Shoulder Girdle Flashcards
Why is the shoulder referred to as shoulder girdle?
It is a complete set of joints
What is the commonly known joint most referred to as the shoulder?
Glenoidhumoral joint
What is the Elbow joint actually, not a joint but a what?
elbow complex
What are the four bones that make up the shoulder girdle?
Scapula, Clavicle, Humerus, Rib cage
What determines the type of joint?
the attached connective tissue on the joint
How many true joints are there for the shoulder girdle?
three
What are the three True joints of the shoulder girdle?
1- Sternoclavicular Joint
2- Acromioclavicular Joint
3- Glenohumeral Joint
Synarthrosis is also known as what joint?
Fibrous Joints
remember SAD
SYN (fibrous) AMPH (cartilaginous) DIARTH (synovial)
How many functional joints are there related to the shoulder girdle?
three
What is the function of Scapulo-thoracic Joint of the shoulder girdle?
Important for shoulder stability and shoulder structure
Name the three functional joints of the shoulder girdle
1- Scapulo-thoracic Joint
2- Supra-humeral/ Sub-acromial Space
3- Long head of biceps within the bicipital groove
What is the structures that hold the Scapular to the Thorax in the Scapulo-thoracic joint?
Subscapularis, Serratus Anterior, Rhomboid Major, Rhomboid Minor
Supra-humeral/Sub-acromial Space is located where?
In between the Acromion process and the head of the humerus
Why is it important to maintain the suprahumeral/subacromial space?
It houses the tendons of Infraspinatis, Supraspinatis, Long head of the Biceps brachii, and Subacromial Bursa
What is the condition when the Subacromial/ Suprahumeral space is compromised?
Glenohumeral Impingment
What might be the implication of the humeral head riding up and impinging the subacromial/suprahumeral space?
Rotator cuff tear and make contact with the rotator cuff
What happens if the humeral head makes constant contact with the acromion?
Bone spur due to Wolff’s Law or Osteoblastic activity
What is located in the Bicpital groove?
Long head of the biceps brachii
What is the Medial border of the scapular also known as?
Vertebral border
What is the Lateral border of the scapular also known as?
Axillary border
Inferior angle of the scapular is at what level?
T7 spinous process
Superior angle of the scapular is at what level?
T2 spinous process
The subscapular fossa houses what?
Is the origin of the subscapularis muscle
Clavicle medially is what convex or concave?
Convex anteriorly
Clavicle laterally is what convex or concave?
Concave anteriorly
How is the Coracoid process of the scapular oriented?
Anterior and Laterally
What nerve travels through the suprascapular notch of the scapular?
suprascapular nerve
What does the Suprascapular nerve innervate?
Supraspinatis and Infraspinatis muscles
What does the Suprasapular nerve dive under right before innervating the two posterior scapular muscles?
Acromion process
The Oval glenoid fossa and Humeral head is what ratio in size?
1:3 ratio Humeral head being much larger
What sort of joint is the Glenoid-humeral Joint?
Synovial joint with hyaline cartilage on the articulating surfaces
What is the bump on the apex of the Glenoidhumeral joint?
Supraglenoid tubercle
What attaches to the supraglenoid tubercle?
Origin point Long head of the biceps brachii
Where is the infraglenoid tubercle located?
outside the glenoid fossa just inferior to the fossa
What attaches to the infraglenoid tubercle?
origin point for Long head of the triceps brachii
What is the medial and lateral portion of the clavicle called?
Sternal end and acromional end
On the lateral size of the clavicle what are the two bumps called?
Trapezoid tubercle and Conoid tubercle
What attaches to the Trapezoid and Conoid tubercle?
Trapezoid and Conoid Ligament
Collectively what is the Trapezoid and Conoid Ligament called?
Coracoclevicular ligament
What ends at the anatomical neck of the humerus?
articular cartilage of the hyaline cartilage on the humeral head
Where does the surgical neck of the humerus get it’s name?
Location of surgery due to a fracture there mostly a ORIF
What nerve and artery is attached to or around the surgical humeral neck?
Axillary nerve and posterior post humeral artery
Where is the Intertubercular groove aka Bicipital groove located?
Anterior surface in between the Greater tubercle and lesser tubercle
Where is the greater tubercle located?
