Lecture 3: Small Animal Shoulder and Brachium Flashcards
Identify 1-5
- Acromion
- Spine
- Cranial border
- Supraspinous fossa
- Scapular notch
identify 1-6
- Cranial border
- Coracoid process
- Supraglenoid tubercle
- Acromion
- Infraglenoid tubercle
- Glenoid cavity
What are the most palpable structures on scapula
Acromion and spine
where does the humerus articulate with the scapula
Glenoid cavity
identify 1-11
- Lesser tubercle
- Intertubuercular groove
- Greater tubercle
- Head
- Head
- Lesser tubercle
- Medial epicondyle
- Lateral epicondyle
- Capitulum
- Supratochlear foramen
- Trochlea
How can you determine which structure is medial vs lateral epicondyle
On a cranial view the lateral epicondyle is above the capitulum whereas the medial epicondyle is above the trochlea
On the caudal view you can’t see capitulum and trochela but medial will be on right side and lateral on left side
How do you tell the difference between the capitulum and trochlea of humerus
Trochlea hangs lower on the medial side over ulna
What is endochondral ossification
Cartilage hardens/calcifies to form bone
What are osteochondrosis lesions
Failure of immature cartilage to form bone.
Leads to abnormal cartilage thickening, death, fissures, and flaps in the cartilage
Osteochondrosis lesions are most common in
Young, rapidly growing large breed dogs
What is osteochondrosis dissecans
Inflammatory condition when disease cartilage separates from the bone and there is failure of the cartilage and bone interface
What is wrong
Osteochondrosis lesions
What is wrong here
Osteochondrosis dissecans
which X-ray is abnormal and what is the problem
Left: Normal
Right: abnormal- osteochondrosis dissecans
which X-ray is normal and which is abnormal and what is the problem
Left: normal
Right: abnormal- osteochondritis dissecans
Rotator cuff injuries is a result of what
OCD flap
Shoulder arthroscopy: what is indicated by the red and green arrows
Red: OCD flap
Green: inflammation
Explain why once you remove OCD flap in shoulder why you would want to cause additional irritation and bleeding
Promote healing- blood will bring healing factors
What are the stabilizing muscles of the shoulder
Medial: subscapularis and coroacobrachialis
Lateral: supraspinatus, infrapsinatus, teres minor
Besides the muscles of the shoulder what other structures stabilize the shoulder
Joint capsule, biceps brachii tendon, medial and lateral glenohumeral ligaments
Identify 1-3 and is this a medial or lateral view
- Subscapularis
- Supraspinatus
- Coracobrachialis
Medial view
Identify 1-4 and is this a medial or lateral view and how do you know
- Teres minor
- Infraspinatus
- Supraspinatus
- Biceps brachii tendon
Lateral view: can tell because of spine
Identify 1-4 and is this a medial or lateral view
- Medial glenohumeral ligament
- Joint capsule
- Supraspinatus
- Biceps brachii tendon
Medial view: no spine
Identify 1 and 2 and which view is lateral vs medial
Left: lateral
Right: medial
1. Biceps tendon
2. Lateral and medial glenohumeral ligaments
Identify the circled area
Intertubercular groove with bicep tendon passing through
Where does the biceps originate
Supraglenoid tuberosity of the scapula
What does the bicep tendon do to shoulder and elbow
Extends shoulder and flexes elbow
What is bicep tenosynovitis
Inflammatory condition with disruption of the tendon fibers
How can you manipulate the shoulder and elbow to determine if patient has biceps tenosynovitis
Pain on full flexion of shoulder and extension of elbow
what manipulation is being performed here and what does it test for
Extension of shoulder and flexion of elbow
Testing bicep muscles for biceps tenosynovitis
What is the main muscle that attaches shoulder and thorax muscles
Serratus ventralis
What are some minor muscles that contribute to the attachment of the shoulder and thorax
Rhomboideus, trapezius and omotransversarius
Identify 1-2
- Rhomboideus
- Serratus ventralis
What is synsarcosis
No ligament or bony attachments, just muscular
The shoulder is a ___ attachment to the thorax
Synsarcosis
Identify 1-3
- Rhomboideus
- Serratus ventralis (crevices)
- Serratus ventralis (thoracis)
Identify 1 and 2
- Trapezius
- Omotransversarius
What is wrong here
Scapula luxation
What is a scapula luxation
Disruption of scapular muscle attachments
what is wrong here
Scapula luxation
what is wrong here, which side is affected
Right side has a scapula luxation- can identify because right side is farther removed from thorax therefore there was damage to the Serratus ventralis and other shoulder stabilizer muscles
identify 1-2
- Prescapular lymph node
- Axillary lymph node
- identify the pathology and
- what are the main structures that keep this from happening
- elbow luxation
- Medial and lateral collateral ligaments
When luxated get torn
which side is medial and how do you know
B, because the trochlea of the humerus is on the medial side and hangs slightly over the ulna
Which species has a supratrochlear foramen and what runs through this foramen
Dogs, nothing runs through
What does the supratrochlear foramen articulate with
Anconeal process
What species has a Supra-condyloid foramen ad what runs through this foramen
Cats and median nerve and brachial artery run through
Which one is the shoulder flexor surface
B
1.What structure is the arrow pointing at
2. What attaches at that structure
- Olecranon
- Triceps
What are the arrows pointing at
fragmented medial coronoid process
which one is carpus flexor surface
B
What lymph nodes are palpable at 1-5
- submandibular
- Prescapular
- Axillary
- Inguinal
- Popliteal
What does the radial nerve innervate
Triceps and carpal extensors
What does the median and ulnar nerve innervate
Carpal flexors
What does the musculocutaneous nerve innervate
Biceps
what is this structure and why is it important
Palmar carpal fibrocartialge, important for stabilizing wrist- makes radiocarpal/intermediate and carpometacarpal joints immobile
Which one is the elbow flexor surface
A
How would you describe this deformity
Carpal valgus
- What is the name of the carpal bone indicated by the green arrow
- Which digit is the red arrow
- Radiocarpal/ intermediate
- 3rd
what artery is indicated by 3 and why is it clinically useful
Median artery, used for indirect BP