Joints of Upper Extremity Flashcards
Ligaments of the AC joint?
- AC ligament
2. coracoclavicular (conoid + trapezoid)
acromioclavicular
joint dislocation plus coracoclavicular ligament broken
shoulder separation
humeral head dislocated from the glenoid cavity
shoulder dislocation
What classification when AC and coracoclavicular ligaments are stretched but still intact?
Tossy 1
What classification when the AC ligament is ruptured with subluxation of the joint?
Tossy II
What classification when the ligaments are disrupted with complete dislocation of AC joint?
Tossy III, piano key sign when holding weights
Glenoid cavity deepened by this so humeral head sits more than 1/3 of its surface into glenoid cavity?
glenoid labrum
Humeral head kept in its cavity by what muscles?
rotator cuff
Weak point for dislocation of glenohumeral joint?
Inferiorly on articular capsule
Runs from the greater tubercle to the lesser tubercle of humerus, bridging over the synovial sheath for the tendon of the biceps
transverse humeral ligament
Pectoralis major, deltoid, coracobrachialis, and biceps brachii are shoulder what?
flexors
latissimus dorsi and deltoid are shoulder what?
extensors
supraspinatus muscle is a shoulder?
abductors (first 15 degrees)
pectoralis major, latissimus dorsi, and rotator cuff muscles are shoulder?
adductors
subscapularis, teres major, and latissimus dorsi are shoulder?
medial rotators
infrapsinatus and teres minor are shoulder what?
lateral rotators
muscles that hold the head of humerus to the glenoid cavity?
rotator cuff muscles
muscles that resist downward dislocation of the joint?
coracobrachialis, biceps, long head of triceps, and deltoid
inflammation and calcification of the supraspinatus tendon, inflammation of the subacromial bursa. pain when 5-130 degrees abducted. “painful arc syndrome”, age 50+
calcific supraspinatus tendonitis (calcific sacpulohumeral bursitis)
fibrosis and scarring in the articular capsule resulting from injuries around the joint, difficulty abducting arm
adhesive capsulitis of glenohumeral joint (frozen shoulder)
damage to this nerve caused by glenohumeral joint dislocation
axillary nerve
happens to baseball throwers, painful when throwing, may have popping sound
glenoid labrum tears
Articulations of the elbow?
trochlea of humerus with trochlear notch of ulna, capitulum of humerus with head of radius
ligament of elbow from lateral epicondyle to annular ligament of radius
radial collateral ligament
ligament of elbow from medial epicondyle to coronoid process and olecranon of ulna, consists of 3 bands
ulnar collateral ligament
chief flexors of the elbow?
brachialis, biceps brachii, brachioradialis
chief extensors of the elbow?
triceps brachii
subcutaneous most common due to repeated pressure and friction, (student’s, dart throwers’ minor’s elbow)
bursitis of the elbow
forms a ring that encircles head of radius to the radial notch of the ulna, head of radius rotates within articular capsule
anular ligament
supinator (when no resistance) and biceps (with resistance and elbow flexed)
supination
pronator quadratus (primarily) and pronator teres (secondarily)
pronation
Flex the wrist?
flexor carpi radialis and flexor carpi ulnaris
extend the wrist?
extensor carpi radialis longus and brevis, extensor carpi ulnaris
abduct (radially deviate) the wrist?
flexor carpi radialis, extensor carpi radialis longus and brevis, and abductor pollicis longus
adduct (ulnar deviate) the wrist?
flexor and extensor carpi ulnaris