Shoulder Region Bony/True Joints Flashcards
sternoclavicular joint articulating surfaces
medial end of clavicle to the clavicular facet of sternum and superior border of first rib
clavicle = convex vertically (y-axis)
sterum = concave anteroposteriorly (x-axis)
sternoclavicular joint type of joint
saddle, planar synovial joint
sternoclavicular joint degrees of freedom
three degrees of freedom:
* elevation-depression
* protraction-retraction
* transverse rotation-axial rotation
sternoclavicular joint open pack position
arm resting by side
sternoclavicular joint close pack position
full elevation and protraction
sternoclavicular joint capsular pattern
pain at extremes of ROM, especially in horizontal adduction and full elevation
acromioclavicular joint articulating surfaces
acromial facet on clavicle and clavicular facet on acromion
acromioclavicular joint type of joint
planar/gliding joint
acromioclavicular joint degrees of freedom
Brunnstrom
three degrees of freedom:
* elevation-depression
* abduction-adduction
* upward rotation (20°-30°)-downward rotation
acromioclavicular joint degrees of freedom
Norkin
three degrees of freedom:
* internal rotation-external rotation
* scapular tilting (anterior-posterior)
* upward rotation-downward rotation
acromioclavicular joint open pack position
arms resting by side
acromioclavicular joint close pack position
90° abduction
acromioclavicular joint capsular pattern
pain at extremes of ROM, horizontal adduction and full elevation
glenohumeral joint articulating surfaces
large spherical head of humerus and small glenoid cavity of scapula
glenohumeral joint type of joint
ball-and-socket joint/enarthrodial joint/ multiaxial joint
glenohumeral joint degrees of freedom
three degrees of freedom:
* flexion-extension
* abduction-adduction
* internal rotation-external rotation
glenohumeral joint open pack position
55° abduction, 30° horizontal adduction
glenohumeral joint close pack position
ABER
glenohumeral joint capsular pattern
EX > AB > IR
sternoclavicular joint elevation osteokinematics
30° to 45°