Joints of UE Flashcards
What are the joints in the pectoral girdle?
Sternoclavicular (SC) joint
Acromioclavicular (AC) joint
Scapulothoracic (ST) joint
Glenohumeral (GH) joint
Why is the ST joint not considered a true joint?
Because the scapula has no direct bony connection to the thorax, it is a physiological joint reflecting how the scapula moves relative to the thorax
What are the movements of the scapula?
elevation/depression
retraction/protraction
upward rotation/downward rotation
What muscles elevate the scapula?
superior fibers of trapezius
levator scapulae
What muscles cause scapular depression?
inferior fibers of trapezius
pectoralis minor
What muscles retract the scapula?
middle fibers of trapezius
rhomboid minor and major
What muscles protract the scapula?
pectoralis minor
serratus anterior
What muscles perform upward rotation of the scapula?
serratus anterior
superior and inferior fibers of trapezius
What muscles perform downward rotation of the scapula?
levator scapulae
rhomboid minor and rhomboid major
For every 2 deg of glenohumeral movement there is…
1 deg of scapulothoracic movement
Sternoclavicular (SC) joint
synovial joint with an articular disc
movements: anterior/posterior
elevation/depression
sternoclavicular joint injury
dislocations uncommon due to strength of capsular ligaments, more likely that clavicle will frx.
What are the ligaments of the SC joint?
costoclavicular ligament
capsular ligament
Acromioclavicular (AC) joint
synovial joint with an articular disc
primary movement: rotation of the acromion on the clavicle
What are the ligaments of the AC joint?
acromioclavicular ligament -reinforces joint
coracoclavicular ligament - prevents medial movement of the scapula relative to the clavicle
Dislocation of the AC joint
shoulder seperation
acromioclavicular ligament can tear or rupture through a direct blow or fall on a shoulder or outstretched hand
if the coracoclavicular ligaments also tears/ruptures- the shoulder will separate from the clavicle
Glenohumeral joint
ball &socket joint with glenoid labrum
What is the glenoid labrum?
fibrocartilaginous ring that acts to deepen the glenoid cavity
What movements occur at the GHJ?
flexion/extension
abduction/adduction
medial rotation/lateral rotation