Lecture 5: Upper extremity (bones, ligaments, joints) Flashcards

1
Q

What makes up the appendicular and axial skeleton?

A

Appendicular:

  • SHOULDER GIRDLE (Pectoral Girdle)= Clavicles & Scapulae
  • UPPER LIMB
  • PELVIC GIRDLE (Innominate bones) = Ilium, Ischium, Pubis
  • LOWER LIMB

Axial:
-skull
vertebral column
ribs

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2
Q

Name the bones that make up the shoulder girdle and upper limb

A
Scapula
Clavicle
Humerus
Radius and ulna 
carpals
metacarpals
phalanges
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3
Q

What joint holds the entire shoulder girldle to the axial skeleton?

A

Sternoclavicular joint

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4
Q

Is the shoulder girdle

a) weak and unstable
b) strong and stable

A

a) weak and unstable

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5
Q

True or false, the shoulder girdle is not very mobile

A

false

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6
Q

Explain scapulothoracic rhythm

A

First 30 degrees of abduction is all done at the glenohumeral but after that, for the rest of the abduction there is a 2:1 ratio

For every 2 degrees of glenohumeral movement there is 1 degree of scapula movement

For total abduction, clavicle movement is 30 degrees

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7
Q

True or false: the clavicle is one fo the most fractured bones?

A

True, it drops when it is injured

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8
Q

Be able to identify the bone landmarks of the clavicle

A
Sternal (medial) end
Acromial (lateral) end
Conoid Tubercle
Deltoid tubercle
Trapezoid line
subclavian groove
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9
Q

Pick the right answer

a) Going medially to laterally, the clavicle goes convex first then concave
b) GOing medially to laterally, the clavicle goes concave first

A

a) Going medially to laterally, the clavicle goes convex first then concave

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10
Q

How to tell orientation of the clavicle

A

Sternal side attached to chest medially, conoid tubcle faces against your body, concave goesout out first

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11
Q

IDENTIFY THE LANDMARKS OF THE CLAVICLE ON A PICCTURE

A

;

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12
Q

Where is the scapula located on the back>

A
Flat, triangular shaped bone
•  Posterior thoracic wall (T2-T7 ribs)
 Lateral border thicker – muscle attachments
•  Inferior angle (T7)
•  Glenoid fossa (head of humerus)
•  Coracoid process (ligament / muscle attachments)
•  Scapular spine
•  Medial – T3
•  Lateral – Acromion process
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13
Q

Where does the inferior angle of the scapula line up?

A

T7

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14
Q

What are the 3 main depressions of the scapula and the muscles that attach

A

SUPRASPINOUS FOSSA > Supraspinatus m. • INFRASPINOUS FOSSA > Infraspinatus m.
SUBSCAPULAR FOSSA > Subscapularis m.

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15
Q

Name the bony landmarks on the scapula

A
Acromion process
coracoid process
scapular notch
inferior,superior lately border
spine
inferior angle/superior angle 
suprinous fossa
infraspinous fossa
subscapular fossa
glenoid cavity
supraglenoid tubercle
infraglenoid tubercle
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16
Q

True or false: The scapula articulates with the axial skeleton

A

FALSE

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17
Q

Label the landmarks of the scapula on the diagram

A

./

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18
Q

What type of joint is the sterno clavicular joint?

A

Synovial gliding joint

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19
Q

What is the purpse of the articular disk of the sternoclavicular joint?

A

Helps deepen the socket, helps clavicle from slipping

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20
Q

What are the ligaments of the sternoclavicular joint?

A

Anterior and posterior sternoclavicular ligaments

costoclavicular ligament (seen on first rib)

Interclavicular ligament (connective the calvicles Suprasternal notch)

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21
Q

Be able to identify the ligraments of the sternoclavicular joint

A

.

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22
Q

What type of joint is the acromioclavicular joint?

A

Synovial gliding joint

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23
Q

Does the AC joint have a lot of movement or minimal movement ?

A

Minimal movement

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24
Q

Does the AC joint contain a fibrocartilage disk?

