Exam 3 Flashcards
this joint attaches the upper appendicular skeleton to the axial skeleton
sternoclavicular joint
this increases the range of motion of the shoulder joint
scapulothoracic movement
joint responsible for the most movement of the scapula against the rib cage.
diarthodial with 3 degrees of freedom
sternoclavicular joint
gliding diarthodial joint that connects acromion and clavicle
acromioclavicular joint
what happens during scapular abduction
the medial border rotates posteriorly and the lateral border rotates anteriorly (this is knows as internal rotation)
what happens during scapular adduction
medial border rotates anteriorly and the lateral border rotates posteriorly (external rotation)
Upward rotation of the scapula
bottom rotates up laterally
downward rotation of the scapula
bottom rotates down medially
elevation of scapula
scapula up
depression of scapula
scapula down
during shoulder extension what happens to the scapula
anterior tilting
during shoulder flexion what happens to the scapula
posterior tilting
what nerves innervate the muscles of the shoulder girddle
cervical plexus and brachial plexus
what muscles produce actions on the scapula
trapezius
levator scapulae
rhomboids
serratus anterior
pectoralis minor
subclavius
Trapezius
Major Actions
Upper fibers
Middle fibers
Lower fibers
Upper fibers- elevation, upward rotation of scapula
Middle fibers - elevation, upward rotation and adduction of the scapula
Lower Fibers - depression, adduction and upward rotation of scapula
Levator scapulae
Major action
Assists with
Major action - Elevation of scapula
Assists with - downward rotation and adduction
Rhomboids
Major actions
Elevation, adduction and downward rotation of the scapula
Serratus Anterior
major actions
abduction and upward rotation of scapula
Pectoralis minor
major actions
minor actions
Major - abduction and depression of scapula
Minor - downard rotation
Subclavius
Major actions
Stabilize SC joint
Depression
Abduction of scapula
diarthrodial ball and socket joint that permits movement in all 3 planes
glenohumeral joint
what stabilizes the gh joint statically
ligaments that surround the joint capsule
what stabilizes the GH joint dynamically
skeletal muscles that cross the joint
restricts the end ROM for external rotaion, extension, abduction and horizontal abduction of the GH joint
Medial Glenohumeral Ligament
Anterior aspect:Restricts end ROM for external rotation, extension, abduction and horizontal abduciton of GH joint
Posterior aspect: resticts end ROM for internal rotation, flexion, adduction and horizontal adduction of the GH joint
Inferior glenohumeral ligament
what are the main dynamic stabilizers of the GH joint
rotator cuff muscles
sagittal plane movement of GH joint with ROM
Flexion (90 degrees without help from scapula and 180 with help) and extension (60 degrees)
frontal plane movement of GH joint with ROM
abduction (90 without scapula and 180 with scapula) and adduction (0 without scapula and 75 with scapula)
Transverse plane movement of GH joint with ROM
Internal rotation (90 degrees) and external rotation (90 degrees)
special frontal plane movement of GH joint with ROM
Horizontal abduction and horizontal adduction
180 total from having arm straight out (0-130 adduction and 45 for abduction)
what plexus innervates the gh joint
brachial plexus
Deltoid Anterior fibers
Major actions
Abduction, flexion. horizontal adduction, internal rotation
Deltoid middle fibers
major actions
abduction
Deltoid posterior fibers
major actions
abduction
extension
horizontal abduction
external rotation
Pectoralis major upper fibers
major action
internal rotaion
horizontal adduction
Pectoralis major lower fibers
major actions
internal rotaion
horizontal adduction
adduction
Latissimus dorsi
major actions
adduction
extension
internal rotation
horizontal abduction
Teres major
major actions
internal rotation
adduction
extension
Coracobrachialis
major actions
flexion
adduction
horizontal adduction
Rotator cuff muscles
subscapulairs
infrapinatus
teres minor
supraspinatus
subscapularis
major action
internal rotaion
Stabilize GH joint
Clinical evaluations for subscapularis injury
lift off test
belly press test
bear hug test
supraspinatus
major actions
abduction
stabilize GH joint
clinical evaluations for supraspinatus injury
jobes test (empty can)
infraspinatus
major actions
external rotation
stabilize GH joint
clinical evaluations for infraspinatus injury
external rotation against resistance
elbow flexed to 90 degrees with arm in neutral abduction
Teres minor
major actions
external rotation
stabilize GH joint
clinical evaluation for teres minor injury
external rotation against resitance
elbow flexed to 90 degrees with arm abduction to 90 degrees
biceps brachii
asists with in shoulder
flexion
adduction
