Unit 2 - Upper limb Flashcards
What are the parts of the clavicle?
- shaft
- sternal end
- acromial end
- superior surface
- inferior surface with ligamentous attachment points
What ligaments attach to the clavicle?
- conoid ligament (medial part of coracoclavicular ligament)
- trapezoid ligament (lateral part of coracoclavicular ligament)
- costoclavicular ligament
Where does the conoid ligament attach on the clavicle?
-the conoid tubercle on the inferior side of the acromial end
Where does the trapezoid ligament attach on the clavicle?
-the trapezoid line on the inferior side of the acromial end
Where does the subclavius muscle attach on the clavicle?
subclavian groove in the middle of the inferior side of clavicle
What muscles attach to the clavicle?
- subclavius muscle (insertion)
- deltoid muscle (origin)
- trapezius muscle (insertion)
- pectoralis major muscle (origin)
- sternocleidomastoid muscle (origin)
- sternohyoid muscle (origin)
Where does the costoclavicular ligament attach on the clavicle?
- a rough, oval depression on the inferior sternal end
What are the parts of the scapula?
- spine
- body
- acromion
- supraspinous fossa
- infraspinous fossa
- glenoid fossa
- subscapular fossa
- coracoid process
What attaches to the spine of the clavicle?
- deltoid (origin)
- trapezius (insertion)
What bony projections surround the glenoid fossa?
- supraglenoid tubercle
- infraglenoid tubercle
What is the function of the glenoid fossa?
articulation with the humerus
AKA glenoid cavity
Where is the coracoid process located?
anterolateral portion of scapular body superior to the glenoid fossa
Where is the suprascapular notch?
the indentation on the superior border of scapular medial to the coracoid process
What is the spinoglenoid notch?
notch that connects supra and infraspinous fossae
What muscles insert on the medial border of the scapula?
Anteriorly -serratus anterior Posteriorly -rhomboid major -rhomboid minor -levator scapula
What muscle originate on the lateral border of the scapula?
- triceps brachii
- teres minor
- teres major
What muscle originates on the inferior angle of the scapula?
-lattisimus dorsi
What muscles attach to the coracoid process?
- pectoralis minor (insertion)
- coracobrachialis (origin)
- biceps brachii (origin)
What are the parts of the humerus?
- head
- anatomical neck
- greater (lateral) and lesser (anterior) tubercle separated by inter tubercular grooved
- surgical neck
- shaft
- medial and lateral epicondyle
- condyle
What are the landmarks on the shaft of the humerus?
Anterior:
-crests of greater and lesser tubercles, separated by inter tubercular sulcus
Lateral:
-deltoid tuberosity (in the middle of the shaft)
-lateral supracondylar ridge (distal part of shaft)
Posterior:
-radial groove
Medial:
-medial supracondylar ridge (distal part of shaft)
What are the parts of the Condyle of the humerus?
- capitulum (lateral)
- radial fossa (anteriolateral, just above capitulum)
- trochlea (medial)
- coronoid fossa (anteriomedial, just above trochlea)
- olecranon fossa (posterior)
What does the capitulum of the humerus articulate with?
head of radius
What does the trochlea of the humerus articulate with?
trochlear notch of the ulna
What does the coronoid fossa articulate with?
coronoid process of the ulna during flexion
What does the radial fossa articulate with?
head of the radius during flexion
What does the olecranon process articulate with?
olecranon of ulna during extension
Where is the ulna located in relation to the radius
medial
What are the parts of the Ulna?
- olecranon
- trochlear notch
- coronoid process
- radial notch
- tuberosity of ulna
- shaft
- head
- ulnar styloid process
What are the parts of the radius?
- head
- neck
- radial tuberosity
- shaft
- ulnar notch
- radial styloid process
- dorsal tubercle of radius
How many carpal bones are there and how are they arranged?
there are 8 carpal bones arranged in proximal and distal rows of four
What does the distal row of carpals articulate with?
the proximal row of carpals and metacarpals
What are the names of the proximal carpals, lateral to medial?
- scaphoid
- lunate
- triquetrum
- pisiform
What are the names of the distal carpals, lateral to medial?
- trapezium
- trapezoid
- capitate
- hamate
What are the parts of the metacarpal bones?
- head (distal)
- shaft
- base (proximal)
How are the metacarpals and phalanges named?
they are numbered 1-5 from lateral to medial
Which metacarpal is the thumb?
1st metacarpal
How any phalanges are in each digit?
3 (proximal, middle, distal), except the thumb has 2 (proximal and distal)
physiological joint between scapula and ribs?
scapular thoracic joint
The only joint between axial skeleton and upper limb?
sternoclavicular joint, AKA SC joint
Ligament that anchors inferior surface of sternal end of clavicle to the costal cartilage of 1st rib?
costoclavicular ligament
What ligaments reinforce the SC joint capsule?
- Anterior sternoclavicular ligament
- posterior sternoclavicular ligament
- interclavicular ligament (strengthens superiorly)
What kind of joint is the sternoclavicular joint?
synovial, ball and socket
What kind of joint is the acromioclavicular joint?
synovial, plane
Describe the joint capsule of the AC joint
separated by wedge-shaped articular disc to form a plane joint
Describe the joint capsule of the SC joint
Divided into two compartments by fibrocartilage articular disc which connects to anterior and posterior sternoclavicular ligaments and interclavicular ligaments that surround and reinforce the capsule. This makes this joint very strong
What ligaments reinforce the AC joint?
acromioclavicular ligament is the only one that reinforces it directly and does so superiorly. The AC joint is also reinforced by extrinsic ligaments.
What are the costocalvicular ligaments and their location?
-Trapezoid, more lateral
-Conoid, more medial
Both connect inferior surface of clavicle to coracoid process
What are the scapulohumeral/intrinsic shoulder muscles?
Muscles that attach scapula to humerus and act on the glenohumeral joint
- deltoid
- teres Major
- teres minor
- supraspinatus
- infraspinatus
- teres minor
- subscapularis
What are the rotator cuff muscles?
The SITS muscles that hold humerus in glenoid fossa by their tonicity
- Supraspinatus
- Infraspinatus
- Teres minor
- Subscapularis
What kind of joint is the glenohumeral joint?
synovial, ball and socket
The ring that surrounds the glenoid fossa, slightly deepening it?
glenoid labrum
What ligaments reinforce the glenohumeral joint?
- superior, middle and inferior glenohumeral ligaments (anteriorly and intrinsically)
- coracohumeral ligament (superiorly and intrinsically)
- coracoacromial ligament (superiorly and instrinsically)
- transverse humeral ligament (connects greater and lesser tubercle)
What tendons reinforce the glenohumeral joint?
- Supraspinatus tendon
- Infraspinatus tendon
- Teres minor tendon
- Subscapularis tendon
What is the function of the transverse humeral ligament?
connects greater and lesser tubercle over the humeral groove to hold synovial sheath and tendon of long head of biceps brachii m. in place
What fascia is continuous with deltoid fascia?
anteriorly, pectoral fascia and posteriorly, supraspinous fascia
What are the divisions of the deltoid?
unipennate (posterior and anterior)
multipennate (middle part)