Shoulder Girdle And Joint Flashcards
Shoulder girdle (2 jts and 1 articulation)
Sternoclavicular joint
Acromial
Clavicle shape
S-shaped
. Triangular medically
Flat distal
Scapula
*Irregular bone
Sup/inf angle
Sup, med, and lat border
Scapular spine
Acromion
Sup/inf scap fossa
Suprascapular notch and greater scapular notch
Glenoid fossa
Supra- and infra- glenoid tubercle
Coracoid process
Subscapular fossa
Proximal humerus
spheric numeral head
Anatomic and surgical neck
Greater and lesser tubercles
Intertubercular sulcus/ bicipital groove
Lat and med lip of the intertobercular sulcus
Deltoid tuberosity
Radial groove
Sternoclavicular joint
Connection of the upper appendicular and axial skeleton
Superolateral manubrium au proximal clavicle saddle joint
Articular disc: fibrocartilage
Acromioclavicular joint
Planer joint
Medial acromial
Stop
Glenohumeral joint
Head of humerus + glenoid fossa
Glenoid fossa: lateral, superior, anterior
Numeral head: medial, superior, posterior
Fossa covers 1/4 - 1/3 of the head
Labrum
Sternoclavicular ligament
Anterior/posterior
Attaches med clavicle to manubrium
Conoid
Connects coracoid process to infolateral clavicle
Trapezoid ligament
Coracoacromial ligament
Coracohumeral
Superior
Inferior
Middle
Synovial fluid
Active dynamic stabilizers
Rotator cuffs
Biceps long head
Anterior inferior shoulder
Weak point b/c no muscles
Anteroinferior bankart lesion
Inferior gland and labrum tear
How likely is a second shoulder dislocation
80%
Scapular motions
Coronal plane
Transverse plane
Sagittal plane
Upper limb motions
Sagittal:
Coronal:
Transverse:
Other: circumduction, scoption
Brachial plexus
Roots: C5 - c8 and TI, ventral rami
Outlet: Scalene triangle
Plexus trunks
Superior (C5-C6)
Middle (C7)
Inferior (C8-T1)
Plexus cords
Posterior: all divisions
Lateral: anterior divisions from the superior and middle trunk
Medial:
Terminal branch from roots
C5 → phrenic nerve
Terminal branch from
Terminal branch from lateral cord
Terminal branches of posterior cord
Terminal branches of medial cord
Medial petoral nerve
Medial brachial and medial antebrachial cutaneous nerve
Root/branch to the median nerve
Ulnar nerve
Median nerve
Name change points of subclavian
Midpoint of clavicle → axillary artery
Upper limb fascia: deep fascia
Function: contain infection and hemorrhage
Condenses to form retinaculum, apoperosis, and ligaments
Trapezius: upper, middle, and lower
P:
D:
I:
B:
A:
Latissimus Dorsi
P: spinous process T6 -sacrum, thoracolumbar fascia, iliac crest, inf angle of scap, ribs 9-12
D: inter tubercular groove, lateral to terms major attachment
I: thoracodorsal nerve (middle/ long subscapular nerve, C6~C8)
B: subscapular artery
A: ir/add/ext of the shoulder, downward rotation of the scapula, expiration
Levator scapulae
P: Transverse prosses of the (C1-C4)
D: superior angle: twist of the distal tendons
I: dorsal scapular nerve (C4-C5)
B: dorsal scapular artery
A: elevation and downward rotation of the scapula
Rhomboids
P:
D:
I:
B:
A
Supraspinatus
P: suprasinatus fossa
D: greater
I:
B:
A:
Teres minor
P:
D:
I:
B:
A:
Teres major
P: lateral border of scapula (inf)
D: medial lip of the intertobercular sulcus
I: lower subscopular nerve
B:
A:
Triceps brachii
P: long head - infraglenoid tubercle; lateral head - posterior surface of the humeral shaft; medial head - posterior surface of the humeral head shaft and below radial nerve groove
D:
I:
B:
A:
Deltoid
P: distal clavide (ant head); acromion (middle head); scapular spine (post head)
D:
I:
B:
A:
Subclavius
P:
D:
I:
B:
A:
P:
D:
I:
B:
A:
Pec Major
P: clavicular head → medial clavicle; ternal and costal head
D:
I:
B:
A: ir/flx/add
Anterior muscles pneumonic
Pec minor
P:
D:
I:
B:
A:
Biceps brachii
P: long head - Supraglenoid tubercle; short head - coracoid process
D: radial tuberocity
I: musculocutaneous nerve (C5 - C6)
B: brachial artery
A:
Serratus anterior
P:
D:
I: long thoracic nerve
B: lateral thoracic and thoracodorsal arteries
A: protraction; hold snap to the thorax; upward rot of scap; elevation of ribs
** “windmill triad” :
Omohyoid
P:
D:
I:
B:
A:
Subscapularis
P: subscapular fossa
D: lesser tubercle
I:
B:
A:
Intermuscular spaces (3)
Quadrangular space
Triangular space
Triangular interval
Quadrangular space
Triangular space
Teres major/ minor / triceps long head
Circumflex scapular artery: anastomosis of subscopular ad suprascapular arteries
Triangular interval
Teres major/ triceps long head and the humerus
Radial nerve and brachial artery
UE neuromuscular impingement