lecture 14 - upper limb bones/joints Flashcards

(97 cards)

1
Q

What are the functions of the upper limb?

A

reaching, grasping, carrying, throwing, hitting, delicate manipulations

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2
Q

What are the bones of the shoulder girdle?

A

scapula, clavicle

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3
Q

What bones are the shoulder girdles attached to?

A

sternum, humerus

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4
Q

What is the shape of the medial end of the clavicle?

A

rounded

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5
Q

What is the shape of the lateral end of the clavicle?

A

flattened

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6
Q

What are the curvatures of the shaft of the clavicle?

A

Medial 2/3 is convex forwards, lateral 1/3 is concave forward

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7
Q

Which surface of the clavicle is roughened, and which is smooth?

A

Upper surface smooth, lower surface roughened

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8
Q

Why is the upper surface of the clavicle smooth while the lower surface is roughened?

A

The lower surface has muscle attachements

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9
Q

What are the 3 borders of the scapula?

A

medial border, lateral border, superior border

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10
Q

What are the 2 angles of the scapula?

A

Superior angle, inferior angle

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11
Q

What is the name for the anterior flat surface of the scapula?

A

Sub-scapular fossa

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12
Q

What is the name for the posterior flat surface of the scapula, below the spine?

A

Infraspinous fossa

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13
Q

What is the name for the posterior flat surface of the scapula, above the spine?

A

Supraspinous fossa

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14
Q

What part of the scapula has the scapula spine?

A

The posterior surface

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15
Q

What are the 2 processes of the scapula?

A

Coracoid process, acromion process

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16
Q

What part of the scapula does the clavicle articulate with?

A

Acromion

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17
Q

What are the 2 joints of the clavicle?

A

Acromioclavicular, sternoclavicular

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18
Q

What ligament stabilises the acromioclavicular joint?

A

superior acromioclavicular ligament

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19
Q

What ligament stabilises the clavicle by joining it to the coracoid?

A

Coracoclavicular ligament

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20
Q

What ligament is made up of the trapezoid and conoid components?

A

Coracoclavicular ligament

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21
Q

What are the 2 parts of the coracoclavicular ligament?

A

trapezoid, conoid

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22
Q

What is the medial part of the coracoclavicular ligament

A

Conoid

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23
Q

What is the lateral part of the coracoclavicular ligament?

A

trapezoid

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24
Q

What part of the sternum does the clavicle articulate with?

