MSCT Week 1: Upper Limb I Flashcards
The bones of the shoulder include
- scapula
- clavicle
- the proximal end of the humerus
bones of the hand and digits are the…
3 Listed
- Carpals
- metacarpals
- phalanges
axial vs appendicular skeleton
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A muscle will act on any joint that it __________.
Crosses
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Fibrous Joints
permit little to no movement and consist of two bones joined by dense connective tissue
(sutures of the skull)
Cartilaginous Joints
permit slight amounts of movement and consist of two bones joined by fibrocartilaginous discs between the articular surfaces
(Sternocostal joints, intervertebral joints, symphysis pubis)
Synovial Joints
permit the greatest degree of movement and consist of two bones separated by a narrow synovial cavity and supported by a connective tissue capsule and associated ligaments
Represented by the major joints of the upper and lower limbs (shoulder, knee, etc.)
Identify
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Synovial joint
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Synovial joints are characterized by the presence of
a synovial/joint cavity
The joint cavity is surrounded by
the articular capsule
Articular capsule
a fibrous connective tissue structure that is attached to each bone just outside the area of the bone’s articulating surface
Friction between the bones at a synovial joint is prevented by the presence of _________________
Articular Cartilage
Articular cartilage
a thin layer of hyaline cartilage that covers the entire articulating surface of each bone
Identify
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synovial joint
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Lining the inner surface of the capsule is the ________________
Synovial membrane
Cells that line the surface of the synovial membrane
Intima
Intima cells function
3 listed
- secretes the synovial fluid that provides lubrication to further reduce friction between the bones of the joint
- provides a degree of surface tension to hold the ends of the bones together
- provides nourishment to the articular cartilage
Synovial fluid functions
- provides lubrication to further reduce friction between the bones of the joint
- provides a degree of surface tension to hold the ends of the bones together
- provides nourishment to the articular cartilage
Subintima
the remainder of the synovial membrane which consists of highly vascularized loose connective tissue
Injury or irritation of the synovial membrane can lead to…
excess production of joint fluid or effusion
Bones are connected together by
ligaments
Muscles are connected to bones via
tendons
Ligament function
strengthen and support the joint and limit the range of motion
Ligaments are classified based on their relationship to the ___________.
fibrous capsule
Extrinsic Ligament classification
located outside of the articular capsule
Intrinsic ligament Classification
fused to or incorporated into the wall of the capsule
Intracapsular ligaments
in rare instances there are also ligaments located inside of the capsule
Synovial joints are supported by
both passive and active stabilizers
The passive or static stabilizers include
- the shapes of bones
- fibrocartilaginous disks
- joint capsule
- ligaments
- surface tension by synovial fluid
The active or dynamic stabilizers
- muscles
- associated tendons that cross the joint
*
The glenohumeral joint
the articulation between the head of the humerus and the glenoid fossa of the scapula. This joint allows for the following movements of the arm; flexion and extension, abduction and adduction, and internal and external rotation
The sternoclavicular and acromioclavicular joints
are the articulations between the clavicle and the sternum and the clavicle and acromion process of the scapula respectively. these joints are relatively immobile and allow for a gliding type of motion
Identify
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The scapulothoracic joint
is not a true joint in the sense of the word but rather a functional joint. It occurs between the anterior surface of the scapula and posterior/lateral thoracic wall. The movements of the scapula that occur here are;
- Elevation
- Depression
- Protraction
- Retraction
- upward rotation
- Downward rotation
Scapula joint actions
6 Listed
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The most important static stabilizers of the glenohumeral joint are…
the capsule and its associated ligaments
The most important dynamic stabilizers of the glenohumeral joint are…
the muscles of the rotator cuff
Muscles of the rotator cuff
4 Listed
- Supraspinatus
- Infraspinatus
- Subscapularis
- Teres minor
Supraspinatus Action
initiates and assists with abducting of the arm
Infraspinatus Action
- External rotation
- abduction and adduction
Subscapularis Action
Internal rotation
Teres minor action
- External rotation
- Adduction
Important ligaments of the glenohumeral joint
- Glenoid labrum
- glenohumeral ligaments
The ligaments that support the Acromioclavicular joint
2 listed
- acromioclavicular ligament
- coracoclavicular ligaments
The coracoacromial ligament creates an ________ over the top of the glenohumeral joint and a space through which the supraspinatus tendon passes which can contribute to ______
- Arch
- impingement of the supraspinatus
Shoulder dislocation
- Disarticulation of the head of the humerus from the glenoid is called a shoulder dislocation
Most common shoulder dislocation
in most cases, the head of the humerus moves anteriorly and inferiorly relative to the glenoid
Grade I Disarticulation of the clavicle and acromion
A slight displacement of the joint. The acromioclavicular ligament may be stretched or partially torn. This is the most common type of injury to the AC joint.
