Shoulder Region Information Flashcards
Scaption = __ - __ degrees from the horizontal plane
25 - 30
The superior angle of the scapula falls at __.
T1
The scapular spine falls at __.
T2/T3
The inferior angle falls at __.
T7
What are the 4 sternoclavicular ligaments?
1) Anterior Sternoclavicular Ligament
2) Posterior Sternoclavicular Ligament
3) Anterior Interclavicular Ligament
4) Posterior Interclavicular Ligament
What are the two acromioclavicular ligaments?
1) Corococlavicular ligament
2) Corocoacromial ligament
Describe the function of the corococlavicular ligament
Suspends the coracoid process of scapula from clavicle, this helps to reinforce the acromioclavicular joint
Describe the function of the Corocoacromial ligament
forms coracoacromial arch which protects the shoulder joint superiorly and prevents superior displacement of head of humerus
If damaged which AC ligament results in shoulder separation?
corococlavicular ligament
What is the function of the labrum?
To stop the movement of the humeral head
Does the labrum repair itself?
No, it is cartilage therefore it must be repaired surgically. Usually via SLAP repair
What are the 3 reinforcements of the Shoulder Joint?
- Glenohumeral Ligaments
- Corocohumeral Ligaments
- Rotator Cuff
Which shoulder reinforcement closes off the corocoacromial arch? What does this prevent?
Corocohumeral Ligaments
This prevents superior displacement from the glenoid cavity
Which ligament holds the biceps tendon into the bicipital groove?
Transverse Humeral Ligament
4 Muscles of the RC and in what direction they support?
(1) Supraspinatus supports superiorly
(2) Infraspinatus and (3) Teres Minor support inferiorly
(4) Subscapularis supports anteriorly
What aspect is the least supported in the shoulder joint and why?
Inferiorly because there are no rotator cuff muscles
What is the most common dislocation?
Anterioinferior
What is the clavipectoral fascia?
A suspensory ligament of the axilla that connects the clavicle to the floor of the armpit
What is the suprascapular foramen?
The rout through which structures pass between the base of the neck and the posterior scapular region
What 2 structures form the suprascapular foramen?
The suprascapular notch and the suprascapular ligament
The suprascapular artery passes ____ the suprascapular nerve
Over
Describe abduction in those who have a torn rotator cuff
They can maintain 90 degress of abduction, but they cannot actively abduct to 90 degrees.
The deltoid is most active from __ degree to __ degrees
60 - 120
what will a weakness in the serratus anterior result in?
Winged scapula
What muscles are responsible for elevation of the scapula?
- Upper Trapezius
- Levator Scapulae
What muscles are responsible for depression of the scapula?
- Pectoralis minor
- Latisimuss Dorsi
What muscles are responsible for protraction (abduction) of the scapula?
- Pectoralis minor
- Serratus Anterior
What muscles are responsible for retraction (adduction) of the scapula?
- MiddleTrapezius
- Rhomboids
What muscles are responsible for upward rotation of the scapula?
- Upper and Lower Traps
- Serratus Anterior
What muscles are responsible for downward rotation of the scapula?
- Levator Scapulae
- Rhomboids
- Pectoralis Minor
What happens at the shoulder girdle when the shoulder joint flexes?
Upward rotation and protraction
What happens at the shoulder girdle when the shoulder joint extends?
Downward rotation and retraction
What happens at the shoulder girdle when the shoulder joint hyperextends?
Scapular tilt
What happens at the shoulder girdle when the shoulder joint abducts?
Upward rotation
What happens at the shoulder girdle when the shoulder joint adducts?
Downward Rotation
What happens at the shoulder girdle when the shoulder joint internally rotates?
protraction
What happens at the shoulder girdle when the shoulder joint externally rotates?
retraction
What happens at the shoulder girdle when the shoulder joint horizontally abducts?
retraction
What happens at the shoulder girdle when the shoulder joint horizontally adducts?
protraction
What are the 2 most common types of shoulder dislocation?
1) Anterior (most common)
- occurs when the head of the humerus is forced out of its articular capsule in a forward direction past the glenoid lip and then upward to rest under the coracoid process
2) Downward
- occurs when the head of the humerus is forced into a position below the glenoid cavity
What muscles are responsible for flexion of the arm?
- Anterior deltoid
- Pectoralis Major (clavicular head)
What muscles are responsible for extension of the arm?
- Posterior Deltoid
- Latissimus Dorsi
- Teres Major
- Pectoralis Major (sternal head)
What muscles are responsible for abduction of the arm?
- Middle Deltoid
- Supraspinatus
What muscles are responsible for adduction of the arm?
- Pectoralis major
- Teres major
- latissimus dorsi
What muscles are responsible for external rotation of the arm?
- Infraspinatus
- Teres Minor
- Posterior Deltoid
What muscles are responsible for internal rotation of the arm?
- Latissimus dorsi
- teres major
- subscapularis
- pectoralis major
- anterior deltoid