1. Chapter 4
Shoulder Girdle

2. Clavicle Deltoid Tubercle Acromial End Sternal End Trapezoid Line
Superior surface
Anterior
Sternal End
Anterior
Trapezoid Line
Inferior surface
Right Clavicle
Subclavian Groove
Conoid Tubercle
Label

3. Scapula Supra Scapular Notch Superior Angle Coracoid Process
Supraspinous Fossa
Supra Glenoid Tubercle
Spine
Superior Border
Acromion Process
Glenoid Fossa
Infra Glenoid Tubercle
Medial (vertebral) Border
Infraspinous Fossa
Inferior Angle
Lateral (axillary) Border
Label

4. Sternoclavicular joint— SC (Arthrodial)
Ligaments & Disc: articular disc, ant. & post. sternoclavicular ligaments, costoclavicular ligament, interclavicular ligament
Range of Motion:
Anterior with protraction: 15 degrees
Posterior with retraction: 15 degrees
Superiorly with elevation: 45 degrees
Inferiorly with depression: 5 degrees

5. Acromioclavicular Joint – AC (arthrodial)
Ligaments: sup. & inf. acromioclavicular ligaments, coracoclavicular ligaments
Range of Motion: degrees total gliding and rotational movement

6. Scapulothoracic— (not a true diathrodial joint)
Range of Motion:
Total Abduction-Adduction: 25 degrees
Total Upward-Downward Rotation: 60 degrees
Total Elevation-Depression: 55 degrees

7. Movements Abduction (protraction) Adduction (retraction)
Upward rotation
Downward rotation
Elevation
Depression
Lateral tilt
Medial tilt
Anterior tilt
Posterior tilt

8. Muscles Levator Scapulae Trapezius Rhomboids Subclavius
Upper
Middle
Lower
Rhomboids
Subclavius
Pectoralis Minor
Serratus Anterior
Label

9. Muscles
Pectoralis minor
Strengthening
Stretching

10. Muscles
Serratus Anterior
Strengthening
Stretching
Problems

11. Muscles
Subclavius
Strengthening
Stretching

12. Muscles
Levator Scapulae
Strengthening
Stretching

13. Muscles
Rhomboids
Major
minor
Strengthening
Stretching

14. Muscles
Trapezius
Upper
Middle
Lower
Strengthening
Stretching

15. Kyphosis – excessive posterior curvature of the thoracic spine

16. Kyphosis Weak Muscles? Tight/Inflexible Muscles?
How strengthen?
Tight/Inflexible Muscles?
How stretch?
Contractured Ligament?

17. Cervical Plexus

18. Brachial Plexus