Anatomy of the thorax and upper limbs Flashcards

1
Q

What do the ribs attach to?

A

The sternum

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2
Q

Different name for collarbone?

A

Clavicle

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3
Q

What separates the thorax and abdomen?

A

The diaphragm

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4
Q

What is the notch at the top of the sternum called?

A

The jugular notch

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5
Q

What is the movement of the ribcage essential for?

A

Respiration
The lungs move with the ribcage

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6
Q

How is the heart kept in its exact anatomical position and still able to beat with least possible resistance?

A

Pericardium (envelope of the heart)

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7
Q

What is the cartilage that connects the ribs to the sternum called?

A

Costal cartilage

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8
Q

How many pairs of ribs?

A

12

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9
Q

Which ribs do not have cartilage?

A

11th and 12th ribs

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10
Q

Which ribs articulate independently with the sternum?

A

The first 7

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11
Q

Which ribs are called false ribs?

A

8, 9 and 10
The ones that articulate indirectly with the sternum

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12
Q

Which are the fluctuate ribs?

A

11 and 12

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13
Q

Where do the vein and arteries that pass above the first rib go?

A

To the upper limbs

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14
Q

What are three serous membranes of the thorax called?

A

Pericardium
Pleuras
Peritoneum

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15
Q

What is the upper part of the sternum called?

A

Manubrium

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16
Q

hat is the middle part of the sternum called?

A

Body

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17
Q

What is the small bottom part of the sternum called?

A

Xiphoid process (sword)

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18
Q

What is the bump/angle/connection between the manubrium and body of sternum called?

A

Sternal angle/ angle of Luis

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19
Q

4 parts of the mediastinum

A

Superior
Middle
Anterior
Posterior

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20
Q

Where does the inferior mediastinum start?

A

Middle of T4

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21
Q

Which lung is smaller?

A

Left

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22
Q

What part of the pleural cavities is not filled during normal, non-forced inspiration called?

A

Costa-diaphragmatic pleural cavities

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23
Q

What is the main artery in the thorax?

A

The aorta

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24
Q

What is the posterior most organ in the mediastinum?

A

The aorta

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25
Q

What is the area below the clavicular called?

A

Infraclavicular fossa

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26
Q

What rib do you hit when going from the angle of Luis?

A

The second rib

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27
Q

Which rib is at the apex of the heart?

A

5th

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28
Q

Which is the shortest rib?

A

1st

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29
Q

Which is the longest rib?

A

9th or 10th (they generate most transverse expansion)

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30
Q

How does length of the rib effect the volume when inhaling?

A

The shorter the rib the less difference in volume

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31
Q

Which ribs are flat?

A

1st and 2nd

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32
Q

Why are the first and second rib flat?

A

Muscle attachement from muscles from the neck
Vessels needing to pass above flat surface

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33
Q

What is the point called where the rib bends?

A

The Rib/costal angle

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34
Q

Are the costal angles vertically aligned?

A

No

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35
Q

How does the shape of the ribs change going down?

A

The more lateral the costal angle and the more anteriorly oblique they are oriented

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36
Q

Which direction do the ribs expand when being raised?

A

Transverse and anterior-posterior increase of diameter
Linear movement made into 3d volume increasing

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37
Q

How is the vertical diameter increased during respiration?

A

The diaphragm is decreased

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38
Q

What is the 11th and 12th called?

A

The floating rib

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39
Q

How many joints between rib and transverse process of the vertebrae

A

2 joints (places they articulate)

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40
Q

Where do the heads of the ribs articulate? (except the first and last)

A

In between 2 vertebrae (ex 2nd rib between T1 and T2)

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41
Q

Which thoracic muscles do what?

A

External inspiration
Internal expiration

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42
Q

What are the 3 holes in the diaphragm?

A

Aortic hiatus
Caval opening
Esophagel hiatus

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43
Q

What happens to the oesophagus during respiration?

A

It is squeezed by the diaphragm which helps keep the acid from the stomach away from the oesophagus

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44
Q

Where is the neuro intercostal bundle located in relations to the rib?

A

Below/inferior

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45
Q

How are the bones in the forarm located?

A

Radius is lateral
Ulnar is medial

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46
Q

What is the shape of the scapula?

A

Triangular and flat

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47
Q

What keeps the scapula in place?

