Chapter 10 (Shoulder Joint) Flashcards
Describe the shoulder joint.
- Ball-and-socket
- Most movable but least stable
- Moves in all 3 planes
What are joint motions in the sagittal plane?
Flexion, extension, hyperextension
What are joint motions in the frontal plane?
Abduction, Adduction
What are joint motions in the tranverse plane?
- External + Internal rotation
- Horizontal abduction + adduction
Name some scapular landmarks.
- Gleniod fossa - Subscapulae fossa
- Infraspinous fossa - Supraspinous fossa
- Axillary border - Labrum
- Acromion Process - Vertebral border
Describe gleniod fossa
Shallow, egg shape
Provides attachment for the subscapularis
Subscapulae Fossa
Describe the infraspinous fossa
Above the spine, infrapinous attachment
Sits above spine of fossa, supraspinous attachment.
Supraspinous Fossa
Provieds attachment for the teres major and minor
Axillary border
Fibrocartilage ring that helps deepen the socket to give the head of the humerus more room
Labrum
Provides attachment for the middle deltoid
Acromion attachment
What are the landmarks of the humerus?
- Head 2. Neck (2 types)
- Shaft 4. Greater + Lesser tubercles
- Deltiod Tuberosity 6. Bicipital groove
This deepens the articular cartilage, surrounds the gleniod fossa
Labrum
How many rotator cuffs are there and what do they do?
- 4
- help keep the head of humerus “rotating” against the glenoid fossa during joint motion
What is thoracolumbar fascia?
Superficial fibrous tissue sheet which provides attachment for latissimus dorsi
What helps give shoulder some stability?
Ligaments, joint capsule, rotator cuff muscles, shoulder muscles
What is sublaxation?
- Joint comes out of place.
- Humerus comes out of joint socket.
- Due to paralysis and muscle weakness and loss of tone, lack of socket depth.
- Humerus need to be put back into joint before proceeding with ROM
What are the muscles of the shoulder joint?
- deltoid -supraspinatus
- Pectoralis major -latissimus dorsi
- teres major -teres minor
- infraspinatus -subscapularis
- coracobrachialis -bicep brachi
- triceps brachi
What are the 4 rotator cuff muscles?
- Supraspinatus
- Infraspinatus
- Teres minor
- Subscapularis
What is the origin and insertion of the deltiod?
I= humerus O= Clavicle
What are the actions of the deltiod?
Anterior= Flexion horizontal abd. + adduction Middle= Abduction Posterior = Extension, Lateral rotation, horizontal abd. + adduction
What is the origin, insertion and action of the supraspinatus? (hint: rotator cuff)
O= scapula I= Insertion A= Shoulder abduction
What is the origin, insertion and action of the pectoralis major?
O= sternum/ some ribs I= humerus A= horizontal adduction, adduction, IR
What is the origin, insertion and action of the latissimus dorsi?
O= spine I= humerus A= Extension, adduction, internal rotation, hyperextension
What is the origin, insertion and action of the teres major?
O= scapula I= humerus A= Extension, adduction, IR
What is the origin, insertion and action of the infraspinatus? (hint: rotator cuff)
O= scapula I= Humerus A= Shouler ER, horizontal abduction
What is the origin, insertion and action of the teres MINOR?
O= scapula I= humerus A= Shoulder ER, Horizontal abduction
What is the origin, insertion and action of the subscapularis? (hint: rotator cuff)
O= scapula I= humerus A= Shoulder IR
What is the origin, insertion and action of the coracobrachialis?
O= scapula I= humerus A= stabilizer (very small moment arm)
What muscles are involved with Flexion?
Anterior deltiod and pectoralis major
What muscles are involved with extension?
- Posterior deltiod -Latissimus dorsi
- Teres major - Pectoralis major
What muscles are involved with hyperextension?
Latissimus dorsi and Posterior deltiod
What muscles are involved with abduction?
Deltiod and supraspinatus
What muscles are involved with adduction?
- Pectoralis major
- Teres major
- Latissimus dorsi
What muscles are involved with horizontal abduction?
- Posterior deltoid
- infraspinatus
- Teres minor
What muscles are involved with horizontal adduction?
Pectoralis major and anterior deltoid
What muscles are involved with lateral rotation?
- Infraspinatus
- Teres minor
- Posterior deltoid
What muscles are involved with medial rotation?
- Latissimus dorsi - Pectoralis major
- Teres minor - Anterior deltiod
- Subscapularis