Shoulder Joints Flashcards
Scapulothoracic Joint bones & movements?
scapula + thoracic cage (not a true joint)
Movements:
1. protraction/retraction
2. elevation/ depression
3. upward & downward rotation
Scapulothoacic joint roles (4)?
- Moveable base for humerus = Increase ROM @ shoulder joint
- Helps deltoid function
- Provides glenohumeral stability for overhead work
- Absorbs shock to outstretched arms
Sternoclavicular joint articular surfaces and joint type?
BONES: sternum & clavicle
AS: sternal facet (clavicle) & manubrium
TYPE: modified saddle joint
Sternoclavicular movement with degrees?
- Elevation = 60
- Depression = 5-10
- Protraction = 25-30
- Retraction = 25-30
- Rotation = 30
Ligaments at sternoclavicular joint (3)?
- Sternoclavicular ligament: reinforce joint capsule front & back
- Interclavicular ligament: reinforce joint superiorly
- Costaclavicular ligament: anchors clavicle to 1st rib
Acromioclavicular joint articular surfaces, joint type and movements?
AS: acromial facet (lateral clavicle) & acromion
TYPE: planar synovial
MOVEMENTS: slide & glide
** moves as a result of scapular movement
Acromioclavicular joint ligaments (3)?
- Acromioclavicular ligament: strong fibrous band, reinforces superior aspect.
- Trapezoid ligament: coracoid process (scapula) to trapezoid (clavicle)
- Conoid ligament: coracoid process (scapula) to conoid tubercle (clavicle)
> > > Conoid & trapezoid = CORACOCLAVICULAR LIGAMENT = anchor lateral end of clavicle & prevent superior dislocation
Glenohumeral Joint articular surfaces & Joint type?
AS: Glenoid fossa (scapula) & head of humerus
*AS has hyaline cartilage
TYPE: Ball & Socket (all movements)
What is the glenoid labrum?
-only 1/3 of humerus head its into glenoid fossa
-the labrum is a ring of fibrocartilage attached to the margin deepening the fossa = more congruent
-covered by synovial membrane
-biceps tendon is stuck to labrum
Glenohumeral joint ligaments (3)?
- Superior, middle & inferior glenohumeral ligaments: capsular ligaments. Anteriorally reinforce joint capsule.
- Coracohumeral ligament: Intrinsic ligament. Coracoid process to greater tubercle.
- Coracoacromial Arch: Extrinsic. Extend acromion to coracoid process. Prevents superior dislocation.
Bursae associated with the glenohumeral joint (3)?
- Subscapular bursa
- Subacromial bursa
- Subdeltoid bursa
Subscapular bursa?
-overlies anterior joint capsule beneath subscapularis muscle
-reduces friction between tendon/muscle & joint capsule
Subacromial bursa?
-between acromion & supraspinatus muscle
-Faliciates movement of tendon under coracoacromial arch, deltoid over fibrous capsule, greater tubercle
-Subject to impingement if swollen/inflammed
Subdeltoid bura?
-betwen deltoid & fibrous cartilage
- continuous with subacromial bursa.
Movements at shoulder joint & degrees?
- Flexion (180)
- Extension (45-50)
- Abduction (180)
- Adduction (30-45)
- Lateral Rotation (80)
- Medial Rotation (95)