Chapter 5 Flashcards
What is the largest and longest bone of the upper body?
Humerus
What does the humerus articulate with?
Scapula
What makes up the shoulder joint?
Scapula and humerus
What is the most proximal part of the humerus?
Head
What is directly below and lateral to the head of the humerus?
Anatomic neck
What is the Anatomic Neck?
Looks like a line between the head and adjoining greater and lesser tubercles
Where is the lesser tubercle located?
Anterior surface directly below the neck
Where is the greater tubercle located?
Lateral side of the humerus
What is the groove located in between the two tubercles?
Intertuberacle groove
What is the surgical neck?
Where the humerus starts to taper down
Do more fractures happen at the surgical neck or anatomical neck?
Surgical
What 2 bones create the shoulder girdle?
Clavicle
Scapula
What is the function of the clavicle and scapula?
Connect the upper limb to the trunk or axial skeleton
How does the shoulder girdle attach to the trunk anteriorly?
Joins the clavicle which in turn is anteriorly joined to the upper portion of the sternum
How does the shoulder girdle attach to the trunk posteriorly?
Joins the scapula which is attached to the axial skeleton by muscles
What is the Acromial Extremity?
Lateral end of the clavicle
What does the Acromial Extremity articulate with?
Acromion of the scapula
What is the Acromioclavicular joint?
Space between lateral end of the clavicle and acromion of the scapula
What is the Sternal Extremity?
Medial portion of the clavicle
What does the Sternal Extremity articulate with?
Manubrium
What is the sternoclavicular joint?
Space between medial portion of clavicle and manubrium
How are female/male clavicles different?
Females are shorter and straigher
What are the 3 borders of the Scapula?
Medial
Superior
Lateral
What are the 3 angles of the Scapula?
Lateral
Superior
Inferior
What is the lateral angle?
Head of the scapula - the thickest part and ends with the Glenoid cavity
What is the Scapulohumerual joint?
Space between head of the humerus and lateral angle of the scapula
Why is the body of the scapula arched?
For strength
What is the anterior surface of the scapula?
Coastal surface - closest to the ribs
What is the Acromion?
Long curved process that extends laterally over the head of the humerus
What is the Coracoid Process?
Thick beak like process the projects anteriorly beneath the clavicle
What is the Scapular notch?
Notch on the superior border and partially made up by the base of corocoid process
What is the prominent structure on the posterior side of the scapula?
Spine
Where does the Crest start and end?
Medial border to Acromion
What are the 2 fossa’s created by the Crest?
Infraspinous
Superspinous
Where do the shoulder muscles attach?
Infra and supraspinous fossas
What is the easiest bone in the body to break?
Clavicle
kVp for Humerus/shoulder girdle?
70-80 w/grid
SID for Humerus/Shoulder girdle?
40”
SID for AC joints?
72” - less beam divergence
Film size for humerus/shoulder girlde?
10x12 or 8x10
What type of joint is the scapulohumeral?
Ball and socket
What type of joint is the sternoclavicular?
Plane/gliding
What type of joint is the acromioclavicular?
Plane/gliding
What is the thickened ridge of the spine?
Crest
Inferior angle of scapula lines up with what vertebra?
T7
What is the Posterior surface of the scapula called?
Dorsal Surface
What filter should be used in Y view?
Boomerang
What projection is used for Hill-Sachs defect?
Lawrence method, w/exaggerated external rotation
What is the CR angle for the Lawrence method?
25-30 degrees medially
Where is the CR for Grashey method?
Scaphulohumeral joint
What shoulder landmarks should be used for bariatric patients?
Jugular notch and AC joints
What exam is best used for soft tissue pathologies, such as rotator cuff tear?
Arthrography
How is NM different than Xray for shoulder exams?
Assesses the physiologic aspect instead of anatomic
What is Sonography useful for in shoulder exams?
Muscuoskeletal imaging of joints - allows for dynamic evaluation
How many AC joint seperation classifications are there?
6
What tendon is the most common in a rotator cuff tear?
Supraspinatus
How is the humeral head projected in most shoulder dislocations?
Anteriorly - 95% of shoulder dislocations