소흉근(pectoralis minor)

항상 짧아져 팔저림의 원인! 1. 소흉근의 shortening은 컴퓨터, 운전 등의 환경에서 살아가는 현대인의 숙명. 2. 그래서 소흉근은 매일매일 스트레칭해야3. 소흉근은 견갑골 안정화 근육인 하부승모근과 어깨를 중심으로 짝힘(coupled force)의 핵심4. 그래서 상부교차증후군, 둥근어깨는 항상 소흉근의 shortening lock을 야기5. 소흉근과 쇄골하근은 근막으로 연결되어 있다. clavipectoral fascia6. 견갑골 오훼돌기 - 늑골 3, 4, 5에 부착7. 소흉근 단축징후 3가지.8. 소흉근 촉진법 <iframe width="560" height="315" src="//www.youtube.com/embed/j8V_Abfxbs4" frameborder="0" allowfullscreen=""></iframe> panic bird.... <img src="https://t1.daumcdn.net/cfile/cafe/22420250532045B612" class="txc-image" actualwidth="445" width="445" style="clear: none; float: none;" border="0" vspace="1" hspace="1" exif="{}" id="A_22420250532045B612A1D7"/> <img src="https://t1.daumcdn.net/cfile/cafe/216B0E475320464321" class="txc-image" actualwidth="320" width="320" style="clear: none; float: none;" border="0" vspace="1" hspace="1" exif="{}" id="A_216B0E475320464321955D"/> <iframe id="v88c9mmm71RmyUUsy6se6gz@my" width="640" height="360" src="https://kakaotv.daum.net/embed/player/cliplink/v88c9mmm71RmyUUsy6se6gz@my?service=daum_cafe&ptoken=v2_871a0ca08828f5ba0c6db16af27997a3f35ce660cd88a452a066bb84c75ebd988b6e1cc313f4c1614d3d60e9b7d751e5b35d35d85de0620b1b325cdd" frameborder="0" scrolling="no" allowfullscreen></iframe> The pectoralis minor  is a thin, triangular muscle, situated at the upper part of the <a title="Chest" style="color: rgb(11, 0, 128); line-height: 22px; font-family: sans-serif; font-size: 14px; background-image: none; background-color: rgb(255, 255, 255);" href="http://en.wikipedia.org/wiki/Chest">chest</a>, beneath the <a title="Pectoralis major" class="mw-redirect" style="color: rgb(11, 0, 128); line-height: 22px; font-family: sans-serif; font-size: 14px; background-image: none; background-color: rgb(255, 255, 255);" href="http://en.wikipedia.org/wiki/Pectoralis_major">pectoralis major</a> in the human body. <h2 style="margin: 1em 0px 0.25em; padding: 0px; color: black; line-height: 1.3; overflow: hidden; font-family: "Linux Libertine", Georgia, Times, serif; font-weight: normal; border-bottom-color: rgb(170, 170, 170); border-bottom-width: 1px; border-bottom-style: solid; background-image: none; background-color: rgb(255, 255, 255);">Origin and insertion<span class="mw-editsection" style="line-height: 1em; padding-right: 0.25em; font-family: sans-serif; font-size: 10pt; margin-left: 1em; vertical-align: baseline; display: inline-block; white-space: nowrap; -webkit-user-select: none;">[<a title="Edit section: Origin and insertion" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/w/index.php?title=Pectoralis_minor_muscle&action=edit&section=1">edit</a>]</h2>It arises from the upper margins and outer surfaces of the third, fourth, and fifth <a title="Rib" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Rib">ribs</a>, near their <a title="Costal cartilages" class="mw-redirect" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Costal_cartilages">cartilages</a> and from the <a title="Aponeurosis" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Aponeurosis">aponeuroses</a> covering the <a title="External intercostal muscles" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/External_intercostal_muscles">intercostalis</a>.The fibers pass superior and lateral and converge to form a flat tendon, which is inserted into the medial border and upper surface of the <a title="Coracoid process" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Coracoid_process">coracoid process</a> of the<a title="Scapula" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Scapula">scapula</a>.