Midterms Flashcards
Other names for sternum
Necktie
Dagger
Shield
Escutcheon
Function of sternum
Carina and Thymus
Parts of the Sternum
Manubrium
Body/Shaft
Xiphoid process
Vertebral landmark for Manubriosternal jt
T4-T5
Vertebral landmark for Carina
T4
Vertebral landmark for Suprasternal notch
T2
Vertebral landmark for Xiphoid process
T10
Dermatomal landmark for Xiphoid process
T7
Shape of clavicle
Long, flat, twisted, S-Shaped bone
Other names of the clavicle
Strut
Collar
Orientation of the medial 2/3 of the clavicle
Convex
Orientation of the lateral 1/3 of the clavicle
Concave
Congenital absence of bilateral clavicle
Cleidocranial Dysostosis
When does ossification of the clavicle begin?
7th month (3rd trimester)
Shape of the scapula
Flat and triangular
Other name of scapula
Shoulder blade
Parts of the scapula
Medial border
Lateral border
Superior border
Superior angle
Inferior border
Inferior angle
Glenoid fossa
Spine of scapula
Acromion
Supraspinous fossa
Infraspinous fossa
Subscapular fossa
Coracoid process
Supraglenoid tubercle
Infraglenoid tubercle
Vertebral landmark for Superior angle of scapula
T2
Vertebral landmark for Inferior angle of scapula
T7
Vertebral landmark for Spine of Scapula
T3
Largest, longest, and heaviest bone of the UE
Humerus
Parts of the humerus
Head
Neck
Medial lip
Lateral lip
Floor
Roof
What muscle inserts into the medial lip of the humerus?
Teres Major
What muscle inserts into the lateral lip of the humerus?
Pec Major
What muscle inserts into the floor of the humerus?
Latissimus Dorsi
What ligaments insert into the roof of the humerus?
Transverse Humeral Ligament
Coracohumeral Ligament
What muscles insert into the greater tubercle of the humerus?
Supraspinatus
Infraspinatus
Teres Minor
What inserts into the lesser tubercle of the humerus?
Subscapularis
Characteristics of the medial condyle relative to the lateral condyle
Wider, longer, and more distal
Contains Trochlea
Characteristics of the lateral condyle relative to the medial condyle
More anterior
Contains capitulum
Mobile WAD of 3
Brachioradialis
ECRL
ECRB
What type of a joint is the SC joint?
Saddle/Sellar
DoF of SC jt
3 DoF
OPP of SC jt
Arms at side
CPP of SC jt
90 degrees ABD
Full elevate
Protract
Requirements for full elevation
Rotation of Clavicle
Inferior glide of humeral head
Scapular stabilization
ER of Humerus
What type of joint is the AC jt?
Modified plane jt
DoF of plane jt
3 DoF
OPP of AC jt
Arms at side
Ligaments of the AC joint
Acromioclavicular
Coracoacromial
Coracoclavicular
Weakest ligament of the AC joint
Ac ligament
Parts of the CC ligament
Trapezoid
Conoid
What type of joint is the ST jt?
Functional and Modified planar joint
Shoulder rhythm
After 30 degree elev, there is 2:1 ratio between GH:ST
DDx for reverse shoulder rhythm
AdCap
RA
Scoliosis
What type of joint is the GH joint?
