This figure (of humerus) is from Dr. Maher's newest slides. -Its - - PowerPoint PPT Presentation

this figure of humerus is from dr maher s newest slides
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This figure (of humerus) is from Dr. Maher's newest slides. -Its - - PowerPoint PPT Presentation

This figure (of humerus) is from Dr. Maher's newest slides. -Its added here just for consideration- Slides of Anatomy Please note : These slides are Dr. Maher Hadidi s slides of spring 2016 and were edited by the Premed Academic Team to fit


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SLIDE 1

This figure (of humerus) is from Dr. Maher's newest slides.

  • Its added here just for consideration-
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SLIDE 2

Slides of Anatomy

Please note : These slides are Dr. Maher Hadidi’s slides of spring 2016 and were edited by the Premed Academic Team to fit the slides of spring 2019.

Spring 2019

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SLIDE 3

Pectoral region

Lecture 2

Spring 2019

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SLIDE 4

Muscles

Voluntary 1- skeletal 700 locations :

Superficial Deep

Functions : e.g.. Body movement

Involuntary 2- Cardiac wall of heart 3- Smooth wall of organs

e.g .. Stomach

Spring 2019

1

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SLIDE 5

Skeletal muscles are named according to :

  • 1. Direction of its fibers eg Rectus, Transverse, Oblique.
  • 2. Size of muscle eg Major, Minor, vastus (Huge) .
  • 3. Shape of muscle eg Deltoid, Trapezius, Gracilis .
  • 4. Main of action eg. Flexor, Extensor, Abductor, Adductor .
  • 5. Number of tendons of origin eg. Biceps, Triceps .
  • 6. Location eg. Superficialis, Profundus (deep), Brachialis .
  • 7. Origin and insertion eg. Brachioradialis, [From brachium to

radius].

Spring 2019

2

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SLIDE 6

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Muscle Action

Each muscle has:

 Origin

Beginning.

 Insertion

End.

Body (belly).

Law: When a muscle performs its action, its insertion, moves towards its origin.

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SLIDE 7

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Pectoral Region

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SLIDE 8

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Pectoral Region

Breast region. Contents:

1. Skin. 2. Superficial fascia. 3. Breast. 4. Deep fascia. 5. 3 Muscles:

a. Pectoralis major . b. Pectoralis minor . c. Subclavius.

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SLIDE 9

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Pectoralis major

Origin: Clavicle (M ½) , Sternum and upper 6 ribs.

Insertion: humerus, lateral lip of intertubercular groove.

Nerve Supply: Medial & lateral pectoral nerves.

Action: Adducts and medially rotate the arm.

  • Dr. Maher Hadidi

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SLIDE 10

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Pectoralis Minor

O: 3rd, 4th, 5th ribs.

Ins: Coracoid process.

NS: Medial pectoral N.

Action: Depress scapula downward and forward.

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SLIDE 11

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Subclavius

Origin: 1st rib.

Ins: Clavicle inferior surface.

NS: N. to Subclavius.

Action: Protects the underlying structures.

  • Dr. Maher Hadidi

8

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SLIDE 12
  • Dr. Maher Hadidi

Spring 2019

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SLIDE 13

PS: always refer to book for better understanding.

Spring 2019

10

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SLIDE 14

Clavipectoral fascia

 A 2ply sheet of CT that

connects clavicle to the floor

  • f the axilla.

 Extends from both borders of

the clavicle to envelop the subclavius and pectoralis minor muscles, in order to seal the gap in between.

 Pierced by:

  • Cephalic vein.
  • Thoracoacromial artery
  • Lateral pectoral nerve
  • Lymph vessels. [ L VAN ]
  • Dr. Maher Hadidi

Spring 2019

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SLIDE 15

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Muscles connecting UL to vertebral col.

Arrange in layers :

  • Superficial layer :
  • 1. Deltoid
  • 2. Trapezius
  • 3. Latissmus dorsi
  • Deep layer :
  • 1. Supraspinatus
  • 2. Infraspinatus
  • 3. Teres minor
  • 4. Teres major
  • 5. Subscapularis
  • 6. Serratus anterior

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SLIDE 16

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Deltoid

O: Clavicle, acromion and spine of scapula. Ins: Deltoid tuberosity. Action: Its fibers runs in 3 directions

  • Ant.

Flex shoulder.

  • Post.
  • Middle

Extend shoulder joint Abduct arm 15-900 NS: Axillary Nerve.

  • Dr. Maher Hadidi

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SLIDE 17

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Supraspinatus

O: Supraspinous fossa. Ins: Greater tubercle of humerus. Action: Abducts arm 0-150. NS: Suprascapular Nerve.

Infraspinatus

O: Infraspinous fossa. Ins: Greater tubercle. Action: Lateral Rotation of arm. NS: Suprascapular N.

S i T

  • Dr. Maher Hadidi

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SLIDE 18

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Teres Minor

(L. Rounded)

O: Lat. border of Scapula. Ins: Greater tubercle of humerus Action: Lateral rotation of arm. NS: Axillary n.

Teres Major

O: Lat. border of Scapula. Ins: Medial lip of intertubercular groove Action: Adduction & Medial rotation and of arm. Remember (t.major like p.major) NS: Lower subscapular n.

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SLIDE 19

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Subscapularis

Origin: Subscapular fossa. Ins: Lesser tubercle

  • f humerus.

Action: Medial rotation

  • f the arm.

NS: Upper and lower subscapular Ns.

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SLIDE 20
  • Dr. Maher Hadidi, University of Jordan

Serratus anterior

 Origin: upper 8 ribs.  Ins: Medial border of

scapula.

 Act: Protraction of

scapula (pulls scapula forward over thoracic wall). It assists trapezius to elevate arm 1800 above shoulder .

 NS: Long thoracic N.

*nerve injury cause winging of scapula

Spring 2019

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SLIDE 21

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Rotator cuff muscles of shoulder

  • Form of 4 muscles:

 Supraspinatus  Infraspinatus  Teres minor  Subscapularis

  • Their tendons flatten at

their insertion and blend with the fibrous capsule of the shoulder joint. They act as a handcuff that strengthen shoulder joint (superior, posterior & anterior).

  • But NOT inferior?

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SLIDE 22

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Spaces between scapular muscles

Quadrangular space

 Borders:

  • Sup.

T . minor

  • Inf.
  • Med.

T . major Triceps, long head.

  • Lat.

humerus

 Contents:

  • Axillary N.
  • Post. circ. hum. A,V

.

Triangular space

 Borders:

  • Sup.

T . minor

  • Inf.

T . major

  • Lat.

Triceps, long head

 Contents:

  • Circumflex scapular A & V

.

  • Dr. Maher Hadidi

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SLIDE 23

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Trapezius

O: Skull, spines of C1-T12 v. Ins: Its fibers runs in 3 Directions: to Clavicle.

  • Horizontal

to Acromion. to Spine of scapula.

  • Sup.

Action:

  • Sup. Fibers
  • Middle Fibers

Elevate arm. Adduct medial

  • Inf. Fibers

Pull downward

  • Assist the serratus anterior

muscle in abducting the arm 1800 above the head. NS: Spinal accessory (IX) N.

  • Inferior

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SLIDE 24

Spring 2019

  • Dr. Maher Hadidi, University of Jordan

Latissmus dorsi

O: T7-T12, L1- L5, Sacrum & Iliac crest. Ins: Floor of bicipital groove. Action: Extends, Adducts and Medially Rotate humerus like in

  • canoeing. EAMR

NS: Thoracodorsal N.

  • Dr. Maher Hadidi

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