week 3 movement Flashcards
to what point is your arm?
from your shoulder to your elbow
What point is your forearm?
from your shoulder to your hand
what is your axillia?
your arm pits
what is important about Cubital fossa ?
region above your elbow where you take blood
what are the two components of the pectoral grindle?
scapula and clavicle
what is another name of the shoudler joint and what is its positioning?
glenohumeral joint and Located between glenoid fossa of scapula and head of humerus
what does the glenohumural joint hold?
holds the upper limb to the trunk of the body
how is the pectorial grindle completed anteriorly?
completed by the manubrium-> clavicle articulates with the mandibular of the sternum –> sternoclavicular joint
is the pectorial grindle compeleted anteriorly or posteriorly?
anteriorly
what is the sternoclavicular joint?
where the pectoral girdle forms a bony attachment with the trunk of the body only bony attachment
what muscles are involved in stabilising the scapula by attatching it to the trunk?
Rhomboids (major and minor)
Levator scapulae
Trapezius
Serratus anterior
what are the three pairs of movements of the pectorial grindle?
elevation/depression
protraction/retraction
upwards rotation (lateral) and downwards rotation ( medially)
what is the origion insertion and function of the upper fibres of the trapezius?
Origin: external occipital protuberance, superior nuchal line, ligamentum nuchae & spinous process of 7th cervical vertebrae
Insertion: lateral 1/3 of clavicle and acromion process
Function: Elevate scapula
what is the origion insertion and function of the middle fibres of the trapezius?
Origin: spinous process of 1st - 5th thoracic vertebrae; Insertion: superior border of spine of scapula (lateral 2/3)
Function: Retract scapula
what is the origion insertion and function of the inferior fibres of the trapezius?
Origin: spinous process of 6th to 12th thoracic vertebrae; Insertion: medial 1/3 of spine of the scapula
Function: Depress scapula
what is the innervation of the upper, middle and lower fibres of trapezius?
Motor: Accessory nerve (CNXI
what is the origion, insertion. innervation and function of levator scapulae?
Origin: Transverse processes C1-C4
Insertion: medial border of scapula superior to root of spine
Function: elevate scapula and rotates scapula medially (downwards)
innervation : dorsal scapular nerve (C5)
what is the origion, insertion, innveration and function of Rhomboid major and minor
Origin: Minor – spinous processes C7-T1
Major – spinous processes T2-T5
Insertion: Minor – medial border of scapula at level of spine
Major – medial border of scapula inferior to level of spine
Function: retract the scapula medially and superiorly. Used in squaring the shoulders
innervation: dorsal scapular nerve (C5)
what is the origion, insertion, innveration and function of serratus anterior?
Origin: Ribs 1-8
Insertion: Medial border of scapula
Functions:
Protracts scapula (with pectoralis minor) hence sometimes called the “boxers muscle”
Rotates scapula laterally (inferior portion)
Essentially holds scapula flat against the thoracic wall
Innervation: long thoracic nerve (C5-C7
how do you get winged scapula
it is caused by damage to the long thoracic nerve –>
the medial border and inferior angle of the scapula moves away from the posterior thoracic wall
what are potential causes of winged scapula?
Penetrating injuries when arm abducted e.g. knife wound
Accidentally e.g. insertion of chest drain, during breast surgery (iatrogenic)
Neuritis (inflammation of the nerve)
describe the glenohumeral joint?
between the head of the humerus and the glenoid fossa of the scapula
with what percentage of the head of the humurus does the glenoid fossa contract with?
1/3rd of the humerus
does the gelnoid fossa and humerus fit well?
No the fossa is a shallow depression and the humerus does not connect proeprly and therefore get a lot of flexibility and the weakest point is inferiorly
how is the stability of glenohumeral joint improved?
Glenoid labrum
Ligaments,
Biceps tendon,
Rotator cuff muscles
name the 3 glenohumeral ligaments?
superior, middle and inferior glenohumeral ligaments
what is the coracohumeral?
from the humorous to the scapula ( projection to the front which is coracoid process )
what makes the Coraco-acromial arch?
acromion process, coracoid process and the coracoacromial ligament
why is the Coraco-acromial arch important?
prevents superior dislocation –> superior support
what is bursa?
it is a synovial fluid filled sac that reduces the friction between the tissues and bones
what is the importance of Subscapular bursa?
reduces the friction between the bursa and the carcoid process
what ist he importance of Subacromial bursa?
it reduces the friction bteween the bursa and acromial process
what is the significance of inflammation and damage of the bursa?
causes pain and limits movement of the joint, the subacromial bursa is usually affected –> subacromial bursitis. Inflammation of the bursa can lead to calcification –> calcification bursitis –> stones–> painful
what is the painful arc syndrome?
typical develops in males over 50
caused by inflammation after excessive use of glenohumeral joint
very painful between 50-130° of abduction – painful arc
subacromial bursa is in contact with the inferior surface of thea acromion
what does the pain reduce after 130 degrees in the painful arc syndrome?
the rotation of the scapula relieves pressure of the subacromial bursa
name the 4 rotator cuff muscles
Supraspinatus
Infraspinatus
Teres minor
Subscapularis
what do the rotator cuff muscles do?
stabalise the joints –> Tendons act as a “ligament”
keeping head of humerus
pressed into glenoid fossa
what three of the rotator cuff muscles visible on the back of the scapula and what do they attatch to?
suprasinatus
teres minor
infraspinatus
attatch to the greater tubercle