Limbs 1 Flashcards
What are the two major structures of the body?
- main body (head, neck and trunk)
- appendages (upper and lower limbs)
What are the two major structures of the skeleton?
- axial skeleton (head, neck and trunk)
- appendicular skeleton (upper and lower limbs)
What does the appendicular skeleton consist of?
- upper and lower limb bones
- bones of the pectoral and pelvic girdle
What is the function of the upper limb?
position the hand for manipulation and grip activities
What is the function of the lower limb?
support the body weight, locomotion, maintain balance
Which joints connect the upper limbs to the trunk?
- sternoclavicular joints (true joints)
- scapulo-thoracic joints (virtual joints)
Which joints connect the lower limbs to the trunk
Sacroiliac joints (between the pelvis and sacrum)
What are the four regions of the upper limb?
- The pectoral (shoulder) girdle
- The arm
- The forearm
- The hand
What are the pectoral girdle bones?
Clavicle and scapula
What is the arm bone?
The humerus
What are the forearm bones?
The radius and ulna
What are the wrist bones?
Carpal bones
What are the bones of the main part of the hand?
Metacarpals
What are the bones of the digits, including the thumb?
Phalanges
What are the articulations of the clavicle?
- Medial end articulates with the thoracic wall of the trunk at the manubrium
- Lateral end articulates with the scapular acromion
What is the clavicle?
- moveable structure which supprts the scapula and upper limb
- site of muscle attachment
Label this diagram of the clavicle
- Acromial end
- Shaft
- Sternal end
- Sternal facet
- Impression for costoclavicular ligament
- Subclavian groove
- Trapezoid line
- Acromial facet
- Conoid tubercle
What is the scapula?
- shoulder blade
- triangular plate of bone
- various bony features and fossae which act as sites of attachment for muscles and ligaments
Label this diagram of the scapula
- Supraspinous fossa
- Scapular spine
- Acromion
- Glenoid fossa
- Infraspinous process
- Subscapular fossa
- Coracoid process
What can be seen on the scapula’s anterior view?
- acromion
- coracoid process
- glenoid fossa
- subscapular fossa
What can be seen on the scapula’s posterior view?
- supraspinous fossa
- scapular spine
- acromion
- glenoid fossa
- infraspinous fossa
What is the glenoid fossa?
Socket of the shoulder joint
What does the acromion articulate with?
The clavicle
What does the glenoid fossa articulate with?
Humoural head
What is the scapula held against?
The posterolateral thoracic wall
What is the humerus?
largest bone of the upper limb
What does the humerus articulate with?
- glenoid fossa proximally to form shoulder joint
- radius and ulna distally to form elbow joint
Label this diagram of the humerus
- Greater tubercle
- Intertubercular sulcus
- Lesser tubercle
- Lateral epicondyle
- Humerus shaft
- Medial epicondyle
- Deltoid tuberosity
- Radial groove
What connects the inner shafts of the radius and ulna?
Intraosseous membrane
What do the radius and ulna articulate with?
- humerus proximally
- carpal bones distally
How many rows of carpal bones are there and how many bones are in each row?
Two rows of four
What do the carpal bones articulate with?
- proximal row (apart from pisiform) with radius and ulna
- distal row with metacarpals
How are joints classified?
- strucutal properties
- mobility
What are the three structural classifications of joints?
- fibrous
- cartilaginous
- synovial
What are fibrous joints?
bones connected by fibrous connective tissue, e.g. sutures of skull
What are cartilaginous joints?
bones connected with cartilage, e.g. pubic symphysis
What are the two types of cartilaginous joints?
- primary (hyaline cartilage)
- secondary (fibrocartilage)
What are synovial joints?
- bones not directly connected at joint surfaces
- articulation is surrounded by enclosing synovial capsule
- generally covered in hyaline cartilage
What are the different types of synovial joints?
- uniaxial (moves in one direction)
- biaxial (moves in two planes)
- multiaxial (moves in several planes)
What is the relationship between joint mobility and stability?
The more mobile a joint, the less stable it usually is
Which other structures provide stability to joints?
Ligaments and tendons
What is a ligament?
collagenous connective tissue linking bones
What is a tendon?
collagenous connective tissue between bones and muscles
What is a retinaculum?
- thickened band of deep fascia found close to a joint
- holds tendons down during muscle contraction to prevent bow-stringing
What is an aponeurosis?
- a flat, sheet-like structure formed from a tendon or ligament
- can provide a broad attachment for a muscle which will distribute mechanical load over a larger area
What is a bursa?
- a closed sac of a serous membrane
- found at body sites that are subject to friction
What are the joints of the upper limb?
- Sterno-clavicular joint (SCJ)
- Acromio-clavicular joint (ACJ)
- Gleno-Humeral joint (GHJ) (Shoulder joint)
- Scapulo-thoracic joint (STJ)
- Elbow joint
- Wrist joint
- Numerous joints in the hand
Describe the sternoclavicular joint
- synovial saddle joint
joint cavity divided by fibrous articular disc - stabilised with a number of ligaments
- significant mobility during clavicle elevation and protraction/retraction of the scapula