Ball-and-socket
OPP of GH joint
55 abduct
30 Horizontal Add
CPP of GH joint
Abduction
ER
Weak spot in between the superior and middle ligaments of GH joint that leads to anterior shoulder dislocation
Foramen of Weitbrecht
Weak spot in between the middle and inferior ligaments of GH joint that leads to inferior shoulder dislocation
Foramen of Rouviere
Ligaments of the GH joint
GH (Superior, Middle, Inferior)
Coracohumeral ligamentr
Actions of the subclavius
Stabilizes clavicular rotaiton
Innervation of subclavius
Nerve to subclavius
Innervation of the Pectoralis Major
Medial and Lateral pectoral nn
Fibers of the Pecs Major responsible for flexion
Clavicular head
Fibers of the Pecs Major responsible for extension
Sternocostal Head
Action of Pec Minor
Depresses scapula
Assists Pec Major
1st muscle to be innervated by the musculocutaneous nerve
Coracobrachialis
Strongest Rotator Cuff Muscle
Supraspinatus
Action of Supraspinatus
Initiates first 90 degrees of abduction
Innervation of Supraspinatus
Suprascapular nerve
Chief ER muscle
Infraspinatus
Innervation of Infraspinatus
Suprascapular nerve
Special test for Infraspinatus
Horn blower’s
Patte’s sign
Action of Teres Minor
ER
Innervation of Teres Minor
Axillary nn
Chief IR muscle
Subscapularis
Innervation of Subscapularis
Upper and Lower subscapular nerves
Insertion of the subscapularis
Lesser tubercle of the humerus
Stabilizing muscles of the trunk
Serratus Ant
Trapezius
Levator Scapulae
Rhomboids
Lats Dorsi
Action of SA
Protraction/Scaption
What type of winging is there when there is affectation of the LTN?
Medial winging (Open book)
What surgery may lead to medial winging?
Radical Mastectomy
What type of winging is present when there is affectation of the CN XI
Lateral Winging (Sliding door)
What surgery may lead to Lateral winging?
Radial Neck Dissection
What type of winging is present when there is affectation of the rhomboids?
Posterior/Dorsal Scapular Tipping
What type of winging is present when there is affectation of the levator scapulae?
Posterior Scapular Winging
What postural problem may lead to dorsal scapular nerve impingement?
Pecs Minor tightness
Broadest muscle
Lats Dorsi
Crutch walking ms
Lats Dorsi
OKC action of Lats Dorsi
Extension
Adduction
IR
CKC action of Lats
Posterior Pelvic Rotation
Action of Teres Major
Extension
Adduction
IR
Innervation of the Teres Major
Lower subscapular nerve
Action of anterior fibers of deltoids
Shoulder flex
Horizontal Add
IR
Action of middle fibers of deltoids
Shoulder abduction
Action of posterior fiber of deltoids
ER
Horizontal Abduction
Innervation of deltoids
Axillary nn
Nerve roots of the musculocutaneous nerve
C5-C7
Nerve roots of the axillary nerve
C5-C6
Nerve roots of the median nerve
C5-T1
Nerve roots of the ulnar nerve
C8-T1
Nerve roots of the radial nerve
C5-C8
Components of the Cubital Fossa from lateral to medial
Brachioradialis
Radial nerve
Biceps tendon
Brachial artery
Median nerve
Pronator Teres
Normal carrying angle for males
5-10 degrees
Normal carrying angle for females
10-15 degrees
What type of joint is the HU joint?
Modified Hinge/Modified Ginglymus joint
Articulation of the HU joint
Trochlea and Trochlear notch
Ligaments of the HU joint
MCL
Fibers of the MCL of the elbow
Anterior
Transverse
Posterior
What type of joint is the Humeroradial joint?
Modified Hinge/Ginglymus Joint
Ligament of the HR joint
LCL
Fibers of the HR joint
Lateral Radial
Lateral Ulnar
What type of joint is the PRU jt?
Pivot
Articulation of the PRU joint
Radial head and radial notch
Ligaments of the PRU joint
Annular
Oblique cord
Quadrate ligament
Shape of radial head
Convex
Shape of the radial notch
Concave
Chief forearm supinator muscle
Biceps brachii
Strongest elbow flexor
Biceps brachii
How to isolate biceps?
Shoulder and elbow flex c forearm supination
Origin of the short head of the biceps brachii
coracoid process
Origin of the long head of the biceps brachii
supraglenoid tubercle
Position of the elbow when its 4x stronger
Elbow flexed at 90 degrees c supination
Position of the elbow wherein its 2x stronger
Elbow extended c supination
Weakest position of the biceps brachii
Full flexion c supination
Another name for Brachialis
Elbow flexor par excellence
Muscle that is present in all elbow joint positions
Brachialis
Supinator longus
Brachioradialis
Largest 2 jointed ms
Triceps brachii
Which head of the Triceps is the strongest ?
