Shoulder part 1 Flashcards
tenodesis
the surgical suturing of the end of a tendon to a bone. Like when the long head of the biceps is shortened and attached to the bicipital groove
What is the clinical relevance of palpating the clavicle
Clavicle is the most commonly fractured bone in the body.
It usually fractures at mid-third where it transitions from anterior convexity to posterior concavity.
PIP
proximal interphalangeal joint
DIP
Distal Interphalangeal joint
ACDJD
Acromioclavicular (AC) Degenerative Joint Disease
Often presents in older patients
Clinical Significance: anterior joint line (of GH joint)
cannot directly palpate, but do palpate area because if patient has had chronic subluxation or dislocations then this area could be problematic
Internal Rotation Muscles of GH joint (5)
- Latissimus dorsi
- Teres major
- Anterior deltoid
- Subscapularis
- Pectoralis major
External rotation muscles of GH joint (3)
- Infraspinatus
- Teres Minor
- Posterior Deltoid
Flexion muscles of GH joint (2 pectoral girdle, 2 arm)
- Anterior deltoid
- Pectoralis Major: Clavicular head
- Coracobrachialis?
- Biceps brachii; Long & Short heads?
Abduction muscles of GH joint (3)
- Middle Deltoid
- Supraspinatus
- Above 90 degrees: Pectoralis major, sternal head
Adduction muscles of GH joint (5-6)
- Subscapularis
- Anterior Deltoid (below 90 degrees?)
- Posterior Deltoid (below 90 degrees?)
- Teres Major
- Latissimus Dorsi
- Pectoralis major: Sternal head always, Clavicular head below 90 degrees
Extension muscles of GH joint (4)
- Subscapularis
- Posterior Deltoid
- Teres Major
- Latissimus Dorsi
Elevation muscles of scapulothoracic joint (2)
- Upper Trapezius
- Levator Scapulae
Upward rotation muscles of scapulothoracic joint (2-4)
- Upper, Middle, and Lower Trapezius
- Serratus Anterior
Scapular retraction muscles (2-3)
- Middle Trapezius
- Rhomboid major & minor
scapular depression muscles (3)
- Lower Trapezius
- Latissimus Dorsi
- Pectoralis minor
Downward rotation muscles of scapulothoracic joint (3-4)
- Rhomboid major & minor
- Levator scapulae
- Latissimus dorsi
Scapular protraction muscles (1)
Serratus anterior
os acromiale
failure of distal end of acromion to ossify