3120 Anatomy (W3 Exam) Flashcards
Glenohumeral joint open pack position
40-55’ abduction, 30’ horizontal adduction (scapular plane)
Scapulothoracic joint articulation
Interface between scapula and post-lateral surface of thorax
Sternoclavicular joint articulation
Medial clavicle, manubrium, and cartilage of 1st rib
Sternoclavicular open and closed pack positions
OPEN pack: Arm resting by side
CLOSED pack: full arm elevation
Acromioclavicular joint articulation
Acromion process and lateral clavicle
Acromioclavicular joint open and closed pack positions
OPEN pack: arm resting by side
CLOSED pack: 90’ arm abduction
What is scapulohumeral rhythm?
Scapulohumeral rhythm is the special order of movement synchronisation of the scapula, humerus, and clavicle during full shoulder elevation.
Synchronised contribution from scapula and humerus (2:1) after the initial 60’. Initial 60’ is predominantly done by the GHJ.
Glenohumeral joint passive stability
Glenoid orientation,
Glenoid labrum (fibrocartilage that deepens the glenoid cavity by 50%)
Surface tension
Joint capsule and associated ligaments (coracohumeral ligament + superior, middle, inferior glenohumeral ligaments)
Rotator interval - acts as anterior superior hammock, restricts ER and inferior translation.
Glenohumeral joint dynamicstability
Rotator cuff muscles
Long head of biceps
Sternoclavicular joint passive stability
Ant and post sternoclavicular ligaments
Interclavicular ligament
Costoclavicular ligament
Articular disc between manubrium
and medial clavicle
Sternoclavicular joint dynamic stability
SCM
Sternohyoid muscle
Sternothyroid muscle
Subclavius
Acromioclavicular joint passive stability
Acromioclavicular ligament
Coracoclavicular ligaments (trapezoid and conoid)
Acromioclavicular joint active stability
Deltoid and upper trapezius
Scapula upward rotator muscles
Upper trap (UR, elevation and retraction)
Middle trap (UR, retraction)
Lower trap (UR, depression and retraction)
Serratus anterior (UR and protraction
Scapula downward rotator muscles
Levator scapulae
Rhomboids