Shoulder Joint Flashcards

1
Q

scapulothoracic

A

shoulder girdle

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2
Q

bones of the shoulder girdle

A

scapula

clavicle

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3
Q

joints of the shoulder girdle

A

sternoclavicular
acromioclavicular
scapulothoracic

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4
Q

5 primary movers of the shoulder girdle

A
pectoralis minor
serratus anterior
trapezius
rhomboid
levator scapula
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5
Q

multiaxial joint of shoulder girdle

A

sternoclavicular joint

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6
Q

joint involved with gliding and rotational motion

A

acromioclavicular joint

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7
Q

shoulder girdle joint responsible for movement depen. on the sternoclavicular joint and the acromioclavicular joint

A

scalpulothoracic joint

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8
Q

primary action of trapezius

A

elevation/adduction
fication of scapula
despression
stabilize glenoid fossa

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9
Q

how is the trapezius strengthened

A
Shoulder shrug
Power clean
Side lateral raise
Upright row
Lateral (horizontal) row
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10
Q

Origin is the base of the scull, occipital protuberance, posterior ligaments of neck, spinous processes of cervical (C7) all thoracic vertebrae (t1-t12)

A

trapezius

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11
Q

insertion is the posterior aspect of lateral third of clavicle, medial border of acromion process &upper board of scapular spine, triangular space at base of scapular spine

A

trapezius

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12
Q

primary action of the levator scapulae

A

elevation. lateral neck flextion

add superior angle

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13
Q

strengthen the levator scapulae with

A

Shoulder shrug
Power clean
Lateral neck flexion

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14
Q

primary action of rhomboid major and minor

A

adduction
downward rotation
elevation

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15
Q

strengthen rhomboid major and minor through

A

chin ups
upright row
lateral horizontal row

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16
Q

(I) is the medial border of the scapula spine

A

levator scapulae

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17
Q

(O) is the transverse processes of upper four cervical vertebrae (C1-4)

A

levator scapulae

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18
Q

(O) spinous process of last cerical (C-7) and first five thoracic vertebrae (T1-5)

A

rhomboid major/minor

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19
Q

primary action: abduction , upward rotation

A

serratus anterior

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20
Q

strengthen serratus anterior

A

pulloever
bench press (last 5 to 10 degrees)
overhead press

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21
Q

(I) anterior aspec of whole length of medial border of scapula

A

serratus anteiror

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22
Q

(O) surfaces of upper nine ribs t side of chest

A

serratus anterior

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23
Q

primary action of pectoralis minor

A

abduction
downward rotation
depression

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24
Q

how do you strengthen the pectoralis minor

A

Bench Press
Cable Crossover
Dip

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25
Q

(I) Coracoid process of scapula

A

pectoralis minor

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26
Q

(O) anterior surfaces of 3rd or 5th ib

A

pectoralis minor

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27
Q

Origin – superior aspect of first rib at its junction with its costal cartilage

A

subclavius

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28
Q

Insertion – inferior groove in the midportion of the clavicle

A

subclavius

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29
Q

primary action of the subclavius

A

stabilization & protection of sternoclavicular joint

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30
Q

how do you strengthen the subclavius

A

Dip

Decline Bench Press (marginal)

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31
Q

bones of the shoulder joint

A

Scapula
Clavicle
Humerous

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32
Q

joints of the shoulder joint

A

Glenohumeral joint

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33
Q

anterior muscles of the shoulder joint

A

pectoralis major – coracobrachialis – subscapularis

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34
Q

superior muscles of the shoulder joint

A

deltoid – supraspinatus

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35
Q

posterior muscles of the shoulder joint

A

latissimus dorsi – teres major – teres minor – infraspinatus

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36
Q

4 Muscles of the Rotator Cuff

A

Supraspinatus
Infraspinatus
Teres minor
Subscapularis

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37
Q

Primary action

of the pectoralis major

A

arm flexion
rotates arm medially
adducts arm

38
Q

how do you strengthen pectoralis major

A

Bench press
Fly
Cross-over

39
Q

(O) medial half of anterior surface of clavicle;

anterior surface of costal cartilages of first six ribs adjoining portion of sternum

A

pectoralis major

40
Q

(I) flat tendon 2 or 3 inches wide to outer lip of intertubercular groove of humerus

A

pectoralis major

41
Q

primary action is flexion and adduction of humerus

A

coracobrachialis

42
Q

how do you strengthen the coracobrachialis

A

Bench Press
Fly
Cross-over

43
Q

(O) coracoid process of the scapula

A

coracobrachialis

44
Q

(I) middle of the medial border of the humeral shaft

A

coracobrachialis

45
Q

primary action of the Subscapularis (rotator cuff)

A

medial rotation of humerus
helps hold head of humerus in glenoid cabity
stabilizing of shoulder joint

46
Q

how do you strengthen the Subscapularis (rotator cuff)

