Unit 2 Shoulder Complex Flashcards

0
Q

Sternoclavicular ligament

A

Connects sternum to clavicle.

Reinforces the joint capsule.

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1
Q

Sternoclavicular Joint

S/C

A

Articulation between sternum and clavicle.

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2
Q

Costoclavicular ligament

A

Connects the inferior clavicle to superior costal cartilage of rib 1.
Limits clavicle elevation

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3
Q

Interclavicular ligament

A

Connect sternal ends of both clavicles across the superior aspect of manubrium.
Limits clavicle depression.

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4
Q

Acromioclavicular joint

A/C

A

Articulation between scapula and clavicle.

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5
Q

Acromioclavicular ligament

A

Connects Acromion to clavicle.

Prevents posterior dislocation of clavicle.

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6
Q

Coracoclavicular ligament

A

Coracoid to inferior clavicle. Two parts- trapezoid & coronoid.
Prevents motion in scapula and limits scapular upward rotation.

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7
Q

Coracoacromial ligament

A

Connects to same bone- coracoid and Acromion of scapula. Forms arch to protect rotator cuff. Subacromial bursa from direct trauma by Acromion.

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8
Q

Glenohumeral joint

A

Triaxial, ball and socket joint. Synovial fluid.

Glenoid fossa and numeral head.

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9
Q

Coracohumeral ligament

A

Coracoid to greater tubercle.
(Underneath)
Stability

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10
Q

Glenohumeral ligament

A

Superior, middle and inferior.

Reinforces joint capsule.

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11
Q

Glenoid labrum

A

Fibrocartilage that surrounds the rim of the glenoid fossa.

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12
Q

Deltoid

A

O medial 1/2 clavicle, Acromion, spine of scapula.
I deltoid tuberosity
A all- abduct
Anterior- flex, IR, horizontally adduct
Middle- abduct
posterior- extend, ER, horizontally abduct
N axillary

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13
Q

Trapezius

A

O External occipital protuberance, superior nuchal line, Ligamentum nuchae, spinous process C7-T12
I medial 1/2 clavicle, acromion and spine of scapula
A upper: unilateral cervical lateral flex to same
Cervical rotation to opposite, elevate and upwardly rotate.
Bilateral cervical extension
Middle: adduct and stabilize scapula
Lower: depress and upwardly rotate
N accessory cranial nerve 11, ventral ramus

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14
Q

Latissimus dorsi

A

O inferior angle, spinous process T7-T12, ribs 9-12, posterior iliac crest, thoracolumbar aponeurosis
I intertubercular groove
A extend, adduct, IR
N thoracodorsal

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15
Q

Teres major

A

O inferior angle, lower 1/3 of lateral Border of scapula
I crest of lesser tubercle
A extend adduct IR
N lower subscapular

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16
Q

Rhomboid major

A

O spinous process T2-T5
I medial border of scapula between inferior angle and spine of scapula.
A adduct, elevate downwardly rotate
N dorsal scapular

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17
Q

Rhomboid minor

A

O spinous process C7-T1
I Upper portion of medial border of scapula across the spine of scapula
A adduct, elevate downwardly rotate
N dorsal scapular

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18
Q

Levator scapula

A

O transverse process C1-C4
I medial border of scapula between superior angle and superior potion of spine of scapula.
A unilateral elevate downwardly rotate
Cervical lateral flexion and rotation to same, bilateral cervical extension
N dorsal scapular, cervical nerves

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19
Q

Serratus anterior

A

O external surface of ribs 1-8 or 9
I anterior surface of medial border of scapula.
A abduct, depress, Prevent winging of scapula, upwardly rotate scapula, w fixed scapula, assist in elevate rib cage during forced inhalation.
N long thoracic

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20
Q

Pectoralis major

A
O medial 1/2 clavicle, sternum, ribs 1-6
I crest greater tubercle
A all- adduct, IR, assist to elevate the thorax during forced inhalation w arm fixed. Upper- flex, horizontally adduct 
Lower- extend 
N upper- lateral pectoral
Lower- lateral & medial pectoral
21
Q

