Glenohumeral Joint (GH JOINT) Flashcards
what shape is the GH joint?
ball and soccer
what are the articulating surfaces at the GH joint?
glenoi fossa articulates with the head of humerus
what does the GH joint have to improve the bony fit?
glenoid labrum
how does the glenoid labrum improve the bony fit?
by deepening the socket
labrum
rim of fibrocartilage to deepen socket (improve bony fit)
what are the 4 main ligaments at the gh joint?
1) Glenohumeral ligament
2) Coracohumeral Ligament
3) Coracoacromial Ligament (arch)
4) Transverse Humeral Ligament
what are the proximal and distal attachments of the GH ligament?
proximal: margin of glenoid fossa
distal: anatomical neck of humerus
GH ligament is ___ capsular ligaments that surround the GH joint anteriorly
3
what does the GH ligament restrict?
lateral rotation of the glenohumeral joint
what are the proximal and distal attachments of the Coracohumeral ligament?
proximal: coracoid process
Distal: greater tubercle
what does the coracohumeral ligament restrict?
upward displacement of the humerus and lateral rotation of the GH joint
what are the proximal and distal attachments of the coracoacromial ligament?
Proximal: coracoid process
Distal: accordion process
what does the coracoacromial ligament form?
forms an arch above the GH joint
what does the coracoacromial ligament restrict
restricts dislocation of humerus in superior direction
subacromial bursa
reduces friction between supraspinatous tendon and acromial process
the Transverse humeral ligament runs obliquely from _______ to _______, bridging over bicipital groove.
from greater to lesser tubercle
what does the transverse humeral ligament convert the bicipital groove into?
a call which holds biceps brachia tendon in place
true or false: the GH joint has a poor fit and lax joint capsule
true
true or false: it is impossible to dislocate the GH joint
FALSE: it is very commonly dislocated
what is important to GH joint stability
muscular support
what are the rotator cuff muscles
4 muscles that support the GH joint - their tendons blend with the GH capsule to lend support
what do the rotator cuff muscles do
help pull humeral head into glenoid fossa
what is the name given to the rotator cuff muscles
SITS muscles
What are the 4 rotator cuff muscles?
1) supraspinatus
2) infraspinatus
3) teres minor
4) subscapularis
What are the origin and insertion for the supraspinatus muscle?
origin: supraspinous fossa
insertion: greater tubercle of the humerous
what is the main action of the supraspinatus muscle
initiates the first 15 degrees of GH abduction
where does the supraspinatus muscle support the GH joint
Superiorly
What are the origin and insertion of the infraspinatus ligament?
Origin: infraspinous fossa
Insertion: Greater tubercle of the humerus
what is the main action of the infraspinatus muscle?
lateral rotation of the GH joint
where does the infraspinatus muscle support the GH joint?
posteriorly
What are the origin and insertion of the Teres Minor?
Origin: Axillary border of the scapula
Insertion: Greater tubercle of the humerus
what is the main action of the the teres minor muscle?
lateral rotation of the GH joint
where does the Teres minor muscle support the GH joint?
posteriorly
What are the origin and insertion of the subscapularis?
Origin: Subscapular Fossa
Insertion: Lesser Tubercle
What is the main action of the subscapularis?
medial rotation of the GH joint
where does the subscapularis muscle support the GH joint?
anteriorly
what are the 5 movements of the GH joint?
1) Flexion/Extension
2) Abduction/Adduction
3 Circumduction
4) Lateral/Medial Rotation
5) Horizontal Flexion/Extension
what is ROM in pure abduction increased by?
upward rotation of the scapula
what is scapulohumeral rhythm
2 degrees of abduction for every 1 degree of upward rotation
what are some typical problems at the GH joint?
1) dislocation
2) overuse
3) impingement
4) Bicipital tendinitis
GH dislocation
can occur anteriorly, posteriorly or inferiorly
GH overuse injury
repetitive overhead movements (especially with rotation)
GH impingement
supraspinatus tendon pinched between acromion and head of humerus
bicipital tendonitis
long head of biceps brachia tendon runs through GH joint capsule (intracapsular) and becomes inflamed