Exam 2 Flashcards
Shoulder Joint Ligaments
- coracohumeral
- coracocromial
- glenoidhumeral
- transverse humeral
- glenoid labrum
force gets transferred to coracoid process
caoracohumeral
structure and function
- forms arch over humeral head
- prevents upward dislocation
glenohumeral
function
strengthens
transverse humeral
structure and function
- goes from greater to lesser tubercle
- converts groove into a canal
glenoid labrum
structure
- lip that encircles glenoid fossa
pectoralis major origin
- anterior border/inner 1/2 or 2/3 of the clavicle
- whole sternum
- ribs 1-6’s cartilage
pectoralis major insertion
- bicipital groove
- aponeurosis flat tendon
pectoralis major action
at the shoulder joint
- inward rotation
- horizontal flexion
- flexion (clavicle)/extension (sternum)
- adduction/abduction
deltoid origin
anterior, middle, posterior
- anterior: outer 1/3 of the clavicle
- middle: acromium
- posterior: scapula spine
deltoid insertion
detoid tuberosity
- causes the line of pull to go into abduction
- needs to be initiated by supraspinatus from anatomical position (not good in it)
deltoid action
shoulder joint
anterior, middle, posterior
- anterior: abduction, flexion, horizontal flexion
- middle: abduction
- posterior: extension, outward rotation, abduction, horizontal extension
latissimus dorsi origin
- T6 op spinous process to L5
- sacrum
- ilium crest
- lower 3 ribs
latissimus dorsi insertion
tappers into bicipital groove under pec major
latissimus dorsi action
shoulder joint
- extension
- adduction
- inward rotation
- horizontal extension
Latissimus dorsi nickname
swimmer’s muscle
broad and posterior muscle
teres major origin
scapula (lateral border)
teres major insertion
bicipital groove
teres major action
shoulder joint
- extension
- adduction
- inward rotation
teres major nickname
latissimus dorsi’s little helper
weaker than LD, but helps muscle while working out
rotator cuff muscles functions
- superior to insertion
- stablize SJ
- rotate
- facilitate SJ flexion and abduction
supraspinatus origin
commonly injured
supraspinatus fossa
supraspinatus insertion
greater tubercle
supraspinatus action
shoulder joint
abduction from anatomical position
infraspinatus origin
w/ teres minor
infraspinatus fossa
infraspinatus insertion
w/ teres minor
greater tubercle
infraspinatus and teres minor action
shoulder joint
- outward rotation
- horizontal extension
- extension
teres minor origin
w/ infraspinatus
scapula (posterior, lateral border)
teres minor insertion
w/ infraspinatus
greater tuberosity
subscapularis origin
subscapular fossa
subscapularis insertion
lesser tuberosity
subscapularis action
shoulder joint
- inward rotation
- adduction
- extension
biceps brachii origin
- long head: supraglenoid tubercle
- short head: coracoid process
biceps brachii insertion
radial tuberosity
biceps brahii action
shoulder joint
- horizontal flexion
- flexion (also at elbow)
- abduction (when in external rotation)
biceps brachii action
elbow and radio-ulnar
supination
Brachialis origin
humerus
brachialis insertion
ulna -> coronoid process
brachialis action
elbow joint flexion
brachioradialis origin
- humerous
- supercondylar ridge
brachioradialis insertion
distal end of radius at styloid process base
brachioradialis action
elbow and radio-ulnar
- flexion
- supination/pronation
brachioradialis nickname
hichhiker/drinker’s muscle
Triceps origin
long head: infraglenoid tubercle
lateral and medial heads: humerus
triceps insertion
olecranon (elecronon?) process of the ulna
triceps action
SJ and elbow
SJ: LH adduction, extension, horizontal extension
elbow: extension
What is cubitis normus?
normal elbow w/ carrying angle (slight deviation due to hips)
What is cubitis varus/gunstock deformity?
- pathological adduction
- distal end of the bone medially deviates/goes towards the body
cubitis varus etiology
- trauma
- disease
What is cubitus valgus?
- pathological abduction
- distal end of the elbow laterally deviates/goes away from the body
cubitius valgus etiology
- wider hips -> elbow laterally grows according to deviation
- disease, trauma, etc.
What is cubitis recurvatus?
