Study Session 3: Pectoral Region & Breast Flash Cards
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Pile Management Card
Session 3: Pectoral Region & Breast
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)
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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
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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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