Scapular Region Flashcards

1
Q

What muscle attaches to the strenal end of the clavicle?

A

Pectoralis major

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2
Q

What muscles attach to the lateral end of the clavicle?

A

Trapezius

Deltoid

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3
Q

What is the only bone connecting the shoulder with the axial skeleton

A

Clavicle

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4
Q

What joint is the center of movement for the shoulder?

A

Sternoclavicular joint

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5
Q

Components of the sternoclavicular joint?

A

Articular disc

Interclavicular ligament

Anterior sternoclavicular ligament

Costoclavicular ligament

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6
Q

Shoulder separation

A

Acromioclavicular joint

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7
Q

When you have a fracture in the midshaft of the humerus, what nerve are you concerned about?

A

Radial nerve

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8
Q

When you have a fracture in the surgical neck of the humerus, what nerve are you concerned about?

A

Axillary nerve

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9
Q

A bursa is lined by

A

Synovial membrane

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10
Q

5 principle joints of the shoulder region

A

Subacromial joint

Acromioclavicular joint

Glenohumoral joint

Sternoclavicular joint

Scapulothoracic joint

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11
Q

Scapulothoracic joint lies between

A

Subscapularis and rib cage

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12
Q

Movements of the scapula include

A

Elevation and depression

Abduction and adduction

Lateral rotation of the inferior angle

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13
Q

Movements in the sternoclavicular joint

A

Elevation and depression of the shoulder

Protraction and retraction of the shoulder

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14
Q

The motion of the scapula is dependent on the motion of the

A

Clavicle

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15
Q

For every __ degrees of humeral motion, there is __ degree of ___ rotation

A

2 degrees of humeral motion

1 degree of scapular rotation

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16
Q

Movements of the shoulder joint

A

Flexion and extension

Abduction and adduction

Internal and external rotation

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17
Q

What happens when your shoulder dislocates?

A

The head of the humerus goes below the coracoid

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18
Q

Primary abductor of deltoid

A

Middle part

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19
Q

Function of anterior part of deltoid

A

Flexes and medially rotates arm

20
Q

Function of posterior part of deltoid

A

Extends and laterally rotates arm

21
Q

Rotator Cuff Muscles

A

Supraspinatus

Infraspinatus

Teres minor

Subscapularis

22
Q

Functions of rotator cuff muscles

A

Primary function: holds glenohumeral joint tightly in place with continual traction

23
Q

Which rotator cuff muscles insert on the greater tubercle?

A

Supraspinatus

Infraspinatus

Teres minor

24
Q

Triangular space (boundaries)

A

Teres major

Teres minor

Long head of triceps

25
Q

What goes through the triangular space?

A

Circumflex scapular artery

26
Q

Quadrangular space (boundaries)

A

Teres major

Teres minor

Shaft of humerus

Long head of triceps

27
Q

What goes through the triangular space?

A

Axillary nerve

Posterior circumflex humeral artery

28
Q

Triangular interval (boundaries)

A

Teres minor

Shaft of humerus

Long head of triceps

29
Q

What goes through the triangular interval?

A

Deep brachial artery

Radial nerve

30
Q

Locations of suprascapular artery and nerve in rotator cuff

A

Suprascapular artery is superior (over) the transverse scapular ligament

Suprascapular nerve goes under the transverse scapular ligament

31
Q

Route of suprascapular artery and nerve

A

Artery crosses superior to transverse scapular ligament. Nerve goes under it. They first supply the supraspinatus muscle

Artery and nerve cross lateral to the spine of the scapula

They then supply the infraspinatus

The artery goes on to supply the teres minor and anastamoses inferior to the scapula

32
Q

Supraspinatus is involved as a syngerist to the ___ in ___ at shoulder

A

Synergist to deltoid in abduction at shoulder

33
Q

Initial phase of abducitng arm (0-60 degrees)

A

Supraspinatus and deltoid muscles

34
Q

Second phase of abducting arm (60-120 degrees)

A

Supraspinatus and deltoid maintain contraction

Upper trapezius and lower serratus anterior rotate shoulder point upward

35
Q

Final phase of abducting arm (120-180 degrees)

A

Spinal cord curves to the opposite side to allow the arm to be raised completely overhead

36
Q

Damage to supraspinatus tendon

A

Rotator cuff tear

37
Q

Tendons of the rotator cuff muscles

A

Supraspinatus tendon

Infraspinatus tendon

Teres minor tendon

Tendon of long head of biceps

Subscapularis tendon

38
Q

Ligaments that stabilize the gelnohumeral joint + strongest

A

Superior glenohumeral ligament

Middle glenohumeral ligament

Inferior glenohumeral ligament

Inferior = strongest

39
Q

Functions of gelnohumeral ligaments

A

Resist abduction and lateral (external) rotation

40
Q

Innervation of A/C joint

A

Suprascapular joint innervatoin

Some contribution from lateral pectoral nerve

41
Q

What two mechanisms hold the head of the humerus into the glenoid fossa

A

Passive Process

Active process

42
Q

Passive process

A

Ligaments physically hold in the shoulder joint

43
Q

Active processes

A

Rotator cuff muscles are all active in holding head of humerus on the joint

44
Q

Glenoid labrum is weakest in

A

Anterior superior area

45
Q

Glenoid labrum is strongest

A

Inferior anterior area

46
Q

Scapular anastamosis arteries

A

Transverse cervical

Dorsal scapular

Suprascapular

Circumflex scapular

Circumflex humeral

47
Q

Shoulder dislocation

A

Glenohumeral joint