O, I, A, N Flashcards
Shoulder bones - palpate and point out aloud
Clavicle
Scapula - borders
Humerus
Acromion
Greater tubercle
Intertubercular groove
Deltoid tuberosity
Lesser tubercle
Name the elements of the scapula
- Medial, Lateral and Inferior angle
- Glenoid fossa
- Supraspinous fossa
- Infraspinous fossa
- Subscapular fossa
Describe the glenohumeral joint capsule
- Synovial ball and socket joint
- Is between the head of the humerus & glenoid fossa
- Loose capsule for movement
Name the ligaments of the shoulder
- Coracoclavicular: joins coracoid to clavicle
- Coracoacromial: joins coracoid to acromion
- Superior glenohumeral
- Middle glenohumeral
- Inferior glenohumeral
Name the arteries of the shoulder/arm
Deep arteries
1. Subclavian artery as is passes over 1st rib
2. Axillary artery in the armpit
3. Brachial artery at elbow
4. Radial atery at wrist
5. Ulnar artery at wrist
What is scapulohumeral rhythm?
- Refers to muscle function and shoulder joint motion
- Depending on the movement this means a series of movements occur in rhythm with one another. a 3 dimensional scapular kinematic pattern during normal arm elevation that include upward rotation, posterior tilting and varying internal/external rotation.
- Scapula and humerus move
- Preserves length & tension of muscles
- Moves the glenoid with humerus
- Lifts the acromion away from the greater tubercle
Muscles that move scapula priginate and insert where?
Originate on spine of ribs and insert on scapula
Trapezius OAIN
- Superficial
- Upper, middle & lower fibres
O - Skull, cervical & thoracic vertebrae
I - spine of scapula and clavicle
A - scapular elevation, depression, retraction rotation
N - spinal accessory
- Upper, middle & lower fibres
Pectoralis Minor OIAN
O - ribs 3-5
I - coracoid
A - depression, protraction
N - medial pectoral
Serratus Anterior OIAN
O - ribs 1-8 or 9
I - medial border, scapula
A - protraction
N - long thoracic
Levator Scapulae OIAN
O - C1-C4
I - superior vertebral border, scapula
A - elevate scapula
N - dorsal scapular
Rhomboid minor OIAN
O - C7-T1
I - vertebral border of scapula
A - retract scapula
N - dorsal scapular
Rhomboid major OIAN
O - T2-T6
I - vertebral border of scapula
A - retract scapula
N - dorsal scapula
Muscles that move the shoulder originate and insert where
Originate on spine/ribs/sternum/clavicle - insert on humerus
Describe the rotator cuff
- 4 muscles
- Stabilises the glenohumeral joint by compressing the humeral head against the glenoid
- A group of muscles and tendons that surround the shoulder joint, keeping the head of the upper arm bone firmly within the shallow socket of the shoulder
- Like a ligament
Individually they rotate humerus
Supraspinatus OIAN
O - supraspinous fossa, scapula
I - greater tubercle, humerus
A - abducts shoulder
N - suprascapular nerve
Deltoid OIAN
O - clavicle, acromion & scapula
I - humerus
A - anterior flex - posterior extend - ALL TOGETHER abduct
N - axillary
Latissimus Dorsi OIAN
O - T9-L5, posterior iliac crest
I - intertubercular groove, humerus
A - extension of shoulder
N - thoracodorsal
Teres major OIAN
O - inferior angle, scapula
I - medial lip intertubercular groove, humerus
A - shoulder abduction, medial rotation
N - lower subscapular
Triceps OIAN
O - infraglenoid tubercle, scapula
I - olecranon, ulna
A - shoulder abduction
N - radial
Pectoralis major OIAN
O - ribs, sternum, clavicle
I - greater tubercle, humerus
A - shoulder abduction, flexes shoulder
N - pectoral nerves
Coracobrachialis OIAN
O - coracoid process (scapula)
I - shaft, humerus
A - flexes shoulder
N - musculocutaneous
Biceps OIAN
O - supraglenoid tubercle (long head) coracoid process (short)
I - radial tuberosity
A - flexes shoulder
N - musculocutaneous
What muscles rotate the shoulder?
Internal/medial rotation
- Subscapularis
- Pectorlais major
- Latissimus dorsi
- Teres major
External/lateral rotation
- Infraspinatus
Teres minor
Describe the elbow joint
- Synovial hinge joint
- Humerus, radius & ulna bones
ROM 0 degress extension and 150 degrees flexion
- Humerus, radius & ulna bones
Briefly describe the ligaments of the elbow
LATERALLY: radial/lateral collateral ligaments
MEDIALLY: ulnar/medial collateral ligaments
What does the ‘carrying angle’ refer to?
Refers to the acute angle made by the median axis of arm and median axis of forearm in full extension and supination
Where is the cubital fossa and what passes through it?
At the posterior elbow. Ulnar nerve passes through
Triceps brachii OIAN
O - long head - lateral border of scapula. Lateral head - lateral shaft, humerus. Short head - posterior shaft, humerus.