<h2 style="margin: 1em 0px 0.25em; padding: 0px; color: black; line-height: 1.3; overflow: hidden; font-family: "Linux Libertine", Georgia, Times, serif; font-weight: normal; border-bottom-color: rgb(170, 170, 170); border-bottom-width: 1px; border-bottom-style: solid; background-image: none; background-color: rgb(255, 255, 255);">Special notes<span class="mw-editsection" style="line-height: 1em; padding-right: 0.25em; font-family: sans-serif; font-size: 10pt; margin-left: 1em; vertical-align: baseline; display: inline-block; white-space: nowrap; -webkit-user-select: none;">[<a title="Edit section: Special notes" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/w/index.php?title=Pectoralis_minor_muscle&action=edit&section=2">edit</a>]</h2>Axillary nodes are classified according to their positions relative to the pectoralis minor muscle. Level 1 are lateral, Level 2 are deep, Level 3 are medial. Pectoralis Minor divides the axillary artery into three parts.<h2 style="margin: 1em 0px 0.25em; padding: 0px; color: black; line-height: 1.3; overflow: hidden; font-family: "Linux Libertine", Georgia, Times, serif; font-weight: normal; border-bottom-color: rgb(170, 170, 170); border-bottom-width: 1px; border-bottom-style: solid; background-image: none; background-color: rgb(255, 255, 255);">Relations<span class="mw-editsection" style="line-height: 1em; padding-right: 0.25em; font-family: sans-serif; font-size: 10pt; margin-left: 1em; vertical-align: baseline; display: inline-block; white-space: nowrap; -webkit-user-select: none;">[<a title="Edit section: Relations" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/w/index.php?title=Pectoralis_minor_muscle&action=edit&section=3">edit</a>]</h2>The pectoralis minor muscle is covered anteriorly (superficially) by the <a title="Clavipectoral fascia" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Clavipectoral_fascia">clavipectoral fascia</a>. The <a title="Medial pectoral nerve" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Medial_pectoral_nerve">medial pectoral nerve</a> pierces the pectoralis minor and the clavipectoral fascia. In attaching to the coracoid process, the pectoralis minor forms a 'bridge' - structures passing into the upper limb from the thorax will pass directly underneath.<a style="color: rgb(11, 0, 128); white-space: nowrap; background-image: none;" href="http://en.wikipedia.org/wiki/Pectoralis_minor_muscle#cite_note-1">[1]</a><h2 style="margin: 1em 0px 0.25em; padding: 0px; color: black; line-height: 1.3; overflow: hidden; font-family: "Linux Libertine", Georgia, Times, serif; font-weight: normal; border-bottom-color: rgb(170, 170, 170); border-bottom-width: 1px; border-bottom-style: solid; background-image: none; background-color: rgb(255, 255, 255);">Actions<span class="mw-editsection" style="line-height: 1em; padding-right: 0.25em; font-family: sans-serif; font-size: 10pt; margin-left: 1em; vertical-align: baseline; display: inline-block; white-space: nowrap; -webkit-user-select: none;">[<a title="Edit section: Actions" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/w/index.php?title=Pectoralis_minor_muscle&action=edit&section=4">edit</a>]</h2>The pectoralis minor <a title="Depression (kinesiology)" class="mw-redirect" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Depression_(kinesiology)">depresses</a> the point of the <a title="Shoulder" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Shoulder">shoulder</a>, drawing the <a title="Scapula" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Scapula">scapula</a> inferior and medial, towards the <a title="Thorax" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Thorax">thorax</a>, and throwing its <a title="Inferior angle" class="mw-redirect" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Inferior_angle">inferior angle</a> posteriorly.