Upper Extremity: The Shoulder Region Flashcards
The ability of the scapula to place the glenoid fossa in the best position for the humeral head as the arm moves.
Scapulohumeral rhythm
Factors that cause scapulohumeral rhythm to vary:
age, activity, load, speed
The ________ ______ suspends the upper extremity from the axial skeleton
shoulder girdle
What is the sole skeletal connection between the upper extremity and the trunk?
The Sternoclavicular joint
The acromioclavicular joint connects which structures?
acromion process (of the scapula) and the clavicle
AC Joint classification
Diarthrodial, irregular
Ligaments that strengthen the AC joint
Acromioclavicular ligament (superior), aponeurosis of trapezius and deltoid muscles (posterior), coracoclavicular ligaments (clavicle to coracoid process)
The sternoclavicular joint connects which structures?
Clavicle, sternum, cartilage of the first rib
SC joint classification
Double arthrodial (2 joint cavities)
Ligaments that limit the clavicle in the SC joint
Anterior SC, Posterior SC, Interclavicular (downward motion), Costoclavicular (elevation, protraction, retraction)
True or False: Every movement of the scapula involves motion in both the AC joint and the SC joint
True
Movements of the scapula
Elevation, depression, protraction, retraction, upward and downward rotation, anterior/posterior tilt
An upward movement of the scapula, with the vertebral border remaining approximately parallel to the spinal column
Elevation
The return from the position of elevation
Depression
A lateral movement of the scapula away from the spinal column with the vertebral border remaining approximately parallel to it
Abduction/protraction
A medial movement of the scapula toward the spinal column combined with a reduction of lateral tilt
Adduction/retraction
A rotation of the scapula in the frontal plane so that the glenoid fossa faces somewhat upward
Upward rotation
The return from the position of upward rotation
Downward rotation
A turning of the scapula on its mediolateral axis so that the posterior surface faces slightly upward and the inferior angle protrudes from the back
Anterior tilt
A tipping of the posterior surface slightly downward and forward.
Posterior tilt
Anterior muscles of the shoulder girdle
Pectoralis minor, serratus anterior, subclavius
Posterior muscles of the shoulder girdle
levator scapulae, rhomboids, trapezius (4 parts)
Pectoralis major actions
Downward rotation, anterior tilt, depression, abduction/protraction and lateral tilt
Serratus Anterior actions
Abduction, abduction/protraction (lat. tilt)
Subclavius actions
Depression
Subclavius main function:
protect and stabilize SC joint