A

Muscle

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48
Q

What is working when lifting your arm more than 140 degrees?

A

The scapula, before that it is the glenoid cavity

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49
Q

What articulates in the acromioclavicular joint?

A

Calvicle and scapula

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50
Q

What bones form the shoulder gear?

A

Scapula
Clavicle
Humerus

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51
Q

Only real joint of scapula

A

Acromioclavicular

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52
Q

What is the scapula thoracic joint?

A

Soft tissue located between bones

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53
Q

What bone has the glenoid cavity?

A

The scapula

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54
Q

Where does the scapula articulate with the humerus?

A

Glenohumeral joint

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55
Q

Why do we use muscles for stability more than ligaments

A

Ligament are inactive/passive which gives less mobility

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56
Q

Why do ligaments provide less stability?

A

They are inactive/passive

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57
Q

What kind of joint is the sternoclavicular joint?

A

A saddle joint

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58
Q

Why does a small angle make a big movement of the clavicle?

A

Because is it a long bone

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59
Q

Why can the glenoid cavity surface area be so much smaller than the head of the humerus?

A

Because the two surfaces are always in contact during movement, rotation and translation

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60
Q

Names of the necks of the humerus

A

Anatomical neck of the humerus
Surgical neck (area where bone is cut by surgeon)

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61
Q

Which is the only “real” neck of the humerus?

A

Surgical neck

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62
Q

Where is the greater tubercle of the humerus in relation to the lesser

A

Lateral

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63
Q

What does the greater tubercle “touch” (synovial membrane in between) when the arm is abducted around 110c?

A

Acromioclavicular joint

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64
Q

What does the greater tubercle touching the acromioclavicular joint make the end of?

A

End of pure glenoid humerjoint movement

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65
Q

What are the 3 glenohumeral ligament?

A

Inferior, middle and superior

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66
Q

Which are the thicker part of the glenohumeral joint cavity?

A

Superior, middle and inferior ligaments

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67
Q

What does coracoid mean (coracoid process)?

A

Beak of crow

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68
Q

Why is the coracoid process important?

A

Ligament of scapula attach (coracoacromial ligament) which forms roof of glenohumeral joint

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69
Q

Why is there a ligament between the coracoid process and the rest of the scapula?

A

To complete the roof of the glenohumeral joint

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70
Q

Where do the extrinsic muscles attach?

A

In the limb and somewhere else (like spine)

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71
Q

Where do the intrinsic muscles attach?

A

Only within the limb

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72
Q

What is the most superficial muscle on the shoulder?

A

Deltoid

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73
Q

What kind of muscle is the pectorals major?

A

Extrinsic
Superficial

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74
Q

What will the anterior and posterior and lateral part of the deltoid do?

A

Ant and pos: mostly rotate
Lat: abducting

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75
Q

What are the biceps of the arm called?

A

Biceps brachii

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76
Q

What does bicep mean?

A

That it has two heads (short and long head)

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77
Q

Where does the short head of the bicep attach?

A

The coracoid process

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78
Q

Which head of the bicep has a tendon?

A

The long head

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79
Q

What does the synovial sheet allow the tendon of the long head of the bicep to do?

A

Allows tendon to slide while muscle is working

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80
Q

Where does the tendon of the long head of the bicep attach?

A

Supra glenoid tubercle

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81
Q

Where are intratriccular synovial joints?

A

Inside the capsule and synovial membrane

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82
Q

Is the long head of the bicep intratricular?

A

NO

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83
Q

What is the long head of the bicep?

A

Intracapsular extrasynoval (because the tendon is below the capsule but external of the synovial fluid)

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84
Q

How many heads does the tricep have?

A

3
Lateral
Medial
Long

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85
Q

What does the tricep do?

A

Extends elbow

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86
Q

Where does the long head of the tricep attach?

A

To the scapula

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87
Q

Where does the medial and lateral head of the tricep attach?

A

Posterior aspect of the humerus

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88
Q

Where does the deltoid attach (originate)?

A

Clavicle
Acromion
Scapular spine

89
Q

Where does the bottom of the deltoid attach?

A

Deltoid tuberosityof the humerus

90
Q

4 muscles of the rotator cuff

A

Supraspinatus
Infraspinatus
Teres minor
Subscapularis

91
Q

Where do the muscles of the rotator cuff origin?

