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OTRP ANA1 laboratory Organizer, AY 2014-2015 anatomy of the shoulder and scapula SCHEDULE: July 2, 2013 (8:00-11:00) TIME ACTIVITY STUDENTS FACULTY 8:00-8:15 checking of attendance Pre-lab quiz Orientation Distribution of anatomy models students are expected to bring the following: 1. Bone set 2. McMinn, R. Et.al. A Colour Atlas of Human Anatomy 3. Snell, R.
OTRP ANA1 laboratory Organizer, AY 2014-2015 anatomy of the shoulder and scapula SCHEDULE: July 2, 2013 (8:00-11:00) TIME ACTIVITY STUDENTS FACULTY 8:00-8:15 checking of attendance Pre-lab quiz Orientation Distribution of anatomy models students are expected to bring the following: 1. Bone set 2. McMinn, R. Et.al. A Colour Atlas of Human Anatomy 3. Snell, R.
OTRP ANA1 laboratory Organizer, AY 2014-2015 anatomy of the shoulder and scapula SCHEDULE: July 2, 2013 (8:00-11:00) TIME ACTIVITY STUDENTS FACULTY 8:00-8:15 checking of attendance Pre-lab quiz Orientation Distribution of anatomy models students are expected to bring the following: 1. Bone set 2. McMinn, R. Et.al. A Colour Atlas of Human Anatomy 3. Snell, R.
I will continue O my God to do all my actions for the love of You.
1 De La Salle Health Sciences Institute College of Rehabilitation Sciences Hernandez, Pamela Grace OTRP ANA1 Laboratory Organizer, AY 2014-2015 Anatomy of Shoulder and Scapula
ANATOMY OF THE SHOULDER AND SCAPULA
SCHEDULE: July 2, 2013 (8:00-11:00) TIME ACTIVITY STUDENTS FACULTY 8:00-8:15 Checking of attendance Pre-lab quiz Orientation Distribution of anatomy models Students are expected to be in their respective classrooms at 12:50pm. It is expected that by the time the faculty members stepped inside their classrooms at 1:00pm, their sheets of paper are already prepared for their pre-lab quiz. Students are also expected to bring the following: 1. Bone set 2. McMinn, R. et.al. A Colour Atlas of Human Anatomy 3. Snell, R. Clinical Anatomy for Medical Students, and other anatomy books 4. Yarns (multiple colors) 5. Scotch tape
Will check the attendance of the students Will give, check and record the pre-lab quiz Will orient the students regarding the general flow of the laboratory session Will distribute the anatomy models (joint, ligament and muscle models) 8:15-9:45 Identification of bony landmarks, joints, ligaments and muscles Students will identify all the bony landmarks, joints, ligaments and muscles in their anatomy models with the help of their books. Faculty members should be inside the classroom to supervise the students while they identify the different structures in their anatomy models. Faculty members should assist the students how to properly locate and identify structures when needed. 9:45-10:30 Discussion and checking of worksheets Students will identify and discuss the anatomical and/or clinical significance of the different structures in the shoulder and scapula. Faculty in-charge will call any student in the group to discuss a topic. Participation of the student will be graded. Faculty in-charge should see to it that all students will be given a chance to participate. Simultaneous with discussion will be checking of workheets 10:30-10:45 Review Reviews the anatomy of the shoulder and scapula Faculty in-charge should remain inside the classroom in the whole duration of the review to supervise the students. Gross and Musculoskeletal Anatomy Laboratory
I will continue O my God to do all my actions for the love of You.
2 De La Salle Health Sciences Institute College of Rehabilitation Sciences Hernandez, Pamela Grace OTRP ANA1 Laboratory Organizer, AY 2014-2015 Anatomy of Shoulder and Scapula
Preparation for return demonstration Will keep all notes and prepare sheet of paper to be submitted to his/her faculty. All bags and cellphones should be stored inside the locker. Any student caught with cellphones in their pockets will automatically be disqualified to participate in the retdem. Will proceed to the storage room and wait for their turn to be called for the return demo. Will collect the sheet of paper from the students for the return demonstration. Will prepare the materials to be used for the return demonstration. Structures to be identified will be provided by the subject organizer 10:45 11:00 Return demonstration Students will wait for their turn to be called for the return demo. Laboratory facilitators should identify a faculty who will serve as the caller and timer. The caller/timer should also inspect the pockets of the students before he/she allows the student to enter the demonstration room. Other laboratory facilitators will be inside the demonstration room for the ret-dem. Recommended time for the return demo
BONES OF THE SHOLDER AND SCAPULA BONE STERNUM (24) CLAVICLE (16) SCAPULA (42) HUMERUS (Proximal-to-Mid Humerus) (22) BONY LANDMARKS
Identify the bony landmarks in your bone models. As you identify the bony landmarks, describe its anatomical and/or clinical significance.
