Chapter 10 - Shoulder Joint Flashcards

1
Q

What are the four groups of motion possible at the shoulder joint?

A

Flexion/extension/hyperextension
ABD/ADD
MR/LR
Horizontal ABD/ADD

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2
Q

Horizontal ABD/ADD

A

occurs in the transverse plane around the vertical axis

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3
Q

Scaption

A

Flexion or ABD that occurs in the scapular plane

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4
Q

Scapular plane

A

30 degrees forward of the frontal plane, not quite midway between flexion and ABD

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5
Q

Firm

A

normal end feel for all shoulder joint motions

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6
Q

Joint capsule

A

thin-walled, spacious container that attaches around the rim of the glenoid fossa of the scapula and the anatomical neck of the humerus

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7
Q

Glenohumeral ligament

A

Made up of superior, middle, and inferior parts; reinforce the anterior portion of the capsule

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8
Q

Coracohumeral ligament

A

attaches from the lateral side of the coracoid process and spans the joint anteriorly to the medial side of the greater tubercle; strengthens the upper part of the joint capsule

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9
Q

Glenoid labrum

A

fibrous ring that surrounds the rim of the glenoid fossa; deepens the articular cavity

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10
Q

Thoracolumbar fascia

A

superficial fibrous sheet that attaches to the spinous processes of the lower thoracic and lumbar vertebrae, supraspinal ligament, and the posterior part of the iliac crest, covering the sacrospinalis muscle

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11
Q

Anterior Deltoid Origin

A

lateral thrid of clavicle

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12
Q

Anterior Deltoid Insertion

A

deltoid tuberosity

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13
Q

Anterior Deltoid Action

A

shoulder ABD, flexion, MR, horizontal ADD

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14
Q

Middle Deltoid Origin

A

acromion process

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15
Q

Middle Deltoid Insertion

A

deltoid tuberosity

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16
Q

Middle Deltoid Action

A

shoulder ABD

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17
Q

Posterior Deltoid Origin

A

spine of scapula

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18
Q

Posterior Deltoid Insertion

A

deltoid tuberosity

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19
Q

Posterior Deltoid Action

A

shoulder ABD, extension, hyperextension, LR, horizontal ABD

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20
Q

Sternal portion

A

attached to the sternum and costal cartilages of the first 6 ribs

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21
Q

Pectoralis Major, Clavicular Portion Origin

A

medial thrid of clavicle

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22
Q

Pectoralis Major, Clavicular Portion Insertion

A

lateral lip of the bicipital groove of the humerus

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23
Q

Pectoralis Major, Clavicular Portion Action

A

first 60 degrees of shoulder flexion

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24
Q

Pectoralis Major, Sternal Portion Origin

A

sternum, costal cartilage of the first 6 ribs

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25
Q

Pectoralis Major, Sternal Portion Insertion

A

lateral lip of the bicipital groove of the humerus

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26
Q

Pectoralis Major, Sternal Portion Action

A

first 60 degrees of shoulder extension (from 180-120)

27
Q

Pectoralis Major, Clavicular and Sternal Portions Origin

A

medial third of clavicle, sternum, and costal cartilage of ribs 1-6

28
Q

Pectoralis Major, Clavicular and Sternal Portions Insertion

A

lateral lip of the bicipital groove of the humerus

29
Q

Pectoralis Major, Clavicular and Sternal Portions Action

A

shoulder ADD, MR, horizontal ADD

30
Q

Latissimus Dorsi Origin

A

spinous process of T7-L5, posterior surface of sacrum, iliac crest, and lower 3 ribs

31
Q

Latissimus Dorsi Insertion

A

medial floor of bicipital groove of humerus

32
Q

Latissimus Dorsi Action

A

shoulder extension, adduction, MR, hyperextension

33
Q

Teres Major Origin

A

inferior axillary border of scapula near the inferior angle

34
Q

Teres Major Insertion

A

medial lip of bicipital grood on the anterior surface of the humerus

35
Q

Teres Major Action

A

shoulder extension, adduction, MR

36
Q

Supraspinatus Origin

A

supraspinatus fossa of the scapula

37
Q

Supraspinatus Insertion

A

greater tubercle of the humerus

38
Q

Supraspinatus Action

A

shoulder ABD

39
Q

Infraspinatus Origin

A

infraspinatus fossa of scapula

40
Q

Infraspinatus Insertion

A

greater tubercle of humerus

41
Q

Infraspinatus Action

A

shoulder LR, horizontal ABD

42
Q

Teres Minor Origin

A

axillary border of scapula

43
Q

Teres Minor Insertion

A

greater tubercle of humerus

44
Q

Teres Minor Action

A

shoulder LR, horizontal ABD

45
Q

Subscapularis Origin

A

subscapular fossa of the scapula

46
Q

Subscapularis Insertion

A

lesser tubercle of the humerus

47
Q

Subscapularis Action

A

shoulder MR

48
Q

Coracobrachialis Origin

A

coracoid process of the scapula

49
Q

Coracobrachialis Insertion

A

medial surface of the humerus near the midpoint

50
Q

Coracobrachialis Action

A

stabilizes the shoulder joint

51
Q

Humeral neck fracture

A

another injury caused by a fall on the outstretched hand

52
Q

Mid humeral fracture

A

caused by direct blow or a twisting force

53
Q

Radial nerve injury

A

Increased risk of injury because the nerve passes next to the bone in the spiral groove

54
Q

Pathological fractures

A

caused by benign tumors or metastatic carcinoma from primary sites such as the lungs, breast, kidney, and prostate

55
Q

Anterior shoulder dislocations

A

one of the most common joint dislocations involving the shoulder that is caused by a forced shoulder ADD and LR tends to be dislocation motion causing the humeral head to slide anteriorly out of the glenoid fossa

56
Q

Glenohumeral subluxation

A

commonly seen in individuals who have hemiplegia, usually from a cerebrovascular accident (stroke)

57
Q

Impingement syndrome

A

overuse condition that involves compression between the acromial arch, humeral head, and soft tissues structures

58
Q

Adhesive capsulitis

A

inflammation and fibrosis of the shoulder joint capsule which leads to pain and loss of shoulder ROM (frozen shoulder)

59
Q

Torn rotator cuff

A

involves the distal tendinous insertion of the supraspinatus, infraspinatus, teres minor, and subscapularis on the greater/lesser tubercle of the humerus

60
Q

Labral tear

A

Involves damage to the glenoid labrum that can have degenerative or traumatic etiology and results in pain and limited motion in the shoulder joint

61
Q

Calcific tendonitis

A

Chronic inflammation of the supraspinatus tendon can lead to an accumulation of mineral deposits and can be asymptomatic or painful

62
Q

Bicipital tendonitis

A

involves the long head of the biceps proximally as it crosses the humeral head, changes direction, and descends into the bicipital groove - a rupture of the biceps long head tendon commonly occurs during repetitive or forceful overhead positions

63
Q

Subluxing of the biceps tendon

A

overloading the muscle in an abducted and laterally rotated position tends to be the force subluxing the tendon out of the bicipital groove