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Summary

This document provides detailed instructions and information about the scapula, including its various processes, borders, and fossae. It describes the different positions needed to examine each part of the scapula and provides the function of each part.

Full Transcript

CORACOID PROCESS Position = seated Neutral landmark = Lateral end of clavicle Trail = From the lateral end of the clavicle move inferiorly onto the coracoid process Function = Biceps brachii attachement MEDIAL BORDER OF THE SCAPULA Position = prone Neutral landmark = SP C7 Trail = From the SP of C7...

CORACOID PROCESS Position = seated Neutral landmark = Lateral end of clavicle Trail = From the lateral end of the clavicle move inferiorly onto the coracoid process Function = Biceps brachii attachement MEDIAL BORDER OF THE SCAPULA Position = prone Neutral landmark = SP C7 Trail = From the SP of C7 move inferiorly 2-3 vertebrae. • Move laterally to medial border of the scapula. • Explore medial border inferiorly (to the inferior angle) and superiorly (to the superior angle) Function = Rhomboid Major & Minor Attachment SPINE OF SCAPULA Position = seated or prone Neutral landmark = Acromion Trail = From the acromion travel posteriorly then strum medially and locate the prominent ridge of bone travelling in an oblique-medial direction. Function = upper traps LATERAL BORDER OF THE SCAPULA Position = prone Neutral landmark = interior border of scapula Trail = From the inferior angle move laterally and superiorly along the border Follow border towards the axilla. Function = Teres Minor Attachment INFERIOR ANGLE OF THE SCAPULA Position = prone Neutral landmark = Medial border of the scapula Trail = From the medial border of the scapula strum inferiorly along the border. Function = Latissimus Dorsi Attachment SUPERIOR ANGLE OF THE SCAPULA Position = prone Neutral landmark = Medial border of the scapula Trail = From the medial border of the scapula strum superiorly along the border to its most superior part, curl ngers around the angle. • Push the scapula superiorly from the inferior angle/lateral border to feel the angle pop up into your hand. fi Function = Levator Scapulae Attachment SUPRASPINOUS FOSSA Position = prone or seated Neutral landmark = Spine of the Scapula Trail = From the spine of the scapula, move superiorly and curl ngers deep in the concave area of bone from the inferior angle/lateral border to feel the angle pop up into your hand. Function = Supraspinatus Attachment INFRASPINOUS FOSSA Position = prone or seated Neutral landmark = Spine of the Scapula Trail = From the spine of the scapula, move medial and outline the medial border following it inferiorly to the angle then superiorly again along the lateral border Function = Infraspinatus Attachment SUBSCAPULAR FOSSA Position = Sidelying Neutral landmark = SP C7 Trail = Cradle patient arm in a “chicken wing” position, moving inferolateral to the medial border, curl ngers onto the anterior surface of the scapula. fi fi Function = Subscapularis Attachment INFRAGLENOID TUBERCLE Position = prone Neutral landmark = Lateral border of the Scapula Trail = Follow the lateral border superiorly and laterally towards the axilla. Function = Triceps Brachii Attachment

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