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
What goes through the triangular space?
Circumflex scapular artery
26
Quadrangular space (boundaries)
Teres major Teres minor Shaft of humerus Long head of triceps
27
What goes through the triangular space?
Axillary nerve Posterior circumflex humeral artery
28
Triangular interval (boundaries)
Teres minor Shaft of humerus Long head of triceps
29
What goes through the triangular interval?
Deep brachial artery Radial nerve
30
Locations of suprascapular artery and nerve in rotator cuff
Suprascapular artery is superior (over) the transverse scapular ligament Suprascapular nerve goes under the transverse scapular ligament
31
Route of suprascapular artery and nerve
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
Supraspinatus is involved as a syngerist to the ___ in ___ at shoulder
Synergist to deltoid in abduction at shoulder
33
Initial phase of abducitng arm (0-60 degrees)
Supraspinatus and deltoid muscles
34
Second phase of abducting arm (60-120 degrees)
Supraspinatus and deltoid maintain contraction Upper trapezius and lower serratus anterior rotate shoulder point upward
35
Final phase of abducting arm (120-180 degrees)
Spinal cord curves to the opposite side to allow the arm to be raised completely overhead
36
Damage to supraspinatus tendon
Rotator cuff tear
37
Tendons of the rotator cuff muscles
Supraspinatus tendon Infraspinatus tendon Teres minor tendon Tendon of long head of biceps Subscapularis tendon
38
Ligaments that stabilize the gelnohumeral joint + strongest
Superior glenohumeral ligament Middle glenohumeral ligament Inferior glenohumeral ligament Inferior = strongest
39
Functions of gelnohumeral ligaments
Resist abduction and lateral (external) rotation
40
Innervation of A/C joint
Suprascapular joint innervatoin Some contribution from lateral pectoral nerve
41
What two mechanisms hold the head of the humerus into the glenoid fossa
Passive Process Active process
42
Passive process
Ligaments physically hold in the shoulder joint
43
Active processes
Rotator cuff muscles are all active in holding head of humerus on the joint
44
Glenoid labrum is weakest in
Anterior superior area
45
Glenoid labrum is strongest
Inferior anterior area
46
Scapular anastamosis arteries
Transverse cervical Dorsal scapular Suprascapular Circumflex scapular Circumflex humeral
47
Shoulder dislocation
Glenohumeral joint