Upper Limb Anatomy 1.5 Flashcards
What are the joints like in upper limb?
- The upper limb is jointed in a number of places along its proximal/distal acts
- This arrangement gives limb considerable flexibility and adaptability in placing the hand
What are the joints of the upper limb?
- Sterno-claviciular joint (SCJ)
- Acromio-clavicular joint (ACJ)
- Gleno-Humeral joint (GHJ) (Shoulder joint)
- Scapulo-thoracic joint (STJ) (sometimes referred to as a “virtual” or physiological” joint)
- Elbow joint
- Wirst joint
- Numerous joints in the hand
What is the sternocalvicular joint?
- One of the joints of the pectoral girdle
- Attaches the upper limb to the trunk
- Joint cavity divided by fibrous auricular disc
- Joint Stabilised with a number of ligaments
- Significant mobility during clavicle elevation and protraction/retraction of the scapula
What sort of of joint is the sternoclavicular joint?
Synovial saddle
What is the sternoclavicular joint capable of accommodating?
the elevation of the lateral end of the clavicle as well as its anterior and posterior movements
What is the acriomiocalvicular joint?
- A plane synovial joint between lateral end of clavicle and acromion process of scapula
- Incomplete wedge of fibrocartilage in the joint cavity
- Rotation and some vertical and anterior/posterior (A/P) movements
- Ligaments and muscles limit movements and stabilise the joint
What is the scapulothoracic joint?
- Movements of the scapula abasing posterior and lateral thoracic walls are the scapulothroacic joint movements
- You have already encountered the scapulothoracic joint which is not a bony joint, but the term describes the way that the deep surface of the scapula and its covering muscles move on the chest wall.
What sort of joint is the scapulothoracic joint?
Not a true joint
What type of joint is the shoulder joint (glenohumeral joint)
Ball and socket synovial joint
What is the shoulder joint (glenohumeral joint)?
- Rounded humeral head articulates with gelnoid fossa of the scapula
- Glenoid fossa (the socket) is shallow but slightly deepend by a cartilaginous labour (lip or rim)
- Highly mobile joint with wide range of movement
- Muscles required for joint stability (e.g. rotator cuff group)
What is the shallow hyaline cartilage line socket formed by?
- the glenoid fossa
- Itis slightly deepened by a rim of fibrocartilage, the glenoid labrum.
Describe the head of the humerus
- The hyaline cartilage covered head of the humerus is the rounded ball component of the joint.
- The degree of stability that is predicted by the shape of the bones of the shoulder joint is minimal.
- However, you will realize that this joint is stabilized by a number of muscles that hold the head of the humerus against the glenoid fossa.
What is the elbow joint?
Synovial joint
What are the two main articulations of the elbow joints between?
- The distal end of humerus and proximal end of radius and ulna bones of the forearm
- The pair of condyles on the distal humerus are the hemispherical capitulum and the spool like trochlea. (This joint is limited to flexion and extension.)
What is the third elbow joints between?
- The proximal ends of the radius and ulna, the proximal radioulnar joint.
- This joint is included as being part of the elbow joint by some anatomists, while others consider a distinct joint.
What happens at the third elbow joint? What is this an example of?
- The radius is rotated at its head so the shaft crosses the ulna
- And the hand is rotated from the palm facing anteriorly to posteriorly.
- This and the opposite action are pronation and supination.
- This complex arrangement allows flexion and extension at the elbow joint irrespective of the degree of pronation and supination.
- flexion and extension can occur at the same time as pronation and supination.
Want happens anteriorly at the elbow joint?
- Anteriorly, the distal end of the humerus has two fossa just superior to the condyles.
- When the forearm is fully flexed, the radial fossa accommodates the head of the radius and the coronoid fossa accommodates the ulnar coronoid process.
What happens at the posterior aspect of the elbow joint?
- On the posterior aspect of the elbow joint, the relatively deep olecranon fossa accommodates the olecranon process when the forearm is fully extended.
- The way the bones fit together at extension means that further extension is limited.
What is the wrist joint?
The wrist joint or radiocarpal joint is the articulation between the distal end of the radius and three of the proximal row of carpal bones, the scaphoid, lunate, and triquetrum bones
What bone does not participate in the wrist bone?
The fourth bone of the proximal row of carpals, the pisiform
How is the distal end of the ulna involved in the wrist joint?
The distal end of the ulna does not strictly form part of the wrist joint but it articulates with the articular disc which in turn articulates with the carpals.
What is the articular disc?
- You will see in the MRI and X-ray that there is a larger gap visible between the distal ulna and the bones of the wrist.
- This gap contains the articular disc which is not visible in X-ray and not obvious in this modality of MRI.
When do the distal end of the radius and ulna articulate?
during pronation and supination
What does the The margin of the disc-like head of the ulna articulate with?
a notch at the distal end of the radius which pivots round the ulna