Ch.5 Shoulder Joint Flashcards
What skeleton is the shoulder joint attached to, and where?
The axial skeleton at the SC joint clavicle
T/F Wide ROM of the shoulder joint requires a significant amount of laxity
True
The greater the mobility,
The lower the stability
3 types of instability problems
• Rotator cuff impingement
• Subluxations(minor dislocation) and dislocations
Main bones in attachments for shoulder joint muscles(3)
• Scapula, clavicle, and
humerus
What are the fossa’s in the bony scapular landmarks? (3)
• Supraspinous fossa
• Infraspinous fossa
• Subscapular fossa
5 bony humeral landmarks (HGtLtIgDt)
• Head
• Greater tubercle
• Lesser tubercle
• Intertubercular groove
• Deltoid tuberosity
Where does the glenoid fossa and the humerus meet?
Glenohumeral joint
Joints in the GH Joint?
-Multiaxial enarthrodial
- ball-and-socket joint
Glenohumeral joint + shoulder girdle =
Shoulder ROM
For every 2º of glenohumeral motion…
there is 1º of scapula
motion
What relationship is scapulohumeral rhythm
Synergistic
Shoulder joint movements(5x2)
-Abduction & Adduction
-Flexion & Extension
-Horizonal A&A
-External/Internal rotation
-Diagonal A(Tf) &A(Tf)
T=transverse
Bony Scapular landmarks (SsGcApISaLMbSfIfSf)
• Spine of the scapula
• Glenoid cavity
• Coracoid process
• Acromion process
• Inf./sup. angle
• Lat./med. border
• Supraspinous fossa
• Infraspinous fossa
• Subscapular fossa
Where does the glenoid fossa and humerus meet?
Glenohumeral joint
Ligaments are lax until ______ is reached
Extreme ROM
What ligaments provide stability
Glenohumeral ligaments
Shoulder joint movements: Movement of humerus straight anteriorly
Flexion
Shoulder joint movements: Movement of humerus straight posteriorly
Extension
Shoulder joint movements: Movement of humerus toward and across chest/ transverse flexion
Horizontal adduction
Shoulder joint movement: Movement of humerus away from chest/ transverse extension
Horizontal abduction
Shoulder joint movements:
• Movement of humerus laterally away from midline
• With arm abducted, humerus is rotated ”up”
External rotation
Shoulder joint movements:
• Movement of humerus medially toward midline
• With arm abducted, humerus is rotated ”down”
Internal rotation
Shoulder joint movements:
• Movement of humerus in a diagonal
plane away from midline of body
Diagonal abduction
Shoulder joint movements: Movement of humerus in a diagonal plane toward midline of body
Diagonal adduction
Enhances stability by deepening the concavity of the fossa
Glenoid labrum
Injury: superior labral tear ant. to post.
SLAP tear
Symptoms of SLAP tear
Locking, grinding, pain, ↓ in strength, ↓ROM, feeling of shoulder popping out of joint
GIRD Injury
Glenohumeral internal rotation deficit
What plexus do all shoulder joint muscle innervate from?
Brachial plexus
Rotator cuff group SSITm
Subscapularis, supraspinatus,
infraspinatus and teres minor
Intrinsic Glenohumeral muscles
• O: scapula and clavicle
• Deltoid, coracobrachialis, teres
major
• Rotator cuff group
• Subscapularis, supraspinatus,
infraspinatus and teres minor
Extrinsic Glenohumeral muscles
Latissimus dorsi, pectoralis major
Anterior shoulder joint muscles
• Pectoralis major
• Coracobrachialis
• Subscapularis
Superior shoulder joint muscles
• Deltoid
• Supraspinatus
Posterior shoulder joint muscles
• Latissimus dorsi
• Teres major
• Infraspinatus
• Teres minor
O&I: Deltoid muscles
• O: clavicle, acromion, scapula
• I: humerus
Anterior, posterior, and middle fibers of the deltoid muscles
• Anterior fibers -abduction, flexion, horizontal
adduction, diagonal adduction
and internal rotation
• Posterior fibers -abduction, extension, horizontal abduction, diagonal abduction and external rotation
• Middle fibers -abduction
O&I of Pectoralis major muscle
• O: clavicle, ribs, sternum
• I: humerus
Upper and lower fiber movements of Pectoralis major muscle
internal rotation, horizontal
adduction, diagonal adduction, extension from flexed position and adduction
O&I Latissimus Dorsi muscle
• O: Ilium, spinous process of
T6-T12
• I: humerus
How can Latissimus dorsi be accentuated further?
By laterally flexing and
rotating the trunk to the
opposite side
O&I of Teres Major muscle
• O: scapula
• I: humerus
What muscle helps the Latissimus dorsi?
Teres major
Stretching of the teres major
External rotation of the shoulder
in 90º abduction
O&I of coracobrachialis muscle
• O: scapula
• I: humerus
What are the rotator cuff muscles vital for?
Vital in maintaining humeral head within glenoid fossa while more powerful muscles move humerus through its wide ROM
What are the rotator cuff muscles and the O&I?
• Supraspinatus
• Infraspinatus
• Teres minor
• Subscapularis
• O: scapula
• I: humerus
What is the most injured rotator cuff muscle?
Supraspinatus muscle
What is the most powerful external rotator muscle?
Infraspinatus
Glenohumeral flexion agonist muscles
• Deltoid
• Pectoralis major
Glenohumeral extension
-Teres major
• Latissimus dorsi
• Pectoralis major
Glenohumeral abduction agonist muscles
• Deltoid
• Supraspinatus
• Pectoralis major
Glenohumeral addiction agonists
• Latissimus dorsi
• Teres major
• Pectoralis major
Glenohumeral internal rotation agonists
• Latissimus dorsi
• Teres major
• Subscapularis
• Pectoralis major
Glenohumeral external rotation agonists
Infraspinatus
• Teres minor
Glenohumeral horizontal abduction agonists
• Deltoid
• Infraspinatus
• Teres minor
Glenohumeral horizontal adduction agonists
• Deltoid
• Pectoralis major
• Coracobrachialis
Glenohumeral diagonal abduction agonists
• Deltoid
• Infraspinatus
• Teres minor
Glenohumeral diagonal adduction agonists
• Deltoid
• Coracobrachialis
• Pectoralis major