Appendicular Skeleton Flashcards
Function of the pectoral girdle (shoulder)
to connect the upper limbs to the axial skeleton
Bones of the pectoral girdle (shoulder)
Clavicle and Scapula
Joint that connects sternal end of the clavicle with manubrium of sternum
sternoclavicular joint
Joint that connects scapula with the clavicle
acromioclavicular joint
Joint that connects scapula with the humerus
glenohumeral (shoulder) joint
Clavicle
Collarbone
Clavicle shape description (medial; lateral)
S-shaped [medial half curves toward you; lateral half curves away from you]
Sternal End (medial end) of Clavicle: Characteristics
rounded; forms the sternoclavicular joint when it articulates with the manubrium
Acromial end (lateral end) of Clavicle: Characteristics
broad; flat; forms the acromioclavicular joints when it articulates with the acromion of the scapula
Acromial end forms what joints?
Acromioclavicular joint
Sternal end forms what joints?
sternoclavicular joint
Causes of fractured clavicle?
- FOOSH can also cause a fractured clavicle; force transmitted can travel throughout the arm 2. Blow to the superior part of the anterior thorax [MVA]
Scapula
(aka: shoulder blade): large triangular; flat bone situated in the superior part of the posterior thorax between ribs 2 and 7
Scapula Spine
Prominent ridge running along the posterior surface of the scapula
Acromion (Scapula)
Flattened; expanded process; found at the lateral end of the spine
Glenoid Cavity
Found the lateral aspect of the scapula; accepts the head of the humerus
What joint does the Glenoid Cavity Form?
glenohumeral joint (shoulder joint)
Medial (vertebral) Border (Scapula)
Thin edge closer to the spinal cord
Lateral (axillary) Border (Scapula)
Thick edge closer to the arm (humerus)
Superior border (Scapula)
Superior edge of the scapula
Superior angle (Scapula)
Joining of the superior border and the medial border
Inferior angle (Scapula)
Joining of the medial and lateral borders
Scapular notch
Prominent indentation along the superior border; Passage: scapular nerve
Coracoid process
Projection off the anterior surface; off the lateral end of the superior border
What attaches to the coracoid process?
- Tendons of pectoralis minor; coracobrachialis; biceps brachii; 2. Ligaments of corocoacromial; conoid and trapezoid
Supraspinous fossa
Surface for attachment for supraspinatus muscle
Infraspinous fossa
Surface for attachment of the infraspinatus muscle
Subscapular fossa
Surface for attachment of the subscapularis muscle
How many bones are in the upper limb extremity; where?
Comprised of 30 bones in 3 locations: 1. The humerus in the arm; 2. The ulna and radius in the arm; 3. 8 carpals in the wrist; 4. 5 metacarpals in the palm ; 5. 14 phalanges in the digits
Describe the articulation of the humerus.
- Proximally with the scapula [shoulder joint]; 2. Distally with ulna and radius [forms elbow joint]
Head of the Humerus
end of the humerus; articulates with the glenoid cavity to form glenohumeral joint.
Anatomical Neck
former site of the epiphyseal plate; visible as an oblique groove
Greater Tubercle
lateral projection; distal to the anatomical neck; most laterally palpable bony landmark of the shoulder
Lesser tubercle
anterior projection
Intertubercular groove
found between the tubercles
Surgical neck
constriction on the humerus; just distal to the tubercles; where the head tapers to the shaft. [Named surgical neck because fractures often occur here]
Humerus body
shaft
Deltoid tuberosity
V-shaped area on the shaft that serves as a point of attachment for the tendons of the deltoid muscle
Radial Groove
posterior surface of the humerus; runs along the deltoid tuberosity; Structure: radial nerve
Capitulum
rounded knob on the lateral aspect of the bone; articulates with: head of the radius.
Radial Fossa
anterior depression above the capitulum that articulates with the head of the radius when the forearm is flexed (bent).
Trochlea
medial to the capitulum; spool-shaped surface that articulates with the trochlear notch of the ulna
Coronoid fossa
anterior depression that receives the coronoid process of the ulna when flexed.
Olecranon fossa
large posterior depression that receives the olecranon of the ulna when the forearm is extended (straightened)
Medial and lateral epicondyle
rough projections on either side of the distal end of the humerus. Tendons of most muscles of the forearm attach here.
Where can the ulner nerve be palpated?
Ulnar nerve can be palpated just above medial epicondyle [pain experienced when you hit your funny bone]
Ulna
bone of the forearm found on the �little finger� side
Which ends are narrow and wide on the ulna?
Narrow at the distal end; widen at proximal end
Head of Radius
proximal
Neck of Radius
Inferior to the head of the radius
Radial Tuberosity
point of attachment for tendons of the biceps brachii muscle
Styloid process of the radius
lateral side of the radius; attachment for the bracioradialis muscle; attachmen of the radial collateral ligament
Ulnar Notch
Articulates with the head of the Ulna
Olecranon
forms the prominence of the elbow
Coronoid Process
anterior projection articulates with the trochlear of the humerus
Trochlear notch
large curved area between the olecranon and coronoid process; which forms the elbow joint.
Radial Notch
articulates with the head of the radius
Ulnar tuberosity
biceps brachii muscle tendon attaches here
Styloid process of the ulna
located on a posterior side of ulna�s distal end. Attachment of the ulnar collateral ligament
Head of ulna
Distal
Radius
smaller bone of the forearm; located on the thumb side
Which ends are narrow and wide on the radius?
Narrow at the proximal end and widens at the distal end
Where do a majority of 50+ adults fracture radius?
Fracture of the distal end of the radius is the m/c fracture in adults >50 yrs secondary to falls.
Where are the 3 joints found that articulate with the radius and ulna?
- Ulna; Radius & humerus [Elbow Joint]; 2. Head of the radius + ulnar notch [proximal radioulnar joint]; 3. Head of the ulna + radial notch [Distal radioulnar joint]
Interosseus Membrane
broad; flat fibrous connective tissue found between the shafts of the radius and ulna; site of attachment for deep muscles of the forearm
Radiocarpal joint (wrist) joint
Distal end of radius + 3 wrist bones [lunate; scaphoid triquetrum]
Carpus
proximal regions of the hand consisting of eight small bones called carpal bones
How is the carpus arranged?
two transverse rows of four bones each; their names reflect shapes
Intercarpal joints
Articulations among carpal bones
What is the Mnemonic to remember the carpus organization?
Stop Letting Those People Touch the Cadever’s Hand
What are the bones of the wrist or within the carpus?
Scaphoid; Lunate; Triquetrum; Pisfiorm; Trapezium; Trapezoid; Capitate; Hamate
What are the structures that pass through the Carpal Tunnel?
- Flexor tendons of the digits and thumbs; 2. median nerve
Carpal Tunnel Syndrome
Narrowing of the carpel tunnel due to factors such as inflammation.