How does the complexity of neurovascular structures in the region influence the potential for referred pain?

<p>The complexity increases the likelihood of referred pain due to the convergence and overlap of sensory pathways. (B)</p> Signup and view all the answers

Considering the integrated function of the trunk-upper limb region, what type of movements would most likely be affected by injuries?

<p>Movements that require coordination between the trunk and upper limb. (D)</p> Signup and view all the answers

The shoulder relies heavily on isometric contractions of which muscle group to compensate for its inherent instability?

<p>Rotator cuff muscles (D)</p> Signup and view all the answers

Which direction is the most common for the humeral head to dislocate in a shoulder dislocation?

<p>Anterior and inferior (B)</p> Signup and view all the answers

Which of the following structures does not contribute to the borders of the triangular space?

<p>Latissimus Dorsi (B)</p> Signup and view all the answers

Through which anatomical space does the axillary nerve and posterior circumflex humeral artery pass?

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

Which structure forms the superior border of the triangular interval?

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

What is the primary tissue type composing the mammary gland?

<p>Glandular tissue embedded in adipose tissue (A)</p> Signup and view all the answers

Where does milk produced in the lobules of the mammary gland ultimately drain?

<p>Lactiferous ducts at the nipple (D)</p> Signup and view all the answers

What happens to Cooper's ligaments with advanced age?

<p>They develop laxity, resulting in sagging breasts (B)</p> Signup and view all the answers

What type of cancer typically arises in the breast?

<p>Adenocarcinomas arising from the epithelial tissue of the lactiferous ducts (D)</p> Signup and view all the answers

Irregularities in breast tissue due to disruptions in lymphatic drainage are typically identified via what method?

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

What anatomical region serves as the connection point between the central part of the body and the arm?

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

Which of the following structures is NOT typically considered a primary component of the region linking the trunk and upper limb?

<p>The spinal cord (A)</p> Signup and view all the answers

Why is understanding the anatomy of the region that joins the upper limb to the trunk clinically significant?

<p>It contains major neurovascular structures susceptible to injury or compression. (A)</p> Signup and view all the answers

If a patient presents with unexplained swelling and pain in the area connecting the arm to the body, which initial diagnostic approach would be MOST appropriate?

<p>Conduct a thorough physical examination and detailed patient history. (D)</p> Signup and view all the answers

A surgeon is preparing to operate on vascular structures in the region that connects the arm to the body. What is a critical consideration to minimize potential complications?

<p>Having a comprehensive understanding of the regional anatomy and potential variations. (B)</p> Signup and view all the answers

Which muscle is most commonly affected in rotator cuff tears due to its angle of insertion and passage through the subacromial tunnel?

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

What is the primary function of the infraspinatus muscle?

<p>Shoulder fixation and external rotation (B)</p> Signup and view all the answers

Which nerve innervates the teres minor muscle?

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

Which of the following muscles is NOT part of the rotator cuff group, despite its proximity and function in the shoulder region?

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

What is the primary function of the subscapularis muscle?

<p>Internal rotation of the shoulder (B)</p> Signup and view all the answers

The subacromial tunnel allows passage of the supraspinatus tendon and contains a bursa. What is the primary function of the bursa within this tunnel?

<p>To reduce friction during shoulder abduction (B)</p> Signup and view all the answers

During shoulder abduction, the deltoid muscle is unable to initiate movement from the anatomical position. Which muscle is primarily responsible for the first 15 degrees of abduction?

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

Damage to the axillary nerve can lead to deltoid paralysis, resulting in the inability to abduct the shoulder past 15 degrees. What other physical sign is commonly associated with this condition?

<p>Flattened shoulder appearance (B)</p> Signup and view all the answers

Which anatomical structures articulate to form the glenohumeral joint, also known as the true shoulder joint?

<p>Glenoid fossa of the scapula and humeral head (A)</p> Signup and view all the answers

Why is the glenohumeral joint considered less stable compared to other ball-and-socket joints like the hip?

<p>Shallower socket of the glenoid fossa (A)</p> Signup and view all the answers

Damage to the axillary nerve would MOST directly impact the function of which muscle, leading to difficulty in shoulder abduction beyond a certain point?

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

Which of the following muscles is NOT part of the rotator cuff group, owing to its insertion point on the humerus?