horizontal adduciton
triceps brachii
assists with in shoulder
extension
adduction
horizontal abduction
is the ulna or radius larger more proximal
ulna
is the ulna or radius largor more distal
radius
uniaxial hinge joint that permits movement in the sagittal plane
elbow joint
when is bony stability reduced in the elbow
when the elbow joint is positioned in greater than 20 degrees of flexion
What does the ulnar collateral ligament prevent
protects against elbow valgus
what does the radial collateral ligament prevent
protects againts elbow varus
what does the annular ligament do
holds radius in place
uniaxial pivot joint that permits movement in the transverse plane
radioulnar joint
what statically stabilizes the radius and ulna
interosseous membrane
when is the interosseous membrane tense
during supination
when is the interosseous membrane relaxed
pronation
sagittal movement of elbow joint with ROM
Flexion (150 degrees from neutral)
extension (10 degrees)
transvers movmemnt of radioulnar joint with ROM
supination (90 degrees)
pronation (90 degrees)
biceps brachii
major actions
elbow flexion
radioulnar supination
Brachialis
major action
elbow flexion
brachioradialis
major action
assists with
elbow flexion
pronation
supination
triceps brachii
major actions
elbow extension
anconeus
major action
elbow extension
prevents impingement of the synovial membrane of the elbow joint when the elbow moves into extension
pronator teres
major action
assists with
radioulnar pronation
elbow flexion
pronator quadratus
major action
radioulnar pronation
supinator
major actions
radioulnar supination
location of proximal carpals
scaphoid
lunate
triquetrum
scaphoid - only near radius
lunate - inbetween radius and ulna
triquetrum - only near ulna
locatin of distal carpals
trapezium
trapezoid
capitate
hamate
trapezium - touches thumb
trapezoid - touches index finger
capitate - touches middle finger
hamate - touches last 2 fingers
what does the carpal tunne enclose
flexor digitorum profundus and superficial tendones, median nerve
origins for many wrist flexors
medial epicondyle
medial supracondylar ridge
coronoid process
origins for wrist extensors
lateral epicondyle
lateral supracondylar ridge
sagital plane movement of radiocarpal joint with ROM
flexion (80-90 degrees) extension (70-90 degrees)
frontal plante movement of the wrist joint with ROM
wrist abduction (radial deviation): 20 degrees
wrist adduction (ulnar deviation):30 degrees
6 muscles that do not produce movement of the fingers around the wrist
flexor carpi radialis
flexor carpi ulnaris
palmaris longus
extensor carpi radialis longus
extensor carpi radialis breves
extensor carpi ulnaris
flexor carpi radialis
major actions
assists with
wrist flexion
wrist abduction
elbow flexion
radioulnar pronation
flexor carpi ulnaris
major actions
assist with
wrist flexion
wrist adduction
elbow flexion
palmaris lonugs
major action
wrist flexion
extensor carpi radialis brevis
major actions
wrist extension
wrist abduction
extensor carpi radialis longus
major actions
wrist extension
wrist abduction
extensor carpi ulnaris
major actions
wrist extension
wrist adduction
flexor digitorum superficialis
major action
assists with
flexion of digits 2-5
wrist flexion
elbow flexion
flexor digitorum profundus
major action
assits with
flexion of digits 2-5
wrist extension
flexor pollicis longus
major action
assists with
flexion of thumb
wrist flexion
wrist abduction
extensor digitorum
major actions
assists with
extension of digits 2-5
wrist extension
elbow extension
extensor indicis
major actions
extension of index finger (digit 2)
wrist extension
extensor digiti minimi
major actions
extension of pinky
wrist extension
extensor pollicis longus
major action
assist with
extension of thumb
wrist extension
wrist abduction
extensor pollicis brevis
major action
assist with
extension of thumb
wrist abduction
wrist extension
abductor pollicis longus
major action
assists with
abduction of thumb
extension of thumb
wrist abduction
wrist extension
cervical spine movemnets with ROm
flexion/extension:45 degrees each direction
rotation: 60 degrees each direction
lateral flexion:45 degrees each direction
lumbar spine movements with ROM
flexion/extension: 80 degrees flexion, 20-30 degrees extension
rotation: 45 degrees each direction
lateral flexion: 35 degrees each direction
erector spinae
major actions
extension
ipsilateral lateral flexion
ipsilateral rotation
quadratus lumborum
major actions
ipsilateral lateral flexion
extension
rectus abdominus
major actions
flexion of spine
external oblique
major actions
flexion
ipsilateral lateral flexion
contralateral rotation
internal oblique
major actions
flexion
ipsilateral lateral flexion
ipsilateral rotaion
iliopsoas
major actions
hip flexion
anterior pelvic rotation
ipsilateral lateral flexion