I - olecranon process
A - elbow extension
N - radial
Bicesp OIAN
O - long head - supraglenoid tubercle. Short head - coracoid.
I - radial tuberosity
A - elbow flexion
N - musculoskeletal nerve
Brachialis OIAN
O - anterior shaft, humerus
I - proximal ulna
A - elbow flexion
N - musculoskeletal nerve
Brachioradialis OIAN
O - distal, lateral humerus
I - radial tubercle
A - elbow flexor
N - radial nerve
Supinator OIAN
O - lateral, proximal radius
I - medial, proximal, posterior ulna
A - supinate the forearm
N - radial
Pronator teres OIAN
O - meidal epicondyle humerus and proximal ulna
I - lateral, mid-shaft, radius
A - pronate the forearm
N - median nerve
Pronator quadratus OIAN
O - anterior, distal ulna
I - anterior, distal, radius
A - pronate the forearm
N - median nerve
Describe the wrist joint
- Synovial joint
- 2 rows of carpal bones - proximal & distal
- 8 carpal bones
- Carpometacarpal joint
- Midcarpal joint
- Radiocarpal joint
Where is the carpal tunnel and what passes through it?
In the wrist.
Median nerve and flexor tendons pass through.
Flexor carpi ulnaris OIAN
O - medial epicondyle, humerus
I - pisiform, base of 5th metacarpal
A - wrist flexion
N - ulnar nerve
Flexor carpi radialis OIAN
O - medial epicondyle, humerus
I - base of 2nd and 3rd metacarpal
A - wrist flexion
N - median nerve
Palmaris longus OIAN
O - medial epicondyle, humerus
I - base of 3rd and 4th metacarpal
A - wrist flexion
N - median nerve
Flexor digitorum superficialis OIAN
O - medial epicondyle, humerus, ulna & radius
I - middle phalanges, digits 2-5
A - flex digits
N - median nerve
Flexor digitorum profundus OIAN
O - anterior ulna, interosseus membrane
I - distal phalanges, digits 2-5
A - flex digits
N - median & ulna nerve
Flexor pollicis longus OIAN
O - anterior radius, interosseus membrane
I - distal phalanx, thumb
A - flex digits
N - median (***runs through carpal tunnel)
Extensor carpi radialis longus OIAN
O - lateral epicondyle
I - 2nd metacarpal
A - wrist extension
N - radial nerve
Extensor carpi radialis brevis OIAN
O - lateral epicondyle
I - 3rd metacarpal
A - wrist extension
N - radial nerve
Extensor carpi ulnaris OIAN
O - lateral epicondyle
I - 5th metacarpal
A - wrist extension
N - radial nerve
Extensor digitorum OIAN
O - lateral epicondyle
I - extensor expansions, four fingers
A - extend fingers
N - radial nerve
Abductor pollicis longus OIAN
O - ulna and radius
I - 1t metacarpal
A - extend thumb
N - radial nerve
Extensor pollicis brevis OIAN
O - radius
I - proximal phalanx
A - extend thumb
N - radial nerve
Extensor pollicis longus OIAN
O - ulna
I - distal phalanx
A - extend thumb
N - radial nerve
Describe proximal and distal with example
Used to describe which tibiofibular joint is which (proximal is tibiofibular joint closest to knee and distal is the joint at that ankle)
Describe superior & inferior with example
- applies to the head, neck and trunk
- superior ‘above’
- inferior ‘below’
e.g. Anterior superior iliac spine and the anterior inferior iliac spine
Describe the 3 planes
Transverse/horizontal
- Divides into superior and inferior
Frontal/coronal
- Divides into anterior and posterior
Sagittal
Divides into left and right
Bone function?
- Support
- Storage of minerals and lipids
- Protection
- Blood cell production (bone marrow)
- Leverage
What are the elements of a joint?
- joint capsule
- synovial membrane
- synovial fluid
- hyaline cartilage
Synovial membrane function
Good blood supply and produces the synovial fluid
Synovial fluid function
Lubricates the two bones articulating. Doesn’t always stay where it is, the synovial membrane reabsorbs, uses, and recreates new and fresh fluid to keep joints alive.
Hyaline cartilage function
Very strong and happy for contact and weight bearing. Bones don’t like weight bearing but cartilage does. 1000x smoother than glass so happy to move along cartilage.
What are the 3 types of muscles and their functions?
CARDIAC muscle
- Regulated by the hearts pacemaker
- Not voluntary
SMOOTH muscle
- In arteries, digestive and urinary tract
- Not voluntary
SKELETAL muscle
- Produces skeletal movement
- Pulls on bones to allow movement
- Can store protein and energy
- Can guard and regulate entrances of body
- Maintains a persons posture
What are prime movers?
The muscles that perform the intended motions
What are antagonists?
Muscles that perform the opposite motions to the prime mover. They lengthen while the prime mover shortens/contracts.
Distinguish the difference between eccentric, concentric and isometric
Concentric muscle gets shorter as it moves the body part. Gets shorter to resist gravity and/or weight.
Eccentric muscle allows itself to get longer.
Isometric muscle stays the same length.