Bagg and Forrest found a ratio of 4.4:1 during early phase, and 1.7:1 within 80 to 140° of shoulder elevation.Burkhart et al has used the acronym SICK to refer to the syndrome associated … Synonym(s): regio scapularis [TA] Furthermore, scapular positioning is hypothesized to bear a direct relationship to scapular stability and the generation of muscular forces, because coordinated muscle patterns are believed to be requisite for normal glenohumeral joint function and muscle force production.5–8 Thus, most authors of texts consider the assessment of scapular position to be one part of a comprehensive approach to eval… Free + Easy to edit + Professional + Lots backgrounds. Neuro exam – normal. ; Posteriorly: Lower border of gluteus maximus and sacrotuberous ligament. 6.1 Quadrangular space; 6.2 Upper triangular space; 6.3 Lower triangular space; 7 Draw labeled diagram to show the anastomosis around scapula. Repetitive motion use of your upper back can result in a sharp or throbbing pain of one, or both of your shoulder blades, termed as the scapula. Boundaries and Divisions In response to the demand for flexibility of the upper limb. This strain could lead to peripheral nociceptive nerves sensitization in the affected area, changing the pressure pain threshold (PPT). ... Coracoid process of scapula. The Back and Scapular region - ppt download. Muscles of the Scapular Region : Muscle. Physical It features consistent anatomy, a large pedicle and thick but pliable skin. Medial rotation of the arm Additional notes:-• The posterior scapular region also contains part of one additional muscle, the long head of the triceps brachii, which passes between the scapula and the proximal end of the forearm. This terminology (and use of the word syndrome) describes a set of signs and symptoms that often present together without identifying the cause of the pain and dysfunction, as is the case with other syndromes such as chronic fatigue syndrome and … Just like other parts of the body, the scapula also experiences pain and discomfort. The suprascapular artery runs above the SSN and the superior transverse scapular ligament; however, the STSL is not always visualized under ultrasound. Subscapular fossa. Exam: Tenderness in the mid thoracic spine and right para-scapular region. Okay, let’s continue to read to get better information about scapula … The scapula is commonly referred to as the shoulder blade. Upper Limb_Pectoral Region,Scapular Region,Axilla & Brachial Plexus - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. 8 Enumerate the movements possible at scapulothoracic joint (movement of scapula) and the muscles responsible for them. Anteriorly: Posterior free border of urogenital diaphragm. scapula) Subscapular fossa Lesser tubercle Upper and lower subscapular nerves. Scapula, also called shoulder blade, either of two large bones of the shoulder girdle in vertebrates. Superficial muscles of back. Lesser tubercle of humerus. Pain in the region of the right scapula. There's more: Triangle of auscultation borders; FAST negative. Origin. ; Medially: Levator ani above and sphincter ani externus below. They produce the characteristic shape of the shoulder, and can be divided into two groups: It is a frequent site for venipuncture to remove a sample of blood or add fluid to the blood The lymphatic drainage of upper limb Lymphatic vessels Superficial ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 42e19f-NDA3Y It may seem strange that it is included in the anatomy of the upper limb. Name the structures that form boundaries of ischiorectal foss. First 30-45 degrees of elevation best described as the setting phase in terms of scapular motion as scapula … A scapula’s posterior surface is crossed obliquely by a prominent ridge, the spine, which divides the bone into two concave areas, the supraspinous and infraspinous fossae. ... PowerPoint Presentation Download Scapula PowerPoint templates (ppt) and Google Slides themes to create awesome presentations. At the suprascapular notch region, one can visualize the SSN within the scapular foramen (Figure 9). The fascial component of the flap - the dorsal thoracic fascia - can be harvested alone as a free fascial flap. Scapular dyskinesis (which may also be referred to as SICK scapula syndrome) is an alteration or deviation in the normal resting or active position of the scapula during shoulder movement. Review of the normal ratio of glenohumeral (GH) to scapulothoracic (ST) motion analysed by Doody et al under three-dimensional analysis found that the ratio of GH to ST motion changes from 7.3: 1 in the first 30° of elevation to 0.78: 1 between 90 and 150°. The armpit and shoulder serve as the meeting place for the torso and arms, so major vessels close to … Lateral parts of 1st-8th ribs. Anatomy of pectoral region designed by me is related all anatomical aspect of Pectoral area in an easy way 2010 •Duncan M, Lotze M, Gerber L, Rosenberg S. Incidence, recovery, and management of serratus anterior muscle palsy after axillary node dissection. – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3fdaa4-MTQ2N Stabilisation of shoulder joint. Background SCAPULAR ANATOMY The scapula (shoulder blade) is a flat , broad and triangular bone,lies obliquely over the 1) Describe the normal anatomy of the scapular region on US, MDCT and MRI imaging. PPT - PTA 106 Fall 2008 Shoulder Joint PowerPoint ... Tumor in the Back | SpringerLink. However, the scapula is integral to the movement of the shoulder via the rotator cuff and additional muscles. Subscapularis. T8 and T9 spinous processes Thus, people with a faulty alignment of scapular depression may have lower PPT levels in the upper trapezius region when compared to subjects with normal vertical scapular … Also, as pain in the left shoulder region, pain in the right shoulder region may be a symptom of various diseases. There are at least 4 diseases that are displayed by pain in the region of the right scapula: spasmodic gallbladder or ducts - occurs due to blockage of their stone. CT chest/abd/pelvis with reconstruction. The Regional Anatomy of the Upper limb Section 1 Introduction . Neck - non tender with full ROM. It connects the humerus bone of the arm to the collarbone. A position of scapula depression will maintain the upper trapezius muscle region in a lengthened position, causing excessive strain. Highest tubercle of greater tubercle. 