<h2 style="margin: 1em 0px 0.25em; padding: 0px; color: black; line-height: 1.3; overflow: hidden; font-family: "Linux Libertine", Georgia, Times, serif; font-weight: normal; border-bottom-color: rgb(170, 170, 170); border-bottom-width: 1px; border-bottom-style: solid; background-image: none; background-color: rgb(255, 255, 255);">Variations<span class="mw-editsection" style="line-height: 1em; padding-right: 0.25em; font-family: sans-serif; font-size: 10pt; margin-left: 1em; vertical-align: baseline; display: inline-block; white-space: nowrap; -webkit-user-select: none;">[<a title="Edit section: Variations" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/w/index.php?title=Pectoralis_minor_muscle&action=edit&section=5">edit</a>]</h2><div class="thumb tright" style="margin: 0.5em 0px 1.3em 1.4em; width: auto; color: rgb(37, 37, 37); line-height: 22px; clear: right; font-family: sans-serif; font-size: 14px; float: right; background-color: rgb(255, 255, 255);"><div class="thumbinner" style="padding: 3px !important; border: 1px solid rgb(204, 204, 204); width: 222px; text-align: center; overflow: hidden; font-size: 13px; min-width: 100px; background-color: rgb(249, 249, 249);"><a class="image" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/File:Braus_1921_137.png"><img width="220" height="127" class="thumbimage" style="border: 1px solid rgb(204, 204, 204); vertical-align: middle; background-color: rgb(255, 255, 255);" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fupload.wikimedia.org%2Fwikipedia%2Fcommons%2Fthumb%2F2%2F2a%2FBraus_1921_137.png%2F220px-Braus_1921_137.png" data-file-height="564" data-file-width="978" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/2/2a/Braus_1921_137.png/330px-Braus_1921_137.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/2/2a/Braus_1921_137.png/440px-Braus_1921_137.png 2x"></a><div class="thumbcaption" style="padding: 3px !important; border: currentColor; text-align: left; line-height: 1.4em; font-size: 12px;"><div class="magnify" style="border: currentColor !important; margin-left: 3px; float: right; background-image: none !important;"><a title="Enlarge" class="internal" style="border: currentColor !important; color: rgb(11, 0, 128); display: block; background-image: none !important;" href="http://en.wikipedia.org/wiki/File:Braus_1921_137.png"><img width="15" height="11" style="border: currentColor !important; vertical-align: middle; display: block; background-image: none !important;" alt="" src="https://img1.daumcdn.net/relay/cafe/original/?fname=http%3A%2F%2Fbits.wikimedia.org%2Fstatic-1.24wmf3%2Fskins%2Fcommon%2Fimages%2Fmagnify-clip.png"></a></div>An individual with an axillary arch as well as <a title="Sternalis" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Sternalis">sternalis</a> muscle and an accessory abdominal portion of the<a title="Pectoralis major" class="mw-redirect" style="color: rgb(11, 0, 128); background-image: none;" href="http://en.wikipedia.org/wiki/Pectoralis_major">pectoralis major</a>.