Study Session 3: Pectoral Region & Breast Flash Cards

 
Pile Management Card
Session 3: Pectoral Region & Breast

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serratus anterior
Origin

ribs 1-8 or 9

Insertion

medial border of the scapula on its costal (deep) surface it draws the scapula forward; the inferior fibers rotate the scapula superiorly

Innervation

long thoracic nerve (from ventral rami C5-C7)

Arteries

lateral thoracic a.

Notes

a lesion of long thoracic nerve will cause winging of the scapula (i.e., the medial border of the scapula falls away from the posterior chest wall and looks like an angel's wing) (Latin, serratus = to saw)
pectoralis minor
Origin

ribs 3-5

Insertion

coracoid process of the scapula

Action

draws the scapula forward, medialward, and downward

Innervation

medial pectoral nerve (C8, T1)

Arteries

pectoral branch of the thoracoacromial trunk

Notes

branches of medial pectoral nerve usually pierce pectoralis minor to reach the pectoralis major muscle
pectoralis major
Origin

medial 1/2 of the clavicle, manubrium & body of sternum, costal cartilages of ribs 2-6, sometimes from the rectus sheath of the upper abdominal wall

Insertion

crest of the greater tubercle of the humerus

Action

flexes and adducts the arm, medially rotates the arm

Innervation

medial and lateral pectoral nerves (C5-T1)

Arteries

pectoral branch of the thoracoacromial trunk

Notes

the deep fascia on its anterior surface should not be fused to the fascia of the mammary gland - if it is, this is an important clinical sign indicating breast disease
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