A

Scapula

92
Q

Where do the muscle of the rotator cuff have their insertion?

A

Humerus

93
Q

What is the Coraco brachialis a flexor of when starting from anatomical position?

A

The humerus

94
Q

2 parts of the trapezius

A

Inferior triangle
Superior trianlge

95
Q

What is the boney process of the ulnar called?

A

Olecranon

96
Q

When does the extension of the elbow stop?

A

When the olecranon touches the humerus

97
Q

When the position of the arm/hand is in the anatomical position what is the first finger?

A

Lateral

98
Q

What kind of joint is the trochlea joint?

A

Hinge

99
Q

When doing pronosupination (flipping the hand) is the elbow working?

A

No only the radioulnar

100
Q

What changes the relative position during pronosupination?

A

The rotation at the distal end as the relative position at the proximal end remains the same despite the rotation

101
Q

Where are the muscles that control the precise movements with less force of the hand?

A

In the hand

102
Q

Where are the muscles that control large and strong movements of the hands located?

A

In the arm with tendons going to the hand

103
Q

Where are flexors of the fingers found?

A

In the anterior compartment of the forarm

104
Q

Where are the extensors of the fingers found?

A

In the posterior compartment of the forarm

105
Q

Where are muscles that do pronation of the arm found?

A

Anterior compartment of the forarm

106
Q

Where are muscles that do supination of the arm found?

A

Posterior compartment of the forarm

107
Q

Where do the anterior superior muscles of the forearm originate?

A

The medial epicondyle of the humerus

108
Q

What are the wrist bones called?

A

Carpal bones

109
Q

What are the finger bones called?

A

Phalanges

110
Q

What are the bones between the phalanges and the carpal bones called?

A

Metacarpal

111
Q

Which bones contributes most to the wrist joint? Radius or Ulna?

A

Radius

112
Q

What creates the carpal tunnel?

A

The ligament connecting the pisiform and tubercle of trapezium above the rest of the carpal bones creating a tunnel

113
Q

How many saddle joints in the hand?

A

1, carpometacarpal joint of the thumb
Allows for the movement of the thumb

114
Q

What is the name of the ligament that forms the carpal tunnel?

A

Flexor retinaculum

115
Q

What allows for individual movements of the tendons in the hand?

A

Each tendon has an envelope of synovial sheet

116
Q

3 groups of intrinsic muscles of the hand

A

Thenar eminence (towards thumb)
Hypotenar eminence (towards 5th finger)
Metacarpal (palmar)

117
Q

What are the boundaries of the thoracic wall?

A

Inferior border of the neck and thoracoabdominal line

118
Q

Does the thoracic cavity have different boundaries from those of the wall?

A

Yes
Superiorly: goes beyond the inferior border of the neck, reaching supraclavicular fossae
Inferiorly corresponds to the diaphragmatic cupula located above the thoracoabdominal line

119
Q

What is the thoracic wall formed by?

A

Skin, muscles and bony skeleton

120
Q

What kind of bones are ribs?

A

Flat bone

121
Q

Why are ribs considered flat bones and not long bones?

A

Because they consist of an external lamina of compact bone tissue covering spongy bone
Have a neck and a body

122
Q

Where is the tubercle of the rib found?

A

Between the neck and the body

123
Q

Which part of the ribs articulate with the spine?

A

The head of the ribs

124
Q

What kind of surfaces does the body of the rib have?

A

Convex external surface
Concave internal surface

125
Q

Which border of the body of the rib is blunt and which is sharp?

A

The superior border is blunt
The inferior border is sharp

126
Q

What is the place of the rib where vessels and nerves run called?

A

The costal groove

127
Q

What does the tubercle of the ribs articulate with?

A

The facet of the transverse process of the vertebra

128
Q

What does the head of the rib articulate with?

A

The inferior facet articulates with the body of the vertebrae
And the superior facet articulates with the disc

129
Q

Which ribs only have one head?

A

1st, 10th, 11th and 12th

130
Q

Shape of the costal cartilage

A

The body is flattened
Has two extremities, one lateral and one medial

131
Q

Which are the most fragile ribs?

A

The central ribs

132
Q

Which is the weakest point of the ribs?

