Post Shoulder Flashcards

1
Q

main functions of the rotator cuff muscles

A
  • holding/steadying humeral head in glenoid cavity

- maintaining it in suitable apposition to glenoid cavity

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2
Q

what do tendons of the rotator muscles combine to make on the humerus

A

tendons blend with and reinforce fibrous capsul of shoulder jt.

(protects joint and gives it stability)

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3
Q

where is the capsular attachment on the huerus

A

anatomical neck of lesser tubercle and goes to lowesr point of surgical neck and will travel over supraspiatus attachment

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4
Q

on the post surface of humerus what attaches on inf and middle facet

A

inf- teres minor

middle- infraspinatus

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5
Q

during the initial stages of abduction rotor cuff muscles counteract what

A

counteract strong upward pull of deltoid which would cause humeral head to slide up

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6
Q

what resists the tendency for the humeral head to be translated down wards in the glenoid cavity

A

supraspinatus (not delt)

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7
Q

when there is a rupsture of the supraspinatus tendon what will happen to associated bursae

A

Subacromial bursa distended with inflammatory fluid into subdelt bursa

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8
Q

what does the suprascapular artery and vein run over and what does it supplu

A

run over the superior transverse scap ligament

-supply supraspinatus, infraspinatus and shoulder jt.

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9
Q

what space does the axillary nerve travel through to get to the post shoudler

A

quadrangular space

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10
Q

what travels thru medial triangular space and what does it form

A

circumflex scapular artery forming astemosis

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11
Q

what runs through the lat triangular space a+v

A

radial n and deep brachial artery (supplys blood supply for radial)

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12
Q

blood supply for axillary n

A

post circumflex

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13
Q

blood supply for suprascap n

A

circumflex scapular artery

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14
Q

where should you not do cupping theraoy

A

dorsal scapula due to astemosis

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15
Q

what arteries make scapular arterial astemoses (5)

A
  • Scapular A
  • Dorsal scapular A
  • Subscapular
  • Circumflex scapular
  • Thoracodorsal
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16
Q

how to test the supraspinatus injury

A

patient asked to lower arm slowly and smoothly from 90degrees

+ test is immediate drom of arm

17
Q

at what degree of abduction are you testing for subacromical and subdelt bursitis

A

60-120 (pain in this range)

18
Q

how can you injure the axillary n

A
  • fracture of surgical neck of humerus
  • disloaction of GH j
  • compression from crutches
19
Q

motor and sensory defects if axillary n is affected

A

Atrophy of the delt

-loss of sensation over lateral sup part of arm (area supplied by sup lat cutaneous n of arm)