<p>Teres Major (C)</p> Signup and view all the answers

Which nerve innervates the infraspinatus muscle, contributing to its function as a shoulder external rotator and fixator?

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

The subacromial tunnel is critical for the passage of the supraspinatus tendon. What condition within this tunnel would MOST directly lead to increased pressure and pain, potentially damaging the tendon?

<p>Subacromial bursitis (C)</p> Signup and view all the answers

A patient presents with an inability to initiate shoulder abduction (the first 15 degrees). Which muscle is MOST likely affected?

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

The teres minor assists the infraspinatus in what movement?

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

A patient has a condition affecting the upper and lower subscapular nerves. Which shoulder movement is MOST likely to be impaired?

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

Following a shoulder dislocation, a patient exhibits a 'flat shoulder' deformity and is unable to abduct their arm beyond 15 degrees. Which nerve is MOST likely damaged?

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

Which action is primarily the responsibility of the anterior fibers of the deltoid muscle?

<p>Shoulder flexion (C)</p> Signup and view all the answers

A patient reports numbness and tingling in their upper limb, and imaging reveals compression in the space between the clavicle and first rib. Which anatomical structures are MOST likely being affected?

<p>Subclavian artery and brachial plexus (B)</p> Signup and view all the answers

During a surgical procedure involving the axilla, a surgeon must carefully avoid damaging the nerve responsible for controlling the latissimus dorsi muscle. Which nerve is at highest risk during this procedure?

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

A baseball pitcher complains of anterior shoulder pain and weakness, and clinical examination reveals a positive Speed’s test. Which of the following structures is MOST likely involved?

<p>Biceps brachii long head tendon (B)</p> Signup and view all the answers

Following a mastectomy, a patient develops lymphedema in the ipsilateral upper limb. Which of the following is the MOST likely cause of this condition?

<p>Disruption of lymphatic drainage (C)</p> Signup and view all the answers

A patient presents with winged scapula following a radical neck dissection involving the posterior triangle of the neck. Which nerve was MOST likely injured during the procedure?

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

Which anatomical structure primarily provides increased shoulder joint stability through isometric contraction?

<p>Rotator cuff muscles (C)</p> Signup and view all the answers

Anterior and inferior shoulder dislocations are more common than posterior and superior dislocations due to what primary factor?

<p>Support offered by the scapular spine and acromion posteriorly (B)</p> Signup and view all the answers

The axilla serves as a crucial 'throughway' for structures moving between the thorax and upper limb. What best describes the nature of the sub-branches that supply the shoulder region in relation to this 'throughway'?

<p>Off-ramps (D)</p> Signup and view all the answers

A surgeon needs to access the axillary nerve. Which space, defined by the teres minor, teres major, long head of the triceps brachii, and surgical neck of the humerus, should the surgeon target?

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

A patient has a lesion affecting the radial nerve. Which anatomical space, bordered by the teres major, long head of triceps brachii, and lateral head of triceps brachii, is most likely involved?

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

Which component of the mammary gland is responsible for transporting milk from the lobules to the nipple?

<p>Lactiferous ducts (C)</p> Signup and view all the answers

What is the functional significance of the lactiferous sinus within the mammary gland?

<p>Expresses milk in lactating women (B)</p> Signup and view all the answers

Which structure provides structural support to the breast by connecting the breast tissue to the dermis, and is also implicated in age-related sagging?

<p>Cooper's ligaments (A)</p> Signup and view all the answers

Why are breasts divided into quadrants for clinical examination?

<p>To aid in the localization of tumors or cysts (C)</p> Signup and view all the answers

Irregularities in lymphatic drainage of the breast, potentially caused by metastasized cancerous cells, may lead to what observable change in breast tissue?

<p>Visible tissue irregularities upon inspection (A)</p> Signup and view all the answers

Which of the following muscles is NOT classified as an anterior axioappendicular muscle?

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

A patient presents with point tenderness and visible separation between the acromion process and the clavicle on an X-ray. This condition is most likely a result of:

<p>Acromioclavicular joint separation (Shoulder separation) (D)</p> Signup and view all the answers

What is the primary function of the articular disc within the sternoclavicular joint?

