Second, you will consider the planes of the body. Understanding these will facilitate learning terms related to position of structures relative to each other and movement of various parts of the body.
FRONTAL (or coronal) separates the body into Anterior and Posterior parts MEDIAN (or midsagittal) separates body into Right and Left parts HORIZONTAL separates the body into Superior and Inferior parts SAGITTAL any plane parallel to the median plane |
Terms of relation or position
Bones
There are three bones that make up the foundation of the posterior shoulder region of the upper limb:
- Clavicle
- Scapula
- Upper posterior humerus
Here are the major parts of of these bones:
Clavicle
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Scapula
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posterior humerus |
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superior (closer to the head) | inferior (closer to the feet) | reference point -- horizontal plane |
posterior (dorsal) closer to the posterior surface of the body | anterior (ventral) closer to the anterior surface of the body | reference point -- frontal or coronal plane |
medial (lying closer to the midline) | lateral (lying further away from the midline) | reference point -- sagittal plane |
proximal closer to the origin of a structure | distal further away from the origin of a structure | reference point -- the origin of a structure |
superficial | deep | reference point -- surface of body or organ |
median | reference point -- along the midsagittal or median plane | |
intermediate | between two other structures | |
external | internal | refers to a hollow structure (external being outside and internal being inside) |
supine | prone | face or palm up when lying on back, face or palm down when lying on anterior surface of body |
cephalad | caudad | toward the head, toward the tail (feet) |
flexion | extension | increasing angle with frontal plane decreasing angle with frontal plane |
abduction | adduction | moving away from or toward the sagittal plane |
protraction | retraction | moving forward or backward along a surface |
elevation | depression | raising or lowering a structure |
medial rotation | lateral rotation | movement around an axis of a bone |
pronation | supination | placing palm backward or forward (in anatomical position) |
circumduction | combined movements of flexion, extension, abduction, adduction medial and lateral rotation circumscribe a cone | |
opposition | bringing tips of fingers and thumb together as in picking something up |
Aditus | an entrance or opening |
Ala | a wing-like process |
Alveolus | a deep narrow pit, such as a tooth-socket |
Ampulla | used to describe the dilated part of a duct. |
Ansa | a loop, usually referring to a nerve |
Antrum | a cavity |
Aponeurosis | a glistening sheet of fibrous connective tissue from which muscle fibers arise or into which they run |
Artery | a blood vessel which conducts blood from the heart |
Bone | a special form of connective tissue in which calcium salts are deposited and which provides a framework, or skeleton, for the other tissues of the body. |
Bursa | a membranous sac containing a small amount of viscous fluid. A bursa is usually found in tissues where friction develops, such as where a tendon crosses a bony prominence. A bursa may form synovial sheaths to surround tendons as they cross other tendons or bone. |
Canal | a tubular and relatively narrow channel, or tunnel, often through a bone. A canaliculus is a smaller canal. |
Capsule | a fibrous or membranous envelope surrounding an organ. An articular capsule surrounds each synovial joint, being attached to the bones just beyond the limits of the joint cavity. |
Cartilage | a firm white tissue, from which most parts of the bony skeleton are formed and which persists to protect the surfaces of bones and joints. |
Caruncle | a small fleshy eminence |
Cauda | tail |
Cavity | a hollow space (or potential space) within the body or its organs. |
Cervix | means neck and is applied to the neck like portion of an organ (e.g. cervix of uterus) |
Chiasma | a crossing of fibers in the form of an X. Used primarily to describe nerve fibers. |
Commissure | a band of fibers which join corresponding right and left parts of a structure across the median plane. |
Corpus | means body |
Cortex | outer part, or rind, or some organs as distinguished from their inner part, or core usually called a medulla. |
Crest | a projecting ridge, especially one which on a bone |
Crus | means a leg and is applied to a structure that resembles a leg or stalk |
Decussation | same as a chiasma. A crossing of fibers in the form of an X. |
Digitation | a finger like process of a muscle |
Disc | a flat round structure usually applied to plates of cartilage in joints. |
Duct | a tube for the passage of fluid, especially secretions of glands. A ductule is a small duct. |
