Upper Arm Flashcards
The notches on the humerus are called
Tubercules
Role trapezius
Upper- elevate scapula and rotate in abduction
Medial- retract scapula
Inferior- pull scapula inferiorly
Role latissimus dorsi
Adduct and medial rotate and extend upper limb. Thoracodorsal
Role rhomboid major and minor
Retract and medially rotate scapula
Intrinsic shoulder muscles
Subscapularis
Infraspinatus
Teres minor
Supraspinatus
Borders axilla
A- pec M/M
M- serratus anterior and thoracic wall
P- subscapularis, L Dorsi, T major
L- intertubercular sulcus of humerus
Contents axilla
Axillary artery and vein, cord of brachial plexus and branches, axillary lymph nodes, tendons of biceps brachii.
BBC muscles
Biceps brachii, brachialis, coracobrachialis
Site, nerve, artery affected in surgical neck humerus fracture
Axillary nerve, posterior circumflex.
Loss of regimental badge and abduction as deltoid and teres minor lost
Nerve and artery loss of function mid shaft numeral fracture
Radial nerve, loss of sensation back of hand and arm, loss of wrist extension giving wrist drop
Damage to profounda brachii
Mechanism, presentation anterior shoulder dislocation
Posterior blow
- abduction and external rotation.
Posterior shoulder dislocation mechanism and presentation
Violent muscle contraction, internally rotated and adducted
Impingement syndrome presentation, cause
Supraspinatus tendon impinges on coracoacromial arch and causes dull pain, reduced ROM, worsened on abduction or flexion
Inflammation of supraspinatus tendon, thickening coracoacromial ligament
Rotator cuff tear
Tear to rotator cuff tendon. Commonly supraspinatus.
Anterolateral shoulder pain radiating to arm.