Lateral head
Origin of the long head of triceps
Infraglenoid tubercle of scapula
Origin of the lateral head of the triceps
Upper half of the posterior surface of the humerus
Origin of the medial head of the triceps
Lower half of the posterior surface of the humerus
Insertion of triceps
Olecranon process
This muscle supports, assist, and maintains stability of elbow extension
Anconeus
Pronator that is active in all positions or speed
Pronator Teres
Pronator that is active in extension and slow pronation
Pronator Quadratus
When is radiocarpal joint active?
First 50 degrees of wrist flexion
When is the midcarpal joint active?
The remaining 35 degrees of wrist flexion after radiocarpal joint activation
Origin of extrinsic muscles
Forearm/Humerus
Origin of intrinsic muscles
Wrist and hand
Carpal bones from lateral to medial
Scaphoid
Lunate
Triquetrum
Pisiform
Trapezium
Trapezoid
Capitate
Hamate
Most commonly fractured carpal bone
Scaphoid
Navicular of the hand
Scaphoid
Floor of anatomical snuffbox
Scaphoid
Avascular necrosis of the Scaphoid
Preisser’s disease
Most commonly dislocated carpal bone
Lunate
Boundaries of the scaphoid
Lateral: APL, EPB
Medial: EPol
Bed of Pisiform
Triquetrum
Smallest carpal bone
Pisiform
What type of bone is the Pisiform?
Sesamoid bone
Another name for trapezium
Greater multangular
Lesser multangular
Trapezoid
Largest carpal bone
Capitate
Another name for capitate
Os Magnum
1st carpal bone to ossify
Capitate
Another name for Hamate
Unciform
Order of ossification of carpal bones
Capitate
Hamate
Triquetrum
Lunate
Trapezium
Trapezoid
Pisiform
How many months/years does it take for capitate to ossify?
6 mos
How many months/years does it take for Hamate to ossify?
7 mos
How many months/years does it take for Triquetrum to ossify
3 y/o
How many months/years does it take for Lunate to ossify
5 y/o
How many months/years does it take for Trapezium and Trapezoid to ossify?
6 y/o
How many months/years does it take for Pisiform to ossify?
12 y/o
What type of joint is the CMC joint?
Saddle
Articulation of the 1st CMC
Trapezium and 1st MTT
Flexor zones
1: insertion of FDP
2: insertion of FDS
3: neck of metacarpals
4: carpal tunnel
5: area proximal to wrist
Zone of no man’s island
Zone 2
Components of the carpal tunnel
4 FDP
4 FDS
1 median nn
1 FPL
Extensor Tunnel
1: APL EPB
2: ECRL ECRB
3: EPL
4: ED EI
5: EDM
6: ECU
Extensor tunnel affected during DQT
1
Extensor zones
1: DIP
2: Mid phalanx
3: PIP
4: Prox phalanx
5: MCP
6: Metacarpals
7: Carpals
most common type of dislocation
Anterior
m/c MOI on shoulder dislocations
Trauma
Overuse
Congenital abnormalities
m/c direction of dislocation of elbow
Posterior
m/c direction of dislocation of Lunate
Anterior
m/c direction of dislocation of Hip
Posterior
m/c direction of dislocation of Knee
Anterior
m/c direction of dislocation of Patella
Lateral
m/c direction of dislocation of Ankle
Posterior
Common S/SX of dislocation
Pain
Deformity
Swelling
LOM
Radiating numbness
Anteroinferior labral tearing resulting in pulling away of the labrum
Bankart lesion
Avulsion of the greater tuberosity that leads to posterolateral tear in the GH joint
Hill-Sachs lesion
A lesion in the shoulder that has posterior labral tearing and has possibly an axillary nn damage
Bennett’s lesion
An injury affecting the Biceps tendon that is caused by overuse activities leading to decreased overhead activities
SLAP lesion