<p>Assist with multiplanar motions (A)</p> Signup and view all the answers

A baseball pitcher experiences weakness in initiating abduction of their shoulder. Which of the following muscles is most likely affected?

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

Which structure is NOT directly associated with the subacromial tunnel?

<p>Coracoid process (C)</p> Signup and view all the answers

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

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

The costocoracoid ligament is a thickening of which fascial structure?

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

The only direct articulation between the axial and appendicular skeleton is the:

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

Which of the following actions is NOT a primary function of the pectoralis major muscle?

<p>Abduction of the shoulder (D)</p> Signup and view all the answers

Damage to the nerve to the subclavius would MOST directly affect which action?

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

The structural weak point along the mid-shaft of the clavicle is primarily due to:

<p>Curvature and differences in ossification (C)</p> Signup and view all the answers

The resting position and movement of the scapula can be a strong indicator of:

<p>Muscle imbalances (B)</p> Signup and view all the answers

What is the mnemonic for the rotator cuff muscles?

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

Which of the following best describes the functional trade-off in the upper limb?

<p>Emphasizing range of motion, which compromises stability and leads to a higher risk of injury. (C)</p> Signup and view all the answers

A patient has difficulty stabilizing their scapula during shoulder movements. Which muscle is MOST likely affected?

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

Which structure does the clavipectoral fascia NOT invest?

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

A patient presents with a fractured clavicle following a fall. During examination, the medial fragment of the clavicle is elevated relative to the lateral fragment. What is the most likely reason for the elevation of the medial fragment?

<p>Muscle pull on the medial fragment. (C)</p> Signup and view all the answers

What is the primary functional significance of the sternoclavicular joint's articular disc?

<p>Assisting with multiplanar motions. (B)</p> Signup and view all the answers

A patient is diagnosed with a 'shoulder separation'. Which anatomical structure is primarily involved in this injury?

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

Which action would be most affected by damage to the medial pectoral nerve?

<p>Elevation of the ribs. (D)</p> Signup and view all the answers

A surgeon is performing a procedure in the pectoral region and needs to identify the costocoracoid ligament. Which of the following describes the location of this ligament?

<p>Running from the coracoid process to the costochondral junction of the first rib. (C)</p> Signup and view all the answers

What is the primary role of the subclavius muscle?

<p>Anchoring and depressing the clavicle. (A)</p> Signup and view all the answers

The clavipectoral fascia is pierced by neurovascular structures en route to the superficial pectoral region and upper limb. This anatomical arrangement has what primary clinical implication?

<p>It creates a potential site of neurovascular compression, leading to TOS (Thoracic Outlet Syndrome). (D)</p> Signup and view all the answers

The resting position and movement of the scapula are strong indicators of muscle imbalances. What comprehensive assessment should always include the resting position and movement?

<p>Shoulder pain evaluation. (A)</p> Signup and view all the answers

The acromion process forms the roof of the subacromial tunnel. Which condition arises as a result of this anatomy?

<p>Supraspinatus tendinitis. (C)</p> Signup and view all the answers

Which of rotator cuff muscles is primarily responsible for initiating abduction of the shoulder?

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

A patient reports difficulty initiating shoulder abduction. Which nerve is most likely affected given the function of the supraspinatus muscle?

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

The clavicle articulates with what two structures?

<p>Sternum and Scapula (B)</p> Signup and view all the answers

Which of the following muscles is classified as an axioappendicular muscle?

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

Which structure allows us to link our scapula to our axial skeleton indirectly?

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

What is a primary factor contributing to rotator cuff tears, aside from acute trauma?

<p>Chronic degeneration, such as severe tendinitis (B)</p> Signup and view all the answers

Which action is primarily associated with the infraspinatus muscle?

<p>Shoulder fixation and external rotation (D)</p> Signup and view all the answers

A patient presents with a shoulder dislocation where the humeral head is palpable in the armpit when the arm is abducted. Which type of dislocation is MOST likely?

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

If a patient has weakness in external rotation and abduction of the shoulder following a shoulder injury, which space is MOST likely to be affected, leading to nerve compression?

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

What action does the subscapularis muscle primarily perform?

<p>Internal rotation of the shoulder (A)</p> Signup and view all the answers

Which movement is primarily facilitated by the teres major muscle?