A

Manubrium

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25
What ligament stabilises the connection between the 2 clavicles, superior to the manubrium?
Interclavicular ligament
26
What ligament stabilises the medial clavicle to the 1st rib?
Costoclavicular ligament
27
What ligaments stabilises the sternoclavicular joint?
Anterior and superior sternoclavicular ligaments
28
What structures are found between the sternum and clavicle at the sternoclavicular joint?
fibrocartilaginous articular disc
29
What type of joint is the acromioclavicular joint?
Synovial plane joint
30
What type of joint is the sternoclavicular joint?
synovial saddle joint
31
What ligament stabilises the scapula be joining the coracoid process and acromion?
Coracoacromial ligament
32
What ligament wraps around the tendon of the long head of the biceps proximally?
transverse humeral ligament
33
What are the 2 articulating surfaces of the shoulder joint?
head of humerus, glenoid fossa
34
What is the alternative name for the shoulder joint?
Glenohumeral joint
35
What ligament prevents superior shoulder dislocation?
coracoacromial ligament
36
What are the capsular ligaments of the glenohumeral joint?
Coracohumeral ligament, glenohumeral ligaments
37
What structure forms a rim around the glenoid fossa?
glenoid labrum
38
What tendon is attached to the glenoid labrum?
Tendon of long head of biceps brachii
39
What is the more proximal neck of the humerus?
Anatomic neck
40
What is the more distal neck of the humerus?
surgical neck
41
What are the consequences of a fracture to the anatomical neck of the humerus?
necrosis of the head due to cutting off the blood supply
42
What are the consequences of a fracture to the surgical neck of the humerus?
disruption of circumflex arteries and axillary nerve
43
What structures stabilise the glenohumeral joint?
Rotator cuff muscles, coracoacromial arch, long head of the biceps
44
What are the 3 bones of the elbow joint?
Humerus, radius, ulna
45
What is the most medial part of the distal humerus?
medial epicondyle
46
What is the most lateral part of the distal humerus?
Lateral epicondyle
47
What are the anterior fossa (s) of the distal humerus?
coronoid fossa, radial fossa
48
What are the posterior fossa (s) of the distal humerus?
olecranon fossa
49
What is the medial feature of the anterior articulation of the humerus at the elbow?
trochlea
50
What is the lateral feature of the anterior articulation of the humerus at the elbow?
capitulum
51
What feature of the ulna articualtes with the trochlea?
Trochlea notch
52
What feature fits into the radial fossa upon flexion at the elbow?
Radial tuberosity
53
Where is head of the radius found?
at the proximal end at elbow joint
54
Where is head of the ulna found?
at the distal end at the wrist joint
55
What is the bony eminence of the ulna that articulates at the inferior elbow joint?
Olecranon
56
Where is the radial tuberosity located?
On the proximal, anterior radius
57
Where is the ulna tuberosity located?
Proximal anterior ulna
58
What type of joint is the elbow?
Synovial, hinge joint
59
What are the 2 parts of the elbow joint?
Humeroulnar joint, humeroradial joint
60
What are the components of the humeroulnar joint?
Trochlea of humerus, trochlear notch of ulna
61
What are the components of the humeroradial joint?
capitulum, head of radius
62
What movements are possible at the elbow?
flexion, extension
63
What ligaments stabilise the elbow joint?
Ulnar collateral ligament, radial collateral ligament, annular ligament
64
What are the attachments of the ulnar collateral ligament?
Medial epicondyle of humerus, trochlear notch of ulnar
65
What are the attachments of the radial collateral ligament?
lateral epicondyle, annular ligament
66
What are the attachments of the annular ligament?
Radial notch, fibrous capsule & RCL of joint
67
What ligaments are attached to the radius?
None - the annular ligament wraps around but does not attach, and the RCL attaches directly to the annular ligament
68
What type of joint are the radioulnar joints?
Pivot joints
69
What are the movements possible at the radioulnar joints?
pronation, supination
70
What is the position of the hand during pronation?
palming facing posterior (in anatomical position)
71
What is the position of the hand during supination?
Palm facing anterior (anatomical position)
72
What ligament stabilises the proximal radioulnar joint?
Annular ligament
73
What are the articulating components of the proximal radioulnar joint?
head of radius, radial fossa of ulna
74
What are the articulating components of the distal radioulnar joint?
Ulnar notch of radius, styloid process of ulna
75
What sits between the ulnar and radius at the distal radioulnar joint?
L shaped/triangular articular disc
76
How many phalanges does each digit have?
3 for fingers, 2 for thumb/pollex
77
What is the first digit?
thumb/pollex
78
What is the fifth digit?
pinkie finger
79
How many carpal bones are there?
8
80
What are the 8 carpal bones?
(proximal lateral) Scaphoid, Lunate, triquetrum, pisiform, trapezium, trapezoid, hamate, capitate (distal medial) (Some Lovers Try Positions That They Can’t Handle)
81
What are the 4 proximal carpals?
Lateral to medial: Scaphoid, Lunate, Triquetrum, Pisiform
82
What are the 4 distal carpals?
(lateral to medial) trapezium, trapezoid, hamate, capitate
83
What type of joint is the wrist?
Ellipsoidal
84
What movements are possible at the wrist joint?
flexion, extension, abduction, adduction
85
What ligaments stabilise abduction and adduction at the wrist joint?
radial and ulnar collateral ligaments
86
What is abduction at the wrist in terms of bones?
radial deviation
87
What is the name for the joints between the distal and proximal row of carpals?
Midcarpal joints
88
What type of joint are the medial 4 carpometacarpal joints?
Plane joints
89
What type of joint is the lateral metacarpal joint?
saddle joint
90
What does the first metacarpal articulate with proximally?
trapezium bone (carpal)
91
What movements are possible at the first carpometacarpal joint?
flexion, extension, abduction, adduction, opposition
92
What type of joint are the metacarpophalangeal joints?
ellipsoidal
93
What movements are possible at the metacarpophalangeal joints?
flexion, extension, abduction, adduction
94
What are the ligaments supporting the metacarpophalangeal joints?
joint capsule, medial/lateral collateral ligaments, palmar ligament, deep transverse metacarpal ligament
95
What type of joint are the interphalangeal joints?
Hinge joints
96
What movements are possible at the interphalangeal joints?
flexion/extension
97
What are the steps in the transmission of force through the upper limb from the hand?
metacarpal bones, carpals, radius, ulna (via interosseous membrane), humerus, shoulder girdle, sternum, ribs