shoulder and arm living Flashcards

1
Q

what is the position of the scapula

A

LIES ON POSTERIOR AND LATERAL ASPECT OF CHEST

OVERLYING 2ND TO 7TH RIBS

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2
Q

what does the clavical connect

A

upper limb to axial skeleton

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3
Q

what is the difference between the medial 2/3 and lateral 1/3 of clavical

A

medial is convex anteriorly

lateral is concave anteriorly

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4
Q

what is the texture of superior and inferior surface of clavical

A

superior smooth - muscle only attached at ends

inferior rough - because of muscle attachments

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5
Q

what is in the subclavian groove of the clavical

A

subclavius muscle

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6
Q

what are the articulations of the clavical

A

medial end - sternum adn 1st cc

lateral - acromion

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7
Q

what is on the medial, anterior and lateral side of the humerus

A

medial - articular surface or head

lateral - greater tuberosity

anterior - lesser tuberosity

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8
Q

descibe the role and position of the capitulum

A

lateral

articulats with the radius in elbow flexion

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9
Q

what is the role of the trochlear and position

A

medial

articuates iwth ulna

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10
Q

what nerves does the humerous make contact with and how can they be damaged

A

axillary nerve -winds around surgical neck of humerus - damaged by shoulder disslocation

radial - runs in radial (spiral) groove and can be damaged in humoral shaft fractures

ulnar - runs posterior to medial epicondyle and is superficial - damaged in fractures and dislocations of elbow joint

median nerve - runs anterior to distal humerus - damaged in supracondylar fractures of the humerus and dislocaton of elbow joint

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11
Q

what is the relation of the great vessels and nerves to the clavical as they pass from neck to upper limb

A

go behind the convex medial aspect of clavical

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12
Q

palpate the subc;lavian artery pulse

A

above and behind medial end of clavical

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13
Q

palpate trunks of brachial plexus

A

cord like structurs in supraclavicular fossa

may cause discomfort

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14
Q

palpate the corocoid process

A

below the lateral 1/3 of clavical

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15
Q

what are the vertebral levels related to the scapula

A

superior angle of scapula - t2

medial end of scap spine - t3

inferior angle of scap - t7

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16
Q

test teh scm

A

turn head to R/L against reisitance

nerve spinal accessory CN11, C3 and 4

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17
Q

tets the trapezius

A

raise both shoulders against resistance

nerve - CN11 and C3 4

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18
Q

test poec major

A

adduct the abducted arm against resistance

nerves - lateral and medial pectoral c5-T1

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19
Q

test srratus anterior

A

both arms of subject is outstretched with palms against wall and pt asked to push stringly

nerve - long thoracic c5 6

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20
Q

test terus major

A

adduct arm against resistance

see and palpate muscle in posterior axillary fold

nerve - lower subscapular c5 6

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21
Q

test latissimus dorsi

A

abduct arm to 90degrees then adduct against resistance

nerve - thoraco dorsal c6 7 8

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22
Q

anterior axillary fold

A

pec major (sternocostal head)

23
Q

posterior axillary fold

A

latissimus dorsi and terus major

24
Q

test deltoid

A

abduct upper arm against resistance

nerve c5 6

25
Q

what is the process for testing muscle function

A

ask subject ot bring about movement that woudl casue muscle to contract while examiner resists the movement - making muscle stand out and readily palpable

26
Q

how do you test the biceps

A

flex the elbow while the exminer applies apposing force against the flexion

27
Q

What joints can flex or extend *

A

shoulder

elbow

wrist

digits/hand

28
Q

what is abduction

A

moving the distal part away from the midline in the coronal plane

midline of hand is middle finger

midline of foot is second toe

29
Q

what joints can do abduction *

A

shoulder

wrist

digits/hand

30
Q

what is adduction

A

moving distal part towards midline in coronal plane

31
Q

what joints can adduct *

A

shoulder

wrist

hand/limb

32
Q

what is rotation

A

revolving a body part along its longitudinal axis

33
Q

what joint can do rotation *

A

upper limb

34
Q

what is internal (medial) rotation

A

bringing the anterior surface of a body part closer to the midline

35
Q

what is external (lateral) rotation *

A

taking the anterior surface of the body part away from the midline

36
Q

what can do internal and external rotation *

A

upper limb

37
Q

what is circumduction *

A

a combination of flexion/extension and abduction/adduction so that distal part of upper limb moves in a circle

38
Q

what does circumduction *

A

upper limb at shoulder joint

39
Q

what is opposition

A

bringing the pad of the thumb towards the pad of another digit

40
Q

what can do opposition

A

thumb adn any digit on same hand

41
Q

what is protraction

A

an anterior movement of body part

42
Q

what is retraction

A

a posterior movement of a body part

43
Q

what does protraction and retraction

A

scapular on thoracic wall

44
Q

what is elevation

A

movement of a body part superiorly

45
Q

what is depression

A

movement of body part inferiorly

46
Q

what can be elevated or depressed

A

shoulder

47
Q

what is pronation

A

rotation of forearm along its axis so palm faces posteriorly

48
Q

what is supination

A

rotation of the forearm along its axis so that the palm faces anteriorly

49
Q

what can do pronation and supination

A

forearm and hand at radio-ulnar joint

50
Q

what is a prime mover

A

also called an agonist

it is the main muscle for producing a specific movement of a body part

51
Q

what is the auscultation triangle

A

area between latissimus dorsi and scapular

52
Q

where is the lateral angle of scap

A

abstract point at glenoid fossa

53
Q

what does the conoid tubercle do

A

attaches ligaments