Specific Joint Info Flashcards
Approximately how much flexion and abduction must occur at the shoulder complex for most function activities to occur?
120 degrees of motion
What is the classification of the GH joint?
Structure - synovial
function - diarthrotic
subtype - ball and socket
axis - multiaxial
What are the osteokinematic motions that occur at the GH joint?
flexion, extension, abduction, adduction, medial rotation, lateral rotation, horizontal adduction and horizontal abduction
How much flexion should occur at the GH joint?
180 degrees
How much extension should occur at the GH jt?
45 degrees
How much abduction should occur at the GH jt?
180 degrees
How much adduction should occur at the GH jt?
45 degrees
How much medial rotation should happen at the GH jt?
70 degrees
How much lateral rotation should occur at the GH jt?
90 degrees
How much horizontal adduction should occur at the GH jt?
45 degrees
How much horizontal abduction should occur at the GH jt?
100 degrees
Which surface is concave and which is convex with the GH jt?
glenoid fossa = concave
humeral head = convex
What ligaments are around the GH jt and what do they do?
- glenohumeral ligament - superior, middle and inferior; three weak bands of fibrous tissue that strengthen the front of the capsule
- coracohumeral ligament - strengthens the capsule above and stretches from the root of the coracoid process to the greater tuberosity of the humerus
- transverse humeral ligament - strengthens the capsule and bridges the gap between the two tuberosities.
Name the GH bursae.
- subscapular
- subdeltoid
- subacromial
- subcoracoid
What innervates the GH jt?
- suprascapular n.
- axillary n.
- lateral pectoral n.
List the blood supply for the GH jt.
branches of axillary and subclavian artery. (anterior and posterior circumflex and suprascapular)
Which the most common direction for dislocations at the GH jt?
anterior
What is adhesive capsulitis?
a type of frozen shoulder. occurs in females more than men
What is the resting position of the GH jt?
55-70 ABD, 30 Horizontal ADD, neutral rotation
What is the closed pack position of the GH jt?
full elevation - max combined ABD and ext. rotation
What is the capsular pattern for the GH jt?
ext. rot > ABD > int. rot (lateral rotation more limited than abduction, which is more limited than medial rotation)
Inferior glide of the GH increases what?
ABD
posterior glide of the GH increases what?
flexion
anterior glide of the GH increases what?
ext. rotation
What is the classification of the humeroulnar/humeroradial joints?
structure - synovial function - diarthrotic subtype - hinge axis - uniaxial
What is the ROM for the humeroulnar/humeroradial joints?
flexion: 135 degrees
extension: up to 5 degrees
What is the resting position for the humeroulnar jt?
70 flexion and 10 supination
What is the closed pack for the humeroulnar jt?
full extension and supination
what is the capsular pattern for the humeroulnar jt?
flex > extension (flexion is more limited than extension)
What is the resting position for the humeroradial jt?
full extension and supination
what is the closed pack position for the humeroradial jt?
90 flexion, 5 supination
what is the capsular pattern for the humeroradial jt?
flex > extension (flexion is more limited than extension)
What is the carrying angle in men? in women?
5 degrees in men. 10-15 degrees in women
Which are convex and concave in the humeroulnar/humeroradial joints?
capitulum and trochlea = convex
articular surface of radial head = concave
trochlear notch = concave
Name the ligaments around the humeroulnar/humeroradial joints and where they are located.
- radial collateral ligament - lateral epicondyle to annular ligament and margins of the radial notch
- ulnar collateral ligament - meidal epicondyle of humerus to the coronoid process and olecranon of the ulna
What innervates the humeroulnar/humeroradial joints?
- musculocutaneous n.
- radial n.
- median n.
What is the angiology of the humeroulnar/humeroradial joints?
brachial, ulnar and radial arteries
what does traction/distraction of the humeroulnar jt improve?
flex/ext.
Why is the hip JT much more stable than the GH it?
The acetabularfemoral JT is much more stable due to: - a negative intra-capsular atmospheric pressure(suction), a stronger JT capsule, a more specific femoral head and a deeper socket- made even deeper by the labrum(=a better fit)
Where do most functional activities of the hip occur in ( in terms of degrees)?
Most functional activities occur between 0-120 degrees of hip flexion and between 0-20 degrees of lateral rotation and abduction.
What is the structural classification of the hip?
The acetabularfemoral ( aka the hip) is structurally classified as a synovial joint. It’s sub-type is a ball and socket. It is multiaxial.
What is the functional classification of the hip?
The functional classification of the hip is diarthrotic.
How much ROM does the hip have in flexion, extension, abduction, adduction, medial rotation and lateral rotation?
Hip JT ROM: Flexion=120* Extension=30* Abduction=45* adduction=30* Medial rotation=35* (limited by ischiofemoral lig.) Lateral rotation=45* (limited by pubofemoral and iliofemoral ligaments)
What is the resting position of the hip JT?
30* flexion, 30* abduction, and lateral rotation
What is closed pack position for the hip?
Full extension, abduction, and medial rotation
What is the capsular pattern of for the hip joint?
Internal rotation and abduction> flexion and extension> external rotation (which is relatively free.) (internal rotation/abduction are more limited than flexion/extension which is more limited than ext rotation.)
What are the articular surfaces of the hip JT?
Femoral head (convex) And acetAbulum (concave)
What is the capsular strength of the acetabular femoral joint?
It is STRONG due to zona orbicularis (which are the circular fivers of the articular capsule)
What ligaments are associated with the hip JT?
- ) ligament Capitis femoris
- ) iliofemoral ligament
- ) pubofemoral ligament
- ) ischiofemoral ligament
- ) transverse acetabular ligament
- ) zona orbicularis
What blood vessels and nerves are associated with the hip JT?
Femoral, obturator and gluteal nerves and arteries are associated with the hip JT.
What joint mobs can be done on the hip JT?
- ) distraction
- ) long-axis traction/inferior glide
- ) posterior glide
- ) anterior glide
- ) postero-lateral glide of femur in pelvis
- ) lateral glide
What movement does long-axis traction/inferior glide aid the hip JT with?
Abduction
What movement does posterior glide aid the hip JT with?
Flexion and medial rotation
What movement does an anterior glide help with the hip JT?
Extension, and lateral rotation
What movement does postero-lateral glide of the femur on the pelvis have on the hip JT?
Medial rotation
What movement does lateral glide have on the hip JT?
Adduction and medial rotation