Upper Limb Anatomy Quiz

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Questions and Answers

The ______ major has its insertion on the medial lip of the bicipital groove.

teres

The ______ nerve innervates the teres minor.

axillary

The ______ major is responsible for the retraction and downward rotation of the shoulder.

rhomboid

The ______ scapulae muscle elevates and downwardly rotates the shoulder.

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

The insertion of the teres minor is on the ______ tubercle of the humerus.

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

The subscapularis has its origin in the ______ fossa of the scapula.

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

The rhomboid ______ assists in stabilizing the shoulder blade.

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

Adduction and medial rotation of the arm are performed by the ______ major.

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

The ______ depresses, retracts and upwardly rotates the shoulder.

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

The axillary nerve innervates the ______.

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

The ______ causes flexion and medial rotation.

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

Abduction is primarily facilitated by the ______.

<p>lateral deltoid</p> Signup and view all the answers

Extension and lateral rotation are functions of the ______.

<p>posterior deltoid</p> Signup and view all the answers

The supraspinatus originates from the ______ fossa of the scapula.

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

The insertion of the supraspinatus is at the greater ______ of the humerus.

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

The main features of the clavicle, scapula, and ______ are important to identify.

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

The major palpable features of the bones of the shoulder girdle and arm can be identified on yourself and on ______ images.

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

The ______ dorsi muscle assists with adduction, medial rotation, and extension of the shoulder.

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

The trapezius muscle is innervated by the ______ nerve.

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

The ascending fibres of the trapezius muscle help to ______, retract, and upwardly rotate the shoulder.

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

The thoracodorsal nerve is responsible for innervating the ______ dorsi muscle.

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

The glenohumeral joint is a crucial joint connecting the ______ to the scapula.

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

The ______ joint is located between the clavicle and the sternum.

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

Flashcards

Sternoclavicular joint

A joint between the clavicle and the sternum, allowing for elevation, depression, protraction, retraction, and some rotation of the clavicle.

Acromioclavicular joint

A joint between the clavicle and the acromion of the scapula, providing stability to the shoulder joint.

Glenohumeral joint

The ball-and-socket joint that allows for a wide range of motion in the shoulder, connecting the head of the humerus with the glenoid fossa of the scapula.

Trapezius

A large, flat muscle that covers the back of the neck and upper back, responsible for scapular movements such as elevation, retraction, and rotation, as well as neck extension.

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Latissimus dorsi

A broad, flat muscle in the back that assists in adduction, extension, and medial rotation of the shoulder joint.

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Accessory nerve (CN XI)

A nerve that innervates the trapezius muscle, responsible for controlling its movements.

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Thoracodorsal nerve

A nerve responsible for innervating the latissimus dorsi muscle, controlling its movements.

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Actions of latissimus dorsi

The actions of the latissimus dorsi muscle are to adduct, extend, and medially rotate the shoulder joint.

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Anterior Deltoid Function

The anterior deltoid muscle is responsible for flexing the shoulder and rotating it inwards.

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Lateral Deltoid Function

The lateral deltoid muscle is responsible for raising your arm away from your body, or moving it sideways.

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Posterior Deltoid Function

The posterior deltoid muscle is responsible for extending the shoulder and rotating it outwards.

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Infraspinatus Function

The infraspinatus muscle is responsible for externally rotating the shoulder joint.

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Supraspinatus Function

The supraspinatus muscle is responsible for abducting the shoulder, or lifting your arm away from your body.

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Supraspinatus Origin and Insertion

The supraspinatus muscle originates from the supraspinous fossa, a depression on the back of the scapula, and inserts on the greater tubercle of the humerus.

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Infraspinatus Origin and Insertion

The infraspinatus muscle originates from the infraspinous fossa, a depression on the back of the scapula, and inserts on the greater tubercle of the humerus.

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Deltoid Nerve Supply

The deltoid muscle is supplied by the axillary nerve, which is responsible for sending signals to the muscle so it can contract.

