Biomech Unit 4 Flashcards
What are the 4 articulations of the shoulder joint?
Glenohumeral,
Acromioclavicular,
Sternoclavicular,
Scapulothoracic
Describe the glenohumeral joint and what provides its stability?
Humeral head articulates in the glenoid fossa (which is very shallow to allow a large range of movement - prone to dislocations due to shape)
Stability
- thick fibrous joint capsule
- glenoid labrum makes the socket deeper (cartilaginous ring)
- rotator cuff forms a cuff round both sides of the joint preventing ant-post movement
What are the muscles of the rotator cuff?
Subscapularis
Teres minor
Infraspinatus
Supraspinatus
Describe the acromioclavicular joint
What provides its stability?
Synovial joint where lateral clavicle articulates with the acromion of the scapula
Has a very limited ROM due to the thorax +
muscle attachments
Stability:
- superior + inferior acromioclavicular ligaments
- coracoclavicular ligament
Describe the sternoclavicular joint.
What provides its stability?
Synovial joint; manubrium of sternum against medial clavicle
when elevate arm, the clavicle elevates at the sternoclavicular joint (can feel with finger)
Stability
- anterior sternoclavicular ligament
- costoclavicular ligament
- interclavicular ligament
Describe the scapulothoracic articulation
Not a joint as is a bone-muscle-bone articulation (rather than bone-ligament)
Scapula - serratus anterior + subscapularis - posterior thoracic wall
What is the angle of elevation of the shoulder joint?
The angle it is from the thorax
What is the difference between internal/external rotation and horizontal flexion/extension?
Int/ext rot: elbow flexed at 90º elbow next to thorax, rotation towards/away from body
Horizontal flex/ext: arm out at side in line with shoulder (at 90º from trunk), forward/backwards movement of hand
Which shoulder joints does dislocation occur at and which is the most common?
Glenohumeral, sternoclavicular, acromioclavicular
Anterior dislocation of shoulder most common
How does anterior dislocation of the glenohumeral joint usually occur?
A blow to the hand whilst in a fully abducted position with horizontal extension (arm up + back like climbing)
The arm pivots around the acromion in this position - if the ligaments are too weak or the force is too strong, then dislocation occurs
What type of joint is the elbow and what are the articulations?
Hinge joint
Proximal radioulnar,
Humeroradial
Humeroulnar
How does pronation/supination occur?
Pronation: distal radius slides over the ulna (held together by triangular fibrocartilage), proximal radius rotates in the radial notch of the ulna (held in place by annular ligament - ligamentus sling)
Supination: slides back to its original position
What provides ant/post stability and lat stability in the elbow joint?
Ant/post
- olecranon process; part of the trochlear notch which holds the trochlea like a nut
Lat
- collateral ligaments (medial/ulnar + lateral collateral)
- (MCL prevents abduction, LCL prevents adduction)
What forces are experienced by the elbow joint? Why is this?
Up to 2000N
Dress/eating = 300N
As there is a small moment arm from the elbow to muscle insertion compared to the moment arm to externally applied forces (ie in the hands) - 3rd class lever
What are the bones of the wrist (carpal bones)?
mnemonic
Scaphoid, Lunate, Triquetrium, Pisiform,
trapezium, Trapezoid, capitate, hamate
(some lovers try positions that they cannot handle)