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Rhomboid Major Muscle
The rhomboid major is a skeletal muscle of the back that connects the scapula with the vertebrae of the spinal column. It originates from the spinous processes of the thoracic vertebrae T2–T5 and supraspinous ligament; it inserts onto the lower portion of the Medial border of scapula, medial border of the scapula. It acts together with the Rhomboid minor muscle, rhomboid minor to keep the scapula pressed against thoracic wall and to retract the scapula toward the vertebral column. As the word ''rhomboid'' suggests, the rhomboid major is diamond-shaped. The ''major'' in its name indicates that it is the larger of the two rhomboids. Structure Origin The rhomboid major arises from the spinous processes of the thoracic vertebrae T2–T5 as well as the supraspinous ligament. Insertion It inserts on the Medial border of scapula, medial border of the scapula, from about the level of the scapular spine to the scapula's inferior angle. Innervation The rhomboid major, like the ...
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Spinous Processes
Each vertebra (: vertebrae) is an irregular bone with a complex structure composed of bone and some hyaline cartilage, that make up the vertebral column or spine, of vertebrates. The proportions of the vertebrae differ according to their spinal segment and the particular species. The basic configuration of a vertebra varies; the vertebral body (also ''centrum'') is of bone and bears the load of the vertebral column. The upper and lower surfaces of the vertebra body give attachment to the intervertebral discs. The posterior part of a vertebra forms a vertebral arch, in eleven parts, consisting of two pedicles (pedicle of vertebral arch), two laminae, and seven processes. The laminae give attachment to the ligamenta flava (ligaments of the spine). There are vertebral notches formed from the shape of the pedicles, which form the intervertebral foramina when the vertebrae articulate. These foramina are the entry and exit conduits for the spinal nerves. The body of the vertebra an ...
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Medial Border Of Scapula
The scapula (: scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on either side of the body being roughly a mirror image of the other. The name derives from the Classical Latin word for trowel or small shovel, which it was thought to resemble. In compound terms, the prefix omo- is used for the shoulder blade in medical terminology. This prefix is derived from ὦμος (ōmos), the Ancient Greek word for shoulder, and is cognate with the Latin , which in Latin signifies either the shoulder or the upper arm bone. The scapula forms the back of the shoulder girdle. In humans, it is a flat bone, roughly triangular in shape, placed on a posterolateral aspect of the thoracic cage. Structure The scapula is a thick, flat bone lying on the thoracic wall that provides an attachment for three groups of muscles: intrinsic, ...
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Physical Therapy
Physical therapy (PT), also known as physiotherapy, is a healthcare profession, as well as the care provided by physical therapists who promote, maintain, or restore health through patient education, physical intervention, disease prevention, and health promotion. Physical therapist is the term used for such professionals in the United States, and physiotherapist is the term used in many other countries. The career has many specialties including musculoskeletal, orthopedics, cardiopulmonary, neurology, endocrinology, sports medicine, geriatrics, pediatrics, women's health, wound care and electromyography. PTs practice in many settings, both public and private. In addition to clinical practice, other aspects of physical therapy practice include research, education, consultation, and health administration. Physical therapy is provided as a primary care treatment or alongside, or in conjunction with, other medical services. In some jurisdictions, such as the United Kin ...
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Winged Scapula
A winged scapula (scapula alata) is a skeletal medical condition in which the shoulder blade protrudes from a person's back in an abnormal position. In rare conditions it has the potential to lead to limited functional activity in the upper extremity to which it is adjacent. It can affect a person's ability to lift, pull, and push weighty objects. In some serious cases, the ability to perform activities of daily living such as changing one's clothes and washing one's hair may be hindered. The name of this condition comes from its appearance, a wing-like resemblance, due to the medial border of the scapula sticking straight out from the back. Scapular winging has been observed to disrupt scapulohumeral rhythm, contributing to decreased flexion and abduction of the upper extremity, as well as a loss in power and the source of considerable pain. A winged scapula is considered normal posture in young children, but not older children and adults. Signs and symptoms The severi ...
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Levator Scapulae Muscle
The levator scapulae is a slender skeletal muscle Skeletal muscle (commonly referred to as muscle) is one of the three types of vertebrate muscle tissue, the others being cardiac muscle and smooth muscle. They are part of the somatic nervous system, voluntary muscular system and typically are a ... situated at the back and side of the neck. It originates from the transverse processes of the four uppermost cervical vertebrae; it inserts onto the upper portion of the medial border of the scapula. It is innervated by the cervical nerves C3-C4, and frequently also by the dorsal scapular nerve. As the Latin name suggests, its main function is to lift the scapula. Anatomy Attachments The muscle descends diagonally from its origin to its insertion. Origin The levator scapulae originates from the posterior tubercles of the transverse processes of cervical vertebrae C1-4. At its origin, it attaches via tendinous slips. Insertion It inserts onto the medial border of th ...
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Vertebral Column
The spinal column, also known as the vertebral column, spine or backbone, is the core part of the axial skeleton in vertebrates. The vertebral column is the defining and eponymous characteristic of the vertebrate. The spinal column is a segmented column of vertebrae that surrounds and protects the spinal cord. The vertebrae are separated by intervertebral discs in a series of cartilaginous joints. The dorsal portion of the spinal column houses the spinal canal, an elongated body cavity, cavity formed by the alignment of the vertebral neural arches that encloses and protects the spinal cord, with spinal nerves exiting via the intervertebral foramina to innervate each body segment. There are around 50,000 species of animals that have a vertebral column. The human spine is one of the most-studied examples, as the general structure of human vertebrae is fairly homology (biology), typical of that found in other mammals, reptiles, and birds. The shape of the vertebral body does, howev ...
