Introduction to upper limb Flashcards
functions of the skeletal system
- provides our basic shape
- provides support for the body
- allows the muscular system to produce movement (locomotion)
- protection of vital organs
functional parts of skeletal system
axial skeleton and appendicular skeleton
parts of axial skeleton
head, neck and trunk
parts of the appendicular skeleton
limbs, and pectoral and pelvic girdle
characteristics of upper limb
mobility and ability to grasp, strike and conduct fine motor skills (manipulation)
movements of many joints for fine and coarse movements
segments of upper limb
shoulder, arm, forearm and hand
shoulder
proximal segment
overlaps trunk and neck
pectoral girdle is an incomplete ring
what bones form the shoulder
the scapulae, clavicle and sternum
arm
free upper segment
longest segment
bones that form the arm
humerus
forearm
second longest segment
bones that form the forearm
radius (thumb side)
ulna (pinkie side)
parts of hand
wrist, palm, dorsum and fingers
bones that form the hand
many:
8 carpal bones
5 metacarpals
14 phalanges
upper limb features
weight bearing not an issue
emphasis on increased mobility
- pectoral girdle less fixed to axial skeleton than the pelvic girdle
- equivalent joint much less stable
flexion and extension points of upper limb
shoulder joint
flexion and extension point of lower limb
hip joint
flexion and extension of forearm
at elbow joint
flexion and extension of leg
knee joint
flexion and extension of hand
wrist joint
flexion and extension of digits (fingers)
at metacarpophalangeal and interphalangeal joints
opposition and reposition of the thumb and pinkie
thumb: at carpometacarpal joint
pinkie: metacarpophalangeal joint
pronation and supination or forearm
radioulnar joint
abduction and adduction of 1st, 2nd, 4th, and 5th digits
at metacarpophalangeal joints
lateral and medial abduction and adduction of 3rd digit
at metacarpophalangeal joint
abduction and adduction of thumb
frontal plane
at metacarpophalangeal joint
flexion and extension of thumb
sagittal plane
metacarpophalangeal and interphalangeal joints
upper limb specialised modifications
- circumduction of shoulder
- pronation/supination of forearm
- opposition of thumb
- precise control of fine digital movements
permits gripping/grasping, lifting/carrying and swinging/punching
what is the clavicle
movable, crane-like strut, ensuring the limbs are away from the trunk
transmits shock from upper limb to axial skeleton
joints in the clavicle
sternoclavicular joint (SC joint) acromioclavicular joint (AC joint)
first long bone to ossify
clavicle
by when is the clavicle completely fused
25-31 years old
scapula
shoulder blade glenoid cavity laterally head of humerus 4x bigger than bony socket fibrous capsule loose more prone to dislocation
shoulder joint / gelnohumeral joint
shallow glenoid cavity made deeper by glenoid labrum loose joint capsule bursae easily dislocated
movements of glenohumeral joint
adduction/abduction
flexion/extension
medial and lateral rotation
circumduction
arm
extends from glenohumeral joint and elbow joint
bone: humerus
divided into anterior and posterior compartments
anterior compartment of arm
also the flexor compartment
formed by biceps brachii, brachial, coracobrachialis
flexors mainly
posterior compartment of arm
also the extensor compartment
formed by triceps brachii and anconeus
extension movement
elbow joint
synovial hinge joint
dense capsule and ligaments for stability
elbow joint movements
0º extension - 150º flexion
flexion: main muscle biceps brachii (and brachialis and brachioradialis)
extension: main muscle triceps brachii (forced extension damages olecranon)
forearm
between elbow and wrist
forearm movements
supination: supinator muscle
pronation: pronator teres and pronator quadratus
extrinsic muscles of hand
flexors and extensors
intrinsic muscles of hand
thenar, hypothenar, interosseous and lumbricals
hand skin
thicker, hairless, and skin inhibits melanin production
power and precision grip throughout years
1-2 yrs: first grip
2-3 yrs: four-finger grip
4 yrs: pincer grip