Epithelium | a layer of cells which forms the external surface of the skin, or which lines the cavities of the digestive, respiratory and urogenital organs, serous cavities, inner coats of blood and lymphatic vessels, gland and cavities within the brain. The epithelium of the skin is the epidermis. The epithelium of the digestive, respiratory and urogenital organs is moistened by a film of mucus and is known as the mucous coat. The epithelium lining bloods vessels is known as the endothelium. Serous cavities are lined by epithelium called mesothelium. |
Fascia | tissue which lies immediately deep to the skin known as subcutaneous tissue. It usually consists of a layer of connective tissue which contains fat, and of a deep and more fibrous layer which adheres to the surface of the underlying muscle and vessels. These layers are known as superficial and deep fascia respectively. Fascia surrounds every muscle, organ, vessel and nerve in the body. |
Fasciculus | a small bundle. A term that is usually applied to collections of nerve fibers. |
Filum | literally mean a "thread". This name is given to several thread-like structures such as the filum terminale, the lower extension of the pia mater of the spinal cord. |
Fold | a ridge formed where a membrane doubles back on itself |
Folium | mean leaf. The plural "folia" is applied to the folds of the cortex of the cerebellum. |
Foramen | a hole, often in a bone or between adjacent bones. |
Fossa | a "ditch", usually referring to a shallow depression or cavity. |
Fovea | a small pit or fossa |
Frenulum | a small fold of the mucous coat which limits the movement of the structure to which it is attached |
Fundus | used to denote the widest part of a hollow organ |
Ganglion | a swelling on the course of a nerve. Usually corresponds to a collection of nerve cells. |
Genu | mean knee. Geniculum is sometimes applied to a bent part of a structure. |
Gyrus | a fold or convolution of the cerebral cortex. |
Hilum | a depression or notch where blood vessels enter or leave an organ. |
Humor | applied to fluids of the eye |
Infundibulum | a funnel-shaped passage |
Interdigitate | an interlocking of structures by finger-like processes, as when the fingers of the two hands are interposed. |
Invaginate | a process when part of a wall of a structure is pushed inwards to that the structure which invaginates the membrane becomes partly ensheathed by it. |
Isthmus | a narrow part of a duct or other passage, or a narrow strip of tissue connecting two wider parts of an organ |
Joints places where bones meet each other (articulate). Where bones are connected by fibrous tissue, the joint is known as a fibrous joint (i.e. suture of skull). Where bones are united by cartilaginous tissue, the joint is known as a cartilaginous joint (i.e. symphysis pubis). Where a space intervenes between the articulating ends of bones, the joint is called a synovial joint (i.e. most of the joints of the body). In these joints, there is an articular capsule the encloses the joint. This capsule is lined by a synovial membrane which secretes a lubricating fluid. | Labium | lip |
Lamina | A thin plate of bone or cartilage or a thin layer of softer tissues. A stratum is also used to denote a layer |
Ligament | a band of fibrous connective tissue by which bones are connected to each other. Sometimes bands of connective tissue which support the viscera or the thorax or abdomen are also known as ligaments. |
Lobe | a part of an organ, often separated from the rest by a fissure. A lobule is a small lobe |
Meatus | a passage or opening |
Muscle | these structures vary in shape and size, but always consist of masses of special contractile cells which are under nervous control. It is usual to describe a muscle as possessing an origin and insertion, in the sense that when the muscle contracts, the insertion moves toward the origin. It is probably more useful to regard a muscle as possessing attachments which are approximated when the whole muscle contracts. The original of a muscle is sometimes called the head and the contractile part the belly. |
Nerves the nerves of the body can be divided into twelve pairs of cranial nerves, which arise from the brain and brainstem, 31-33 pairs of spinal nerves which arise from the spinal cord in segmental series (8 cervical, 12 thoracic, 5 lumbar, 5 sacral and 1-3 coccygeal). The spinal nerves emerge from the intervertebral foramina which lie along side of adjacent vertebrae. The pass laterally into the neck or trunk. A typical spinal nerve is formed by the union of a dorsal root, which arises from the dorsal aspect of the spinal cord and a ventral root which arises from the ventral aspect of the spinal cord. The dorsal root consists of sensory (afferent) fibers and contains a swelling called the dorsal root ganglion. This ganglion contains the cells bodies of the sensory nerve fibers. The ventral root consists of motor (efferent) nerve fibers. The nerve trunk formed by the mergence of the two roots splits immediately into a dorsal ramus and a ventral ramus. The dorsal ramus supplies the deeper muscles of the back the their overlying skin. The ventral ramus supplies muscles and skin on the lateral and ventral aspects of the body. The nerve supply of the limbs is derived entirely from the ventral rami of the spinal nerves. | |
