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Kaplan Qbank USMLE



Author11 Posts
  #1

in a posterior shoulder dislocation, which muscle, located posterior to the glenoid fossa, would be injured?

a. pectoralis major
b. pectoralis minor
c. coracobrachialis
d. teres major
e. latissimus dorsi

  #2

Teres major?

___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

  #3

I'd go with Teres major too

  #4

yes its teres major, all of you are right.

  #5

well, from what i know, in a posterior dislocation, the main muscles that would be injured are the teres minor and infraspinatus. Neither were options, and that confused me a little during the test. From what i later read, the teres major is not significantly affected in such a dislocation, but the latissimus dorsi is, remembering that the muscle per se is posterior, albeit it has an anterior insertion in the intertubercular groove. that's what my sources tell me, anyway..hehe.

  #6

awww...shucks!...lost another one to origin- insertions!confused

Thanks, Knight!


___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

  #7

darn it!!!

Thanks nonetheless knight!!


  #8

Well guys, did any one remember LADY B/W two majors, its Latissimus dorsalis b/w pectoralis major and teres major in the HUMERUS. And if their is any posterior dislocation then their should be dislocation of posterior muscle, not the muscle is the middle.

what do you think???


  #9

Thanks for the discussion guys! i agree the latissimus dorsi inserts anterior to the teres major, but does so by kind of spiraling around it, and a posterior dislocation would pinch the latissimus tendon between the teres major and long head of triceps tendons, pushing it into the quadrangular (lateral axillary) space, in my opinion causing more damage than to any other individual muscle.

  #10

All right, I will see some text book for it, but you are right about spiraling of LD. I have no doubt it.

  #11

any anatomy genii?

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