SHOULDER REGION MUSCLES

Coracobrachialis

Adduction of the shoulder & flexion.

Pectoralis Major

The first action is flexion of the humerus, Secondly, it adducts the humerus. Thirdly, it rotates the humerus medially. Finally it aids in deep inspiration

Subscapularis

Internal rotation of the shoulder

Deltoid

Abduction of shoulder

Infraspinatus

External rotation

Teres Major Adduction of scapula

Teres MinorThe infraspinatus and teres minor attach to head of the humerus; as part of the rotator cuff they help hold the humeral head in the glenoid cavity of the scapula. They work in tandem with the posterior deltoid to externally (laterally) rotate the humerus, as well as perform transverse abduction, extension and transverse extension.

Supraspinatus

Abduction of the shoulder

Coracobrachialis

Pect. Major

Subscapularis Deltoid

Supraspinatus Teres Major

InfraspinatusTeres Minor

Practice

List the muscles that do flexion of the shoulder

CoracobrachialisPectoralis major

(upper to part)Anterior DeltoidBiceps

• List the muscles that do extension of the shoulder

• Latissimus dorsi• Teres major• Posterior deltoid• Pectoralis major (lower

fibers to neutral)

Practice

List the muscles that do adduction of the shoulder

Pectoralis major (lower and upper below 90°)

CoracobrachialisLatissimus dorsiTeres major

List the muscles that do abduction of the shoulder

• Deltoid (all sections)• Supraspinatus• Pectoralis major (upper

past 90°)

Practice

List the muscles that do internal rotation of the shoulder

SubscapularisLatissimus dorsiTeres majorAnterior deltoidPect. major

• List the muscles that do external rotation of the shoulder

• Infraspinatus• Teres minor• Posterior deltoid

Questions What muscle works closely with the anterior deltoid? Pectoralis major What muscle is involved in any lifting movements? Deltoid What is the major (strongest) extensor muscle? Latissimus Dorsi Name the four rotator cuff muscles. Subscapularis, Supraspinatus, Infraspinatus, and Teres minor. What muscle works closely with the infraspinatus? Teres minor

AXILLARY REGION

The axilla, or armpit, is a pyramidshaped space between the

upper part of the arm and the side of the chest.

Realize that the upper end, or apex, is directed into the root of the

neck and is bounded anteriorly by the clavicle, posteriorly by the

upper border of the scapula, and medially by the outer border of

the first rib. The lower end, or base, is bounded anteriorly by the

anterior axillary fold (formed by the lower border of the

pectoralis major muscle), behind by the posterior axillary fold

(formed by the tend of latissimus dorsi and the teres major

muscle), and medially by the chest wall.

Walls of the Axilla.

Identify the structures forming the walls of the �axilla:

Anterior wall. This is formed by the pectoralis

major, pectoralis minor,

clavipectoral fascia, and

subclavius muscle

Posterior wall.

From above downward this wall is

formed by the subscapularis,

latissimus dorsi, and the teres major

muscles.

Medial wall.

This is formed by the upper four or

five ribs and the intercostal spaces

covered by the serratus anterior

muscle.

Lateral wall.

This is formed by the

coracobrachialis and biceps

muscles in the bicipital groove of

the humerus.

Axillary Sheath.

The axillary artery (but not the vein) and the

brachial plexus are enclosed in a fascial

sheath derived from the prevertebral layer of

deep cervical fascia in the neck.

Axillary Artery.

This commences at the outer border of the first

rib as a continuation of the subclavian artery.

Having passed through the axilla, it becomes

the brachial artery at the lower border of the

teres major muscle. It is arbitrarily divided

into three parts by the pectoralis minor muscle

that crosses it anteriorly.

Brachial Plexus.

Brachial plexus The brachial plexus is divided into Roots,

Trunks, Divisions, Cords, and Branches. There are five "terminal" branches and numerous other "pre-terminal" or "collateral" branches that leave the plexus at various points along its length.

The five roots are the five anterior rami of the spinal nerves, after they have given off their segmental supply to the muscles of the neck.

These roots merge to form three trunks:– "superior" or "upper" (C5-C6)– "middle" (C7)– "inferior" or "lower" (C8-T1)

Brachial plexus Each trunk then splits in two, to form six divisions:

– anterior divisions of the upper, middle, and lower trunks– posterior divisions of the upper, middle, and lower trunks

These six divisions will regroup to become the three cords. The cords are named by their position with respect to the axillary artery.– The posterior cord is formed from the three posterior

divisions of the trunks (C5-T1)– The lateral cord is the anterior divisions from the upper

and middle trunks (C5-C7)– The medial cord is simply a continuation of the anterior

division of the lower trunk (C8-T1) The branches are shown in the following diagram

THANK YOU