Shoulder Region I Flashcards
list bones in shoulder region:
clavicle, scapula, humerus
function: clavicle
- rigid moveable strut
- suspends scapula and allows max limb movement
theoretical features: clavicle
- long bone
- no medullary cavity
- shell of compact bone covering spongy bone
- varies shape depending of activity
clavicle: identify concave/ convex sides
- concave: lateral ‘acromial’ end
- convex: medial sternal end
clavicle: lateral side articulates with
acromion
clavicle: medial side articulates with
manubrium of sternum, and first costal cartilage
clavicle: conoid tubercle found/ for
- conoid ligament attaches here
- near lateral side
where does coracoclavicular ligament attach on clavicle?
conoid tubercle and trapezoid line
where does subclavius muscle meet clavicle?
groove for subclavius muscle middle of clavicle
where does costoclavicular ligament attach?
impression near sternal end
how to diagnose fractured clavicle:
bone protruding above normal shoulder
scapula: posterior and anterior surface fossa?
anterior: costal- subscapular fossa
posterior: infraspinous fossa (inferior to spine), supraspinous
scapula: angles
- superior angle (highest point)
- inferior (apex, lowest)
- lateral angle (near glenoid cavity)
scapula: borders
- lateral (under glenoid)
- medial (mid scapula)
- superior (top)
scapula: list/locate tubercles
infraglenoid - inferior to glenoid cavity
supraglenoid - superior to glenoid cavity
infraglenoid tubercle attachment:
long head of triceps brachii
supraglenoid tubercle attachment:
long head of biceps brachii
scapula: list/ locate processes
- coracoid (anterolateral)
- acromion (posterolateral)
- spinous proccess (dorsal)
proximal humerus: head articulates with
glenoid cavity of scapula
proximal humerus: list tubercles
lesser and greater tubercle
proximal humerus: lesser tubercle attachments
- subscapularis
proximal humerus: greater tubercle attachments
- supraspinatus
- infraspinatus
- teres minor
proximal humerus: whats found in intertubercular sulcus?
aka bicipital groove,
tendon of long head of biceps brachii
proximal humerus: attachment to lateral lip of intertubercular sulcus?
pectoralis major muscle
proximal humerus: attachment to medial lip of intertubercular sulcus?
teres major muscle
proximal humerus: attachment to floor of intertubercular sulcus?
latissimus dorsi muscle
proximal humerus: attachment to deltoid tuberosity found?
laterally for deltoid muscle
proximal humerus: attachment to radial sulcus/groove found?
medially for coracobrachialis muscle
list joints of shoulder region:
- sternoclavicular
- acromioclavicular
- shoulder (glenohumeral)
- scapulothoracic (physiological joint)
list movements of scapula:
abduction, adduction, retraction, protraction
list movements of shoulder:
flexion, extension, abduction, adduction, medial/ lateral rotation, circumduction
sternoclavicular joint: classification
synovial, saddle
sternoclavicular joint: articulating surfaces and use of articular disc
sternal end of clavicle:
- manubrium of sternum
- part of 1st costal cartilage
- articular disc divides cavity (help stability)
sternoclavicular (s.c.) joint: ligaments and location
- anterior s.c. (btw manubrium/ clavicle)
- posterior s.c.
- costoclavicular (btw clavicle/ costal c.)
- interclavicular (btw both clavicles)
sternoclavicular joint: movements
- allows movement of clavicle
- most: antero-posterior and vertical planes
- some rotation
acromioclavicular joint: classification
synovial, plane
acromioclavicular joint: articulating surfaces
- lateral aspect of clavicle (oval shaped facet)
- medial aspect of acromion
acromioclavicular joint: ligaments and location
- acromioclavicular (surrounding clavicle)
coracoclavicular (btw clavicle/ coracoid process of scapula)-
- trapezoid and conoid ligaments (accessory)
- trap: more lateral
- conoid: more medial
acromioclavicular joint: movements
- allows clavicle movement
- in antero-posterior, vertical planes
- some axial rotation
glenohumeral joint: classification
synovial, ball and socket
glenohumeral joint: articulating surfaces
- glenoid cavity of scapula
- head of humerus
glenohumeral joint: ligaments
- glenoid labrum
- glenohumeral (superior, middle, inferior)
- coracohumeral
- transverse humeral
glenohumeral joint: movements
flexion, extension, abduction, adduction, medial/lateral rotation, circumduction
glenohumeral joint: bursae
- subtendinous bursa of subscapularis
- subacromial
- btw acromion/ skin
- btw coracoid process/ joint cap
- around other tendons of g.h. joint
glenohumeral joint: factors enhancing stability
- rotator cuff muscles
- coraco-acromial arch
glenohumeral joint: blood supply
branches of:
- anterior/ posterior circumflex humeral artery
- suprascapular artery
glenohumeral joint: innervation
branches from:
- posterior cord of brachial plexus
- suprascapular
- axillary
- lateral pectoral nerves
joint capsule: openings
- long head of biceps brachii
- subscapularis bursa
joint capsule: why redundant inferiorly?
allow for large degree of movement
glenoid labrum: function
deepens glenoid cavity
glenoid labrum: features
- fibro-cartilaginous rim
- long tendon of biceps and triceps brachii attach near there
glenohumeral ligaments: features/function
- inter-capsular ligaments
- reinforce anterior part of joint capsule
glenohumeral ligaments: list fibres
superior, middle, inferior
coracohumeral ligament: located/ feature
capsular ligament
- base of coracoid process -> anterior aspect of greater tubercle
transverse humeral ligament: located
superior end of intertubercular groove
transverse humeral ligament: functions
- bridges gap btw greater/ lesser tubercles
- holds tendon of long head of biceps brachii inside intertubercular groove
coracoacromial arch: feature/ function
- protective arch superior to humerus head
- prevents superior dislocation of shoulder
coracoacromial arch: forms osseofibrous brudge
- coracoacromial ligament (accessory)
- coracoid process
- acromion
list 2 bursae of shoulder:
- subscapular
- subacromial
subscapula bursa: located/ function
- tendon of subscapularis, neck of scapula, fibrous capsule
- communicates with joint cavity
subacromial (subdeltoid) bursa: located/ function
- deltoid, coracoacromial arch, supraspinatus, fibrous capsule
- does NOT normally communicate with joint cavity