Review Note

Last Update: 02/12/2025 11:28 AM

Current Deck: Anatomy::RC::Back::Pol Compilation::Back muscle

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Front
After a radical neck surgery, the patient
experienced difficulty in shrugging his shoulder.
Which muscle is LIKELY involve?
A. Levator scapulae
B. Latissimus dorsi
C. Trapezius
D. Deltoid
Back
C. Trapezius

Explanation:

The trapezius muscle is primarily responsible for shrugging the shoulder. This muscle is innervated by the spinal accessory nerve (cranial nerve XI). Damage to this nerve, often a complication of radical neck surgery, can impair the trapezius muscle, leading to difficulty in shoulder shrugging and scapular elevation.

Key Details About the Trapezius Muscle:

  1. Function:
    • Elevates the scapula (shrugging).
    • Retracts and rotates the scapula.
    • Depresses the scapula (lower fibers).
  2. Innervation:
    • Motor: Spinal accessory nerve (cranial nerve XI).
    • Proprioception: Cervical nerves (C3 and C4).

Why Not the Other Options?

  • A. Levator Scapulae:
    • Assists in elevating the scapula but plays a minor role compared to the trapezius.
  • B. Latissimus Dorsi:
    • Functions in adduction, extension, and medial rotation of the arm, not scapular elevation.
  • D. Deltoid:
    • Responsible for abduction of the arm, not scapular elevation or shoulder shrugging.

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