Pectoral Girdle, Shoulder, Arm Flashcards
What passes through the intertubercular groove?
The tendon of the biceps
What can regional tenderness of inter tubercular groove indicate?
Biceps tendon inflammation
Where is the coracoid process palpable?
Palpable below the lateral third of the clavicle
What is superior to the spine of the scapula?
Supraspinous fossa where the supraspinatus muscle attaches
What is inferior to the spine of the scapula?
Infraspinous fossa where the infraspinatus muscle attaches
What is the inferior angle of the scapula useful for?
Auscultation triangle (for lungs) sits medially to the inferior angle
What spinous processes do the superior and inferior angles of the scapula mark?
T2-T7 spinous processes
What spinous process does the medial spine of scapula mark?
T3 spinous process
What is the medial border of the scapula of an abducted upper limb useful for?
Approximates the position of the oblique lung fissure
What type of joint is the acromioclavicular joint?
Synovial plane joint. Dislocation possible
What type of joint is the sternoclavicular joint?
Synovial ball and socket joint. Dislocation rare
Why must sternoclavicular joint injection/aspiration take place under ultrasound guidance?
Could pierce apex of lungs, cause pneumothorax
What can cause clavicle fracture?
FOOSH (fall onto an outstretched hand) or fall onto the lateral shoulder
What ligaments support the acromioclavicular joint?
Coracoclavicular ligaments (trapezoid and conoid)
What is the only joint between the upper limb and axial skeleton? and what is it supported by?
Sternoclavicular joint - it is supported by the costoclavicular ligament.
How can the coracoclavicular ligaments be torn?
Can be torn by AC joint dislocation
What does the coracoacromial ligament do?
Supports the shoulder joint superiorly
How can the coracoacromial ligament be damaged?
Can be ruptured by superiorly directed forces.
Can impinge supraspinatus/subacromial bursa
What is the order of frequency of fractures of the clavicle?
middle 1/3 > lateral 1/3 > medial 1/3
What can happen to the separated parts of the clavicle following a fracture?
The separated parts of the clavicle move in opposite directions due to muscle contraction and gravity
What structure is at risk if the surgical neck of humerus is fractured?
Axillary nerve
What structures are at risk in mid-shaft humerus fractures?
Radial nerve and profunda brachii artery