Glenohumeral joint Flashcards
Damage to the axillary nerve can cause what?
Deltoid dystrophy, and regimental badge anaesthesia
Describe the stability of the glenohumeral joint
The synovial surfaces are incongruent and the joint capsule is lax
Which factors improve the stability of the glenohumeral joint?
glenoid labrum, biceps tendon, rotator cuff,
Where is the glenohumeral joint weakest/
Inferiorly
What does the coracoacromial arch prevent?
Superior displacement
Dislocation of the glenohumeral joint often occurs?
anteroinferiorly
What is painful arc syndrome?
Inflammation of the bursa (subacromial) Painduring 50-130 of abduction (bursa in contact with the acromion)
Posterior fibres of deltoid originate where?
Inferior edge of crest of scapula
Middle fibres of deltoid originate where?
Lateral margin of acromion
Anterior fibres of deltoid originate where?
Anterior border of 1/3 lateral clavicle
Insertion of deltoid?
Deltoid tuberosity
Action of deltoid?
Major abductor of the arm after 15degrees
Origin of supraspinatus?
Supraspinous fossa of the scapula
Insertion of supraspinatous?
Greater tubercle of humerus
Action of infraspinatus?
Initiates abduction initial 15degrees
What is the most common muscle to be ruptured?
Supraspinatous
Origin of infraspinatus?
medial 2/3 of Infraspinous fossa
Insertion of infraspinatus?
Greater tubercle of humerus
What is the action of infraspinatus?
Lateral rotation of humerus
Test for infraspinatus?
Laterally rotate arm against resistance (whilst flexed)
Origin of teres minor?
immediately adjacent to the lateral border of scapula
Insertion of teres minor?
Greater tubercle of humerus
Action of teres minor?
Lateral rotation of humerus
Origin of subscapularis?
Medial 2/3 of subscapular fossa
Insertion of subscapularis?
Lesser tubercle of humerus
Action of subscapularis?
Medial rotation of arm
Teres major origin?
Inferior angle of the scapula
Insertion of teres major?
medial lip of intertubercular sulcus of humerus
Action of teres minor?
medial rotation and adduction
Inferior boundary of quadrangular space?
Teres Major
Superior boundary of quadrangular space?
Teres Minor
Lateral boundary of quadrangular space?
Surgical neck of humerus
Medial boundary of quadrangular space?
Long head of triceps
What are the contents of the quadrangular space?
Axillary nerve and posterior circumflex artery and vein
What is quadrangular space syndrome and caused by what?
Periodic blockage of posterior circumflex, shoulder pain and lateral numbness, associated with fibrous bands in space