Pectoralis minor

A

O ribs 3-5
I medial surface of coracoid process
A depress, abduct, downwardly rotate w fixed scapula, assist to elevate to cage during forced inhalation.
N medial pectoral w fibers from a communicating branch of lateral pectoral

22
Q

Coracobrachialis

A

O coracoid process of scapula
I medial surface of mid humerus
A flex adduct
N musculocutaneous

23
Q

Supraspinatus

A

O supraspinous fossa
I greater tubercle
A abduct stabilize shoulder
N suprascapular

24
Q

Infraspinatus

A

O infraspinous fossa
I greater tubercle
A ER, adduct, stabilize head of humerus in glenoid cavity
N suprascapular

25
Q

Teres minor

A

O upper 2/3 of lateral border of scapula
I greater tubercle
A ER, adduct, stabilize head of humerus in glenoid cavity
N axillary

26
Q

Subscapularis

A

O subscapular fossa
I lesser tubercle
A IR, stabilize shoulder
N upper lower subscapular

27
Q

Apprehension test

Special test

A

Test anterior shoulder instability

Possible Shoulder dislocation and facial expression of apprehension.

28
Q

Clunk test

A

Glenoid lambrum tear

Grinding or clunking sensation

29
Q

Drop arm test

A

Rotator cuff tears

Arm drops uncontrollably to the side has pain as well.

30
Q

Empty can test

Supraspinatus test

A

Tear in the supraspinatus tendon, weakness of muscle may result of suprascapular nerve involvement

Weakness pain

31
Q

Hawkins-Kennedy impingement test

A

Shoulder impingement

Pain

32
Q

O’Brien test

Active compression SLAPrehension test

A

Shoulder impingement
Apprehension, pain or popping is present w IR absent in ER

Superior labral anterior posterior

33
Q

Sulcus test

A

Inferior shoulder instability test

Excessive inferior humeral head w visible sulcus deformity

34
Q

Yergason test

A

Bicipital tendinitis

Pain in bicipital groove

35
Q

Shoulder flexion, extension

Goni

A
180, 60
Supine, prone 
Greater tubercle
Mid axillary 
Lateral epicondyle
36
Q

Abduction

Goni

A
180
SAMH
Supine
Acromion 
Midline
Humerus
37
Q

IR ER

Goni

A
70, 90
Supine 
Olecranon 
Perpendicular to floor
Ulnar styloid
38
Q

Scapular Elevation

MMT

A
Upper trapezius 
Levator scapulae
1-Sitting-AG alter scale
2- Sitting- AG 
Prone- GE
39
Q

Scapular adduction

MMT

A

Middle traps
Prone- AG
Sitting-GE

40
Q

Scapular adduction depression

MMT

A

Lower traps
Statue of Liberty
Prone- AG
Alter scale

41
Q

Scapular adduction downward rotation

MMT

A

Rhomboids
Prone- AG
Sitting-GE
HANDCUFF

42
Q

Scapular abduction upward rotation

MMT

A

Serratus anterior
High punch
Sitting- GE
ALTER SCALE

43
Q

Shoulder flexion

MMT

A

Anterior deltoid, coracobrachialis
Sitting- AG
Side lying-GE
Powderboard

44
Q

Shoulder extension

MMT

A

Latissimus dorsi, teres major Posterior deltoid
Prone-face hole AG
Side lying- GE
Powderboard

45
Q

Shoulder abduction

MMT

A

Supraspinatus, middle Deltoid
Sitting-AG
Supine- humerus slides table GE

46
Q

Shoulder horizontal abduction

MMT

A

Posterior deltoid
Prone AG
Sitting GE

47
Q

Shoulder horizontal adduction

MMT

A

Pec major
Supine AG
Sitting GE

48
Q

Medial rotation

MMT

A

Subscapularis, pec major, Lats, teres major

Prone AG GE

49
Q

Lateral rotation

MMT

A

Infraspinatus teres major

Prone AG GE