Functional and clinical anatomy of the shoulder Flashcards

Week 1

1
Q

Name the 3 basic bones of the shoulder

A

Clavicle
Scapula
Humerus

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2
Q

Name a joint between the clavicle and scapula

A

Acromioclavicular joint (between the acromium of the scapula and clavicle).

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3
Q

Generally, what type of muscles attach to the coracoid?

A

Flexors and adductors of the limb

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4
Q

Generally, what type of muscles attach to the scapula?

A

Extenders and abductors of the limb

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5
Q

What type of joint is the acromioclavicular joint?

A

Plane types synovial joint

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6
Q

What does the proximal head of humerus articulate with to form the shoulder joint?

A

Glenoid fossa of the scapula

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7
Q

Name the joint between the humerus and the scapula

A

Glenohumeral joint

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8
Q

Name the 2 tubercules of the proximal humerus

A

Greater and lesser tubercles - form attachments for muscles

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9
Q

What runs in the intertubercular groove between the greater and lesser tubercles of the humerus?

A

Tendon of the long head of the biceps brachii muscle.

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10
Q

What is the difference between the anatomical neck and surgical neck oft he humerus?

A

Anatomical neck = where bone grows from

Surgical neck = narrowest point, most likely to fracture

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11
Q

What nerve runs around the surgical neck of the humerus?

A

Axillary nerve

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12
Q

Explain how a fracture in the neck of the humerus can cause ‘Sargent’s stripes parasthesia’

A

Fracture - tear of the axillary nerve - loss of sensation laterally over the shoulder - paralysis of deltoid muscle

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13
Q

Name 3 muscles which originate/attach at the corachoid process of the scapula

A
  1. Pectoralis minor
  2. Coracobrachialis
  3. Short head of biceps brachii
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14
Q

Name 4 fossas of the scapula

A
  1. Glenoid fossa
  2. Subscapular fossa
  3. Supraspinous fossa
  4. Infraspinous fossa
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15
Q

Where does the long head of the biceps brachii attach?

A

Supraglenoid tubercle

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16
Q

Where does the long head of the triceps brachii attach?

A

Infraglenoid tubercle

17
Q

Why is the shoulder joint a relatively unstable joint?

A

Glenoid cavity is substantially smaller than the head of the humerus - allows a good degree of mobility around the joint.

18
Q

What is used to stabilise the shoulder joint?

A

Tendons, ligaments and muscles

19
Q

Ligaments between the scapula/clavicle.

A
  • Acromioclavicular ligament
  • Coracoacromio ligament
  • Coracoclavicular ligaments (trapezoid and conoid)
20
Q

Ligaments between clavicle/sternum

A
  • Sternoclavicular ligaments
  • Costoclavicular ligaments
  • Interclavicular ligaments
21
Q

Ligaments involving the humerus

A
  • Coracohumeral ligament
  • Glenohuemral ligament
  • Transverse humeral ligament
22
Q

A fibrocartilaginous structure rim attached around the margin of the glenoid cavity which acts to deepen the socket

A

The labrum glenoidale

23
Q

How many muscles are there in the rotator cuff?

A

4

24
Q

Muscles of the rotator cuff

A
  1. Supraspinatous
  2. Infraspinatous
  3. Subscapularis
  4. Teres minor
25
Q

Why is it easy to dislocate shoulder inferiorly?

A

No muscles pass underneath.

26
Q

Superficial extrinsic muscles

A
  • Trapezius

- Latissimus Dorsii

27
Q

Deep extrinsic muscles

A
  • Levator Scapulae
  • Rhomboid major
  • Rhomboid minor
28
Q

Shoulder movements:

A

Flexion, extension, abduction, adduction, medial rotation, lateral rotation

29
Q

What is a bursa?

A

synovial fluid-filled sac which acts as a cushion between tendons and other joint structures.

30
Q

Pain in first part of arc =

A

Problem with glenohumeral joint

31
Q

Pain in last part of arc =

A

Problem with acromioclavicular joint

32
Q

If you had supraspinatous tendonitis, which part of the arc would be painful?

A

Middle part