Upper Extremities (Bones, Axilla, Brachial Plexus) Flashcards
What bones make up the Shoulder Girdle? Are they part of the Appendicular or Axial Skeleton?
- Scapula
- Clavicle
Appendicular Skeleton
What is the only Boney connection between the Appendicular Upper Limb Skeleton and the Axial Skeleton?
Connection between the Medial portion of the Clavicle and the Sternum
What bones does the Clavicle attach to?
- Sternum on the Medial Side
2. Acromion Process of the Scapula on the Lateral Side
What are the bones of the Upper Limb/Upper Extremity?
“RC HUMP”
- Radius (Forearm)
- Carpals (Wrist Bones)
- Humerus (Arm)
- Ulna (Forearm)
- Metacarpals (Hands)
- Phelanges (Fingers)
Where on the Scapula does the Humerus articulate?
Glenoid Fossa
Where on the Scapula does the Clavicle articulate?
Acromion Process (Lateral Anterior portion of Scapula)
What muscle attaches to the Coracoid Process of the Scapula?
Pec Minor
What are the articulations of the Humerus?
- Head articulates with the Glenoid Fossa of the Scapula
- Capitulum articulates LATERALLY with the Radius
- Trochlea articulates MEDIALLY with the Ulna
What articulation of bones forms the Ball and Socket joint of the shoulder
- Head of the Humerus
2. Glenoid Fossa (Cavity) of the Scapula
Where is the Greater Tubercle located?
- It is a projection on the LATERAL side of the Superior part of the Humerus
Where is the Lesser Tubercle located?
- It is a projection on the ANTERO-MEDIAL side of the Superior part of the Humerus
What is the Intertubercular Sulcus (Groove) and what purpose does it serve?
- It is groove located right between the Greater and Lesser Tubercles
- Bicep tendon runs through here
What is the difference between the Anatomical Neck and Surgical Neck of the Humerus?
- Anatomical Neck is thicker and located right below the Head of the Humerus
- Surgical Neck is thinner and more proximal to the Head than the Anatomical Neck
Where is the Humerus most likely to fracture?
SURGICAL NECK
-get it? you are more likely to get surgery on this
What is the Deltoid Tuberosity?
A bump on the Lateral Side of the Humerus’s Shaft where the Deltoid inserts on the Humerus
What are Condyles? Name the Condyles of the Humerus:
“Little Knobs” on the Distal end of the Humerus
- Medial Epicondyle (larger)
- Lateral Epicondyle
- Capitulum (circular)- lateral and connects to the Radius
- Trochlea (bowtie)- medial and connects to the Ulna
Describe the location of the Radius bone of the Forearm:
It is on the same side as your thumb. In anatomical position, thumbs are out to the side so the RADIUS is LATERAL
How to remember orientation of Radius and Ulna:
“TRL”
Thumb and Radius are Lateral
This means the Pinky and Ulna are Medial
What is the Olecranon Process?
“Sharp part of your elbow” located on the Ulna that fits into the Olecranon Fossa of the Humerus like a hinge
What is the Olecranon Fossa?
- A “big dip” on the Posterior Side of the Proximal End of the Humerus
- Right above the Trochlea so the Olecranon Process of the Ulna fits here and works like a hinge
What is the Coronoid Fossa?
A dip on the Anterior where the Coronoid Process of the Ulna locks in preventing over-flexing of the elbow
What are the joints of the shoulder?
- Glenohumeral Joint
- Acromioclavicular Joint
- Sternoclavicular Joint
ONLY Glenohumeral has movement
What joint in the shoulder has the most mobility?
Glenohumeral Joint (Flexion, Extension, aDduction, aBduction, medial rotation, lateral rotation, circumduction)
Cup of the Glenoid Cavity is flat and not very deep, so…
A piece of cartilage called the Glenoid Labrum is shaped like a cup to help the head of the Humerus articulate into the Scapula
What is the Glenoid Labrum?
A piece of rounded cartilage that is shaped like a cup to allow the Humerus to articulate with the flat and shallow Glenoid Cavity of the Scapula
The Glenohumeral Joint is…
The Ball and Socket Joint of the shoulder with the most mobility allowing for flexion, extension, aDduction, aBduction, medial rotation, lateral rotation, and circumduction
What is the Acromioclavicular Joint?
Joint between the Acromion Process of the Scapula and the lateral end of the Clavicle
What is the Sternoclavicular Joint?
Joint between the Manubrium of the Sternum and the medial end of the Clavicle
What are the two bones of the Forearm?
- Radius (lateral)
2. Ulna (medial)
What are the parts of the Ulna?
- Trochlear Notch/Fossa
- Olecranon Process
- Coronoid Process
- Styloid Process
What is the Trochlear Fossa?
“Hook” on the Anterior side of the Proximal End of the Ulna that articulates with the Trochlea of the Humerus
Where is the Olecranon Process located?
“Sharp part of your elbow “ that is located on the Posterior Side of the Ulna and fits into the Olecranon Fossa on the Posterior side of the Humerus like a hinge
What are the parts of the Radius?
- Head (circular and flat surface near proximal end)
- Radial Tuberosity (near proximal end)
- Styloid Process (Distal end)
What does the Head of the Radius articulate with?
Capitulum of the Humerus
They form a hinge
What is the function of the Radial Tuberosity
This is the insertion point of the Bicep
The Radius is SMALLER or LARGER than the Ulna
The Radius is SMALLER than the Ulna
Matching column:
- The Radius
- The Ulna
A. Can Pivot allowing for Supination and Pronation of the Forearm
B. Fixed and locked into place around the Humerus
Radius CAN Pivot allowing for Supination and Pronation of the Forearm
Ulna is Fixed and locked into place around the Humerus
What is the Styloid Process?
Distal end located on both the Radius and Ulna where the Wrist Joint is formed with the Carpals
Matching column:
- The Radius
- The Ulna
A. Big Proximal End and Small Distal End
B. Small Proximal End and Big Distal End
The Radius has a Small Proximal End and Big Distal End
The Ulna has a Big Proximal End and Small Distal End
What is the Interosseous Membrane?
A Fibrous sheet that holds the Radius and Ulna together and divides the forearm into anterior and posterior muscle compartments
Describe the position of the Radius and Ulna in the Pronated Position:
In the pronated position the Radius twists and crosses the Ulna
Describe the position of the Radius and Ulna in the Pronated Position:
The Radius and Ulna are parallel
The Elbow Joint is what kind of joint?
Hinge Joint enclosed in ligaments
What ligament helps to hold the Radius in place?
The Anular Ligament which starts at the Ulna and wraps circumferentially around the Radial Head
What are the joints of the Elbow?
- Trochlear Notch of Ulna and Trochlea of Humerus
- Head of Radius and Capitulum of the Humerus
- Head of Radius and Radial Notch of the Ulna