Glenohumeral Flashcards
Describe the proximal humerus
Rounded (hemisphere like), articulates with the scapula
Describe the distal humerus
Flattened, widened, tilted forwards, 3 fossa, articulates with radius and ulna
List the proximal bony features of the humerus
Head, anatomical neck, anatomical neck, greater and lesser tubercle, intertubercular groove
List the mid and distal bony features of the humerus
Mid - deltoid tuberosity and spiral groove. Distal - medial and lateral condyles, medial and lateral supracondylar ridges, trochlea (medial), capitulum (lateral), conoid fossa (trochlear side), radial fossa (capitulum side), olecranon fossa (posterior)
What type of joint is the glenohumeral and which movements are available?
Synovial multiaxial ball and socket with 3 degrees of freedom, flexion as extension, medial and lateral rotation, abduction and adduction
What are the articulations at the glenohumeral joint?
The humeral head that’s larger than the glenoid fossa, held in place by glenoid labrum, covered with articular hyaline cartilage
Describe the joint capsule, bursae and ligaments at the glenohumeral joint
Capsule loosely surrounds joint and has an inferior fold, strengthened by ligaments and tendons of the rotator cuff, synovial membrane has communicating and free bursae : subdeltoid, subcoracoid and subacromial. Ligaments are superior, middle and inferior glenohumeral, transverse humeral alongside accessory ligaments (coracohumeral, coracoacromial)
Estimate degrees, list limits and list the muscles that produce flexion at G/H
110, anterior fibres of deltoid, pectoralis major, biceps brachii, coracobrachialis, antagonist tension
Estimate degrees, list limits and list the muscles that produce extension at G/H
50-70, posterior fibres of deltoid, teres major, lattisimus Doris, triceps long head (flexion to neutral is pectoralis major), antagonist tension
Estimate degrees, list limits and list the muscles that produce abduction at G/H
100-120, middle fibres of deltoid, supraspinatus (initiates), antagonist tension
Estimate degrees, list limits and list the muscles that produce adduction at G/H
30-40, against pectoralis major, latissimus dorsi, teres major, coracobrachialis resistance, side of body limits
Estimate degrees, list limits and list the muscles that produce medial rotation at G/H
90, subscapularis, pec major, lats, anterior fibres of deltoids, teres major, antagonist tension
Estimate degrees, list limits and list the muscles that produce lateral rotation at G/H
Infraspinatus, teres minor, posterior fibres of deltoid, antagonist tension
Describe scapulohumeral rhythm
Allows elevation of arm, occurs at g/h and scapulothoracic, 2:humerus abduction 1:scapula lateral rotation
List the muscles supplied by the dorsal scapula nerve
Rhomboids, levator scapula