Grade II Disarticulation of the clavicle and acromion
A partial dislocation of the joint in which there may be some displacement that may not be obvious during a physical examination. The acromioclavicular ligament is completely torn while the coracoclavicular ligaments remain intact.
Grade III Disarticulation of the clavicle and acromion
A complete separation of the joint. The acromioclavicular ligament, the coracoclavicular ligaments, and the capsule surrounding the joint are torn. Usually, the displacement is obvious on clinical exam. without any ligament support, the shoulder falls under the weight of the arm and the clavicle is pushed up, causing an obvious bump on top of the shoulder.
The arm can be divided into how many compartments
two compartments separated by the medial and lateral intermuscular septum
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Identify
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Muscles of the anterior compartment of the arm
3 listed
- Biceps brachii
- Brachialis
- Coracobrachialis
Muscles of the posterior compartment of the arm
Triceps Brachii
Muscles of the anterior compartment of the arm are innervated by?
musculocutaneous nerve
Muscles of the posterior compartment of the arm are innervated by?
Radial nerve
Muscles of the anterior compartment of the arm are supplied by?
Brachial artery
Muscles of the posterior compartment of the arm are supplied by?
Deep brachial artery
Biceps Brachii function
3 listed
- flexes arm
- flexes forearm
- supinates hand
Brachialis Function
Flexes forearm
Coracobrachialis function
Flexes arm
Triceps Brachii Action
- Extends arm
- Extends forearm
Identify Compartment and muscles
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The bones of the forearm include the…
- Radius
- Ulna
Major joints of the forearm
4 listed
- elbow
- wrist
- proximal radioulnar
- distal radioulnar
Identify
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The elbow joint is the articulation between?
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The wrist/radiocarpal joint is the articulation between and allows?
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The proximal and distal radioulnar joints are the articulations between and allow for?
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The forearm has how many compartments and is separated by what?
The forearm can be divided into two compartments, anterior and posterior, separated by the interosseous membrane between the radius and ulna and the medial and lateral intermuscular septum.
The muscles of the anterior compartment of the forearm
9 listed
- Pronator teres
- flexor carpi radialis
- flexor carpi ulnaris
- palmaris longus
- flexor digitorum superficialis
- flexor pollicis longus
- flexor digitorum profundus
- pronator quadratus
The muscles of the posterior compartment of the forearm
10 listed
- extensor carpi ulnaris
- extensor carpi radialis longus
- extensor carpi radialis brevis
- extensor digitoroum
- extensor digiti minimi
- extensor indicis
- abductor pollicis longus
- extensor pollicis longus
- extensor pollicis brevis
- supinator
The muscles of the anterior compartment of the forearm are innervated by?
The median nerve EXCEPT for the Flexor Carpi ulnaris and the ulnar/medial half of the flexor digitorum profundus
the Flexor Carpi Ulnaris and the ulnar/medial half of the flexor digitorum profundus are innervated by?
Ulnar nerve
The muscles of the anterior compartment of the forearm are supplied by?
radial and ulnar arteries
The muscles of the posterior compartment of the forearm are innervated by?
all are innervated by the radial nerve
The muscles of the posterior compartment of the forearm are supplied by?
all are supplied by the radial and ulnar arteries
Identify compartments and structures
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