- hyperextended elbow
- locks around 180°
palmar aponeurosis
thick fascia to grab on to things
like a glove
thenar and hypothenar eminences
fleshy convexities over anterior surface of the 1st metacarpal
intrinsic
- doesn’t cross the wrist
- goes into the hand
- ends at the fingers
anconeus origin
lateral epicondyle of the humerus
anconeus insertion
olecranon process of the ulna
anconeus action
elbow and radioulnar
elbow: flexion
radioulnar: pronation
anconeus function
pulls on synovial membrane suring elbow extension
pronator teres origin
- medial epicondyle of the humerus
- attaches to ulna coronoid process
pronator teres insertion
radius
medial epicondyle of the lateral surdace of the radius
pronator teres action
elbow and radio-ulnar
elbow: flexion
radio-ulnar: pronation
pronator quadratus origin
distal/lower 1/4 of the ulna
pronator quadratus insertion
distal and anterior radius
pronator quadratus action
radio-ulnar
Pronation
wrist joint name
radio-carpal
hand joints
- carpometacarpal
- metacarpophalangeal
- interphalangeal
Flexor digitorum superficiales origin
- medial epicondyle
- ulnar head (medial coronoid process)
- radial head (upper 2/3 of anterior border of thr radius)
Flexor digitorum superficiales insertion
- middle phalanx -> fingers 2 to 5
Flexor digitorum superficiales action
elbow, wrist, MCP, and 1st and 2nd IP
- flexion in the wrist, MCP, and 1st and 2nd IP
- nothing at the elbow (doesn’t cross it)
flexor pollicis longus origin
- radius
- ulna
- intercostal membrane
flexor pollicis longus insertion
base of distal phalanx of thumb
flexor pollicis longus action
wrist,1st CMC, MCP, IP
- wrist: flexion & ulnar deviation
- 1st CMC, MCP, IP: flexion
flexor pollicis longus primary function
ulnar deviator at the wrist
Extensor Carpi Radialis Longus origin
lateral epicondyle of the humerus
Extensor Carpi Radialis Longus insertion
base of 2nd mateacarpal on dorsal surface
Extensor Carpi Radialis Longus action
elbow, radio ulnar, wrist
- Elbow: extension
- Radio-ulnar: nothing
- Wrist: extension and radial deviation
Extensor Carpi Ulnaris insertion
base of 5th metacarpal on dorsal surface
Extensor Carpi Ulnaris action
elbow, radio-ulnar, wrist
- Elbow: nothing(?)
- Radio-ulnar: ulnar deviation
- Wrist: extension
Extensor Carpi Radialis Brevis origin
lateral epicondyle of the humerus
Extensor Carpi Radialis Brevis insertion
base of 3rd metacarpal on dorsal surface
Extensor Carpi Radialis Brevis action
wrist and elbow
- Elbow: extension
- Wrist: extension, radially deviates
Extensor Digitorum [Communis] origin
lateral epicondyle of the humerus
Extensor Digitorum [Communis] insertion
distal phalanx of 2-5 digits
Extensor Digitorum [Communis] action
Elbow, Wrist, MCP, 1st and 2nd IP
- Elbow: extends
- Wrist: extends
- MCP: extends
- 1st and 2nd IP: extends
Extensor Pollicis Longus origin
ulna
Extensor Pollicis Longus insertion
base of distal phalanx of the thumb
Extensor Pollicis Longus action
Radio-ulnar, Wrist, CMC, MC
Radio-ulnar: supination
Wrist: extension and radial deviation
CMC, MCP, IP: extension
Abductor Pollicis Longus origin
- radius
- ulna
- interosseous membrane
Abductor Pollicis Longus insertion
1st metacarpal
Abductor Pollicis Longus action
radio ulnar, wrist, cmc
- Radio-ulnar: supination
- Wrist: extension
- CMC: extension, abduction
Extensor Pollicis Brevis origin
radius
Extensor Pollicis Brevis insertion
proximal phalanx of the thumb
Extensor Pollicis Brevis action
wrist, CMC, MCP
- Wrist: weak extension and radial deviation
- CMC, MCP: extension
Abductor Pollicis Longus origin
radius and ulna
Abductor Pollicis Longus insertion
metacarpal
Abductor Pollicis Longus action
radio ulnar, wrist, cmc
- Radio-ulnar: supination
- Wrist: weak extension
- CMC: abduction, extension
palmaris longus origin
medial epicondyle
palmaris longus insertion
palmar aponeurosis (palmar fascia overlies 2-4 metacarpals)
palmaris longus action
elbow, wrist, fasia of the palm
- elbow and wrist: flexion
- fascia of palm tightens fascia as it’s tug on
flexor carpi radialis origin
medial epicondyle of the humerus (crosses elbow) and ulna
flexor carpi radialis insertion
2nd and 3rd metacarpals
flexor carpi radialis action
elbow, radio-ulnar, wrist
- Elbow: flexion
- Radio-ulnar: pronation
- Wrist: radial deviation and flexion
flexor carpi ulnaris origin
medial epicondyle of the humerus and ulna
flexor carpi ulnaris insertion
base of 5th metacarpal
flexor carpi ulnaris action
elbow, radioulnar, wrist
- Elbow: flexion
- Radio-ulnar: ulnar deviation
- Wrist: flexion and ulnar deviation
Extensor Mechanism
extensor digitorum (communis) -> community network of tendons
extrinsic
cross the wrist
Retinaculum
covers wrist tendons from trauma -> on flexor and extensor side
Extensor Carlo ulnaris origin
Lateral epicondyle of the humerus