Week 4 Flashcards
Humerus articulates with
The scapula at the shoulder and the radius and ulna at the elbow
Scapular landmarks
- supraspinatus fossa
- infraspinatus fossa
- spine of scapula
- glenoid cavity
- inferior angle
- superior angle
- medial border
- lateral border
- subscapular fossa
- coracoid process
- acromion process
Humeral landmarks
- Head
- greater tubercle
- lesser tubercle
- deltoid tuberosity
Which joint has the greatest ROM?
Glenohumeral joint
Has a significant amount of laxity
How big is the glenoid fossa compared to the humeral head?
Glenoid fossa is 1/4 the size of the humeral head
Glenoid Labrum
Cartilaginous ring that increases the contact area of the glenoid fossa to 70%
Glenohumeral joint problems
The price of mobility is reduced stability
- instability problems are common
- Rotator cuff impingement
- Subluxations and dislocations
Supporting structures of the glenohumeral joint
- Glenohumeral ligament
- Coracohumeral ligament
Glenohumeral ligament
- supports glenohumeral joint anteriorly and inferiorly.
- prevents anterior dislocation
Coracohumeral ligament
supports weight of arm
The only attachment of the shoulder girdle to the thorax is via the…
Clavicle
Which ligaments attach the shoulder girdle to the clavicle?
- Anterior sternoclavicular ligament to manubrium
- Costcoclavicular ligament to first rib.
Clavicle and scapula joints
- Sternoclavicular (SC)
- Acromioclavicular (AC)
- Scapulothoracic (ST) - movement of scapula on rib cage.
Acromioclavicular joint
Superior to GH joint
- Bony restriction - often injured - ligament support - coracoclavicular ligament - acromioclavicular ligament (sup, inf)
Scapulothoracic joint (ST)
Depends on SC & AC joint, lacks ligament support
Sagittal movements of the shoulder girdle
elevation/depression
Frontal movements of the shoulder girdle
upward rotation, downward rotation
Transverse movements of the shoulder girdle
abduction (protraction), adduction (retraction)
Rotator Cuff Muscles
SITS
Supraspinatus
-attach to greater tubercle from above (abduct)
Infraspinatus
-attach to greater tubercle posteriorly (ext. rot.)
Teres Minor
-attach to greater tubercle posteriorly (ext. rot.)
Subscapularis
-attach to lesser tubercle anteriorly (int. rot.)
Supraspinatus
Origin -medial 2/3rds of the supraspinatus fossa
Insertion- Humeral greater tubercle (superior)
Location- superior
Action- abduction
Most often injured (SITS)
-throwing, swimming
Infraspinatus
Origin- Infraspinatus fossa (posterior surface of scapula below the spine)
Insertion- Humeral greater tubercle (posterior)
Location- posterior/deep
Movements- Extension GH joint, external rotation GH joint, horizontal abduction GH joint
provides posterior stability
Most powerful external rotator
Stretch- internal rotation with extreme horizontal abduction
Teres Minor
Origin- posterior scapula, lateral border
Insertion- humeral greater tubercle (posterior)
Location- posterior
Movements- extension GH, external rotation GH, Horisontal abduction
Posterior stability
Subscapularis
Origin- entire anterior surface of subscapular fossa
Insertion- humeral lesser tubercle
location- anterior (scapula)
Movements- adduction GH, Extension GH, internal rotation GH, stabilization of humeral head in glenoid fossa
Works with latissimus dorsi and teres major (less powerful)
Sagittal plane movements of the shoulder
Flexion/extension
Frontal plane movements of the shoulder
abduction, adduction
Transverse plane movements of the shoulder
horizontal abduction/adduction
internal rotation/external rotation