The Glenohumeral Joint Flashcards

1
Q

what is the function of the glenohumeral joint

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

where is the glenohumeral joint found

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what components make up the glenohumeral?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

name and label the main features of the humerus
- posterior
- anterior

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what bursae are present in the GHJ and where are they located

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what type of joint is the GHJ

A

A synovial joint - is joined by a joint capsule that encloses the articular cavity.
- contains synovial fluid and membrane
- has a labrum
- has ligaments and bursae
- rotator cuff muscles allow movement
- tendon passes through
- allows lubrication, cushioning and movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the purpose of the glenoid labrum?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what movement does the GHJ allow

A
  • F and E
  • Ab and Ad
  • C and M & L rotation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

This type of joint allows for multiaxial movement. What is the disadvantage of this

A

increased mobility = decreased stability
- ligaments and RC muscles provide stability to an extent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is scapulohumeral rhythm

A

simultaneous movement of the GHJ and the PG
- movement ratio of 1:2
- 60 degrees of movement from PG = 120 degrees of movement from GHJ
- damaged joints or fractures reduces movement = frozen shoulder
- eg brushing teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the components of the arm

A
  • found between the GHJ and the elbow joint (EJ)
  • the humerus is the bone in the arm
  • a passage for nerves and arteries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what movements does the arm produce

A

specifically allows movement of the elbow, radius and ulna joint, not including GHJ
- F and E allows refined and direct hand placement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

name three arm related terminology

A
  • brachium: extends from GHJ to EJ
  • cubital: anterior region of the elbow joint
  • cubital fossa - a triangular region in the cubital, used to take pule, BP testing, blood donation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

name key features of the posterior arm

A
  • radial groove
  • shaft
  • deltoid
  • supracondylar ridges
  • epicondyles
  • olecranon fossa
  • olecranon process
  • radial head
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is a condyle

A

a large prominence at the end of a bone
- provides support to overlying hyaline cartilage
super = above condyle
epi = near by

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the components of the anterior arm and EJ

A

anterior arm
- greater tubercle (teres minor, supraspinatus, infraspinatus insertion point)
- lesser tubercle (subscapularis insertion point)
- intertubercular groove
- intertubercular sulcus
- deltoid tuberosity
- medial and lateral lips
- anatomical and surgical neck
- superior facet on greater tubercule (supraspinatus insertion)
- head
EJ
- capitulum
- trochlea
- radial head
- coronoid process
- ulnar tuberosity
- radial tuberosity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are the joint complexes in the EJ

A

proximal radioulnar (between ulnar and radius)
humeroradial (between radial and capitulum)
humeroulnar (between the ulnar and trochlea)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What ligaments are found in the EJ? What is their role?

A

medial collateral ligament - supports the humeroulnar joint
lateral collateral ligament - supports humeroradial joint
annular ligament - supports radioulnar joint, allows radius to spin on ulnar

19
Q

name the four main rotator cuff muscles

A
  • supraspinatus
  • infraspinatus
  • subscapularis
  • teres minor
20
Q

Origin and Insertion (O&I) of supraspinatus and the
associated movement

A

origin: supraspinatus fossa
insertion: greater tubercle
movement: initiates 15 degrees of abduction movement in the GHJ

21
Q

O&I of the infraspinatus and associated movement

A

Origin: infraspinous fossa
insertion: greater tubercle, below supraspinatus insertion
movement: lateral rotation of GHJ

22
Q

O&I for teres minor and associated movement

A

origin: lateral border of the scapula
insertion: greater tubercle, below infraspinatus insertion point
movement: assist in lateral rotation of GHJ

23
Q

O&I of subscapularis and associated movement

A

origin: subscapular fossa
insertion: lesser tuberosity
movement: abduction and adduction of GHJ
centralises the head of the humerus if glenoid fossa (GF)

24
Q

what do the rotator cuff muscles do

A

muscles work together to stabilise the shoulder joint and allow wide range of movement (multiaxial)

25
name other muscles involved in GH flexion movements- not rotator cuff muscles
- deltoid - pectoralis major - coracobrachialis - biceps brachii
26
name other muscles involved in GH extension movements
- triceps brachii - deltoid - latissimus dorsi
27
name other muscles involved in GH abduction movements
- deltoid (only after 15 degrees of movement)
28
name other muscles involved in GH adduction movements
- pectoralis major - latissimus dorsi - teres major
29
name other muscles involved in GH medial rotation movements
- latissimus dorsi - pectoralis major - teres major
30
O&I of deltoid and associated movements
Origin: clavicle, spine of scapula and the acromion insertion: deltoid tuberosity on the humerus movement: abduction (after 15 degrees of movement initiated by supraspinatus) flexion and extension at GHJ
31
O&I of pectoralis major and associated movements
origin: sternum, clavicle and ribs insertion: lateral lip on humerus movement: flexion, adduction, medial rotation
32
O&I of the latissimus dorsi and associated movements
origin: spine T7- T12, crest of ilium, inferior angle of the scapula insertion: intertubercular sulcus movement: extension, medial rotation and adduction
33
O&I of teres major and associated movements
origin: posterior surface of the inferior angle of scapular insertion: intertubercular sulcus- medial lip movement: extension, adduction and medial rotation
34
what are the two compartments of muscles on the arm?
Anterior (flexors of the elbow) and posterior (extensors of the elbow)
35
What are the muscles of the anterior arm region
- biceps brachii - brachialis - coracobrachialis - brachioradialis
36
O&I of biceps brachii
origin: 2 heads, short head origin = coracoid process long head origin = supraglenoid tubercle of the scapula insertion: radial tuberosity
37
O&I for brachialis
origin: anterior surface of the distal half of humerus insertion: ulnar tuberosity and coronoid process
38
O&I of the coracobrachialis
origin: coracoid process insertion: middle third of the medial surface of humerus
39
O&I of the brachioradialus
origin: lateral supracondylar ridge of the humerus insertion: base of the styloid process on the radius
40
What is special about the insertion point of the biceps brachii
contains associated tissue called bicipital aponeurosis - a flat, white sheet of connective tissue that originates at the end of biceps brachii, overlies cubital fossa and inserts into facia - important for protection of veins, arteries and nerves
41
What are the muscles of the posterior arm region
triceps brachii (three heads, long, lateral and medial head)
42
what is the O&I of the triceps brachii and associated movements
origin of long head- infraglenoid tubercle of the scapula origin of lateral head: posterior surface of the humerus, superior to radial groove origin of medial head: posterior surface of the humerus, inferior to the radial groove insertion: all heads converge onto the olecranon process
43
Bursa associated with the EJ
one of the main bursae is the olecranon bursa. This bursa can become infected and swollen There are many other bursae around the EJ that help reduce friction and minimise tears
44
what are the spaces present in the arm? What is their purpose
- Quadrangular space - between long and lateral head of triceps, teres minor and major - triangular: between long head of triceps, teres minor and humerus - radial groove purpose? : holds space for nerves and arteries