Pectoral Region, Shoulder Flashcards
(48 cards)
Somite
- originate during 3rd week of embryogenesis
- day 20 = mesoderm differentiates
- after day 20 = differentiates into 44 pairs of somites (change into 31 sets of spinal nerves)
Somite Subdivisions
- sclerotome = bone and cartilage
- syndetome = (from sclerotome) tendon and ligament
- dermomyotome = dermatome and myotome (segmental innervation)
Formation of Limb Buds
- 4th week of development = upper limb buds appear as elevations of C5-T1
- cranial to caudal
- about a week later = lower limb buds appear as L2-S2 segments
Progression of Limb Buds
- distal limb buds flatten (palms/soles anterior + thumb/great toe cranial)
- flexures: limbs bend anteriorly, elbow/knee are directed laterally, palm/sole directed toward trunk
Torsion of Limb Buds
- end of 7th week
- proximal parts of upper and lower limbs undergo a 90 degree torsion in opposite directions
- elbow = caudal; knee = cranial
- in lower limb, permanent pronation (twisting) of leg so foot becomes oriented w/ great toe on medial side
Formation of Digits
- mesenchyme condenses into plates, forming cartilaginous models of future digital bones
- interdigital spaces sculpted by cellular apoptosis
Syndactyly
fusion of 2 or more digits
Polydactyly
extra digits, typically occurs bilaterally
Macrodactyly
enlarged digits
Adactyly
absence of digits
Ectrodactyly
“lobster-claw deformity”, typically missing middle digit, typically occurs unilaterally
Amelia
complete absence of one or more extremities
Meromelia
partial absence of one or more extremities
Phocomelia
shortened lower extremities
Radial Longitudinal Deficiency
radius is shortened
Synovial Joint
- distal ends of two bones articulate
- articular cartilalge
- capsule made of outer fibrous and inner synovial membrane
- fluid-filled … synovial fluid (lubrication)
Functional Joint
- no joint cavity
- held together by soft tissues
Joints of UE
- glenohumeral (GH)
- acromioclavicular (AC)
- sternoclavicular (SC)
- scapulothroacic (ST) = functional
What 3 muscles attach to the coracoid process?
coracobrachialis, short head of biceps brachii, pectoralis minor
What travels through the radial groove?
radial nerve, deep profunda brachial artery
Triarticulate
works across 3 joints
ex: triceps brachii (long head), biceps brachii
ABCS
aorta > brachiocephalic trunk > common carotid artery > subclavian artery
UE Vasculature
- subclavian a. > (1st rib) axillary a. > (teres major) brachial a.
- branches = suprascapular a., circumflex humeral a. (posterior + anterior), subscapular a., profunda brachii a.
Arterial Anastomoses
- all of the arteries are interconnected around the scapula
- can sprout new connections w/ each other that will bypass any blockages/occlusions