Trapezius
If trapezius: innervation is the spinal accessory nerve (CN XI); actions include scapular rotation/elevation/retraction
What our notes say
- If trapezius: innervation is the spinal accessory nerve (CN XI); actions include scapular rotation/elevation/retraction (Aponeurosis — Anatomy Question Bank)
- o Trapezius, percussing downwards on lung apex o Above level of spine of scapula o At intervals of 4-5 cm from below the level of spine of scapula down to the 11th rib. (Examination of Respiratory system — Past Paper Questions & Answers)
- Ipsilateral cerebral hemisphere supplies contralateral trapezius but ipsilateral sternocleidomastoid — a single UMN lesion can therefore produce signs on both sides (CNS History Taking & Neurological Exam Guide | Clinical Skills)
- Ipsilateral hemisphere → contralateral trapezius + ipsilateral SCM (single UMN = bilateral signs) (CNS & Abdominal Exam: Clinical Techniques, History & Neurology)
- Ask patient to shrug (trapezius) and turn head against resistance (SCM) (CNS & Abdominal Exam: Clinical Techniques, History & Neurology)
Study material on Trapezius
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