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

A surgeon needs to access the radial nerve and profunda brachii artery during a surgical procedure. Which anatomical space should the surgeon utilize to find these structures?

<p>Triangular Interval (B)</p> Signup and view all the answers

What anatomical structure forms the superior border of the subacromial tunnel?

<p>Acromial process and lateral aspect of the clavicle (A)</p> Signup and view all the answers

Which anatomical structure defines the superior border of the triangular space?

<p>Teres minor or subscapularis (B)</p> Signup and view all the answers

In which quadrant of the breast would a clinician MOST likely palpate the axillary process?

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

What is the primary function of the bursa located within the subacromial tunnel?

<p>To reduce friction during shoulder abduction (A)</p> Signup and view all the answers

Why are inflammatory conditions within the subacromial tunnel particularly painful?

<p>The bony frame prevents expansion, increasing pressure and pain. (B)</p> Signup and view all the answers

Why does breast cancer often lead to noticeable changes in the lymphatic system?

<p>Cancer cells can metastasize through the lymphatic system, disrupting drainage. (A)</p> Signup and view all the answers

A 65-year-old patient presents with concerns about sagging breasts. What is the MOST likely anatomical change contributing to this condition?

<p>Laxity of the suspensory ligaments (Cooper's ligaments) (C)</p> Signup and view all the answers

Which muscle is primarily responsible for initiating the first 15 degrees of shoulder abduction?

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

Damage to which nerve would result in the inability to abduct the shoulder beyond 15 degrees and a flattened shoulder appearance?

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

During a breast examination, a physician palpates a hard, irregular mass. Microscopic examination reveals that the cancerous cells originated from the epithelial tissue of the lactiferous ducts. What type of cancer is MOST likely?

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

Which of the following BEST describes the primary mechanism by which shoulder stability is maintained, given its wide range of motion?

<p>Isometric contractions of rotator cuff muscles providing dynamic support (C)</p> Signup and view all the answers

A lactating woman is experiencing difficulty expressing milk. Dysfunction in which anatomical structure would MOST likely contribute to this issue?

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

What is the primary role of the articular disc located within the sternoclavicular joint?

<p>To cushion the joint and facilitate multiplanar movements. (A)</p> Signup and view all the answers

Why is the mid-shaft of the clavicle a common site for fractures?

<p>Due to its 'S' shape, differences in ossification, and curvature. (D)</p> Signup and view all the answers

Which movement of the shoulder is primarily facilitated by the pectoralis major muscle?

<p>Adduction, horizontal flexion, and medial roation (C)</p> Signup and view all the answers

What is the main function of the subclavius muscle?

<p>To anchor and depress the clavicle. (A)</p> Signup and view all the answers

What is the clinical significance of the suspensory ligament of the axilla, formed by the clavipectoral fascia?

<p>It supports the weight of the upper limb and maintains the shape of the axilla. (B)</p> Signup and view all the answers

Damage to which nerve would MOST directly affect the ability to shrug the shoulders (elevate the scapula)?

<p>Spinal accessory nerve (B)</p> Signup and view all the answers

What condition is often associated with inflammation or compression within the subacromial tunnel?

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

A patient presents with a shoulder injury involving a separation of the acromion from the clavicle due to ligament tearing. What is this injury commonly referred to as?

<p>Shoulder separation (B)</p> Signup and view all the answers

Which anatomical structure provides the only direct connection between the axial and appendicular skeleton in the pectoral region?

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

What is the functional implication of the scapula's indirect connection to the axial skeleton?

<p>It prioritizes range of motion at the expense of stability. (C)</p> Signup and view all the answers

How would a complete lesion of the medial pectoral nerve impact muscle function in the pectoral region?

<p>Impaired function of the pectoralis minor and sternal head of the pectoralis major. (C)</p> Signup and view all the answers

During a shoulder abduction exercise, what scapular movement would BEST indicate healthy 'scapulohumeral rhythm'?

<p>Smooth, coordinated upward rotation of the scapula (C)</p> Signup and view all the answers

Why is the resting position and movement pattern (scapulohumeral rhythm) of the scapula important to assess in patients with shoulder pain?

<p>To identify imbalances in the muscles that control the scapula. (B)</p> Signup and view all the answers

If a patient has difficulty initiating abduction of their arm, which rotator cuff muscle is MOST likely affected?

