Lecture 8

Text figures from:

MD: Moore and Dalley, Clinically Oriented Anatomy 5th Edition 2006 Lippincott Williams and Wilkins G: Drake, Vogl and Mitchell, Gray's Anatomy for Medical Students 2005 Elsevier

NP: Netter, Atlas of Human Anatomy 5 Edition, Elsevier, 2011

RM: White, USMLE Road Map Gross Anatomy 2nd Ed. McGraw-Hill

Collarbone or Clavicle

Pectoral girdle
NP241 Sternoclavicular joint

Shoulder blade or scapula

Elsevier 2011. Netter: Atlas of Human Anatomy, 5e. Plate 179

Scapular movements
MD6.3 Elevation Depression Protraction (Abduction) Retraction (Adduction)

Lateral rotation Medial rotation

MOVEMENTS OF PECTORAL (SHOULDER) GIRDLE ON TRUNK Action Elevation Muscles involved Levator scapulae Trapezius, upper part Rhomboid major and minor Pectoralis minor Trapezius, lower part Latissimus dorsi Pectoralis major, sternocostal part Serratus anterior Pectoralis minor Rhomboid major and minor Trapezius, middle fibers Serratus anterior, lower half Trapezius, upper and lower parts Rhomboid major and minor Levator scapulae Pectoralis minor Innervation Dorsal scapular Accessory Dorsal scapular Medial pectoral Accessory Thoracodorsal Medial pectoral Long thoracic Medial pectoral Dorsal scapular Accessory Long thoracic Accessory Dorsal scapular Dorsal scapular Medial pectoral Major Segments of innervation C4,5 C1- C5 C5 C7,8 C1- C5 C6,7,8 C6-T1 C5,6,7 C7,8 C5 C1- C5 C5,6,7 C1- C5 C5 C4,5 C7, 8

Depression

Protraction

Retraction

Lateral rotation of scapula (in abduction) Medial rotation of scapula (in adduction)

Scapular movements
MD6.3 Elevation Depression

MOVEMENTS OF PECTORAL (SHOULDER) GIRDLE ON TRUNK Action Elevation Muscles involved Levator scapulae Trapezius, upper part Rhomboid major and minor Pectoralis minor Trapezius, lower part Latissimus dorsi Pectoralis major, sternocostal part Serratus anterior Pectoralis minor Rhomboid major and minor Trapezius, middle fibers Serratus anterior, lower half Trapezius, upper and lower parts Rhomboid major and minor Levator scapulae Pectoralis minor Innervation Dorsal scapular Accessory Dorsal scapular Medial pectoral Accessory Thoracodorsal Medial pectoral Long thoracic Medial pectoral Dorsal scapular Accessory Long thoracic Accessory Dorsal scapular Dorsal scapular Medial pectoral Major Segments of innervation C4,5 C1- C5 C5 C7,8 C1- C5 C6,7,8 C6-T1 C5,6,7 C7,8 C5 C1- C5 C5,6,7 C1- C5 C5 C4,5 C7, 8

Depression

Protraction

Retraction

Lateral rotation of scapula (in abduction) Medial rotation of scapula (in adduction)

MDSA6.7

NP411

Elsevier 2013. The Netter Collection of Medical Illustrations: The Musculoskeletal System Part I Upper Limb, 2e. Plate 1-9

Scapula Elevators: Trapezius (upper fibers)

NP411

Levator scapulae Rhomboid minor Rhomboid major

Elsevier 2013. The Netter Collection of Medical Illustrations: The Musculoskeletal System Part I Upper Limb, 2e. Plate 1-9

MD6.15

MD6.17

MD6.18

MOVEMENTS OF PECTORAL (SHOULDER) GIRDLE ON TRUNK Action Elevation Muscles involved Levator scapulae Trapezius, upper part Rhomboid major and minor Pectoralis minor Trapezius, lower part Latissimus dorsi Pectoralis major, sternocostal part Serratus anterior Pectoralis minor Rhomboid major and minor Trapezius, middle fibers Serratus anterior, lower half Trapezius, upper and lower parts Rhomboid major and minor Levator scapulae Pectoralis minor Innervation Dorsal scapular Accessory Dorsal scapular Medial pectoral Accessory Thoracodorsal Medial pectoral Long thoracic Medial pectoral Dorsal scapular Accessory Long thoracic Accessory Dorsal scapular Dorsal scapular Medial pectoral Major Segments of innervation C4,5 C1- C5 C5 C7,8 C1- C5 C6,7,8 C6-T1 C5,6,7 C7,8 C5 C1- C5 C5,6,7 C1- C5 C5 C4,5 C7, 8

Depression

Protraction

Retraction

Lateral rotation of scapula (in abduction) Medial rotation of scapula (in adduction)

Scapula Depressors: Trapezius (inferior fibers)

NP411

Latissimus dorsi

Elsevier 2013. The Netter Collection of Medical Illustrations: The Musculoskeletal System Part I Upper Limb, 2e. Plate 1-9

MD6.15

MD6.16

NP182

Pectoralis minor

Elsevier 2011. Netter: Atlas of Human Anatomy, 5e. Plate 182

Pectoralis major