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Kinesiology of the Shoulder Girdle Bones of the Shoulder Girdle • Scapula • Clavicle Scapula • Anterior view (fig. 4.1) – – – – – – – – – Inferior angle Lateral border Medial border Subscapular fossa Glenoid fossa Coracoid process Acromion process Superior acromioclavicular lig. Coracoclavicular ligament • (trapezoid and conoid) – – – – Superior angle Sternoclavicular ligament Interclavicular ligament Manubrium and stermum • Scapula: posterior view (fig. 4.2) – – – – – – – – – Inferior angle Medial border Lateral border Spine of scapula Glenoid fossa Acromion process Superior angle Supraspinous fossa (supraspinatus fossa) Infraspinous fossa (infraspinatus fossa) Movements of Shoulder Girdle: Scapulohumeral Rhythm • • • • • • Elevation Depression Retraction (scapular adduction) Protraction (scapular abduction) Upward rotation Downward rotation Trapezius • Origin (Upper) base of skull, EOP, neck ligaments • Origin (Middle) SP C7-T3 • Origin (Lower) SP T4-T12 • Insertion (U) lat. 1/3 clavicle • Insertion (M) Acromion, upper spine of scapula • Insertion (L) medial spine of scapula Trapezius • Action (U) elevation of scapula, cervical extension • Action (L) depression, adduction, and upward rotation of scapula • Action (M) elevation, upward rotation, and adduction of scapula • N: Spinal accessory nerve Levator Scapulae • O: TP C1-C4 • I: Med. Border of scapula above spine (superior angle) • A: elevation of scapula (duhhhh,,,) • N:Dorsal scapular n. Rhomboids • Origin: SP C7 - T 5 • Insertion: Medial border scapula below spine. • Action: Adduction, elevation, downward rotation of scapula • N: Dorsal scapula n. Serratus Anterior • • • • O: Ribs 1-9 I: Ant. Surface, medial border scapula A: Abduction, upward rotation, scapula N. Long thoracic n. Pectoralis Minor • O: Ribs 3-5 • I:Coracoid process • A: Depression, Abduction, Downward Rotation of Scapula. • N: Medial pectoral n. Subclavius • O: Rib 1 • I: Mid clavicle • A: Stabilization of S/C joint, depression of shoulder girdle. • N: nerve fibers from C5 and C6 • • • • • • • • Shoulder movements with accommodating shoulder girdle (scapula) movements Abduction Adduction Flexion Extension Int. rot. Ext. rot. Horiz. Add. Horiz. Abd. upward rotation downward rot. elevation/up rot. depression/down rot. Protraction Retraction Protraction Retraction