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Teres major muscle

The teres major muscle is a thick, short muscle located in the posterior shoulder. It originates on the lateral border of the scapula and inserts on the medial lip of the bicipital groove of the humerus.

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Teres minor muscle

The teres minor muscle, found beneath the teres major, also originates on the lateral border of the scapula but inserts on the greater tubercle of the humerus.

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Rhomboid major muscle

The rhomboid major is a large muscle located in the upper back. It originates on the spinous processes of vertebrae T2-T5 and inserts on the medial border of the scapula.

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Rhomboid minor muscle

The rhomboid minor muscle, smaller than its counterpart, also originates on the spinous processes but of vertebrae C7 - T1, and inserts on the medial border of the scapula, slightly superior to the rhomboid major.

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Levator scapulae muscle

The levator scapulae muscle is a long, thin muscle that originates on the transverse processes of the upper cervical vertebrae (C1-C4). It inserts onto the medial border of the scapula, near the superior angle.

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Subscapularis muscle

The subscapularis muscle, the largest muscle in the rotator cuff, originates from the subscapular fossa of the scapula and inserts onto the lesser tubercle of the humerus.

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Innervation of Subscapularis

The subscapularis muscle is innervated by both the upper and lower subscapular nerves, ensuring coordinated movement.

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Innervation of Teres minor

The teres minor muscle, located in the rotator cuff, is innervated by the axillary nerve. This nerve also provides sensation to the skin of the deltoid region.

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Study Notes

Upper Limb Anatomy

  • Clavicle, Scapula, and Humerus: Identify key features of these bones. Palpate and recognise these bones on yourself and in images.

  • Shoulder Girdle and Arm Bones: Recognize major bones of the shoulder girdle and arm on yourself and in radiographic images. This involves practical identification.

  • Muscles of the Posterior Shoulder and Superficial Back: Learn, identify, and understand the actions and innervation of major muscles in the shoulder and back region.

Sternoclavicular Joint

  • Sternoclavicular Joint: Understand the components of the sternoclavicular joint, including ligaments (e.g., interclavicular, costoclavicular).

  • Sternoclavicular Joint Structure: It has an articular disk between the clavicle and sternum. Anterior and posterior sternoclavicular ligaments support it.

Acromioclavicular Joint

  • Acromioclavicular Joint Structure: A plane-type joint; strong ligaments (coracoclavicular - trapezoid, conoid) strengthen it, alongside the acromioclavicular ligament.

Glenohumeral Joint

  • Glenohumeral Joint Anatomy: The joint's shallow glenoid cavity is deepened by the glenoid labrum. The humeral head rests within this cavity.

  • Glenohumeral Joint Ligaments: Different ligaments support the joint: coracohumeral, glenohumeral, and transverse humeral ligaments stabilize the joint.

Muscles and Innervation

  • Muscle Actions: Posterior shoulder and superficial back muscles have specific roles in actions such as abduction (moving arm away from the body), adduction (moving arm towards body), medial rotation (rotating arm inward), and lateral rotation (rotating arm outward.)

  • Muscle Innervation: Key muscles and their supplying nerves are essential for understanding muscle control. For example, the deltoid muscle is innervated by the axillary nerve.

  • Rotator Cuff Muscles: Four muscles – supraspinatus, infraspinatus, teres minor, and subscapularis – make up the rotator cuff, crucial for holding the humeral head within the glenoid cavity. They are innervated by different nerves.

Ligaments and Supporting Structures

  • Shoulder Joint Ligaments: Different ligament groups (coracoacromial, coracohumeral, transverse humeral, and more) are essential for stabilizing the complex shoulder joint.

  • Shoulder Joint Stabilisation: Comprehensive knowledge of ligaments is key to understanding the mechanics of the shoulder joint.

###Rotator Cuff

  • Rotator Cuff Muscles – Supraspinatus, Infraspinatus, Teres Minor,Subscapularis

  • Rotator Cuff Functions– The rotator cuffs are key to holding the head of the humerus in the shallow glenoid cavity.

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