1. Jugular notch 2. Clavicular notch 3. Notch for first costal cartilage 4. Manubrium 5. Sternal angle and manubriosternal joint 6. Body 7. Notches for second costal cartilage 8. Notch for third costal cartilage 9. Notch for fourth costal cartilage 1. Acromial end of clavicle 2. Sternal end of clavicle 3. Shaft of clavicle 4. Impression for costoclavicular ligament 5. Groove for subclavius muscle 6. Conoid tubercle 7. Trapezoid line
I will continue O my God to do all my actions for the love of You.
3 De La Salle Health Sciences Institute College of Rehabilitation Sciences Hernandez, Pamela Grace OTRP ANA1 Laboratory Organizer, AY 2014-2015 Anatomy of Shoulder and Scapula 10. Notch for fifth costal cartilage 11. Notch for sixth costal cartilage 12. Notch for seventh costal cartilage 13. Xiphisternal joint 14. Xiphoid process
Identify the structures attached to the bones 1. Sternocleidomastoid 2. Pectoralis major 3. Rectus abdominis 4. Sternohyoid 5. Sternothyroid 6. Area covered by right pleura 7. Area covered by left pleura 8. Area in contact with pericardium 9. Transversus thoracis 10. Diaphragm 1. Trapezius 2. Deltoid 3. Pectoralis major 4. Sternocleidomastoid 5. Sternohyoid 6. Costoclavicular ligament 7. Subclavius muscle and clavicpectoral fascia 8. Trapezoid ligament 9. Conoid ligament 1. Trapezius 2. Inferior belly of omhyoid 3. Supraspinatus 4. Levator scapulae 5. Rhomboid minor 6. Rhomboid major 7. Latissimus dorsi 8. Teres major 9. Teres minor and intervening groove for circumflex scapular artery 10. Infraspinatus 11. Long head of triceps 12. Deltoid 13. Coraco-acromial ligament 14. Trapezoid ligament 1. Supraspinatus 2. Subscapularis 3. Teres major 4. Latissimus dorsi 5. Pectoralis major 6. Brachialis 7. Deltoid 8. Infraspinatus 9. Teres minor 10. Lateral head of triceps 11. Medial head of triceps 12. Coracobrachialis
Gross and Musculoskeletal Anatomy Laboratory
I will continue O my God to do all my actions for the love of You.
4 De La Salle Health Sciences Institute College of Rehabilitation Sciences Hernandez, Pamela Grace OTRP ANA1 Laboratory Organizer, AY 2014-2015 Anatomy of Shoulder and Scapula 15. Conoid ligament 16. Superior transverse scapular ligament* 17. Pectoralis minor 18. Coracobrachialis and short head of biceps 19. Subscapularis 20. Serratus anterior 21. Pectoralis major 22. Sternocleidomastoid 23. Coracohumeral ligament* 24. Long head of biceps
10.Protraction: 11.Retraction: 12.Elevation: 13.Depression: 14. Axial Rotation: This movement of the clavicle in the SC joint is mechanically linked with the overall kinematics of abduction or flexion of the shoulder and cannot be independently performed with the arm resting at the side. This axial rotation occurs as the arm is elevated above 90 degrees where the SC joint starts to reach maximum elevation. The upward rotation of the clavicle is caused by the tightening of the AC ligaments the trapezoid and the conoid which are attached to the inferior surface of the clavicle and at right angles to each other. Acromioclavicular 1. 2.Upward Rotation of 4. 6.Upward Rotation: Gross and Musculoskeletal Anatomy Laboratory
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5 De La Salle Health Sciences Institute College of Rehabilitation Sciences Hernandez, Pamela Grace OTRP ANA1 Laboratory Organizer, AY 2014-2015 Anatomy of Shoulder and Scapula Joint the Scapula at the Acromioclavicular joint 3.Downward Rotation of the Scapula at the Acromioclavicular joint
I will continue O my God to do all my actions for the love of You.
6 De La Salle Health Sciences Institute College of Rehabilitation Sciences Hernandez, Pamela Grace OTRP ANA1 Laboratory Organizer, AY 2014-2015 Anatomy of Shoulder and Scapula FALSE/FUNCTIONAL JOINTS: JOINTS LOCATION & STRUCTURE FORMING THE JOINT FUNCTIONS/MOVEMENTS MUSCLES/STRUCTURES/EVENTS CAUSING THE MOVEMENTS Scapulothoracic Joint 1.
