Pectoral And Pelvic Girdles Flashcards

1
Q

What makes up hip bone

A

Ilium
Ischium
Pubis

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2
Q

Where does lateral flat end of clavicle articulate

A

With acrimonious

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3
Q

Where does quadrangular medial end articulate

A

With sternum of manubrium

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4
Q

How is the clavicle shaped

A

Rounded medial 1/3 convex anteriorly

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5
Q

Where are the borders of the scapula

A

Lateral border is outside nearest humerus

Medial border is nearest the other scapula

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6
Q

Angles of scapula

A

Superior inferior and lateral angles

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7
Q

Why is stenroclavicular joint strong

A

Disc that attaches to clavicle and manubrium and capsule adds great strength

Dislocation rare

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8
Q

Movement of acromioclavicular

A

Small range of gliding

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9
Q

What can happen to acromioclavicular joint

A

Can become arthritic and cause shoulder pain

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10
Q

What ligament supports acromioclavicular joint

A

Coracoacromial ligament superiorly

Conoid and trapezoid parts of coracoclavicular ligament (strongest) q

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11
Q

What ligaments support sternoclavixular joint

A

Costoclavicular ligament

Interclavicular ligament

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12
Q

What lies in the space between upper aspect of shoulder and overlying acromion,
Acromioclavicular joint and coracoacromial ligament

A

Subacromial bursa and the tendon of the supraspinatus muscle

Both susceptible to impingement from pathology such as arthritis in adjacent joints and repetitive strain injury

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13
Q

Where is gateway for pectoral girdle

A

Between clavicle, superior edge of scapula and first rib headed to axillary

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14
Q

What comes through pectoral gateway

A

Subclavian vessels continuing as axillary vessels

And trunks of the brachial nerve plexus

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15
Q

What ways do bones move in fractured clavicle

A

Lateral end inferior

Medial end superior

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16
Q

What are the concerns when faced with fractured clavicle

A

Close proximity to brachial plexus

Subclavian artery and vein

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17
Q

Where is obturator foramen of hip

A

Hope at pubis

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18
Q

Sacroiliac joint

A

Synovial anteriorly - supported by anterior sacro-iliac ligament

Fibrous posteriorly linked by interosseous membrane

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19
Q

Supporting ligaments of sacroiliac joint

A

Interosseous SI ligament continues as posterior SI ligament (pulles bones inwards)
Sacrospinous and sacrotuberous ligaments further support the SI joint and prevent sacrum tilting forward

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20
Q

What ligaments convert sciatic notches into greater and lesser sciatic foramen

A

Sacrospinous creates greater sciatic foramen

Sacrotuberous creates lesser sciatic foramen

Rotation is also prevented by these ligaments

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21
Q

Gateways into lower limb and bum

A

Greater sciatic foramen for sciatic nerve and gluteal NVB

obturator canal for obturator NVB

gap between inguinal ligament and pelvic bone for femoral nerve, artery and vein NVB

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22
Q

Where does sciatic nerve come from and go

A

Comes through greater sciatic foramen posteriorly and slides down inner posterior area of leg

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23
Q

Where can you put an intragluteal injection

A

Upper outer quadrant where hip bone top is

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24
Q

Where does sciatic nerve emerge at the butt

A

Inferior to piriformis and midway between ischia tuberosity and greater trochanter

