Shoulder Flashcards
joints of the shoulder
glenohumeral joint, acromioclavicular joint, sternoclavicular joint, scapulothoracic joint
glenohumeral joint (GH)
between glenoid cavity and head of humerus
acromioclavicular joint (AC)
acromial end of clavicle and acromion of scapula
sternoclavicular joint (SC)
sternal end of clavicle and sternal notch of sternum
scapulothoracic joint (ST)
between scapula and thorax (“false joint” - actions are the result of AC and SC joints)
joints of the shoulder complex are _____ joints
synovial
subscapular bursa
between tendon of subscapularis muscle and neck of scapula; articulates with cavity of glenohumeral joint
subacromial (subdeltoid) bursa
between deltoid muscle, supraspinatous tendon, and glenohumeral capsule; does not articulate with cavity of shoulder; facilitates movement of deltoid muscle over joint capsule and supraspinatous tendon under coraco-acromial arch
pectoral fascia
attaches to clavicle and sternum; goes into pec major; extends laterally as axillary fascia; continues inferiorly with fascia of abdominal wall
clavipectoral fascia
goes into subclavius muscle and pec minor; continues superiorly as costocoracoid membrane
fascia of the arm
brachial fascia; medial and lateral intermuscular septa
brachial fascia
sleeve of deep fascia around arm; continuous with antebrachial fascia of forearm
medial and lateral intermuscular septa
extend from deep surface of brachial fascia to humerus; divide arm into anterior and posterior compartment
glenohumeral joint capsular ligaments
superior glenohumeral ligament, middle glenohumeral ligament, inferior glenohumeral ligament
What motions occur at the scapula?
abduction, adduction, elevation, depression, upward/lateral rotation, downward/medial rotation, protraction/retraction**
** combination of scapular abd/add, upward/downward rotation, and elevation/depression
muscles that abduct the scapula
serratus anterior - upper fibers, pec minor
muscles that adduct the scapula
middle trapezius, rhomboids
muscles that elevate the scapula
upper trapezius, rhomboids, levator scapula, serratus anterior - upper fibers
muscles that depress the scapula
lower trapezius, serratus anterior
muscles that upwardly rotate the scapula
upper trapezius, lower trapezius, serratus anterior
muscles that downwardly rotate the scapula
rhomboids, levator scapula, pec minor
muscles that abduct the shoulder
deltoid, supraspinatus, biceps brachii
muscles that adduct the shoulder
lattisimus dorsi, teres major, coracobrachialis, pec major, triceps brachii
muscles that flex the shoulder
anterior deltoid, pec major, biceps brachii, coracobrachialis
muscles that extend the shoulder
posterior deltoid, teres major, latissimus dorsi, triceps brachii
muscles that internally or medially rotate the shoulder
anterior deltoid, latissimus dorsi, teres major, subscapularis, pectoralis major
muscles that externally or laterally rotate the shoulder
posterior deltoid, supraspinatus, infraspinatus, teres minor
muscles that horizontally abduct the shoulder
posterior deltoid
muscles that horizontally adduct the shoulder
pectoralis major, anterior deltoid
trapezius muscle has 3 parts: _____
upper, middle, lower