Shoulder Flashcards

1
Q

Clavicle

A

S-shaped contour
Forward facing medial part is convex
Forward facing lateral part is concave
Inferior surface of lateral third of clavicle - conoid tubercle and lateral roughening - trapezoid line (these are for attachment of coracoclavicular ligament)

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2
Q

Articulating surface of clavicle

A

lateral end - surface of articulation with acromion

Medial end - with sternum and first costal cartilage

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3
Q

Infraglenoid tubercle

A

Roughening below glenoid cavity - site of attachment of long head of triceps brachii

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4
Q

Supraglenoid tubercle

A

Roughening above glenoid cavity - site of attachment of long head of biceps brachii

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5
Q

Coracoid process

A

Projects anterolaterally and is directly inferior to lateral part of clavicle

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6
Q

Acromion

A

Anterolateral projection of the spine, arches over glenohumeral joint

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7
Q

Greater tubercle of humerus

A

lateral in position.
Superior facet - supraspinatus
Middle facet - infraspinatus
Inferior facet - teres minor

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8
Q

Lesser tubercle of humerus

A

Anterior in position

Attachment of subscapularis

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9
Q

Bicipital groove

A

separates greater and lesser tubercle and continues inferiorly down shaft of humerus.
Tendon of long head of biceps brachii passes through this groove

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10
Q

Roughenings on intertubercular sulcus

A

Lateral lip - pectoralis major
floor - latissimus dorsi
Medial lip - teres major

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11
Q

Deltoid tuberosity

A

Continuation of lateral lip of intertubular sulcus - deltoid insertion

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12
Q

Joints of shoulder

A

sternoclavicular
acromioclavicular
glenohumeral

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13
Q

Sternoclavicular joint

A

synovial

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14
Q

Acromioclavicular joint

A

Synovial
Between medial surface of acromion and a facet on acromial end of clavicle
Supported by
small acromioclavicular ligament superior to joint
Much larger coracoclavicular ligament (between coracoid process and inferior surface of lateral end of clavicle)

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15
Q

Coracoclavicular ligament

A

Anteriorly - trapezoid ligament (attach to trapezoid line)

Posteriorly - conoid ligament (attach to conoid tubercle)

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16
Q

Glenohumeral joint

A

Synovial ball and socket

Joint stability - rotator cuff, long heads of biceps brachii

17
Q

Bursa of the glenohumeral joint

A

Subtendinous bursa of subscapularis

Subacromial bursa

18
Q

Fibrous membrane of joint capsule

A

attaches to margin of glenoid cavity, outside attachment of glenoid labrum and long head of biceps, and to the anatomical neck of humerus
Thickened in 3 locations - superior, middle and inferior glenohumeral ligaments
Coracohumeral ligament`
Transverse humeral ligament - holds tendon of long head of biceps in intertubercular sulcus

19
Q

Vascular supply to glenohumeral joint

A

Anterior and posterior circumflex humeral arteries

Suprascapular arteries

20
Q

Innervation of glenohumeral

A

Branches from posterior cord of brachial plexus
Suprascapular
Axillary
Lateral pectoral nerves

21
Q

Rhomboid minor and major

A

Dorsal scapular nerve
Elevates and retracts scapula
Holds scapula to the vertebrae

22
Q

Supraspinatus

A

Suprascapular nerve

Most superior facet of greater tubercle

23
Q

Infraspinatus

A

Middle facet of greater tubercle
Suprascapular nerve
Lateral rotation of arm

24
Q

Teres minor

A

Inferior facet of greater tubercle
Axillary nerve
Lateral rotation of arm

25
Teres major
Origin: inferior angle of scapula (posterior) Insertion: medial lip of intertubercular sulcus on anterior surface of humerus Inferior subscapular nerve Medial rotation and extension of arm
26
Long head of triceps brachii
Origin: infraglenoid tubercle of scapula Insertion: common tendon of insertion with medial and lateral heads on olecranon process of ulna Radial nerve Travels in between teres minor and major muscle
27
Muscles in shoulder
Deltoid Trapezius Levator scapulae Rhomboid major and minor
28
Posterior scapular region
Supraspinatus Infraspinatus Teres minor and major Long head of triceps brachii
29
Gateways to posterior scapular region
Suprascapular foramen Quadrangular space Triangular space Triangular interval
30
Suprascapular foramen
Suprascapular nerve | Suprascapular artery and veins
31
Quadrangular space
``` Borders: Lateral margin of long head of triceps brachii inferior margin of teres minor superior margin of teres major shaft of humerus laterally ``` Contents: posterior circumflex humeral artery axillary nerve
32
Triangular space
borders: medial margin of long head of triceps brachii inferior margin or teres minor superior margin of teres major Contents: circumflex scapular artery and nerve
33
Triangular interval
Borders: lateral margin of long head of triceps brachii shaft of humerus laterally inferior margin of teres major Contents: radial nerve profunda brachii artery
34
Suprascapular artery
branch of thyrocervical trunk (branch of subclavian artery)
35
Subscapular artery
Originate from third part of axillary artery | Circumflex scapular artery branches from here
36
Posterior circumflex humeral artery
Originates from third part of axillary artery