Pectoral region & Shoulder Flashcards

1
Q

Sternoclavicular joint(articular components and joint type)

A

Sternal ends of the clavicle and manubrium of sternum

Joint type: Modifies saddle type synovial joint

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2
Q

Sternoclavicular joint (associated structures and movement)

A

Fibrocartilage disc
Movement:elevation/depression
protraction/retraction

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3
Q

Acromioclavicular joint (articular components and joint type)

A

Acromial end of the clavicle and acromion process of scapula

Joint type: Plane type synovial joint

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4
Q

Acromioclavicular joint (associated structures and movement)

A

Fibrocartilage disc

Movement: gliding between clavicle

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5
Q

Glenohumeral joint (articular components and joint type)

A

Humeral head and glenoid fossa

Joint type: ball and socket synovial

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6
Q

Glenohumeral joint(movement and features)

A

Felxion/extension
abduction/adduction
internal and external rotation
Glenoid fossa is 1/3 the size of the humeral head
Both non-contractile and contractile structures enhance stability

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7
Q

what are the non-contractile structures of the glenohumeral joint?

A
  • coracoacromial ligament
  • glenohumeral ligaments
  • glenoid labrum
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8
Q

what are the contractile structures of the glenohumeral joint?

A

muscles of the rotator cuff

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9
Q

What is the coracoacromial arch formed by?

A

smooth inferior aspect of the acromion and the coracoid processof the scapula with the corcoacromial ligament

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10
Q

What is the function of the coracoacromial arch/ligament?

A

To prevent superior humeral displacement from the glenoid cavity

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11
Q

Glenoid labrum

A

Fibrocartilaginous ring
attaches to the margins of the glenoid fossa
deepens the cavity

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12
Q

scapulothoracic joint(definition)

A

The physiological joint between the scapula and the thoracic wall

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13
Q

what movements happen at the scapulothoracic joint?

A

Elevation/depression

rotation, protraction/retraction

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14
Q

What happens in shoulder abduction that allows it to work properly?

A

During full abduction of the arm we have to laterally rotate our humerus to move the greater tuberosity out of the way

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15
Q

scapulohumeral rhythum

A

The glenohumeral joint doesn’t account for all the movement of the humerus.
So from 0-30 degrees it is solely the glenohumeral joint
from 30-180 the scapula moves to givei ti more motion at a 2:1 Glenohumeral/scapulothoracic movement

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16
Q

Trapezius muscle(attachments)

A

Superior nuchal line, external occipital protuberance, spinous process of C7-T12
-scapula spine, acromion, lateral 1/3 clavicle

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17
Q

Trapezius muscle(action)

A

Upper: elevates and upwardly rotates scapula

middle: adducts scapula
lower: depresses and upwardly rotates scapula

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18
Q

Trapezius muscle(innervation)

A

CN XI, C3, C4

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19
Q

latissimus dorsi muscle(attachments)

A

spinous process T7-T12, iliac crest, ribs 9-12

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20
Q

latissimus dorsi muscle (action)

A

Shoulder extension, adduction and internal rotation

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21
Q

latissimus dorsi(innervation)

A

Thoracodorsal nerve

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22
Q

Levator scapulae muscle(attachments)

A

transverse process of C1-C4

superior border of scapula

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23
Q

levator scapulae muscle(action)

A

elevates and downwardly rotates scapula

24
Q

levator scapulae (innervation)

A

dorsal scapular nerve(C5)

25
Q

rhomboid minor (attachments)

A

Spinous process C7-T1

medial scapular border at the level of root of the scapular spine

26
Q

Rhomboid major(attachments)

A

spinous process T2-T5

medial scapular border from the level of spine to inferior angle

27
Q

Rhomboid major and minor (action)

A

adducts/retracts and downwardly rotates scapula

28
Q

Rhomboid major and minor (innervation)

A

dorsal scapular nerve

29
Q

Pectoralis major(attachment)

A

CLavucular head: medial half of the clavicle
sternocostal head: anterior sternum, upper six costal cartilages
intertubercular groove of the humerus

30
Q

Pectoralis major (action)

A

adducts and medially rotates humerus

31
Q

Pectoralis major(innervation)

A

Lateral and medial pectoral nerves

32
Q

Pectoralis minor(attachment,action and innervation)

A

Ribs 3-5
corocoid process of the scapula
Action: stabilizes scapula
innervation: medial pectoral nerve

33
Q

Serratus anterior(attachment)

A

external surface of lateral parts of ribs 1-8

anterior surface of medial border of the scapula

34
Q

Serratus anterior (action)

A

protracts & upwardly rotates the scapula, holds scapula against thoracic wall

35
Q

serratus anterior( innervation)

A

Long thoracic nerve

36
Q

Subclavius(attachment)

A

junction of first rib and costal cartilage

inferior surface of medal third of clavicle

37
Q

subclavius(action)

A

anchors and depresses clavicle

38
Q

subclavius(innervation)

A

nerve to subclavius

39
Q

coracobrachialis(attachment)

A

tip of coracoid process

medial, middle 1/3 of humerus

40
Q

coracobrachialis (action and innervation)

A

flex and adducts shoulder

-musculocutaneous nerve

41
Q

Deltoid muscle (attachment)

A

Scapula spine, acromion, lateral 1/3 clavicle

deltoid tuberosity of humerous

42
Q

deltoid muscle ( action)

A

Anterior: shoulder flexion

middle: should abduction
posterior: shoulder extension

43
Q

deltoid muscle (innervation)

A

axillary nerve

44
Q

teres major muscle(attachment)

A

inferior lateral aspect of posterior surface of scapula

medial lip of intertubercular groove of humerus

45
Q

teres major muscle(action)

A

shoulder medial/internal rotation

46
Q

teres major muscle(innervation)

A

lower subscapular nerve

47
Q

List the rotator cuff muscles.

A

Supraspinatus
infraspinatus
teres minor
subscapularis

48
Q

Supraspinatus muscle attachments

A

Supraspinous fossa

greater tubercle

49
Q

infraspinatus muscle attachments

A

infraspinous fossa

greater tubercle

50
Q

Teres minor muscle attachments

A

middle part of the lateral border of scapula

greater tubercle

51
Q

subscapularis muscle attachments

A

subscapular fossa

lesser tubercle

52
Q

Suprapinatus (action and innervation)

A

Shoulder abduction

suprascapular nerve

53
Q

infraspinatus (action and innervation)

A

shoulder lateral/ external rotation

54
Q

Teres minor (action and innervation)

A

Shoulder lateral/external rotation

axillary nerve

55
Q

Subscapularis (action and innervation)

A

shoulder medial/internal rotation

upper subscapular nerve and lower subscapular nerve

56
Q

what are the boundaries of the quadrangular space

A

Superior: Teres minor

inferior: teres major
medial: long head of triceps brachii
lateral: surgical neck of humerus

57
Q

What structures go through the quadrangular space?

A

Axillary nerve and posterior humeral circumflex