Bones and Muscles + Movement (Arm) Flashcards
Clavicle
Sternal
Acromial surfaces
Scapula
Vertebral border Spine Superior and Inferior angles Acromion and coracoid processes Supraspinous, infraspinous, subscapular and glenoid fossae
Proximal humerus
Head
Anatomical and Surgical necks
Greater and lesser tubercles
Intertubercular and spiral grooves
Sternoclavicular joint
Support: sternoclavicular ligament, costoclavicular ligament, joint capsule, subclavius muscle
Clinical: strong ligaments prevent dislocation, ankylosis limits arm elevation
Movement: elevation/depression of arm during flexion and extension + ab/adduction and movement at glenohumeral joint
Acromioclavicular joint
Support: Coracoclavicular ligament and joint capsule
Clinical: dislocated by direct force, “shoulder separation”
Movement: rotation assists shoulder movement
Glenohumeral joint
Support: Musculotendinous rotator cuff, glenohumeral ligaments, glenoid labrum, joint capsule
Clinical: Range limited by pain from bursitis or rotator cuff tendinitis. Range limited by dislocation from excessive abduction, extension and lateral rotation
Movement: ab/duction, flexion/extension, medial and lateral rotation; circumduction
Scapulohumeral rhythm
for every 3˚ of elevation; 2˚ at glenohumeral and 1˚ from scapula, SC and AC joints
Rotator Cuff
Glenohumeral support
SITS: Supraspinatus, infraspinatus, teres minor, subscapularis
Protractors of Scapula
Serratus anterior, pectoralis minor
Retractors of Scapula
Rhomboids, middle fibers of the trapezius
Elevation of Scapula
levator scapulae, rhomboids, superior fibers of the trapezius
Depression of Scapula
Pectoralis minor, inferior fibers of the trapezius
Upward rotation of Scapula
Serratus anterior, Superior and inferior fibers of trapezius
Downward rotation of Scapula
Levator scapulae, rhomboids
Flexion of humerus at glenohumeral joint
Pectoralis major, ant. deltoid fibers
Biceps brachii, coracobrachialis