3) Propose a differential diagnosis of scapular injury. The scapula, also known as the shoulder blade, is a flat triangular bone located at the back of the trunk and resides over the posterior surface of ribs two to seven. The scapular region lies on the posterior surface of the thoracic wall. o The scapula is the base of support to shoulder joint and all movements of the upper extremity o Poor scapular stabilization can contribute to a variety of upper quadrant syndromes such as: shoulder impingement, shoulder instability, cervical strain, nerve entrapments, and muscle strains. the portion of the scapula that runs inferomedially from the infraglenoid tubercle to the … Insertion: Action: Nerve Supply . 1.The deltoid 2.Supraspinatus 3.Infraspinatus 4.Teres minor 5.Subscapularis 6.Teres major Muscles Of The Scapular Region The deltoid: origin: The anterior border of lat 1/3 rd of clavicle The acromian Lower lip of the crest of spine of scapula Insertion: The deltoid tuberosity of humerus Nerve supply: Axillary nerve(c5,c6) The deltoid The shoulder plays a key role in the blood flow to the arms. Chest xray: non displaced right clavicle fx. Medial rotation of humerus. What does the pectoral region consist of? Levator Scapulae Syndrome is an historical name for \"pain over the upper medial angle of the scapula\" (LoE 3B) that is still used in clinical practice in some places around the world. About This Quiz & Worksheet. Scapula usually extends obliquely from the 4 th thoracic spine to ventral end of 1 st rib #5. The scapular flap has become clinically popular because it provides a large area of fasciocutaneous tissue and is relatively straight forward to harvest. The pectoral region is external to the anterior thoracic wall and anchors the upper limb to the trunk. Upper and lower subscapular nerves. The shoulder blade (scapula) is a flat triangular bone found in the upper back. A position of scapula depression will maintain the upper trapezius muscle region in a lengthened position, causing excessive strain. Medial border of scapula. scapular region: [TA] the area of the back corresponding to the outlines of the scapula. Thus, people with a faulty alig …. Resources Moore K, Dalley A, Agur A. Clinically oriented anatomy. Supraspinatus. T10 vertebral body involving post elements (Chance Fx), hemothorax. Gross Anatomy Image. #4. Some authors1–4 have argued that alterations in scapular positioning can have an effect on shoulder function. This quiz will test your understanding of the muscles that make up the shoulder muscle group. 4 Pectoral Region - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. Baltimore MD: Lippincott Williams & Wilkins. Protracts & rotates . Sonographically, this bony landmark is represented by a break in the supraspinous fossa line. For most people, the scapula moves in abnormal ways due to the repetitive use of the shoulder. A position of scapula depression will maintain the upper trapezius muscle region in a lengthened position, causing excessive strain. This strain could lead to peripheral nociceptive nerves sensitization in the affected area, changing the pressure pain threshold (PPT). In humans they are triangular and lie on the upper back between the levels of the second and eighth ribs. CT head – negative. 2. 6 What are the Boundaries and Contents of Intermuscular Spaces in the Scapular Region. ; Laterally: Obturator internus with obtrurator fascia above and ischial tubrosity below. The muscles of the shoulder are associated with movements at the shoulder joint. Stabilisation of shoulder joint. 2) Review the spectrum of findings of various disease processes involving the scapula. There are a variety of reasons for scapular pain. Windows I: Triangle of Auscultation — Kaitlin Walsh Art. Stabilizes . Boundaries of Ischiorectal fossa. Scapular (scapulothoracic) motions during elevation of shoulder best described as protraction (ABD with upward rotation) Requires significant activity of sterno-clavicular as well as acromio-clavicular joint. Influence of scapular position on the pressure pain threshold of the upper trapezius muscle region. The direction of scapula in normal condition is downward and forward. Supraspinous fossa. 6th ed. The scapula, along with the clavicle and the manubrium of the sternum, make up the pectoral (shoulder) girdle which connects the upper limb of the appendicular skeleton to the axial skeleton. Hope, you got a basic idea what is scapula and where it is located. scapula. We use our shoulder muscles for stabilization and arm movement. This strain could lead to peripheral nociceptive nerves sensitization in the affected area, changing the pressure pain threshold (PPT). It is the one responsible for connecting collarbone at the front part of the body. 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