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

Flashcards

What is the shoulder?

The area where the trunk connects to the upper limb.

Pectoral Girdle

Connects axial and appendicular skeletons.

Clavicle

"S" shaped bone articulating with sternum and scapula.

Sternoclavicular Joint

Only direct link between axial and appendicular skeleton.

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Shoulder Separation

Separation of acromion process from clavicle due to ligament tearing.

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Pectoralis Major

Adducts, horizontally flexes, and medially rotates the shoulder.

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Pectoralis Minor

Stabilizes scapula and elevates ribs.

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Subclavius Muscle

Anchors and depresses the clavicle during motion.

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Clavipectoral Fascia

Fascia investing clavicle and subclavius muscle.

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Scapula

Connects clavicle to humerus, supported by muscle attachments.

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Spine of Scapula

Ridge on posterior scapula for muscle attachment.

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Acromion Process

Forms the roof of the subacromial tunnel.

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Coracoid Process

Site of muscle attachment on anterior scapula.

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Rotator Cuff

Muscles that move humerus relative to scapula.

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Supraspinatus

Initiates abduction of shoulder, assists with humeral head fixation.

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Subacromial Tunnel

Inflammation and pressure within this structure.

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Infraspinatus

Shoulder fixator and external rotator that originates from the infraspinous fossa and inserts on the greater tubercle.

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Teres Minor

Shoulder fixator and external rotator, often hard to distinguish from infraspinatus.

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Subscapularis

Shoulder fixator and internal rotator, originating from the subscapular fossa and inserting on the lesser tubercle.

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Teres Major

Medial rotator of the shoulder, originating from the inferior angle of the scapula and inserting on the bicipital groove.

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Deltoid Muscle

Strong shoulder muscle with anterior fibers that flex, posterior fibers that extend, and intermediate fibers that abduct.

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Axillary Nerve

Nerve that innervates the deltoid muscle; damage can result in loss of abduction and a flat shoulder.

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Glenohumeral Joint

The joint between the glenoid fossa of the scapula and the humeral head.

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Supraspinatus in abduction

Shoulder abduction requires both deltoid and this muscle for the first 15 degrees

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Shoulder Joint

Large range of motion with minimal stability; stability increased with isometric contraction of the rotator cuff muscles. Shoulder dislocations are common due to instability of joint.

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Axilla

Space intermediate to thorax and upper appendage, mostly inferior to the shoulder joint. Repressents a throughway for numerous structures passing from thorax to the upper limb.

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Triangular Space Boundaries

Superior border: Teres minor. Inferior border: Teres Major. Lateral border: Long head of triceps brachii.

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Quadrangular Space Boundaries

Medial border: Long head of triceps brachii. Lateral border: surgical neck of humerus. Superior border: Teres minor. Inferior border: Teres major.

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Triangular Interval Boundaries

Superior border: Teres major. Medial border: long head of triceps brachii. Lateral border: lateral head of triceps brachii

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Mammary Gland Composition

Glandular tissue embedded in adipose tissue, suspended by ligaments, and containing small arteries, nerves and lymphatics.

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Lobules (Breast)

Pockets within the mammary gland that produce milk.

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Suspensory Ligaments (Cooper's ligaments)

Support the breast tissue, anchoring the breast to the dermis; with time, ligaments develop laxity, resulting in sagging breasts with advanced age

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Retromammilary Space

Separates the breast from the pectoralis major muscle.

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Breast Carcinoma

Typically adenocarcinomas arising from the epithelial tissue surrounding the lactiferous ducts. Can result in hard masses within the mammary tissue, itself, noticeable upon palpation

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Shoulder Subdivisions

The shoulder is divided into anterior, posterior, medial, and lateral regions.

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Supraspinatus Tears

Most commonly torn rotator cuff muscle, passes beneath the acromion.

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Shoulder External Rotation

Action involving the infraspinatus and teres minor muscles.

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Shoulder Internal Rotation

Action involving the subscapularis muscle.

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Shoulder Abduction

Shoulder motion primarily performed by intermediate deltoid fibers.

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Axillary Nerve Injury

Nerve susceptible to damage with humerus fractures/dislocations, leading to deltoid paralysis.

