Pectoral And Pelvic Girdles Flashcards
What makes up hip bone
Ilium
Ischium
Pubis
Where does lateral flat end of clavicle articulate
With acrimonious
Where does quadrangular medial end articulate
With sternum of manubrium
How is the clavicle shaped
Rounded medial 1/3 convex anteriorly
Where are the borders of the scapula
Lateral border is outside nearest humerus
Medial border is nearest the other scapula
Angles of scapula
Superior inferior and lateral angles
Why is stenroclavicular joint strong
Disc that attaches to clavicle and manubrium and capsule adds great strength
Dislocation rare
Movement of acromioclavicular
Small range of gliding
What can happen to acromioclavicular joint
Can become arthritic and cause shoulder pain
What ligament supports acromioclavicular joint
Coracoacromial ligament superiorly
Conoid and trapezoid parts of coracoclavicular ligament (strongest) q
What ligaments support sternoclavixular joint
Costoclavicular ligament
Interclavicular ligament
What lies in the space between upper aspect of shoulder and overlying acromion,
Acromioclavicular joint and coracoacromial ligament
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
Where is gateway for pectoral girdle
Between clavicle, superior edge of scapula and first rib headed to axillary
What comes through pectoral gateway
Subclavian vessels continuing as axillary vessels
And trunks of the brachial nerve plexus
What ways do bones move in fractured clavicle
Lateral end inferior
Medial end superior
What are the concerns when faced with fractured clavicle
Close proximity to brachial plexus
Subclavian artery and vein
Where is obturator foramen of hip
Hope at pubis
Sacroiliac joint
Synovial anteriorly - supported by anterior sacro-iliac ligament
Fibrous posteriorly linked by interosseous membrane
Supporting ligaments of sacroiliac joint
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
What ligaments convert sciatic notches into greater and lesser sciatic foramen
Sacrospinous creates greater sciatic foramen
Sacrotuberous creates lesser sciatic foramen
Rotation is also prevented by these ligaments
Gateways into lower limb and bum
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
Where does sciatic nerve come from and go
Comes through greater sciatic foramen posteriorly and slides down inner posterior area of leg
Where can you put an intragluteal injection
Upper outer quadrant where hip bone top is
Where does sciatic nerve emerge at the butt
Inferior to piriformis and midway between ischia tuberosity and greater trochanter
Movements of scapula
Elevation depression (shrug) Protraction and retraction Upward and downward rotation(abduct arm)
Serrated anterior attachments
Ribs 1-8
to
Medial border scapula
What forms medial wall of axilla
Serratus anterior
What supplies serratus anterior
Long thoracic nerve
What causes winging of the scapula
Damage to long thoracic nerve
Trapezius is supplied by which nerve
Spinal accessory nerve (cranial nerve XI)
What does trapezius do
Elevates scapula (shrug) and retracts or braces shoulders backwards
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
Attachments of trapezius
Skull, ligamentum nuchae and thoracic spines passing to lateral clavicle, acromion and spine of scapula
What supplies pectoralis major
Pectoral nerves
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
What job of pectoralis major
Adduct and internally medially rotates the humerus
What part of the axilla does pectoralis major make
Anterior axillary fold
What supplies latissimus Doris
Thoracodorsal nerve