My 3 Goals

1. I would like to make sure I understand Dr. Riba's question to me from an earlier post. She asked me if I knew why the posterior deltoid would compensate more-so when teres minor and infraspinatus were involved. I believe it's because, those two muscles have some control over assisting the client when reaching behind them and if they are compromised then the posterior delt would take over, but I'm not confident in that reasoning.

2. I would like to be able to feel the "hook" in the hamate.

3. I would like to feel comfortable with my vertebral levels- we had to palpate these on the first assignment to feel where the upper middle and lower traps were, and I have just never felt confident that I'm actually on the vertebrae I think I am on. I'd like someone who knows to be standing next to me while I'm naming them out and saying, "Yes" or "No."

I'm seeing a trend...I guess my overall goal would be to get some self confidence...

Week 5: Bones of the Hand

D= Distal Phalanges

I= Intermediate Phalanges

MC= Metacarpals

Carpals are individually labeled

Week 4 Marker Chart

Week 3: Shoulder and Arm II

/ = bicipital groove, G= greater tubercle, L= lesser tubercle, X= deltoid insertion

SUB= Subscapularis, SUP= Suprispinatus, I= Infraspinatus, T= Teres Minor

Shoulder case

 Mary has pain and can't lift her arm out to the side. What muscles might be involved in this dysfunction? 

Deltoid and Suprapsinatus both abduct the shoulder, so I would expect one of them.

You palpate her shoulder

and find that she is quite tender just inferior to her acromion, now what structure(s) do you suspect? 

It is more likely that Supraspinatus has been compromised as it inserts just below the acromion.

Since Mary can't raise her humerus, but still must reach over her head from time to time, she might have to substitute. What other muscles could she try to use to accomplish the task of raising her arm over her head?

I would recommend that Mary try to flex her humerus with her bicep and then use the posterior fibers of her deltoid to help bring her arm out to the side.

Week 2: Upper Body Drawings

My anonymous friend the Mexican wrestler deserves an award for patience and willingness to cooperate during the completion of this assignment.

*I little note- I do know that the levator scapula is not a rotator cuff muscle... it just sounds like I think it is in the video. I would like to give a special thank you to Miss Dakota for all her help, for getting green marker all over everything, and for offering me the opportunity to attempt to edit my first video. I had a lot of fun with this assignment!

I am though continually amazed that I can learn something and forget it so many times. You would think, at this point I would know the specific insertion points for all these very common muscles but I truly had to look the vertebral levels up for the traps- keep making me do this!

Eventually, I know it will stick!