Shoulder - Joints & Ligaments Flashcards

1
Q

Sternoclavicular joint type

A

Diarthorodial (synovial)

Saddle shape

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2
Q

Sternoclavicular joint ligaments

A

Interclavicular lig
Ant and post SC ligs
Costoclavicular lig

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3
Q

Acromioclavicular joint type

A

Diarthorodial (synovial)

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4
Q

Acromioclavicular joint ligaments

A

Sup and inf AC ligs

EXTRAARTICULAR – Coracoclavicular ligs (conoid and trapezoid)

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5
Q

Glenohumeral joint capsule ligaments

A

Glenohumeral ligs (sup, middle inf) – inferior GH lig is split into [ant, post and axillary pouch]

EXTRAARTICULAR – Coracohumeral lig

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6
Q

Glenohumeral joint capsule origin and insertion

A

Origin: glenoid rim

Insertion: anatomic neck of humerus

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7
Q

Superior glenohumeral ligament actions

A

primary restraint to ER in adducted or slightly abducted position

primary restraint to inferior translation

secondary restraint to posterior translation

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8
Q

Superior glenohumeral ligament origin and insertion

A

Origin: upper pole of glenoid and base of coracoid

Insertion: superior to lesser tuberosity

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9
Q

Middle glenohumeral ligament action

A

prevents ant translation at 45° abduction

secondary restraint of ER at 90° abduction

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10
Q

Inferior glenohumeral ligament action

A

primary restraint to abduction at 90° (anterior band)

primary restraint to IR (posterior band)

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11
Q

Inferior GH lig origin and insertion

A

Origin: glenoid inf to MGHL

Insertion: inferior aspect of anatomic neck

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12
Q

Coracohumeral lig action

A

primary restraint to inf translation in adducted position

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13
Q

Coracohumeral lig origin and insertion

A

O: base of coracoid process

I: sup to greater tuberosity with attachment to capsule

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14
Q

Coracoacromial lig action

A

limit superior humeral translation

*important with impingement syndrome

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15
Q

Coracoacromial lig origin and insertion

A

O: sup lat coracoid process

I: acromion, anterior to ACJ

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16
Q

stability of the shoulder joint relies primarily on

A

static and dynamic structures

17
Q

scapulohumeral rhythm

18
Q

ligaments, joint capsule, labrum

static or dynamic

19
Q

skeletal mm

static or dynamic

20
Q

the shoulder complex consists of 4 joints

A

glenohumeral
sternoclavicular
acromioclavicular
scapula-thoracic articulation

21
Q

the shoulder complex is made up of what 4 bones

A

sternum
clavicle
scapula
humerus

22
Q

Acts as a “strut” holding the GHJ away from the body to allow full ROM

23
Q

Only direct joint connection of the upper extremity to the trunk

A

sternoclavicular joint

24
Q

Strongest portion of the sternoclavicular ligament

25
Prevents superior, anterior & posterior displacement
sternoclavicular ligament
26
Strengthens the shoulder capsule superiorly; limits superior displacement
Interclavicular ligament
27
Helps increase stability & shock absorption
articular disc of acromioclavicular joint
28
Static stabilizers of glenohumeral joint (4)
1. Glenoid labrum 2. Joint capsule 3. Glenohumeral ligaments 4. Coracohumeral ligament
29
**Origin:** glenoid inferior to SHGL **Insertion:** anterior aspect of anatomic neck of humerus
middle glenohumeral ligament
30
**"roof"** of the shoulder joint
coracoacromial ligament
31
Sternoclavicular joint is reinforced by what 2 ligaments
1. Costoclavicular lig 2. Interclavicular lig
32
Function of SCJ
• increases stability • provides shock absorption
33
• anchors inferior surface of sternal end of the clavicle to first rib • opposes pull of SCM
Costoclavicular ligament
34
Anterior & posterior SC ligament is reinforced with the
SCM tendon
35
ACJ has major stability from ____ and ____ AC ligaments Reinforced by the attachment ____ and ____ muscles
Superior and inferior AC ligaments Deltoid and trapezius muscles
36
• important in stability and motion • anchor the clavicle to the coracoid process
Coracoclavicular ligaments
37
What ligament counteracts the pull of the pectoralis minor and coracobrachialis
Coracoacromial ligament