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Pectoralis Minor
Pectoralis minor muscle () is a thin, triangular muscle, situated at the upper part of the chest, beneath the pectoralis major in the human body. It arises from ribs III-V; it inserts onto the coracoid process of the scapula. It is innervated by the medial pectoral nerve. Its function is to stabilise the scapula by holding it fast in position against the chest wall. Structure Attachments From the muscle's origin, the muscle's fibers pass superiorly and laterally, converging to form a flat tendon. Origin Pectoralis minor muscle arises from the upper margins and outer surfaces of the 3rd, 4th, and 5th ribs near their costal cartilages, and from the aponeuroses covering the intercostalis. Insertion Its tendon inserts onto the medial border and upper surface of the coracoid process of the scapula. Innervation The muscle receives motor innervation from the medial pectoral nerve. Relations Pectoralis minor muscle forms part of the anterior wall of the axilla. It is ...
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Serratus Anterior
The serratus anterior is a muscle of the chest. It originates at the side of the chest from the upper 8 or 9 ribs; it inserts along the entire length of the anterior aspect of the medial border of the scapula. It is innervated by the long thoracic nerve from the brachial plexus. The serratus anterior acts to pull the scapula forward around the thorax. The muscle is named from Latin: ''serrare'' = to saw (referring to the shape); and ''anterior'' = on the front side of the body. Structure Origin Serratus anterior normally originates by nine or ten muscle slips – arising from either the 1st to 8th ribs, or the 1st to 9th ribs; because two slips usually arise from the 2nd rib, the number of slips is greater than the number of ribs from which they originate. Insertion The muscle is inserted along the medial border of the scapula between the superior and inferior angle of the scapula. The muscle is divided into three parts according to the points of insertion: * the se ...
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Rhomboid Minor
In human anatomy, the rhomboid minor is a small skeletal muscle of the back that connects the scapula to the vertebrae of the spinal column. It arises from the nuchal ligament, the 7th cervical and 1st thoracic vertebrae and intervening supraspinous ligaments; it inserts onto the medial border of the scapula, and is innervated by the dorsal scapular nerve. It acts together with the rhomboid major to keep the scapula pressed against the thoracic wall. Anatomy Origin The rhomboid minor arises from the inferior border of the nuchal ligament, from the spinous processes of the vertebrae C7–T1, and from the intervening supraspinous ligaments. Insertion It inserts onto a small area of the medial border of the scapula at the level of the scapular spine. Innervation It is innervated by the dorsal scapular nerve (a branch of the brachial plexus), with most of its fibers derived from the C5 nerve root and only minor contribution from C4 or C6., p. 4 Blood supply The rhom ...
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Trapezius
The trapezius is a large paired trapezoid-shaped surface muscle that extends longitudinally from the occipital bone to the lower thoracic vertebrae of the human spine, spine and laterally to the spine of the scapula. It moves the scapula and supports the arm. The trapezius has three functional parts: * an upper (descending) part which supports the weight of the arm; * a middle region (transverse), which retracts the scapula; and * a lower (ascending) part which medially rotates and depresses the scapula. Name and history The trapezius muscle resembles a trapezoid, trapezium, also known as a trapezoid, or diamond-shaped quadrilateral. The word "spinotrapezius" refers to the human trapezius, although it is not commonly used in modern texts. In other mammals, it refers to a portion of the analogous muscle. Structure The ''superior'' or ''upper'' (or descending) fibers of the trapezius originate from the spinous process of C7, the external occipital protuberance, the me ...
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Dorsal Scapular Artery
The transverse cervical artery (transverse artery of neck or transversa colli artery) is an artery in the neck and a branch of the thyrocervical trunk, running at a higher level than the suprascapular artery. Structure It passes transversely below the inferior belly of the omohyoid muscle to the anterior margin of the trapezius, beneath which it divides into a superficial and a deep branch. It crosses in front of the phrenic nerve and the scalene muscles, and in front of or between the divisions of the brachial plexus, and is covered by the platysma and sternocleidomastoid muscles, and crossed by the omohyoid and trapezius. The transverse cervical artery originates from the thyrocervical trunk, it passes through the posterior triangle of the neck to the anterior border of the levator scapulae muscle, where it divides into deep and superficial branches. * Superficial branch ** Ascending branch ** Descending branch (also known as superficial cervical artery, which suppli ...
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Dorsal Scapular Nerve
The dorsal scapular nerve is a branch of the brachial plexus, usually derived from the ventral ramus of cervical nerve C5. It provides motor innervation to the rhomboid major muscle, rhomboid minor muscle, and levator scapulae muscle. Dorsal scapular nerve syndrome can cause a winged scapula, with Shoulder problem, pain and limited motion. Structure Origin The dorsal scapular nerve arises from the brachial plexus, usually from the plexus root (Ventral ramus, anterior (ventral) ramus) of cervical nerve C5. Course and relations Once the nerve leaves C5 it commonly pierces the Scalene muscles, middle scalene muscle. It continues deep to levator scapulae muscle and the rhomboids (minor superior to major). The nerve is accompanied by dorsal scapular artery. Function The dorsal scapular nerve provides motor innervation to the two rhomboid muscles, and the levator scapulae muscle. Clinical significance Injury to the dorsal scapular nerve is usually apparent on inspecti ...
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