Bones of the Upper Limb & Shoulder Girdle Flashcards
Functions of the Shoulder Girdle?
- Manipulation of environment (not locomotion)
- Attaches upper limb to axial skeleton
- Clavicle acts as ‘strut’ (transmits force to axial skeleton/Gives upper arm reach)
- High mobility, low stability
Bones of the shoulder girdle & Upper Limbs?
- Manubrium of sternum
- Clavicle
- Scapula
- Humerus
- Ulna
- Radius
- Carpals
- Metacarpals
- Phalanges
Joints of the Upper Limb & Shoulder Girdle?
- SternoClavicular
- AcromioClavicular
- GlenoHumeral
- HumeroUlnar
- RadioUlnar
- Distal RadioUlnar
- RadioCarpal
- InterCarpal
- CarpoMetacarpal
- MetacarpoPhlangeal
- InterPhalangeal
Articulations of the Sternum:
- Syncondrosis of 1st rib
- Sternocostal joint of 2nd rib
Origins/Insertions of the Sternum:
- Pectorialis Major
- One head of the Sternocleidomastoid
The Manubrium of Sternum is:
- A flat bone
- Quadrangular shape
Articulations of the Clavicle:
- Manubrium of Sternum
- Acromion of Scapula
Origins/Insertions of the Clavicle:
- Deltoid -> Anteriorly on Lateral 3rd
- Trapezius -> Posteriorly on Lateral 3rd
- Subclavius -> Subclavian Groove
- Pectorialis Major -> Anteriorly on medial 3rd
- Sternocleidomastoid -> Superiorly on medial 3rd
The Clavicle is:
- A long bone
- Superior is smooth, inferior is rough
- S-shaped
Landmarks on the clavicle:
- Sternal & Acromial ends
- Impression of costoclavicular ligament
- Deltoid tubercle
- Conoid tubercle
- Trapezoid line
- Subclavian groove
What does the scapula connect
Humerus & Clavicle
Landmarks of the Scapula:
- Lateral border
- Medial border
- Superior border
- Inferior angle
- Lateral angle
- Spine
- Acromion
- Coracoid process
- Suprascapular notch
- Supraspinous fossa
- Infraspinous fossa
- Subscapular fossa
- Glenoid cavity
Articulations of the Scapula:
- Lateral ends of Clavicle
- Head of Humerus
Origins/Insertions of the Scapula:
- Supraspinatus (Origin)
- Infraspinatus (Origin)
- Subscapularis (Origin)
- Deltoid (Origin)
- Serratus Anterior (Insertion)
- Rhomboid Major (Insertion)
- Rhomboid Minor (Insertion)
- Levator Scapulae (Insertion)
- Teres Major (Insertion)
- Teres Minor (Insertion)
- Pectorialis Minor (Insertion)
- Long head of Triceps Brachii (Origin)
- Long head of Biceps Brachii (Origin)
- Short head of Biceps Brachii (Origin)
What bone type is the Humerus?
Long Bone
Landmarks of the Humerus:
- Head
- Greater Tubercle
- Lesser Tubercle
- Intertubercular groove
- Deltoid Tuberosity
- Medial Epicondyle
- Lateral Epicondyle
- Capitulum
- Trochlea
- Radial Groove
- Olecranon Fossa
Articulations of the Humerus:
- Glenoid Process of Scapula
- Radius
- Ulnar
Origins/Insertions of the Humerus:
- Supraspinatus
- Subscapularis
- Pectorialis Major
- Latissimus Dorsi
- Deltoid Muscle
- Teres Major
- Teres Minor
- Coracobrachialis
- Brachialis
- Extensor Carpi Radialis Longus
- Extensor Carpi Radialis Brevis
- Extensor Digitorum
- Extensor Digitorum Minimi
- Extensor Carpi Ulnaris
- Protonator Teres
- Flexor Carpi Radialis
- Palmaris Longus
- Flexor Carpi Ulnaris
- Flexor Digitorum Superficialis
What is the shape of the Ulna?
Wide at proximal end but narrow at distal end
Landmarks of the Ulna:
- Olecranon Process (posterior proximal)
- Trochlear Notch
- Styloid Process of Ulna
- Head of Ulna (Articulates with Wrist via Disc of Fibrocartilage)
- Radial Notch (Articulates with Head of Radius)
Articulations of the Ulna:
- Trochlea of Humerus (via trochlear notch between coronoid & olecranon processes) -> when fully extended, olecranon process ‘locks’ into olecranon fossa of humerus)
- Bones of wrist
- Radius (Via interosseous membrane [flat, flexible ligament spanning entire length])
Origins/Insertions of the Ulna:
- Brachialis (Insertion)
- Triceps Brachii (Insertion)
- Anconeus (Insertion)
- Flexor Carpi Ulnaris (Origin)
- Flexor Digitorum Superficialis (Origin)
- Flexor Digitorum Profundus (Origin)
- Pronator Quadratus (Origin)
- Pronator Teres (Origin)
- Supinator (Origin)
- Abductor Pollicis Longus (Origin)
- Extensor Pollicis Longus (Origin)
- Extensor Pollicis Brevis (Origin)
- Extensor Indicis (Origin)
- Extensor Carpi Ulnaris (Origin)
What is the shape of the Radius?
Thin at proximal end but wide at distal end
Landmarks of the Radius:
- Head - concave (articulates with capitulum of humerus)
- Ulnar Notch (Articulates with head of Ulna)
- Styloid Process of Radius
- Distal End - concave (Articulates with Carpal bones of wrist)
Articulations of the Radius:
- Humerus
- Carpals
- Ulna - via interosseous membrane (flat, flexible ligament spanning entire length)
Origins/Insertions of the Radius:
- Pronator Teres (Insertion)
- Pronator Quadratus (Insertion)
- Supinator (Insertion)
- Biceps brachii (Insertion)
- Flexor Digitorum Superficialis (Origin)
- Flexor Pollicis Longus (Origin)
- Brachioradialis (Insertion)
- Extensor Pollicis Longus (Origin)
- Extensor Pollicis Brevis (Origin)
- Abductor Pollicis Longus (Origin)
What are the Carpals of the wrist?