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Abduction Initiation

Deltoid's limitation without supraspinatus at start of motion.

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Deltoid Muscle mass

The rounded shape of the shoulder is due to this muscle.

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Shoulder Dislocation

Shoulder dislocations are common due to instability. The humeral head typically dislocates anteriorly and inferiorly.

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Lobules

Pockets within the mammary gland where milk is produced.

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Lactiferous Ductules

Channels that drain milk from the lobules to the lactiferous ducts.

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Lactiferous Ducts

Ducts that collect milk from the lactiferous ductules and drain into the nipple. There are roughly 4-18.

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Breast Quadrants

Breast tissue is divided into these regions for tumor localization.

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Axillary Process (Breast)

Extension of the superior lateral quadrant of the breast extending into the axilla.

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Pectoral Region

Region on the anterior aspect of the shoulder.

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Deltoid Region

Region on the lateral aspect of the shoulder.

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Scapular Region

Region on the posterior aspect of the shoulder.

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Axioappendicular Muscles (Shoulder)

Muscles originating off the thorax to attach to the scapula, clavicle, or humerus.

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Scapulohumeral Muscles

Muscles originating off the scapula to attach to the humerus.

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Sternal head of clavicle

Triangular shaped end of the clavicle which articulates with the manubrium.

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Acromial head of clavicle

Broad, flat lateral end of the clavicle that articulates with acromion process of scapula.

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Sternal head of Pectoralis Major - origin

Originates off the manubrium and body of sternum.

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Clavicular head of Pectoralis Major - origin

Originates off the anteroinferior surface of the clavicle.

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Posterior axioappendicular muscles

Posterior muscles that move the upper limb.

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Head of Scapula

Lateral angle of the scapula.

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Supraspinatus - Insertion/Action

Passes through subacromial tunnel to insert on greater tubercle; initiates abduction.

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Shoulder Joint Stability

Shoulder range of motion is large; stability increases with isometric contraction of rotator cuff muscles.

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Axilla Definition

A space between the thorax and upper appendage, inferior to the shoulder joint, through which structures from the thorax pass to the upper limb.

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Triangular Space Borders

Borders are: Superior - Teres minor, Inferior - Teres major, Lateral - Long head of triceps brachii

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Quadrangular Space Borders

Borders: Medial - Long head of triceps brachii, Lateral - Surgical neck of humerus, Superior - Teres minor, Inferior - Teres major

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Triangular Interval Borders

Borders: Superior - Teres major, Medial - Long head of triceps brachii, Lateral - Lateral head of triceps brachii

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Mammary Gland Structure

Glandular tissue embedded in adipose tissue, suspended by ligaments, and containing small arteries, nerves, and lymphatics.

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Lobules Function

Pockets within the mammary gland where milk is produced.

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Suspensory Ligaments (Function)

They support the breast tissue, anchoring it to the dermis. Laxity leads to sagging.

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Retromammilary Space Function

Separates the breast from the pectoralis major muscle.

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Breast Carcinoma (Origin)

Typically adenocarcinomas arising from the epithelial tissue surrounding the lactiferous ducts.

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Axioappendicular Muscles

Muscles originating off the thorax attaching to the pectoral girdle or humerus.

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Clavicle Fracture Site

Weak point along the mid-shaft of the clavicle, commonly fractured.

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Pectoralis Major Origin

Broad origin dividing the muscle into sternal and clavicular heads.

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Costocoracoid Ligament

Ligament running from the coracoid process to the costochondral junction of the first rib.

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Scapulohumeral Rhythm Assessment

Assessment of resting position, movement of scapula, and movement relative to humerus.

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Spine of Scapula Function

Divides posterior surface of the scapula into supraspinous and infraspinous fossae.

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Subscapularis Muscle

Originates from the subscapular fossa, crosses anterior to the shoulder joint, and inserts on the lesser tubercle.

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Deltoid Muscle Fibers

A strong shoulder muscle with different fibers for different movements: anterior fibers flex, posterior fibers extend, and intermediate fibers abduct the shoulder.

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Infraspinatus rotator cuff

Shoulder fixator, external rotator. Extensive origin along the infraspinous fossa. Fibers converge to insert on middle aspect of greater tubercle. Innervated by suprascapular nerve.

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