A

Strengthened

Internal rotation against resistance

47
Q

(O) entire anterior surface of subscapular fossa

A

Subscapularis (rotator cuff)

48
Q

(I) lesser tubercle of humerus

A

Subscapularis (rotator cuff)

49
Q

primary action of deltoid

A
horizontal  abduction
extension
abduction
horizontal adduction
flexion
50
Q

(I) deltoid tuberosity on lateral humberus

A

deltoid

51
Q

(O) anterior lateral third of clavicle lateral of acromion inferior edge of spine of scapula

A

deltoid

52
Q

how do you strengthen deltoid

A
Overhead press
Lateral raise
Upright row
Bench press (anterior)
Horizontal row (posterior)
53
Q

primary action of the supraspinatus

A

abduction

54
Q

how do you strengthen supraspinatus

A

Lateral raise with internal rotation of humerous (empty a can exercise)

55
Q

(O) medial 2/3 of supraspinatus fossa

A

supraspinatus

56
Q

(I) superiorly on greater tubercle of humerus

A

supraspinatus

57
Q

primary action of latissimus dorsi

A

Extends, adducts and med rotates arm. Costal attachment helps with deep inspiration and forced expiration

58
Q

(O) posterior crest of ilium,
back of sacrum & spinous processes of lumbar & lower
6 thoracic vertebrae
slibs from lower 3 ribs

A

latissimus dorsi

59
Q

how do you strengthen latissimus dorsi

A
Lat pull
Chinning
Horizontal row
Straight-arm pulldown
Pullover
Deadlift
Power clean
60
Q

(I)medial side of intertubercular groove of humerus

A

latissimus dorsi

61
Q

primary action is extension

medially rotatoes and adduct humerus

A

teres major

62
Q

(I) medial lip of intertubercular groove of humerus

A

teres major

63
Q

(O) inferior 3rd of lateral border of scapula

A

teres major

64
Q

how do you strengthen teres major

A

Lat pull
Chinning
Horizontal row

65
Q

primary action of teres minor

A

horizontal abduction
stabilation of humeral head
external rotaion
extension

66
Q

(I) greater tubercle of humerus on posterior side

A

teres minor

67
Q

(O) posterior scapula lateral border

A

teres minor

68
Q

how do you strengthen teres minor

A

Lat pull
Chinning
Horizontal row

69
Q

primary action of infraspinatus

A

horizontal abduction
stabilation of humeral head
external rotaion
extension

70
Q

how do you strengthen infraspinatus

A

Lat pull
Chinning
Horizontal row

71
Q

(O) of infraspinatus

A

posterior surface of scapula below spine

72
Q

(I)of infraspinatus

A

greater tubercle of humerus on posterior side

73
Q

cause: Tip of shoulder receives a sharp blow and forces the shoulder down and away from the collarbone

A

Shoulder Separation

74
Q

diagnosis: Extreme pain with any pressure of the AC joint

A

Shoulder Separation

75
Q

treatment of Shoulder Separation

A

Ice, sling, immobilization

76
Q

Time to heal Shoulder Separation

A

2-3 WKS

77
Q

cause: Contact, usually with the arm outstretched

Middle of bone most common

A

Fractured Clavicle

78
Q

Diagnosis:Extreme pain with any pressure of the clavicle

Very quick swelling

A

Fractured Clavicle

79
Q

treatment of a fractured clavicle

A

Ice, figure-eight splint, immobilization

80
Q

time to heal fractured clavicle

A

6-8 weeks

81
Q

causes: Solid hit to an extended arm

arm tackling, bracing a fall

A

Shoulder Dislocation

82
Q

diagnosis: Normal contour of shoulder is lost
Muscle spasm
Pain, discoloration

A

Shoulder Dislocation

83
Q

treatment of Shoulder dislocation

A

Ice
Kocher Maneuver
Immobilization

84
Q

What is the likelihood of experiencing a shoulder dislocation after a previous separation

A

95% chance

85
Q

Causes
Repeated use and inflammation of bursa sack (overuse)
Self perpetuating

A

Shoulder Bursitis

86
Q
Diagnosis
Starts very slowly
Within 12 hours, intense pain on the top of the shoulder
Rotation without discomfort
Abduction causes pain
A

Shoulder Bursitis

87
Q

Treatment

of Shoulder Bursitis

A

Ice continuously (thirty minutes on, 15 off) for 12 hours
Cortisone injections
Painkillers

88
Q

Causes
Repeated use and inflamation of biceps tendon (overuse)
Deformation of bicipital groove
Thrower’s ailment

A

Biceps Tendonitis

89
Q

Diagnosis
Feel for tenderness or pain at the bicipital groove
Compare swelling to contralateral side

A

Biceps Tendonitis

90
Q

Treatment
Ice and rest (two weeks rest minimum)
Oral anti-inflamatory medication
Pain after 2 weeks – cortisone injections
Surgery is rare, but effective in some cases of bicipital groove deformity

A

Biceps Tendonitis