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                               anatomy and physiology
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            446        section iii    Musculoskeletal, skin, and connective tissue  ` anatomy and physiology                                   Musculoskeletal, skin, and connective tissue  ` anatomy and physiology





                `  mUsCUlosKElEtal, sKin, and ConnECtiVE tissUE—anatomy and physiology

               Rotator cuff muscles  Shoulder muscles that form the rotator cuff:  SItS (small t is for teres minor).
                                         ƒ Supraspinatus (suprascapular nerve)—
               A
                                        abducts arm initially (before the action                      Supraspinatus
                                        of the deltoid); most common rotator         Acromion
                  Humerus               cuff injury (trauma or degeneration and
                          Glenoid                                                                     Coracoid
                                        impingement Ž tendinopathy or tear [arrow
                                        in  A ]), assessed by “empty/full can” test  Infraspinatus  Greater tubercle
                                         ƒ Infraspinatus (suprascapular nerve)—
                                        externally rotates arm; pitching injury  Teres minor
                                         ƒ teres minor (axillary nerve)—adducts and
                                        externally rotates arm                     Lesser tubercle               Subscapularis
                                         ƒ Subscapularis (upper and lower subscapular         Humerus
                                        nerves)—internally rotates and adducts arm
                                     Innervated primarily by C5-C6.



               Arm abduction
                dEgREE               mUsClE                                    nERVE
                0°–15°               Supraspinatus                             Suprascapular
                15°–100°             Deltoid                                   Axillary
                > 90°                Trapezius                                 Accessory
                > 100°               Serratus Anterior                         Long Thoracic (SALT)



















































          FAS1_2019_11-Musculo.indd   446                                                                               11/7/19   5:23 PM
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