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25
Movements of scapula
``` Elevation depression (shrug) Protraction and retraction Upward and downward rotation(abduct arm) ```
26
Serrated anterior attachments
Ribs 1-8 to Medial border scapula
27
What forms medial wall of axilla
Serratus anterior
28
What supplies serratus anterior
Long thoracic nerve
29
What causes winging of the scapula
Damage to long thoracic nerve
30
Trapezius is supplied by which nerve
Spinal accessory nerve (cranial nerve XI)
31
What does trapezius do
Elevates scapula (shrug) and retracts or braces shoulders backwards
32
Wing nut effect of trapezius
Upper fibres pull glenoid up Lower fibres pull medial spine down Assists serratus anterior in full abduction of upper limb
33
Attachments of trapezius
Skull, ligamentum nuchae and thoracic spines passing to lateral clavicle, acromion and spine of scapula
34
What supplies pectoralis major
Pectoral nerves
35
Attachment of pectoralis major
Clavicle head attaches to medial clavicle Sternocostal head attaches to upper 6 costal cartilages and adjacent sternum then both attach to lateral lip of intertubercular groove sulcus of humerus
36
What job of pectoralis major
Adduct and internally medially rotates the humerus
37
What part of the axilla does pectoralis major make
Anterior axillary fold
38
What supplies latissimus Doris
Thoracodorsal nerve
39
Attachment of latissimus Doris
Lower thoracic spines, iliolumbar fascia, Lowe ribs and iliac crest passing to flow to intertubercular groove - anterior aspect of humerus
40
What function does latissimus Doris do
Powerful adductor and internal rotator Extension of humerus
41
What part of the axilla does latissimus Dorsi make
Posterior axillary fold
42
Attachments of levstor scapulae
Transverse processes to superior, medial border of scapula
43
What does levator scapula do
Scapular elevation | Inferior rotation of the glenoid
44
Rhomboid minor and major attachments
Ligamentum nuchae and upper thoracic spines to medial border of scapula
45
Function of rhomboid major
Scapular retraction
46
What's the function of pectoralis major
Stabilises scapula by holding it down and against the thoracic wall
47
What does the subclavius do
Anchors the clavicle
48
What muscles pass from scapula and clavicle to humerus and only act upon shoulder joint
Deltoid Latissimus Dorsi Teres major
49
Attachments of teres major
Inferior angle of scapula and medial lip of intertubercular groove
50
Job of teres major
Adducts and internally rotates
51
Deltoid attaches
Clavicle, acromion and spine of scapula passing to Deloris tuberositt of humerus
52
Deltoid job
Lies behind to side and front of shoulder joint therefor extends, abducts and flexes it
53
4 muscles which arise from scapula and insert into capsule of shoulder joint and humerus (rotator cuff)
Supraspinatus Infraspinatus Teres minor Subscapularis
54
Job of infraspinatus
External rotation
55
Superspinatus job
Initiates abduction
56
Teres minor job
External rotation
57
Subscapularis job
Internal rotation
58
What muscles are crucial in keeping pelvis level when walking
Muscles that abduct the hip
59
What do muscles that pass from pelvis to femur anterior to hip do?
Flex the hip
60
What are the muscles that flex the hip?
Iliacus Psoas major (combine as lliopsias) Satorius Recurs femoris
61
What muscles make up iliopsoas?
Psoas major | Iliacus
62
Where does iliopsoas attach
Iliacus from ilium Psoas major from lumbar vertebrae Both attach to the Lesser trochanter of femur
63
Sartorial attaches
From anterior superior iliac spine to anteromedial surface of tibia
64
What happens following fracture of femoral neck
Axis of movement changes from hip joint to femoral shaft Iliopsoas pulls femoral neck proximal and externally rotates it Limb looks shortened and foot turns out
65
What do muscles that pass from pelvis to femur, tibia or fibula lying posterior to hip joint do? Back of leg?
They extend it Gluteus maximum Hamstrings
66
Attachments of gluteus maximum
Posterior ilium and sacrum | To femur and iliotibial tract
67
What does gluteus maximus do
Extends hip in running, standing from sitting and climbing stairs
68
What supplies gluteus maximus
Inferior gluteal nerves
69
Where does hamstrings attach
Ischial tuberosity to tibia and fibula
70
What does hamstrings do
Extends hip during walking
71
What supplies hamstrings
Sciatic nerve
72
What muscles cause abduction in leg?
Muscles which pass from pelvis to femur lateral to hip joint (outside) Trendelenburg gait Gluteus medius Gluteus minimums (deeper) Iliotibial tract
73
What muscles cause adduction of the hip/leg?
Muscles which pass from pelvis to femur or tibia medial to hip joint (inside of leg) ``` Pectineus Adductor longus Adductor brevis Adductor Magnus Gracilis ```
74
What muscles cause lateral foot rotation
Small muscles which pass from pelvis to femur lying close to and posterior to the hip joint (foot point forward when walking) Piriformis Obturator external and internus Superior and inferior gemelli Quadrator femoris
75
Attachments of gluteus medius and minimus
Attach to ilium and greater trochanter
76
What supplies gluteus medius and minimus
SUPERIOR gluteal nerves | Inferior supplies the maximus
77
Movement of gluteus medius and minimus?
Abducts the hip
78
What is the function of the iliotibial tract
Aids gluteus medius and minimus in hip abduction
79
Where does the pectineus attach
Pubis and pubic ramus | To lesser trochanter of femur
80
What does pectineus muscle do
Adduction of thigh at hip | Flexion of thigh at hip
81
What muscles are supplies by the obturator nerve
Muscles involved in adduction ``` Pectineus Adductor longus Adductor brevis Adductor Magnus Gracilis ```
82
Where do adductors longus brevis and Magnus of lower leg attach
Pubic bone to the femur
83
Where does gracilis muscle attach
Pubic bone to the tibia
84
Attachment of piriformis
Sacrum to greater trochanter of femur
85
Attachment of obturator external and internus
Externus obturator foramen to trochanter of femur Internus ischiopubic ramus to the greater trochanter
86
Where does superior and inferior gemelli attach
Superior ischium spine to obturator internus tendon Inferior ischial tuberosity to obturator internus tendon
87
Where does quadrator femoris attach
Ischial tuberosity to intertrochanter crest of femur
88
What muscles stabilise the hip joint
All involved in lateral rotation Piriformis Obturator externus and internus Superior and inferior gemelli Quadrator femoris
89
What is the nerve supply of piriformis
Piriformis nerve
90
What does the obturator nerve supply
Obturator externus Obturator internus Superior gemelli
91
What does the quadratus femoris nerve supply
Inferior gemelli | Quadratus femoris
92
What attaches to the iliotibial tract
Tensor fascia latae | Gluteus maximus
93
What keeps the pelvis level when walking
Abductors (with adductors) Gluteus medius, minimus and he iliotibial tract
94
What happens when the abductors are weak? Gluteus medius, minimus and iliotibial tract?
Causes trendelenburg gait lowering on one side when walking
95
What can cause trendelenburg gait
Weakened abductors due to direct injury or nerve injury during surgery or by effective shortening of the femoral neck
96
What is the job of lateral rotators
Stabilise joint and laterally rotate femur to keep foot pointing towards Medial rotation is weak movement usually causing by walking momentum but some of previous muscles can contribute