2.Functions:
Movements: 3. 4. 5. 6. 7.Scapular Elevation:
8.Scapular Adduction:
9.Scapular Adduction and Depression:
10.Scapular Adduction and Downward Rotation:
11.Scapular Abduction and Upward Rotation:
Suprahumeral or Subacromial Joint 1.
2. Bicipital Groove
Gross and Musculoskeletal Anatomy Laboratory
I will continue O my God to do all my actions for the love of You.
7 De La Salle Health Sciences Institute College of Rehabilitation Sciences Hernandez, Pamela Grace OTRP ANA1 Laboratory Organizer, AY 2014-2015 Anatomy of Shoulder and Scapula MUSCLES OF THE SHOULDER AND SCAPULA MUSCLES CONNECTING THE UPPER LIMB TO THE THORACIC WALL (16 points) NAME OF MUSCLE ORIGIN INSERTION NERVE SUPPLY ACTION Pectoralis major Lateral lip of bicipital groove of humerus Medial and lateral pectoral nerves from brachial plexus
Pectoralis minor Third, fourth, and fifth ribs Medial pectoral nerve from brachial plexus Depresses point of shoulder; if the scapula is fixed, it elevates the ribs of origin Subclavius First costal cartilage Clavicle Nerve to subclavius from upper trunk of brachial plexus
Serratus anterior Medial border and inferior angle of scapula Long thoracic nerve
MUSCLES CONNECTING THE UPPER LIMB TO THE VERTEBRAL COLUMN (20 points) NAME OF MUSCLE ORIGIN INSERTION NERVE SUPPLY ACTION Trapezius Upper fibers into lateral third of clavicle; middle and lower fibers into acromion and spine of scapula Spinal part of accessory nerve (motor) and C3 and C4 (sensory) Upper fibers elevate the scapula; middle fibers pull scapula medially; lower fibers pull medial border of scapula downward Latissimus dorsi Iliac crest, lumbar fascia, spines of lower six thoracic vertebrae, lower three or four ribs, and inferior angle of scapula Thoracodorsal nerve Extends, adducts, and medially rotates the arm Levator scapulae Transverse processes of first four cervical vertebrae Medial border of scapula
C3 and C4 and Dorsal scapular nerve
Rhomboid minor
Dorsal scapular nerve Raises medial border of scapula upward and medially Rhomboid major Second to fifth thoracic spines Medial border of scapula Dorsal scapular nerve
Gross and Musculoskeletal Anatomy Laboratory
I will continue O my God to do all my actions for the love of You.
8 De La Salle Health Sciences Institute College of Rehabilitation Sciences Hernandez, Pamela Grace OTRP ANA1 Laboratory Organizer, AY 2014-2015 Anatomy of Shoulder and Scapula
MUSCLES CONNECTING THE SCAPULA TO THE HUMERUS (24 points) NAME OF MUSCLE ORIGIN INSERTION NERVE SUPPLY ACTION Deltoid Lateral third of clavicle, acromion, spine of scapula Axillary nerve
Supraspinatus Supraspinous fossa of scapula Suprascapular nerve
Infraspinatus Infraspinous fossa of scapula Suprascapular nerve Laterally rotates arm and stabilizes shoulder joint Teres major Lower subscapular nerve Medially rotates and adducts arm and stabilizes shoulder joint Teres minor Axillary nerve Laterally rotates arm and stabilizes shoulder joint Subscapularis Upper and lower subscapular nerves Medially rotates arm and stabilizes shoulder joint
THE AXILLLA (8 points) WALLS OF THE AXILLA CONTENTS WALL STRUCTURES FORMING THE WALL ANTERIOR WALL POSTERIOR WALL MEDIAL WALL LATERAL WALL BASE
References: Drake, L. et al, Grays Anatomy for Students Gross and Musculoskeletal Anatomy Laboratory
I will continue O my God to do all my actions for the love of You.
9 De La Salle Health Sciences Institute College of Rehabilitation Sciences Hernandez, Pamela Grace OTRP ANA1 Laboratory Organizer, AY 2014-2015 Anatomy of Shoulder and Scapula Hislop, H. & Montgomery, J. Daniels and Worthinghams Muscle Testing Techniques of Manual Examination Kapanji, A. The Physiology of the Joints McMinn, R. et.al. A Colour Atlas of Human Anatomy Moore, K. Clinically Oriented Anatomy Neumann, D. Kinesiology of the Musculoskeletal System Foundations for Rehabilitation Norkin, C. & Levangie, P. Joint Structure and Function A Comprehensive Analysis Smith, L. Brunnstroms Clinical Kinesiology Snell, R. Clinical Anatomy for Medical Students