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Scapular Region

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This document summarizes the anatomy of the scapular region, including the muscles, surface anatomy like the triangle of auscultation, spaces, nerves and vessels. It describes the scapulohumeral muscles like the deltoid, rotator cuff muscles, and their actions. It also discusses the clinical relevance of structures like axillary nerve damage causing deltoid paralysis and supraspinatus tendinitis.

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Scapular Region

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scribdarnab
23 views40 pages
This document summarizes the anatomy of the scapular region, including the muscles, surface anatomy like the triangle of auscultation, spaces, nerves and vessels. It describes the scapulohumeral muscles like the deltoid, rotator cuff muscles, and their actions. It also discusses the clinical relevance of structures like axillary nerve damage causing deltoid paralysis and supraspinatus tendinitis.

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Scapular region

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This document summarizes the anatomy of the scapular region, including the muscles, surface anatomy like the triangle of auscultation, spaces, nerves and vessels. It describes the scapulohumeral muscles like the deltoid, rotator cuff muscles, and their actions. It also discusses the clinical relevance of structures like axillary nerve damage causing deltoid paralysis and supraspinatus tendinitis.

Copyright:

© All Rights Reserved
Download as ODP, PDF, TXT or read online from Scribd
Download as odp, pdf, or txt
23 views40 pages

Scapular Region

Uploaded by

scribdarnab
This document summarizes the anatomy of the scapular region, including the muscles, surface anatomy like the triangle of auscultation, spaces, nerves and vessels. It describes the scapulohumeral muscles like the deltoid, rotator cuff muscles, and their actions. It also discusses the clinical relevance of structures like axillary nerve damage causing deltoid paralysis and supraspinatus tendinitis.

Copyright:

© All Rights Reserved
Download as ODP, PDF, TXT or read online from Scribd
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SCAPULAR REGION

Overview
Scapular region:
●
Muscles:
– attachments, actions, nerve supply
●
Surface anatomy:
– triangle of auscultation
●
Spaces
– Upper & lower triangular, quadrangular
●
Nerves & vessels
●
Applied clinical anatomy
Scapulohumeral muscles
Scapulohumeral or intrinsic shoulder muscles:
●
Deltoid
●
Subscapularis
●
Supraspinatus
●
Infraspinatus
●
Teres minor
●
Teres major
Deltoid
●
Origin:
●
Scapula: lower lip of
spine & lateral border
of acromion process.
●
Clavicle: anterior
border of lateral 1/3
●
Insertion:
●
Humerus: deltoid
tuberosity (laterally at
mid-shaft level)
Deltoid
●
Anterior fibres
(clavicle)
●
Posterior fibres (spine
of scapula)
●
Acromial fibres
(multipennate)
Deltoid
●
Action (on shoulder
joint):
●
Acromial
(multipennate) fibres
abduct
●
Anterior (clavicle)
fibres flex & medially
rotate
●
Posterior (spine)
fibres extend &
laterally rotate
Deltoid
– Nerve supply: axillary nerve (posterior cord of brachial
plexus).
– Damaged in:
●
# of surgical neck of humerus
●
Posterior dislocation of shoulder joint (vs subluxation)
Deltoid: testing
Rotator cuff muscles
●
Scapula to upper end of humerus:
●
Subscapularis
●
Supraspinatus
●
Infraspinatus
●
Teres minor
Rotator cuff muscles
SITS
●
Supraspinatus
●
Infraspinatus
●
Teres minor
●
Subscapularis
Teres major
Scapulohumeral muscles
Supraspinatus tendinitis
●
Painful arc
syndrome.
●
Subacromial bursa
communicates with
shoulder joint.
●
Test: controlled
adduction.
Scapulohumeral muscles
– Rotator cuff 10.14
– Teres major
– Deltoid 19.25
Surface anatomy
Triangle of auscultation
Triangle of auscultation
Triangular & quadrangular spaces
Quadrangular space
– Teres major
– Teres minor
– Humerus
– Long head of triceps
Upper triangular space
– Teres major
– Teres minor
– Long head of triceps
Lower triangular space
– Teres major
– Humerus
– Long head of triceps
Scapular region: nerves & vessels
Scapular region: nerves & vessels
●
Suprascapular
foramen:
●
Suprascapular nerve
●
Suprascapular artery
●
Quadrangular
space:
●
Axillary nerve
●
Posterior circumflex
humeral artery
Scapular region: nerves & vessels
●
Upper triangular
space:
●
Circumflex scapular
artery (branch of
subscapular artery)
●
Lower triangular
space:
●
Radial nerve
●
Profunda brachii
artery
Arteries of scapular region
●
Subclavian artery:
– (3 parts - by scalenus anterior)
●
Axillary artery:
– (3 parts - by pectoralis minor)
●
Brachial artery:
– From lower border of teres major
Subclavian artery
Axillary & brachial arteries
Scapular anastomosis
Scapular anastomosis
●
Anastomosis between 1st part of subclavian
artery & 3rd part of axillary artery:
●
Suprascapular artery
– Branch of thyrocervical trunk (1st part of subclavian
artery)
●
Deep branch of transverse cervical artery (dorsal
scapular artery)
– Branch of thyrocervical trunk (1st part of subclavian
artery)
●
Circumflex scapular artery
– Branch of subscapular artery (3rd part of axillary artery)
Scapular anastomosis: collaterals
Scapular anastomosis: collaterals
Overview
Scapular region:
●
Muscles:
– attachments, actions, nerve supply
●
Surface anatomy:
– triangle of auscultation
●
Spaces
– Upper & lower triangular, quadrangular
●
Nerves & vessels
●
Applied clinical anatomy:
– Axillary nerve damage; paralysis of deltoid
– Supraspinatus tendinitis
End

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