shoulder Flashcards

(60 cards)

1
Q

what type of joint is the shoulder joint? what does it allow?

A
  • ball and socket joint
  • allows the most degree of freedom for locomotion
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2
Q

what are the four main bones of the shoulder?

A
  • scapula
  • clavicle
  • sternum
  • humerus
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3
Q

what is the clavicle?

A
  • collarbone
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4
Q

where is the sternum?

A
  • in the middle
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5
Q

what is the scapula?

A
  • irregular shaped bone that has many bony landmarks
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6
Q

what is the humerus? what does it articulate with?

A
  • main bone of the arm
  • articulates with glenoid cavity via the head
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7
Q

what is between the acromion and clavicle? what does this do?

A
  • fibrous joint
  • made of dense connective tissue
  • limits movement
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8
Q

what is the spine of the scapula?

A
  • goes across the middle and forms the acromion
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9
Q

where is the coracoid process? what does it allow?

A
  • sticks out anteriorly
  • provides attachment for ligaments & tendons
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10
Q

where is the acromion?

A
  • wraps around coracoid and comes against clavicle
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11
Q

what is the concave hollow surface?

A
  • glenoid fossa
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12
Q

where are the tubercles located?

A
  • greater tubercle is close to humeral head but more later
  • lesser tubercle located more anterior and medial
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13
Q

what is the olecranon? what does it provide?

A
  • tuberosity that provides insertion for triceps
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14
Q

what is the purpose of the labrum?

A
  • increases articular surface for movement of the humeral head
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15
Q

what always comes first in ligaments?

A
  • corcaco
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16
Q

what comes last in ligaments?

A
  • clavicular
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17
Q

what are the seven main ligaments?

A
  • acromioclavicular
  • sternoclavicular
  • coracoacromial
  • coracoclavicular
  • joint capsule
  • coracohumeral
  • glenohumeral
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18
Q

what is the acromioclavicular ligament?

A
  • between acromion and clavicle
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19
Q

what is the sternoclavicular ligament?

A
  • between clavicle and sternum
  • anterior and posterior to provide stability during movement
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20
Q

what is the coracoacromial ligament?

A
  • between acromion and coracoid
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21
Q

what is the coracoclavicular ligament?

A
  • between coracoid and clavicle
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22
Q

what surrounds the joint? what does it provide?

A
  • joint capsule
  • provides stability
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23
Q

what is the coracohumeral ligament?

A
  • between coracoid and humerus
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24
Q

what is the glenohumeral ligament? what are the three types?

A
  • between glenoid cavity and humerus
  • superior, middle and inferior
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25
what are the three true joints?
- glenohumeral joint - sternoclavicular joint - acromioclavicular joint
26
what are the other 2 non true joints?
- scapulothoracic articulation - subacromial articulation
27
what is the glenohumeral joint?
- ball & socket joint - formed by head of humerus and glenoid fossa
28
what is the sternoclavicular joint?
- conformed by articular surface of sternum (manubrium) and lateral end of clavicle will articulate with chromium of scapula
29
what is the acromioclavicular joint?
- top of the shoulder where the acromion meets the lateral end of the clavicle - diarthrosis ( 3 axes)
30
what is the scapulothoracic articulation?
- sliding junction between deep aspect of scapula/ thoracic rib cage - enables integration of movements of scapula against chest wall
31
what is the subacromial articulation?
- space directly beneath acromion and directly above shoulder joint
32
what happens to the humeral head and acromion when the arm is lifted?
- draw nearer to each other - so space narrows
33
what is the rotator cuff?
- set of four muscles specialised in structural support
34
what are the four muscles of the rotator cuff?
- infraspinatus - teres minor - supraspinatus - subscapularis
35
where is the infraspinatus and what does it cause?
- below the spine of the scapula on posterior side - pulls on humerus to rotate the shoulder back
36
where is the teres minor? what does it create?
- below infraspinatus - synergist with infraspinatus - creates lateral rotation
37
where is the supraspinatus? what does it cause?
- above the spine, inserts into humerus - synergist with deltoid - lifts humerus up (abduct humerus/ extend shoulder)
38
where is the subscapularis? what does it cause?
- under scapula on anterior side - originates on medial side of the scapula and inserts into head of humerus - pulls on humerus to cause medial & anterior rotation
39
what does the rotator cuff provide?
- stabilisation - wraps around the humerus to provide extra support
40
what is the rotator cuff described as? what would happen without the rotator cuff?
- concavity compression - without= if deltoid pulled up it would lift the head of the humerus upwards causing less efficient movement
41
what do the rotator cuff muscles do during movement?
- centralises the head of the humerus
42
what are the four flexors of the shoulder?
- anterior deltoid - pectoralis major - coracobrachialis - biceps brachii
43
where does the anterior deltoid originate and insert?
- originates at lateral third of clavicle - inserts onto deltoid tuberosity of humerus
44
where does the pectoralis major originate and insert?
- originates at middle half of clavicle, sternum and upper six costal cartilage - inserts onto lateral lip of bicipital groove of humerus
45
where does the biceps brachii originate and insert?
short head= tip of coracoid process long head= supraglenoid tuberosity - inserts into tuberosity of radius and fascia of forearm via bicipital aponeurosis
46
what are the three shoulder extensors?
- posterior deltoid - latissimus dorsi - triceps brachii
47
where does the posterior deltoid originate and insert?
- originates at the spine of scapula - inserts into deltoid tuberosity of humerus
48
where does the latissimus dorsi originate and insert?
- originates at inferior 6 thoracic vertebrae (T6-T12), lumbar vertebrae (L1-L5), crest of sacrum and iliac crest - inserts into intertubercle sulcus of humerus
49
where does the triceps brachii originate and insert?
- originates on infraglenoid tubercle - inserts into olecranon
50
what are the two abductors?
- middle deltoid - supraspinatus
51
where does the middle deltoid originate and insert?
- originates at lateral third of clavicle, acromion and spine of scapula - inserts into deltoid tuberosity of humerus
52
where does the supraspinatus originate and insert?
- originate at supraspinous fossa of scapula - inserts onto greater tubercle of humerus
53
what are the four adductors?
- latissimus dorsi - teres major - coracobrachialis - pectoralis major
54
where does the teres major originate and insert?
- originates at lateral inferior angle and lower 1/2 of lateral border of scapula - inserts into medial lip of bicipital groove of humerus
55
what are the five medial rotators?
- latissimus dorsi - teres major - subscapularis - pectoralis major - anterior deltoid
56
where does the subscapularis originate and insert?
- originates on subscapular fossa of scapula - inserts onto lesser tubercle of humerus
57
what are the three lateral rotators?
- infraspinatus - teres minor - posterior deltoid
58
where does infraspinatus originate and insert?
- originates on infraspinatus fossa of scapula - inserts into greater tubercle of humerus
59
where does the teres minor originate and insert?
- originates at lateral border of scapula - inserts into greater tubercle
60
where does posterior deltoid originate and insert?
- originates at the spine of the scapula - inserts into deltoid tuberosity of the humerus