A

Right in front of the costal angle

133
Q

What kind of bone does the sternum contain?

A

Trabecular bone which is extensively vascularised and covered by a layer of compact bone

134
Q

What are the ridges of the sternum where it connects with costal cartilage called?

A

Costal notches

135
Q

Why can the clavicle not be considered a long bone?

A

Because it contains a medullary cavity and it’s ossification occurs like that of flat bone

136
Q

What does the superior base of the sternal facet in the clavicle articulate with?

A

The manubrium of the sternum

137
Q

What does the acrominal facet on the acrominal end of the clavicle articulate with?

A

The acromion of the scapula

138
Q

Which ribs does the scapula cover?

A

The 3rd to the 7th

139
Q

Is the costal (anterior) surface of the scapula concave or convex?

A

Concave

140
Q

From where on the scapula does the subscapularis originate?

A

The subscapular fossa

141
Q

From where on the scapula does the supraspinatus originate?

A

The supraspinous fossa

142
Q

From where on the scapula does the infraspinatus originate?

A

The infraspinous fossa

143
Q

What is the medial border of the scapula parallel to?

A

Vertebral column

144
Q

At the level of which rib is the inferior angle of the scapula located?

A

7th

145
Q

Why are the superior, inferior borders and the surface of the spine of the scapula rough?

A

Due to presence of muscular insertions

146
Q

Which is the longest bone of the upper limb?

A

Humerus

147
Q

What is the body of the humerus called?

A

Diaphysis

148
Q

What are the two enlarged ends of the humerus called?

A

Epiphyses

149
Q

What does the proximal epiphyses of the humerus articulate with?

A

Glenoid cavity of the scapula

150
Q

What does the distal epiphysis of the humerus articulate with?

A

Ulna and radius

151
Q

How many surfaces of the humerus can be described? Their names

A

3
Anterolateral
Anteromedial
Posterior

152
Q

On which epiphyses of the humerus is the groove for the ulnar nerve found?

A

The distal epiphyses

153
Q

Where on the humerus is the coroners process of the ulna when the elbow joint is flexed?

A

The coronoid fossa

154
Q

Where on the humerus is the coroners process of the ulna when the elbow joint is extended?

A

Olecranon fossa

155
Q

Which is the lateral bone of the forearm?

A

The radius

156
Q

What does the radius articulate with distally?

A

Carpal bones

157
Q

How many surfaces does the shaft (body) of the radius have?

A

3 (anterior, posterior and lateral)

158
Q

Which end of the radius is more voluminous?

A

The distal end

159
Q

Which end of the ulna is more voluminous and resembles a large hook?

A

The proximal

160
Q

What bones are the hand composed of?

A

Carpal, metacarpals & phalanges

161
Q

What is the carpus?

A

Bony complex consisting of 8 short bones (carpals) that articulate with eachother & the forearm & metacarpals

162
Q

Which is the smallest carpal bone?

A

Pisiform

163
Q

Which carpal articulates with the first metacarpal?

A

The trapezium

164
Q

Which is the largest carpal bone?

A

The capitate

165
Q

What does the skeleton of the metacarpus consist of?

A

5 long bones (the metacarpals)

166
Q

How are the metacarpals numbered?

A

Lateromedial / radioulnar (thubms is 1st, pinkey is 5th )

167
Q

Structure of metacarpals

A

Base (proximal)
Shaft (body)
Head (distal)

168
Q

What does the base of the metacarpals articulate with?

A

The bones of the distal row of the carpus

169
Q

What does the head of the metacarpals articulate with?

A

The proximal phalanges of the fingers

170
Q

How many surfaces does the shaft (body) of the metacarpals have? & how are they named?

A

3
Dorsal
Lateral
Medial

171
Q

How many phalanges are there?

A

14

172
Q

How many phalanges in each finger?

A

2 in the thumb
3 in the last four fingers

173
Q

What type of bones are phalanges?

A

Long bones

174
Q

What is the head replaced with in the distal phalanges ?

A

The tuberosity of the distal phalanx

175
Q

What does the tuberosity of the distal phalanx accommodate?

A

The nail

176
Q

How many surfaces does the shaft of the phalanges have ?

A

2 (dorsal & palmar)

177
Q

Different name for shoulder girdle

A

Pectoral girdle

178
Q

Which joints are included in the pectoral girdle?

