Shoulder Flashcards

(58 cards)

1
Q

What are the 4 components of the appendicular skeleton?

A

Upper extremities
Lower extremities
Pectoral girdle
Pelvic girdle

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2
Q

What are the 5 regions of the upper extremity?

A
Shoulder
Arm
Forearm
Wrist
Hand
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3
Q

The pectoral girdle is made of which 2 bones?

A

Scapula

Clavicle

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4
Q

The shoulder is also called?

A

Glenohumeral joint

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5
Q

What type of joint is the shoulder?

A

Bone-in-socket synovial

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6
Q

What 3 bones articulate at the shoulder joint?

A

Head of humerus
Glenoid cavity of scapula
Clavicle

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7
Q

True or False. The bones of the shoulder joint are covered in hyaline cartilage with a joint capsule directly on top.

A

False. The bones of the shoulder joint are covered in hyaline, and then the synovial membrane and then the joint capsule.

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8
Q

What structure is superficial to the synovial membrane?

A

Joint capsule

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9
Q

Which 2 structures project from the scapula and in what direction?

A

Acromion
Coracoid process
Anteriorly

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10
Q

True or False. The humerus is the only bone in the arm.

A

True

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11
Q

From the head of the humerus moving distally, what are the 3 bony structures of the humerus?

A

Anatomical neck
Surgical neck
Deltoid tuberosity

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12
Q

Where are most fractions of the humerus?

A

Surgical neck

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13
Q

The deltoid tuberosity is more medial or lateral?

A

Lateral

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14
Q

What separates the tubercles?

A

Intertubercular groove

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15
Q

What structure runs within the intertubercular groove?

A

Tendon of long head of biceps brachii

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16
Q

Which is more lateral, the greater or lesser tubercle?

A

Greater

Lesser tubercle is more anterior/medial

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17
Q

What 3 joints make up the shoulder region?

A

Glenohumeral
Acromioclavicular
Sternoclavicular

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18
Q

What is the only bony articulation between the upper extremity and axial skeleton?

A

Sternoclavicular joint

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19
Q

The glenoid cavity is deep or shallow?

A

Shallow

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20
Q

What structure deepens the glenoid cavity?

A

Glenoid labrum

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21
Q

What are the 5 important ligaments of the shoulder?

A
Transverse humeral
Glenohumeral 
Coracoacromial
Acromioclavicular
Coracoclavicular
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22
Q

Which ligament connects the greater and lesser tubercle?

A

Transverse humeral ligament

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23
Q

How many glenohumeral ligaments are there? What are their names?

A

3
Superior
Middle
Inferior

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24
Q

Which ligament has 2 division? They are?

A

Coracoclavicular

Trapezoid and Conoid

25
What ligaments are torn in a partial separation?
Acromioclavicular
26
What ligaments are torn in a complete separation?
Acromioclavicular Trapezoid Conoid
27
What is the combination of different movements around the shoulder joint?
Circumduction
28
What are the 3 main movements of the arm?
Flexion/extension Abduction/adduction Internal/Medial rotation and External/Lateral rotation
29
What is the major abductor of the arm?
Deltoid
30
Which 3 muscles are involved in abduction of the arm?
Supraspinatus- first 15* | Deltoid and serratus anterior- rest of the way
31
What are the 4 rotator cuff muscles?
Subscapularis Supraspinatus Infraspinatus Teres minor
32
Of the 4 rotator cuff muscles, which are posterior? Anterior?
Anterior- subscapularis | Posterior- supraspinatus, infraspinatus, teres minor
33
The main action of the subscapularis is to?
Medially rotate humerus
34
What is the main role of the supraspinatus?
Start abduction to 15*
35
What is the main function of the infraspinatus?
Laterally rotate humerus
36
What is the main role of the teres minor?
Laterally rotate humerus
37
Which of the rotator cuff muscles are NOT involved in rotation of the humerus?
Supraspinatus
38
What is the function of the rotator cuff muscles?
Surround and stabilize shoulder joint
39
The blood vessels and nerves to the shoulder and arm ALL pass _____________ to the joint itself.
Anterior
40
What causes winging of the scapula?
Injury to long thoracic nerve
41
What innervates the serratus anterior?
Long thoracic nerve
42
True or False. The pectoralis Major and minor act on the humerus?
False. The pectoralis major does, but the pectoralis minor does NOT.
43
What lies between the deltoid and pectoralis major muscles? What important structure runs there?
Deltopectoral groove | Cephalic vein
44
Where is the site of pacemaker and venous access injection?
Cephalic vein
45
The long head of the triceps passes __________ to the teres minor, and ________ to the teres major.
Anterior | Posterior
46
What are the 3 most important spaces?
Quadrangular Triangular Triangular interval
47
What is the superior, inferior, medial and lateral borders of the quadrangular space?
Superior- teres minor Inferior- teres major Medial- long head of triceps Lateral- shaft of humerus
48
What 2 structures are contained within the quadrangular space?
Axillary nerve | Posterior circumflex humeral vessels
49
What is the superior, inferior, and lateral border of the triangular space?
Superior- teres minor Inferior- teres major Lateral- long head of the triceps
50
What is the most important structure in the triangular space?
Circumflex scapular vessels
51
What are the superior, medial and lateral borders of the triangular interval?
Superior- teres major Medial- long head of triceps Lateral- shaft of humerus
52
What 2 structures run through the triangular interval?
Radial nerve | Deep brachial artery
53
What structures run from the neck to the posterior scapula? Through what hole?
Suprascapular vessels and nerve | Suprascapular notch
54
The suprascapular __________ runs _____________ to the transverse scapular ligament.
Artery- superficial | Nerve- deep
55
The suprascapular vessels and nerve supply what?
Supraspinatus and infraspinatus muscles
56
What 2 arteries are involved in anastomosis if the Axillary artery is occluded?
Dorsal scapular | Suprascapular
57
Go over the pathways of the arteries that anastomose if the Axillary artery is occluded.
Know this very well!!!
58
What are the 4 components of the axial skeleton?
Skull Vertebral column Ribs Sternum