UL1- Osteology of the shoulder, arm & elbow Flashcards

1
Q

two important functions of the clavicle?

A
  1. transfers weight to the axial skeleton as the only connection between UL & axial skeleton
  2. allows for greater mobility of the UL by acting as a strut
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2
Q

articulations forming the sternoclavicular joint?

A

sternal/medial end of the scapula & sternum

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3
Q

articulations forming the acromioclavicular joint?

A

lateral/ acromial end of the clavicle & acromion process of the scapula

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4
Q

significance of the subclavian groove?

A

where the subclavian muscle sits

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5
Q

significance of the conoid tubercule?

A

where the conoid ligament inserts itself onto inferior aspect of clavicle

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6
Q

significance of the trapezoid line?

A

where the trapezoid ligament inserts itself onto inferior aspect of clavicle

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7
Q

what forms the coracoclavicular ligament?

A

conoid and trapezoid ligaments together - pass from the coracoid process & come together

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8
Q

compare the sternal and acromial ends of the clavicle

A

sternal end is thicker and more quadrangular

acromial end is flatter

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9
Q

what ribs does the scapula cover in its resting anatomical position?

A

lies on the posterior thoracic wall – usually overlies ribs 2-7

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10
Q

what surface features can be found on the inferior surface of the clavicle? (from most medial to lateral)

A

the inferior surface has three main grooves - subclavian groove, conoid tubercle and trapezoid line

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11
Q

three borders of the scapula?

A

medial
lateral
superior

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12
Q

two angles of the scapula?

A

superior angle - between medial & superior borders

inferior angle - between medial & lateral borders

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13
Q

what joint does the glenoid cavity articulating with the head of the humerus form?

A

glenohumeral/ shoulder joint

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14
Q

three main fossae of the scapula?

A

supraspinous
infraspinous
subscapular

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15
Q

what muscle does the supraspinous fossa give rise to? where does it lie in relation to the spine of scapula?

A

gives rise to supraspinatus muscle

lies superior to the spine of scapula

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16
Q

which scapula fossa gives rise to the subscapularis muscle?

A

subscapular fossa

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17
Q

what muscle does the infraspinous muscle give rise to?

A

infraspinatus muscle

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18
Q

three main fossa of the scapula - what muscle do they each give rise to?

A

supraspinous fossa –> supraspinatus
infraspinous fossa –> infraspinatus
subscapular fossa –> subscapularis

19
Q

why is the clavicle a common fracture site?

A

the clavicle transfers weight from the upper limb to the axial skeleton - prone to fracture

20
Q

largest bone in the upper limb?

A

humerus - extends from the shoulder to the elbow

21
Q

what are the two necks of the humerus, and how are they different?

A

anatomical neck - lies between the head of the humerus and the tubercles

surgical neck - lies below the tubercles where the humerus narrows

22
Q

why is the surgical neck of the humerus clinically significant?

A

common fracture site - can damage the axillary nerve and posterior circumflex humeral artery

23
Q

what attaches to the anatomical neck of the humerus?

A

the glenohumeral joint capsule

24
Q

which rotator cuff muscles insert onto the greater tubercle of the humerus?

A

supraspinatus
infraspinatus
teres minor

25
Q

which rotator cuff muscle inserts onto the lesser tubercle of the humerus?

A

subscapularis

26
Q

function of the intertubercular sulcus? what structure runs through it?

A

groove between the greater & lesser tubercles of the humerus

long head of the biceps brachii tendon runs through it

27
Q

describe the course of the long head of the biceps brachii tendon from the intertubercular sulcus

A

runs through the intertubercular sulcus - through the glenohumeral joint capsule - attaches into the supraglenoid tubercle of the scapula

28
Q

role of the deltoid tuberosity of the humerus?

A

deltoid muscle runs down and inserts here (on lateral surface)

29
Q

what structures are associated with the radial (spiral) groove of the humerus?

A

radial nerve
profunda brachii artery

30
Q

articulations forming the humeroulnar joint?

A

humeral trochlea articulates with the trochlear notch of the ulna (medial)

31
Q

articulations forming the humeroradial joint?

A

humeral capitulum articulates with the head of the radius (lateral)

32
Q

function of the medial epicondyle of the humerus?

A

attachment site for wrist flexors

33
Q

function of the lateral epicondyle of the humerus?

A

attachment site for wrist extensors

34
Q

role of the radial fossa of the distal humerus?

A

accommodates the head of the radius during elbow flexion

35
Q

what structure does the coronoid fossa of the humerus accommodate, and when?

A

accommodates the coronoid process of the ulna during elbow flexion

36
Q

role of the olecranon fossa?

A

(posterior humerus) accommodates the olecranon process of the ulna during elbow extension

37
Q

what does the trochlear notch of the ulna articulate with? what joint does this form?

A

articulates with trochlea of the humerus - forms the humeroulnar joint

38
Q

what does the head of the radius articulate with to form the humeroradial joint?

A

capitulum of the humerus

39
Q

articulations forming the proximal radioulnar joint?

A

radial notch of the ulna articulates with the radial head

40
Q

what movement does the proximal radioulnar joint allow for?

A

pronation and supination - allows for rotation of the radius

41
Q

what muscle inserts itself on the ulna tuberosity? what movement does this allow for?

A

brachialis muscle inserts - allows for elbow flexion

42
Q

what joints does the radial head help form?

A

proximal radioulnar joint
humeroradial joint

43
Q

what muscle inserts itself on the radial tuberosity? what movements (2) does this allow for?

A

biceps brachii muscle inserts - allows for forearm supination & helps elbow flexion