- Trapezium
- Trapezoid
- Capitate
- Hamate
- Pisiform
- Triquetral
- Lunate
- Scaphoid
How many metacarpals in the hand?
5
Types of phalanges?
- Distal 1-5
- Middle or Intermediate 2-5
- Distal 1-5
Features of the SternoClavicular joint:
- The only joint that joins limb to axial skeleton
- Synovial Saddle joint
- Has an ‘Articular Disc’ for congruence between bones
What are the bones of the SternoClavicular joint?
Manibrium of sternum & clavicle (medial end)
Ligaments of the SternoClavicular joint:
- SternoClavicular ligament
- InterClavicular ligament
- CostoClavicular ligament (also the origin of the subClavius muscle)
Features of the AcromioClavicular joint:
- joins the Clavicle to the Acromion
- synovial plane
- had an ‘articular disc’ for congruence between bones
What bones form the AcromioClavicular joint?
Clavicle & Acromion of Scapula
Ligaments of the AcromioClavicular joint:
- Coracoacromial ligament
- Acromioclavicular ligament
- Coracoclavicular ligament (Conoid & Trapezoid)
Features of the GlenoHumeral joint:
- Joins Humerus & Glenoid fossa of scapula
- Synovial ball & socket
- Glenoid Fossa = shallow -> allows huge angle of movement (high mobility/low stability)
- Glenoid Labrum (ring of cartilage around Glenoid fossa, deepens socket, helps with stability)
- SubAcromial Bursa (Acts as cushion, reduces friction)
- Synovial Capsule (very loose, synovial sheath of Biceps Brachii)
What bones form the GlenoHumeral joint?
Head of Humerus & Glenoid Fossa of Scapula
Ligaments of the GlenoHumeral joint:
- Glenohumeral ligaments
- CoracoHumeral ligaments
- Transverse Humeral Ligaments (bridges the intertubercular groove/tendon of Long head of Biceps Brachii passes underneath)
- Fibrous (articular) capsule (fused with rotator cuff muscles/provides stability)
Features of the HumeroUlnar joint:
- Joins Distal Humerus to Proximal Ulna
- Synovial Hinge joint
- Uniaxial - flexion & extension only
- Very stable - due to bony congruency & ligaments
What Bones form the HumeroUlnar joint?
- Humerus
- Medial Epicondyle
- Trochlea
- Coronoid Fossa
- Lateral Epicondyle
- Capitulum
- Radial Fossa
- Medial Epicondyle
- Ulna
Ligaments of the HumeroUlnar Joint:
- Ulnar Collateral Ligament
- Annular Ligament
- Radial Collateral Ligament
Features of the RadioUlnar Joint:
- Joins Radius & Ulna
- Synovial Pivot joint
- Uniaxial - pronation & supination only
What bones form the RadioUlnar joint?
Radius & Ulna
what ligaments joins the RadioUlnar Joint?
Annular ligament
Features of the Distal RadioUlnar Joint:
- Joins radius & ulna
- Synovial pivot + articular disc
- Uniaxial - pronation & supination long
What bones for the Distal RadioUlnar joint?
Radius & Ulna
Ligaments of the Distal RadioUlnar joint:
- Dorsal RadioUlnar ligament
- Volar RadioUlnar ligament
Features of the Radiocarpal joint:
- Joins radius & proximal carpals
- Synovial condyloid
- Biaxial: Flexion/Extension + Abduction/Adduction = Circumduction
What bones form the Radiocarpal joint?
Radius & Proximal Carpals
Ligaments of the RadioCarpal joint:
- Palmar Carpal ligament
- Flexor Retinaxulum (transverse Carpal ligament) - roof of carpal tunnel
- Dorsal RadioCarpal ligament
Featires of the InterCarpal joints:
- Joins adjacent carpals
- Synovial planar type joints
What is the overarching name for the ligaments of the InterCarpal joints?
Palmar InterCarpal Ligaments
Features of Digit 1 CarpoMetacarpal joint:
- Joins trapezium & Metacarpal 1
- Synovial Saddle
- Biaxial: Flexion/Extension + Abduction/Adduction = Circumduction + Opposition
Bones of Digit 1 CarpoMetacarpal joint:
Trapezium & Metacarpal 1
Features of Digit 2-5 CarpoMetacarpal joints:
- Joins distal carpals & Metacarpals 2-5
- Synovial plane
Bones of Digit 2-5 CarpoMetacarpal joints:
- Trapezoid
- Capitate
- Hamate
& - Metacarpals 2-5
Features of the MetacarpoPhalangeal joints:
- Joins Metacarpals & Phalanges
- Synovial Condyloid joints
- Flexion/Extension + Abduction/Adduction = Circumduction
Bones of the MetacarpoPhalangeal joints:
- Metacarpals 1-5
- Phalanges 1-5
Ligaments of the MetacarpoPhalangeal joints:
- Collateral Ligaments
- Transverse metacarpal ligaments
- Joint capsules
Features of the InterPhalangel joints:
- Joins adjacent phalanges
- Synovial Hinge Joints
- Uniaxial - flexion/extension only
Bones of the InterPhalangel joints:
- Proximal Phalanges x5
- Middle Phalanges x4
- Distal Phalanges x5
Ligaments of the InterPhalangel joints:
- Collateral Ligaments
- Joint Capsules