A

Sternoclavicular & acromioclavicular synovial joints
Syndesmoses represented by the coracoacromial, superior transverse scapular & inferior transverse scapular ligaments

179
Q

What does the sternoclavicular joint join?

A

The sternal/medial end of the clavicle to the manubrium of the sternum

180
Q

What movements does the sternoclavicular joint allow for? (5)

A

Protraction (forward)
Retraction (backward)
Elevation
Depression
Rotation

181
Q

How many degrees of freedom and how many movements does the sternoclavicular joint allow for?

A

3 degrees of freedom
6 types of movements

182
Q

What kind of joint is the acromioclavicular joint?

A

Plane joint

183
Q

What kind of movements does the acromioclavicular joint allow for?

A

Small sliding movements which change the amplitude of the angle between the scapula & clavicle

184
Q

Why is the scapulothoracic joint not a true anatomical joint but a functional joint?

A

Because the surfaces in relation to each other aren’t bony

185
Q

How many degrees of freedom does the glenohumeral joint posses?

A

3

186
Q

Which ligament originates from the superior part of the glenoid cavity and inserts on the anatomical neck of the humerus?

A

The superior glenohumeral ligament

187
Q

Which ligaments originates from the anterior contour of the glenoid cavity and leads to the base of the lesser tubercle?

A

The middle glenohumeral ligament

188
Q

Which ligament originates from the anteroinferior contour of the glenoid cavity and leads to the surgical neck of the humerus?

A

The inferior glenohumeral ligament

189
Q

Which tendons form the rotator cuff?

A

Supraspinatus
Subscapularis
Infraspinatus
Tres minor
Fused together with the external surface of the joint capsule

190
Q

Where do most dislocations of the shoulder happen and why?

A

Anteriorly
Because it’s most unstable anteroinferiorly

191
Q

How many joints in the elbow joint?

A

3

192
Q

How many joint capsules in the elbow joint?

A

1

193
Q

Why is the elbow joint one of the most stable joints?

A

Because it is one of the most congruent

194
Q

What kind of joint is the humeroulnar?

A

Hinge joint

195
Q

What kind of joint is the humeroradial joint?

A

Condylar

196
Q

What kind of joint is the proximal radioulnar joint?

A

Pivot

197
Q

What does the humeroulnar joint allow for?

A

Flexion and extension

198
Q

What bone is the olecranon a part of?

A

The ulna

199
Q

What kind of movement does the humeroradial joint allow for?

A

Flexion, extension and rotation during pronosupination

200
Q

What kind of movement does the proximal radioulnar joint allow for?

A

Rotational movements of the radius on the ulna (pronosupination)

201
Q

What is the extension of the joint capsule to the neck of the radius called?

A

Sacciform recess of the elbow joint

202
Q

What kind of joint is the distal radioulnar joint?

A

Monoaxial pivot joint

203
Q

What kind of joint is the wrist joint?

A

Condylar

204
Q

Does the ulna participate in the wrist joint?

A

No

205
Q

Does the pisiform participate in the wrist joint?

A

No

206
Q

What kind of joints are the carpal joints?

A

Plane joints

207
Q

4 thoracoappendicular muscles

A

Pectoralis major
Pectoralis minor
Serratus anterior
Subclavius

208
Q

Where do the thoracoappendicular muscles originate?

A

Ribs and sternum

209
Q

Where do the thoracoappendicular muscles insert?

A

Pectoral girdle and humerus

210
Q

Action of the pectorals major

A

Adducts and internally rotates the glenohumeral joint
Indirectly lowers the scapula

211
Q

Where is the pectorals minor located in relations to pectorals major?

A

Below

212
Q

Action of the pectorals minor?

A

Lowers the scapula

213
Q

Where do muscles of the shoulder originate and insert?

A

Originate: pectoral girdle
Insert: humerus

214
Q

Which is the deepest of the anterior muscles of the forearm?

A

Pronator quadratur

215
Q

Which muscles act during supination?

A

Supinator
Biceps brachii

215
Q

Which muscles act during pronation?

A

Pronator teres
Pronator quadratura

216
Q

On which side of the hands are the muscles found?

A

The palmar side

217
Q

Does the latissimus doors insert on the humerus?

A

Yes