Shoulder joint Flashcards

1
Q

What are the articular surfaces covered with

A

Hyaline cartilage

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2
Q

What deepens the glenoid fossa

A

Glenoid labrum

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3
Q

What increases stability of shoulder joint

A
Rotator cuff muscles, 
deltoid, 
long head of biceps brachii, 
long head of triceps brachii,
Ligaments,
Joint capsule
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4
Q

Where is the subacromial bursa

A

Inferior to deltoid and acromion

Superior to supraspinatus tendon and joint capsule

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5
Q

What movements does subacromial bursa facilitate

A

Supraspinatus tendon under coracoacromial arch,

Deltoid muscle over capsule and greater tubercle of humerus

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6
Q

Where is the subscapular bursa

A

Between subscapularis tendon and scapula

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7
Q

What movement does the subscapular bursa facilitate

A

Subscapularis tendon over scapula

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8
Q

Where is the coracoacromial ligament

A

Between acromion and coracoid process

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9
Q

Where is coracohumeral ligament

A

Attaches base of coracoid process to greater tubercle

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10
Q

Where is transverse humeral ligament

A

Attaches the tubercles of humerus

It holds the long head biceps tendon in Intertubercular groove during shoulder movement

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11
Q

Where are the superior, middle and inferior glenohumeral ligaments

A

Between glenoid labrum and humerus

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12
Q

What makes the coracoacromial arch

A

Coracoacromial ligament, acromion and coracoid process

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13
Q

What does the CAA prevent

A

Superior displacement of humeral head

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14
Q

Articulating surfaces at shoulder joint

A

Glenoid cavity of scapula

Head of humerus

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15
Q

How big is the gap between acromion and humerus head

A

1-1.5cm

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16
Q

What is in the gap between acromion and humerus head

A

Subacromial bursa,
rotator cuff tendons,
capsule,
long head tendon of biceps

17
Q

Arterial supply

A

Anterior and posterior circumflex humeral arteries,

Suprascapular artery

18
Q

Nervous supply

A

Axillary, Suprascapular and lateral pectoral nerves

Roots C5+ C6

19
Q

When are the axilllary nerve and posterior circumflex humeral artery vulnerable

A

Intramuscular injection into deltoid,
Surgical neck fracture,
Shoulder dislocation

20
Q

What occurs in painful arc syndrome

A

Inflammation of supraspinatus tendon/ subacromial bursa causes the supraspinatus tendon to rub under the CAA during abduction

21
Q

Predisposing factors for painful arc syndrome

A

Old age, certain anatomical differences, repetitive overuse, avascularity of supraspinatus tendon

22
Q

How are shoulder dislocations named

A

By position of humeral head in relation to infraglenoid tubercle

23
Q

How are anterior dislocations usually caused

A

Excessive extension and lateral rotation of humerus at shoulder

24
Q

What is associated with increased risk of future dislocations

A

Tearing of joint capsule and/or rotator cuff tendons

25
Q

What nerves can be damaged by shoulder dislocations

A

Most likely Axillary nerve

Can stretch radial nerve