Upper Limb I Flashcards
Three types of joints
Fibrous, cartilagenous, synovial
Fibrous joints
permit little or no movement, consist of two bones joined by dense CT, ex: sutures of the skull
Cartilagenous joints
permit slight amounts of movement, consist of two bones joined by fibrocartilaginous disks between articular surfaces, ex: intervertebral joints
Synovial joints
permit the greatest degree of movement, consist of two bones separated by a CT capsule and associated ligaments, ex: shoulder, knee
Components of a synovial joint
Synovial cavity, articular capsule, articular cartilage, synovial membrane, intima, synovial fluid, subintima, extrinsic ligaments, intrinsic ligaments, bones, muscles, tendons
Joints of the shoulder
Acromioclavicular joint, glenohumeral joint, sternoclavicular joint, and scapulothoracic joint
Glenohumeral joint
Articulation: head of the humerus and the glenoid fossa of the scapula
Movements: arm flexion, extension, abduction, adduction, internal rotation, external rotation
Sternoclavicular joint
Articulation: clavicle and sternum
Movements: relatively immobile, allow for gliding type of motion
Acromioclavicular joint
Articulation: clavicle and acromion process
Movements: relatively immobile, allow for a gliding motion
Scapulothoracic “joint”
Articulation: anterior surface of scapula and posterior/lateral thoracic wall
Movements: more of a functional joint, scapula elevation, depression, protraction, retraction, upward, downward
Static stabilizers of the glenohumeral joint
Capsule and its associated ligaments
Dynamic stabilizers of the glenohumeral joint
The muscles of the rotator cuff
Muscles of the rotator cuff
Supraspinatus, infraspinatus, subscapularis, teres minor
Supraspinatus
Movements: initiates and assists with abducting the arm
Nerve: suprascapular nerve
Infraspinatus
Movements: external rotation, abduction, adduction of the arm
Nerve: suprascapular
Subscapularis
Movements: internal rotation of the arm
Nerves: upper and lower subscapularis nerves
Teres minor
Movements: external rotation and adduction of the arm
Nerve: axillary nerve
Ligaments of the glenohumeral joint
Glenoid labrum, glenohumeral ligaments
Ligaments of the AC joint
Acromioclavicular ligament and coracoclavicular ligaments
Shoulder dislocation
Disarticulation of the head of the humerus from the glenoid
Shoulder separation
Disarticulation of the clavicle and acromion, can be classified as one of three grades (I-III)
Compartments of the arm
Anterior and posterior compartments, separated by the medial and lateral intermuscular septum
Anterior compartment of the arm
Muscles: biceps brachii, brachialis, coracobrachialis
Movements: flexion of arm and forearm, supination of the hand
Nerve: musculocutaneous nerve
Blood supply: brachial artery
Biceps brachii
Movements: flexion of arm and forearm, supination of hand
Nerve: musculocutaneous
Brachialis
Movement: flexion of forearm
Nerve: musculocutaneous
Coracobrachialis
Movement: flexes arm
Nerve: musculocutaneous
Posterior compartment of the arm
Muscle: triceps brachii
Movements: extend the arm and forearm
Nerve: radial nerve
Blood: deep brachial artery
Triceps brachii
Movement: extension of arm and forearm
Nerve: radial