25
What are the ligaments of the AC joint
Superior & Inferior Acromioclavicular ligaments Coracoclavicular ligaments: TRAPEZOID ligament CONOID ligament
26
Be able to label the ligaments of the AC joint on a diagram
.
27
What does the humerus articulate with?
The glenoid fossa aand distally with ulna and radius
28
what are the bony landmarks of the humerus
``` head anatomical neck surgical neck greter tubercle lesser tubercle intertubercular groove deltoid tuberosity radial groove body/shaft medial epicondly (flexors) lateral epicondyle (extensor) and ridges Trochlea (medial) – Ulnar trochlear notch •Capitulum (lateral) – Radial head • Three fossae (depressions) • Coronoid (anterior) • Radial (anterior) • Olecranon (posterior) ```
29
Where does the ulnar nerve pass?
the medial epicondyle
30
be able to label the bone ladnmarks on a diagram of the humerus
f
31
What type of the joint is the glenohumeral joint>
Synovial ball and socket
32
is the glenohumeral joint stable or unsatble and why
Unstable because of the large range of motion
33
True or false: the glenohumeral joint does not have any fibrocartilage?
``` FALSE Glenoid labrum (Fibrocartilage) ```
34
What are the ligaments of the shoulder joint>
* Glenohumeral ligaments (Superior, middle, inferior) * Coracohumeral ligament * Coracoacromial ligmament
35
What are the two common conditions of in the shoulder joint?
* “Frozen” Shoulder | * Subacromial bursitis (inflammation of the bursa that separates the superior surface of the supraspinatus tendon)
36
be able to label all the joints and ligaments of the shoulder, clavicle on ta diagram
.
37
Which bone is longer and more medial? the ulna or the radius
ULNA
38
What are the land marks of the ulna
``` prox: olecreannon process trochlear notch (hinge of the elbow) coronoid process radial notch ulnar tuberocity supernatior crest shaft lateral bnorder: sharp =INTRAOSSEUS MEMBRANE HEAD (distal) styloid process ```
39
Be able to label the ulna diagram
.
40
Which bones articulates with the wrist JOINT
RADIUS
41
True or false: the radius has a big role at the elbow?
FALSE
42
Where does the ulna olecrannon process/coranoid insert head insert?
OLECRANNON; olecrannon fossa | coronoid isnerts in coronoid fossa near trochlea
43
Where does the radial head insert
radial fossa of the capitulum
44
What type of joint that conencts the radius to the ulna and what ligamen
Synovial pivot joint | • Annular ligament
45
What are the bony landmarks of the radius
``` head neck radial tubercity shaft interosseous membrane styloid process ulnar notch dorsal tubercle ```
46
What are the 3 joints at the eblow q
3 Joints • Humeroulnar • Radiohumeral • Proximal Radioulnar
47
be able to label all the joints/ligaments of the elbow
.
48
What type of joint is the distal radioulnar joint, what is the fucntion and what are the ligaments
Synovial pivot joint (separated from carpals by a disc) • Pronation / Supination • Anterior / posterior radioulnar ligaments
49
true or false:L • Radius moves on ulna
true
50
How many bones of the hand are there
27 BONES • 8 CARPAL Bones • 5 METACARPAL Bones • 14 PHALANGES
51
what are the chracteristics of carpal bones
``` Small and irregular • Form many synovial joints • Many interosseous ligaments • Palmar aspect is concave • Thenar and hypothenar eminences ```
52
What are the carpal bones
trapezium, scapoid, trapezoid, lunate, capitate, hammate, triquetu, and pisiorm
53
what are the soft tissues of the hand
``` Skin / Subcutaneous tissue • Palmar Aponeurosis • Flexor Retinaculum (Transverse carpal ligaments) • Flexor muscle tendons • Palmar Radiocarpal ligament (Base of the carpal tunnel) • Bones • Dorsal Radiocarpal ligament • Extensor Retinaculum ```
54
label the cross section of the hand
.
55
Know the wrist joint
``` Radius • Scaphoid • Lunate • (Triangular/Triquetrum)? • CONDYLOID (Biaxial / Ellipsoidal) Joint • Radial (Lateral) colateral ligaments • Ulnar (Medial) collateral ligaments ```
56
how many meta carpal bones are there
5 per hand
57
what are the carpometacapral joints
Synovial gliding joints • 1st CMJ is a saddle joint • 1st MC and Trapezium • All movements + opposition
58
be able to label the bone hand diagram
.
59
phalanages
``` Phalanges 2-5 • Proximal, middle, distal • Base (proximal), shaft, head (distal) • 1st Phalange (Phalanx) • Proximal, distal • Base, shaft, head • METACARPOPHALANGEAL Joint (Knuckles) • Synovial Condyloid (Biaxial) • INTERPHALANGEAL Joint • Synovial Hinge (Uniaxial) • Flexion / Extension ```