Sympathetic nerves | Just at the point where the 12 thoracic and first 2 lumbar spinal nerve trunks split into a dorsal and ventral ramus, two branches leave the trunk that connect to the sympathetic chain ganglia, and these are called the communicating rami. The gray communicating ramus usually comes off first and connects to the ganglion in the sympathetic chain. It carries post ganglionic neurons from the ganglion back to the spinal nerve trunk and thence to its branches. The white communicating ramus arises a little more distal than the gray one and also connects to the sympathetic chain and its ganglia. This connection carries pre ganglionic neurons from the spinal cord to the sympathetic chain where synapses may occur at that level or past the sympathetic ganglia into other sympathetic ganglia. |
Neuron | The neuron or nerve cell is the functional unit of the nervous system. Each is composed of a cell body (perikaryon) where the nucleus of the cell is located, and one or more processes. One of the processes, called the axon, is different from the others, which are called dendrites. The dendrites and body are the receiving part of the neuron and the axon is the distribution part of the neuron. |
Node | a swelling or protuberance. A nodule is a small node. |
Notch | an indentation or depression, usually on the border of a bone. |
Nucleus | literally means a kernel or nut. In anatomy, nucleus is most often used to describe an aggregation or cluster of nerve cells. |
Papilla | a small nipple-shaped elevation |
Periosteum | the fibrous covering of a bone. |
Plexus | a network of nerve or vessel processes |
Pouch | pockets of peritoneum in the abdomen |
Process | an appendage or projection from the main part of a bone or organ |
Punctum | a minute opening |
Ramus | a branch, which, when translated, is used to describe smaller arteries, veins and nerves arising from their parent vessels or nerves. |
Raphe | a seam where two similar sheets of tissue unite. |
Rete | a network, used to describe plexuses of small canals, nerves or vessels |
Retinaculum | a band of connective tissue, usually connected at both ends to bone, which keeps tendons or other structures in place |
Rima | a cleft or fissure that refers to a narrow oval or oblong opening |
Root | the part of a nerve or organ which arises from another structure |
Sac | a bag-like cavity or pouch |
Septum | a dividing wall or partition |
Sinus | a recess, a cavity or hollow space, a dilated channel for venous blood or a small tunnel |
Space | a clearly demarcated segment of tissue or potential cavity |
Spine | a small, sharp-pointed projection from a bone |
Stria | a streak or stripe, sometimes slightly elevated |
Stroma | supporting fibrous framework of tissue |
Substantia | means substance or matter |
Sulcus | a groove |
Taenia | a flat band or tape, applied to a narrow strip of muscle |
Tegmen | roof |
Tela | means a web and describes a thin web-like membrane. Loosely translated, it can mean tissue |
Tendon | a cord of connective tissue into which muscles fibers end by which a muscle is attached to bone or other structures |
Trabecula | means a beam or bar. |
Tract | a bundle of fibers, often nerve fibers, having similar origins and terminations |
Trigonum | a triangular space or area |
Trochlea | pulley |
Tuber | an enlargement or swelling |
Tubercle | an eminence on a bone, usually smoother than a tuberosity |
Tuberosity | a rough eminence on a bone |
Tunica | a covering or coat around muscle or hollow viscera |
Uvula | means little grape, usually referring to the small fleshy appendage that hangs from the soft palate. |
Vallecula | a wide depression, furrow or valley |
Valve | a fold in an artery, vein or duct which prevents reflux of its contents |
Vas | a tubular structure |
Velum | means a veil or curtain. |
Veins | vessels that return blood from capillaries to the heart |
Viscus | any organ of the digestive, respiratory or urogenital systems, or ductless gland. Viscera is the plural. |
- superficial - muscles that act on the upper limb
- intermediate - muscles of thorax
- deep - muscles of vertebral column
There are 5 pairs of muscles in the superficial layer (3 are deep to the trapezius>:
- trapezius
- latissimus dorsi
- rhomboid major
- rhomboid minor
- levator scapulae
Arteries and Nerves That Supply the Superficial Layer of Muscles of the Back
The nerves that supply the muscles in this region are the: |
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