Você está na página 1de 36

Shoulder Girdle/

Gelang Bahu
The Shoulder Girdle
 The scapula and clavicle
 Two joints
 Functions
 Dynamic stability
 Increased ROM
Bones
Bones

From Seeley RR, Stephens TD, Tate P; anatomy and


physiology, ed 7, New York, 2006, McGraw-Hill
Joints
 Shoulder girdle (scapulothoracic)
 Scapula moves on the rib cage
 Joint motion occurs at sternoclavicular joint & to a
lesser amount at the acromioclavicular joint
Joints
 Sternoclavicular (SC)
 (Multiaxial) arthrodial/gliding
classification
 Movements
 Anteriorly with
protraction
 Posteriorly with
retraction
 Superiorly with
elevation
 Inferiorly with
depression
Joints
 Acromioclavicular (AC)
 Arthrodial/gliding
classification
 Movements
 Some gliding & rotational
motion accompanying
other shoulder girdle &
shoulder joint motions
 Often injured
Muscles
 Five muscles primarily involved in shoulder
girdle movements
 All originate on axial skeleton & insert on scapula
and/or clavicle
 Do not attach to humerus & do not cause
shoulder joint actions
 Functions:
 Stability
 ROM of shoulder joint
Shoulder Girdle Muscles
 Five muscles primarily
involved in shoulder
girdle movements
 Trapezius - upper,
middle, lower
 Rhomboid - deep
 Levator scapula
 Serratus anterior
 Pectoralis minor - deep
Trapezius
Levator Scapulae
Rhomboids
Serratus Anterior
Pectoralis Minor
Subclavius
Muscles of the Pectoral Girdle and Upper
Limbs
Muscles associated with the pectoral girdle and
upper limbs can be divided into four groups:
 Muscles that position the pectoral girdle
 Muscles that move the arm
 Muscles that move the forearm and hand
 Muscles that move the hand and fingers

Copyright © 2009 Pearson Education, Inc., publishing as Pearson Benjamin Cummings


Muscles of the Pectoral Girdle and Upper
Limbs
Muscles of the Pectoral Girdle and Upper
Limbs

Muscles That Position the Pectoral Girdle

Superficial and Deep Muscles of the Neck,


Shoulder, and Back
Muscles of the Pectoral Girdle and Upper
Limbs

Muscles That Position the Pectoral Girdle

Muscles That Position the Pectoral Girdle, Part I


Muscles of the Pectoral Girdle and Upper
Limbs

Muscles That Position the Pectoral Girdle

Muscles That Position the Pectoral Girdle, Part II


Muscles of the Pectoral Girdle and Upper
Limbs
Muscles of the Pectoral Girdle and Upper
Limbs

Superficial and Deep Muscles of the Trunk and Proximal Limbs


Muscles of the Pectoral Girdle and Upper
Limbs

Superficial and Deep Muscles of the Trunk and Proximal Limbs


Muscles of the Pectoral Girdle and Upper
Limbs

Muscles That Move the Arm (Anterior View)


Muscles of the Pectoral Girdle and Upper
Limbs

Muscles That Move the Arm (Posterior View)


Muscles of the Pectoral Girdle and Upper
Limbs

Action Lines for Muscles That Move the Arm


Muscles of the Pectoral Girdle and Upper
Limbs

Action Lines for Muscles That Move the Arm


Movements
 Focus on specific bony
landmarks
 inferior angle
 glenoid fossa
 acromion process
 Shoulder girdle
movements = scapula
movements
Movements
 Elevation

 Depression
Movements
 Abduction (protraction)

 Adduction (retraction)
Movements
 Upward rotation

 Downward rotation
Elevation
Shoulder
Girdle
Movements

Adduction Abduction

Depression
Movements
 Anterior tilt (upward tilt)

 Posterior tilt (downward tilt)


Movements
 Lateral tilt (outward tilt)

 Medial tilt (return from lateral tilt, inward tilt)


Movements
 Shoulder joint & shoulder girdle work together
 Shoulder girdle movement independent
 Upward/downward rotation
 Shoulder girdle muscles
 Stabilize scapula
 Enhance ROM of shoulder joint

Você também pode gostar