Lateral and distal aspect of the humerus
Where is the lesser tubercle located?
Medial and distal aspect of the humerus
How many of the Rotator cuff muscles attach to the greater tubercle? and what?
three. Teres minor, Supraspinalus, Infraspinalus
What is the ridge of bones just inferior to the Greater Tubercle called?
Lateral lip of the bicipital groove or Crest of the Greater tubercle
How many of the Rotator cuff muscles attach to the lesser tubercle? and what?
one. Subscapularis
What inserts into the Lateral lip of the bicipital groove or Crest of the Greater tubercle?
Insertion point of pectoralis major. It isn’t on the Greater Tubercle!!! it’s in the larger space of the CREST of the greater tubercle. Distal, inferior, lateral to the tubercle
What inserts to the Medial lip of the bicipital groove or Crest of the Lesser tubercle?
Insertion point for Teres Major and Latissimus Dorsi. Also not on the Tubercle! on the crest
lateral aspect of 1/3 of the way down on the humerus, the roughened area is called the what?
Deltoid tuberosity, where the deltoid attaches
What is superficial to the Deltoid Tuberosity?
Subdeltoid Bursa where the deltoid actually attaches
Posterior aspect of the humerus running Medial to Lateral what is that groove called?
Musculospiral groove or Radial Groove
What runs in the musculospiral groove or radial groove?
Radial Nerve and deep brachial artery
What attaches just above the musculospiral/radial groove?
Lateral head of the triceps brachii attaches on the shaft of the humerus
What attaches just below the musculospiral/radial groove?
Medial head of the triceps brachii attaches on the shaft of the humerus
What is the widest portion of the distal humerus called?
Epicondyles, Medial and Lateral epicondyle
What resembles a spool of thread on the medial humerus?
Trochlea
What are the condyles function on the humerus?
articulating surfaces for ulna and radius
What is the bulbus spherical condyle on the lateral humerus is what?
Capitulum
On the humerus where is the olecronon fossa located?
in between the Capitulum and Trochlea on the posterior aspect
What goes into the Olecronon Fossa when you elbow extend?
Olecranon process of the Ulna
What is just superior to the Capitulum, an indentation
Radial Fossa
When you flex your elbow what fits into the Radial fossa?
The radial head
When you flex your elbow what fits into the Coranoid fossa?
The coranoid process of the ulna
What is the most superior and posterior aspect of the ulna called?
Olecranon process
What is the concavity of the anterior aspect of the ulna called?
Trochlear notch, where the humerus’ Trochlea fits into
What is just lateral and inferior to the trochlear notch?
Radial notch, where the head of the radius fits into
What is just distal of the Ulnar head?
Ulnar styloid process
What is the larger bulbous bump of your wrist medially?
Ulnar head
Is the Radial head superior or inferior?
Superior/proximal
What is the concavity at the head of the radius called?
Fovea
What is the thin inferior to the head of the radius called?
neck of the radius
What is the large bulbous portion inferior to the neck of the radius called?
Radial tuberosity
What inserts to the radial tuberosity?
insertion point for Biceps brachii
Which bone the most lateral bone in the forearm?
Radius
When you pronate and supinate which forearm bone moves?
The radius bone moves around the ulnar
What bones does all pronation and supination muscles attach to ?
Radius
On the Ulnar what is just inferior to the Trochlear notch?
Ulnar tuberosity
What muscles attaches to the Ulnar tuberosity?
Brachialis
What movement does the Brachialis produce?
Neither bc its not attached to the radius
What movement does the biceps brachii produce?
Supination of the forearm
What is the most distal portion of the radius, the projection?
Radial styloid process
What is the medial indentation of the radius called?
Ulnar notch
What fits into the Ulnar notch of the radius?
Ulnar head
The most inferior surface of the radius is for what?
Carpal articulation
Which two carpal bones will the Distal articulating surface of the radius articulate with?
Scaphoid and Lunate
What is the physical difference between posterior and anterior surface of the distal radius?
Anterior and concaved and flat where as the posterior portion is pointing out
What is the point of distal posterior of the radius called?
Dorsal tubercle or Lister’s Tubercle of the radius
What is relationship between a muscle to the Lister’s Tubercle or Dorsal tubercle?
Extensor Pollicus longus will loop around it and change direction