</div></div></div>The origin is from the second, third and fourth or fifth ribs. The tendon of insertion may extend over the coracoid process to the greater tubercle. It may be split into several parts. Absence of this muscle is rare but happens with certain uncommon diseases <img src="https://t1.daumcdn.net/cfile/cafe/26446147532048B605" class="txc-image" actualwidth="398" width="398" style="clear: none; float: none;" border="0" vspace="1" hspace="1" exif="{}" id="A_26446147532048B6056C9F"/> <a class="tx-link" href="http://cafe.daum.net/panicbird/R5Ax/30" target="_blank">견갑골의 위치와 자세균형(scapular position and postural balance)</a> 견갑골 시계운동으로 4시방향운동이 얼마나 중요한지 상상해보라. <img src="https://t1.daumcdn.net/cfile/cafe/226E483F531FD6710E" class="txc-image" actualwidth="496" width="496" style="clear: none; float: none;" border="0" vspace="1" hspace="1" exif="{}" id="A_226E483F531FD6710EE567"/> <img src="https://t1.daumcdn.net/cfile/cafe/273BEE3F531FD72F24" class="txc-image" actualwidth="553" width="553" style="clear: none; float: none;" border="0" vspace="1" hspace="1" exif="{}" id="A_273BEE3F531FD72F24F908"/> 소흉근과 쇄골흉근근막의 기능적 단축 3가지 지표(1) restriction in upper rib movement in inspiration, such that the shoulders and ribs move in strict concert, - 흡기동안 상부늑골의 움직임 제한으로 어깨와 늑골이 엄격한 concert로 움직임.  (2) if the client has trouble flexing the arm and lifting the shoulder to reach the top shelf in the cupboard, and - 환자가 팔을 굴곡하는데 문제가 있고, 어깨를 선반상단에 도달하도록 들어올리는 문제가 있을때 (3) if the scapula is anteriorly tilted or the shoulders 'rounded'- 견갑골이 앞쪽으로 기울거나 어깨가 둥글게 된 경우 이를 정확히 보기 위해서는 환자의 옆에서 보아야- 견갑골 내측경계가 절벽처럼 수직으로 걸쳐있어야- 만일 견갑골이 지붕처럼 경사지게 위치해있다면 오훼돌기에서 소흉근의 단축이 아래로 당겨 견갑골을 기울였을 것임.<div> </div><div>참고) <a class="tx-link" style="color: rgb(255, 0, 0); font-weight: bold;" href="http://cafe.daum.net/panicbird/R5Ax/21" target="_blank">심부전방상지선의 소흉근(클릭)</a></div><div> </div>소흉근 Trp 탐구- 상지내측, 제 3, 4, 5 손가락으로 연관통<img src="https://t1.daumcdn.net/cfile/cafe/23124A4B53204A4716" class="txc-image" actualwidth="779" width="779" style="clear: none; float: none;" border="0" vspace="1" hspace="1" exif="{}" id="A_23124A4B53204A47162FD5"/> <img src="https://t1.daumcdn.net/cfile/cafe/2659B84B53204A472D" class="txc-image" actualwidth="785" width="785" style="clear: none; float: none;" border="0" vspace="1" hspace="1" exif="{}" id="A_2659B84B53204A472DDDA6"/> <img src="https://t1.daumcdn.net/cfile/cafe/2439504B53204A4807" class="txc-image" actualwidth="661" width="661" style="clear: none; float: none;" border="0" vspace="1" hspace="1" exif="{}" id="A_2439504B53204A4807F5BE"/> <img src="https://t1.daumcdn.net/cfile/cafe/2301764B53204A491E" class="txc-image" actualwidth="626" width="626" style="clear: none; float: none;" border="0" vspace="1" hspace="1" exif="{}" id="A_2301764B53204A491E0796"/> <img src="https://t1.daumcdn.net/cfile/cafe/27578B4B53204A4A2D" class="txc-image" actualwidth="635" width="635" style="clear: none; float: none;" border="0" vspace="1" hspace="1" exif="{}" id="A_27578B4B53204A4A2DA59E"/>소흉근의 dysfunction1. 소흉근 shortening 2. 소흉근 shortening의 결과 nerve entrapment3. 견갑골의 dyskinesis <iframe width="420" height="315" src="//www.youtube.com/embed/BFqS7LgWlRE" frameborder="0" allowfullscreen=""></iframe>)    <iframe id="vfd91b2bqHg2Nq4qNTAVVNA@my" width="640" height="360" src="https://kakaotv.daum.net/embed/player/cliplink/vfd91b2bqHg2Nq4qNTAVVNA@my?service=daum_cafe&ptoken=v2_9bb1eb5c419ae9c6cc6e90e16c8dfe511e4ad1d386aa5ceb658487c255f8fbb3036fe6d22fdd74b9da8081a452d1963d8bbc49260d099be528402e67" frameborder="0" scrolling="no" allowfullscreen></iframe>  에반스 isolated stretching <img src="https://t1.daumcdn.net/cfile/cafe/250F0F41552F9C7F0D" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="276" width="276" exif="{}" data-filename="스크린샷 2015-04-16 오후 8.25.27.png" style="clear:none;float:none;" id="A_250F0F41552F9C7F0D828A"/>